You’ve got 2 very different points there. I agree that insurance companies shouldn’t dictate care, the doctor’s recommendation and the patient’s needs should dictate care. Having to get an X-ray before you can get an MRI for a torn rotator cuff is stupid. Having to get 3 cortisone shots for a collapsed disc before you’re allowed to do surgery is also stupid. Now, being afraid of lawyers is different for 2 reasons.
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It’s also why really good docs in the US are fleeing to other countries. Years ago I knew a pediatric nephrologist who gave up her Professorship at Johns Hopkins and took a huge pay cut to go to University Hospital in Toronto so she didn’t have to deal with insurance bullshit. You’ve got 2 very different points there. I agree that insurance companies that dictate care, the doctor’s recommendation, and the patient’s needs should dictate care.
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