-Medical Reform
The AMA should not be able to lobby in DC against medical fee transparency.
One should be able to shop around for the best priced medical treatment. If one calls a hospital or clinic the first thing they ask for is insurance. If you try asking what the cash price is, most say, they’ll tell you after you tell them your insurance info…why is it so hard for clinics and/or hospitals to be transparent?
If you happen to be a coverage gap (someone that makes too much to qualify for Medicaid, but too little to afford private Medical Insurance) then hospitals really screw you. A hospital can bill someone 4x the amount of what private Medical Insurance would actually pay. Basically, hospitals SCREW with the working uninsured.
Patients should have access to the National Practitioner Data Bank.
Go live in Ohio. Their state medical board actually cracks down on residents and doctors that cause patients psychological and physical harm. Every other state medical board, especially California’s is corrupt. [But don’t take my word for it… Bing it and you’ll see the statistics. The number of complaints, the number of investigations and the number of fines. Yes, you read correctly, fines.] In no other industry, can a person get away with what a resident and doctor can. No other industry! It’s scary that a doctor or resident can accidently or intentionally harm you and in most cases get away with it. Why? A) Tribalism B) Money C) Image
The life of a doctor and their career is more important than your life as a patient. Don’t get me wrong, the hospital and doctor want you to ‘practice on’ and your money of course, but at the end of the day you don’t matter.
Just Bing it… hospitals allow doctors that shouldn’t be doctors to continue practicing medicine, and don’t usually fire them or alert the NPDB bc A) they don’t want to lose money and B) they don’t want their image ruined. So they rather the patient suffer.
Don’t think lawyers or medical boards are going to help you either. Lawyers care more about their image than ‘justice’[a made up word-it doesn’t exist] and money[if your state has a threshold on how much can be made, they won’t take your case bc your case may not produce enough money to make them interested.-Isn’t that interesting?! You stay harmed and have to put your life back together, and never see a resolution due to image and money]. And most medical boards are comprised of all doctors that never ever ever see fault in their tribe.
So, if you complain to a board thinking you’ll get your justice for harm, think again bc less than .05% of doctors and residents in every state but Ohio get a verbal/letter warning, let alone a month suspension, fine and less than .000001% get their license revoked.
**PS don’t settle with a doctor bc then they get to harm someone else. [If you settle then their name is not sent to the NPDB-think abt how many doctors and hospitals choose to settle. And it’s hard bc most hospitals win the malpractice suit- Only 3% of malpractice suits win-which is crazy bc the damage isn’t a yelp complaint about time, or staff rudeness. It’s usually a complaint, abt physical detrimental harm.] Why seek remuneration if only to gain for yourself? The goal should be that if a resident or doctor harms someone they should have to do community service for at least 6mo and be suspended for at least 3mo. When doctors and residents go unpunished it teaches them that they can get away with anything.
The many arguments: Yes, so you went to college for 10 to 17 years, and you have $400k dollars in loans that you have to pay back- you should have been more careful, you should have slowed down, made sure you had the correct objective facts, not your own subjective made-up facts. You should have been less arrogant, you should have asked for help, bc after all it’s called ‘practicing medicine’ for a reason.
FDA Adverse Event Reporting System (FAERS)
It’s not legally required for your PCP, specialist, retail pharmacist, compounding pharmacist, clinic and hospital to report your adverse drug reactions (ADR) nor your side effects. There are around 43million reported adverse reactions since FAERS conception in 1968. It was known as AERS, Adverse Event Reporting System and they recorded the data manually. Then in 2012 FAERS electronic recording system was created.
We should make it a legal requirement that all practitioners have to report side effects as well as adverse events, for the health and safety of YOU the patient.
Until then, do your part and report your side effects.
Stop with the ‘non-profit’ hospital nonsense
How can a hospital gain ‘not for profit’ tax status when its board members get paid between $3 to $12 million dollars a year. And its doctors get paid between $200k to $1.5 million dollars a year. And its extenders and allied health practitioners [including sanitation workers] get paid between $50k and $168 thousand dollars a year. And you the patient pays $40k a night in the hospital and $17k for 8hrs spent in the ER bc they wouldn’t allow you to leave after 2 hrs of saline(electrolytes)[no, then your bill would not be as worthwhile to them]. They call themselves non-profit bc they dont charge a few hundred people a year. But in actuality they do, they charged their bills to you.
Disconnect of the System
If your PCP can’t see you then the next option is going to the urgent care. If they say you should see a specialist for (´。_。`). You can’t bc your medical insurance will not cover your visit to a specialist unless your PCP referred you BUT will, if you go to the ER.
-Constitutional Reform
Utilizing Article 5 of the US Constitution to rewrite or abolish the 11th Amendment. No federal, state, or city worker should be able to hide behind Sovereign Immunity and should be held responsible and accountable for all of their actions.
Article 1, Section 8, Clause 1 of the US Constitution and the 16th Amendment give congress leave to collect tax to pay for who knows what???
The taxpayer should be able to follow their money and see where it’s going and how it’s being used. They should also be able to choose how it’s used if they don’t like where it’s going. This is in a way auditing the federal and state government.
Another way would be to enforce the Government Accountability Office findings via the 10th Amendment.
-Immunity and Accountability Reform
Government workers should not be able to invoke the Qualified Immunity Doctrine
The Supreme Court should get rid of this doctrine that they created that allows govt workers to get away with recklessness and intentional harm.
If they won’t get rid of it, they should at least make the govt workers prove in civil lawsuits that they ‘acted in good faith and reasonably’-the burden of proof should be on the govt workers.
Some great articles: Yale Law Journal - How Qualified Immunity Fails
Qualified Immunity's Flawed Foundation by Alex Reinert :: SSRN