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What Happen to Quality Face Time part 2

I have just read the most appalling article about our healthcare system. Located in the Washington Post today, “Equal Treatment for the Uninsured? Don't Count on It� is a doctor’s account of how most of the uninsured patients doctors see everyday are receiving unequal and below standard care. With 47 million Americans without insurance, that’s a lot of people who are not receiving adequate care.

How can any morally sound doctor who believes in the oath they took upon graduation, deny full service to any patient they see?

The article explains that the uninsured patient will receive care- the hospital can not turn any person away- but they will get less attention and detailed prognosis than insured or paying patients. The uninsured will receive less medicine, tests or time with the doctor.

Look at these numbers from a 2006 study of 25 primary care practices: in nearly 1 in 4 encounters a physician adjusted clinical management based on ability to pay and 90% admitted to these adjustments. For patients with no insurance, alterations occurred 43% of the time; and for the privately insured, just 19%. I cannot believe this inequality to quality healthcare is happening…

Article can be found at: http://www.washingtonpost.com/wpdyn/content/article/2008/10/10/AR2008101002679.html?referrer=emailarticlepg

Comments

I agree, this is extremely appalling. It reminded me of a project we discussed in my current public health course. Our professor worked on some community based participatory research in 2003 on disparities in Minnesota Health Care programs, specifically comparing the opinions of members of various ethnic communities. One of the topics they covered was how people felt they were treated and the quality of care they were receiving due to being on a state insurance plan. While these people are not completely uninsured, it seems as though many of them feel like they are treated differently for the type of insurance they have.

The study's results (the entire report)
http://edocs.dhs.state.mn.us/lfserver/Legacy/DM-0171-ENG

They are also working on a 2008 study, their not recently updated myspace page is here: http://www.myspace.com/mnhealthcaresurvey