Health Care Discussion

Apr 2012
58,045
42,871
Englewood,Ohio
#1
After just listening to a very good discussion on a senate Hearing on health care in rural areas.

Bernie Samders and the Doctor , Deberal Richter from Vermont both want Medicare for all. They discussed the fact of treating patients early to keep them healthy. They talked about Diabetes being controlled. People lose limbs,eye sight,etc. from uncontrolled diabetes.

They discussed Telecommunications being important, but many of those rural areas do have broadband. Doubtful if many of those Seniors in rural areas have computers.

The Doctor talked about inflated Drug costs.

In my case I have many Doctors, a new branch of a Hospital where Doctors, Specialists, tests, cancer treatments,Eye surgery, hospital beds are all in one combined area.Emergency Care

Medicine is expanding so rapidly it is hard to keep up. In my case I can go online,read my tests, get a Doctors advice. My new Doctor is in that building. I can be seen the same day if I need him. There are several Doctors. I can also get advice online. This is not possible for many. The Doctor talked about basic health care being the most important problem to be solved.

But this is not possible in rural areas.Senator Enzi is in a very rural area, but it was clear he does not want one system. He complained about the VA that may have problems but Veterans do not want to give it up. That also had nothing to do with the discussion. The rest of the panel simply complained about not being reimbursed.

Hospitals are closing all over. A lot because they are simply obsolete. Our largest closed for that reason and the beds were half empty.

I know many of you live in rural areas with few Doctors,one Insurance company. I would like to hear from those of you who can discuss solutions.
 
Mar 2012
54,681
36,313
New Hampshire
#2
Access will be the most important thing. I have senior friends who must go two hours to see a doctor that takes Medicare. Some of them no longer drive so they cant always find a way to get there so they dont even go. Rural care is dreadful and especially for older people that need specialists and more care its almost impossible for them. I know other countries have experimented with new doctors setting up travel clinics and such in these areas. Basically they go to the local fire station or library and have a place where they can see patients for routine things. It allows them to get seen and get prescriptions and care.

I think for rural areas the big thing isnt cost anymore but finding a doctor or care center nearby. One of our former colleagues has cancer and has had such a hard time with Medicare because she cant find a doctor within 3 hours to see her. She was forced to get one of those motel rooms with a kitchen near Boston just to get treatment. Her family lives up here and they just couldnt get time away from work to be with her or get her to appts. She was alone in a big city by herself just to get treated. Her doctor said one of the big things with cancer is having a support group and being so far away from home she didnt have one.
 
Feb 2019
1
0
Pakistan
#3
Provincial consideration is loathsome and particularly for more seasoned individuals that need authorities and more consideration its practically outlandish for them. I realize different nations have explored different avenues regarding new specialists setting up movement centers and such in these territories with different health disease.
 
Apr 2012
58,045
42,871
Englewood,Ohio
#4
Provincial consideration is loathsome and particularly for more seasoned individuals that need authorities and more consideration its practically outlandish for them. I realize different nations have explored different avenues regarding new specialists setting up movement centers and such in these territories with different health disease.
Thank you for your comments, Susan Collins. It would be more meaningful if you made sense and could offer some solutions. Your rant is duly noted but I do appreciate you bringing a year old post up as Health Care is now back on the front burrner thanks to 40 new Democrats elected to the House.
 
Likes: raj
Apr 2012
58,045
42,871
Englewood,Ohio
#6
Access will be the most important thing. I have senior friends who must go two hours to see a doctor that takes Medicare. Some of them no longer drive so they cant always find a way to get there so they dont even go. Rural care is dreadful and especially for older people that need specialists and more care its almost impossible for them. I know other countries have experimented with new doctors setting up travel clinics and such in these areas. Basically they go to the local fire station or library and have a place where they can see patients for routine things. It allows them to get seen and get prescriptions and care.

I think for rural areas the big thing isnt cost anymore but finding a doctor or care center nearby. One of our former colleagues has cancer and has had such a hard time with Medicare because she cant find a doctor within 3 hours to see her. She was forced to get one of those motel rooms with a kitchen near Boston just to get treatment. Her family lives up here and they just couldnt get time away from work to be with her or get her to appts. She was alone in a big city by herself just to get treated. Her doctor said one of the big things with cancer is having a support group and being so far away from home she didnt have one.
That is sad that so many do not have the treatment they need. I know that many Doctors form teams to go into rural areas. They see people with life threatening diseases, diabetes, others. Many of them have never seen a Doctor-or Dentist.

We really need people in Congress who live in this era. Those like Senator Enzi who complain,tather than listen are relics of the past.

It will not be easy. Perhaps more incentives for Doctors to go into those areas, help or free education. Even paying them a fixed income could help.
 
Likes: Babba
Apr 2012
58,045
42,871
Englewood,Ohio
#7
The problem here is getting doctors to stay - its to isolated for them.
Yes, it is. Incentives might help. Any other ideas?

What I have noticed in my area is that Primary Doctors, Specialists have joined together as teams. Where Doctors used to be isolated in their own offices they now work as teams. They have Nurse Practitioners, Nurses in one office. Wouldn’t that work? Of course they would need transportation. That is a huge problem.

It does seem the days of huge hospitals are giving way to branches. Our oldest hospital closed due to obsolescence, another seems to be well on the way with half empty beds because medicine itself is changing with less long term stay.
.
 
Jan 2014
16,268
6,203
south
#8
That is sad that so many do not have the treatment they need. I know that many Doctors form teams to go into rural areas. They see people with life threatening diseases, diabetes, others. Many of them have never seen a Doctor-or Dentist.

We really need people in Congress who live in this era. Those like Senator Enzi who complain,tather than listen are relics of the past.

It will not be easy. Perhaps more incentives for Doctors to go into those areas, help or free education. Even paying them a fixed income could help.
I find subsidizing doctor salaries a good point to start. couple that with financially helping those who wish to become doctors may also help. the average salary for medical doctors in the U.S. is about $ 200,000 a year (about $ 55,000 a year during residency). establishing a fund to subsidize them to, say, $150,000 for those who are past residency and $60,000 during residency would help retain them even in isolated areas. help in the form of education would also be paid out of the same fund for those who qualify both financially and educationally. it's not gonna be easy or cheap, but it's worth the effort.
 
Likes: MaryAnne
Apr 2012
58,045
42,871
Englewood,Ohio
#9
I find subsidizing doctor salaries a good point to start. couple that with financially helping those who wish to become doctors may also help. the average salary for medical doctors in the U.S. is about $ 200,000 a year (about $ 55,000 a year during residency). establishing a fund to subsidize them to, say, $150,000 for those who are past residency and $60,000 during residency would help retain them even in isolated areas. help in the form of education would also be paid out of the same fund for those who qualify both financially and educationally. it's not gonna be easy or cheap, but it's worth the effort.
That would be a perfect solution. The cost of an education prevents many from becoming Doctors.

One thing I have found is Nurse Practitioners take a great load off Doctors. Insurance companies are now using them to provide Home visits. I allowed one to come and check me out, but have appointments with my Doctor every 6 months. My new Doctor said with my medications he saw no reason to see me more often, but if I have a problem they would see me the same day.

I think that would be a partial solution in rural areas where the Practitioner could see the patient in their own home, check their living conditions, how they are coping. Report to the Doctor.
 
Jan 2014
16,268
6,203
south
#10
That would be a perfect solution. The cost of an education prevents many from becoming Doctors.

One thing I have found is Nurse Practitioners take a great load off Doctors. Insurance companies are now using them to provide Home visits. I allowed one to come and check me out, but have appointments with my Doctor every 6 months. My new Doctor said with my medications he saw no reason to see me more often, but if I have a problem they would see me the same day.

I think that would be a partial solution in rural areas where the Practitioner could see the patient in their own home, check their living conditions, how they are coping. Report to the Doctor.
well, now comes the hard part - selling this idea to the citizens and congress. that's where it's really gonna get tough.
 

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