CodeBlueBlog: EXPATIATIONS

*****************

THE AWARD WINNING MEDICAL WEBLOG

April 2005

Sun	Mon	Tue	Wed	Thu	Fri	Sat
					1	2
3	4	5	6	7	8	9
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30

About

Links

http://
Search Popdex:
For Dictionary: Type In Word Then Click "Partial" Submit Button

Webster's Online Dictionary
The Rosetta Edition™

English Non-English
Blogroll Me!
DISCLAIMER This is a personal web site, reflecting the opinions of its author. It is not a production of my employer, and it is unaffiliated with ANY hospital, medical center, medical practice or other physicians. Statements on this site do not represent the views or policies of anyone other than myself. The information on this site is provided for discussion purposes only, and are not medical recommendations. I offer no guarentee as to the accuracy of anything stated and the information here is at times, highly speculative and does not constitute advice to/not to diagnose or treat. Any personal medical issues the reader may have should be referred immediately to the reader's private physician and under no circumstances should anyone delay, change, or alter any medical treatment or planned treatment or diagnosis based on anything read on this site. Under no circumstances does any herein contained information represent a medical recommendation.
Best of the Web
Logial Fallacies
Word of the Day
Quackwatch
Undisclosed Location
Grand Rounds Archive
Blogstreet
Daypop Top 40
Carnival of the Vanities
Link to hosts and updates
BLOGGER NEWS NETWORK
Breaking News in the Blogosphere
http://www.neolibertarian.net/blogs/
This work is licensed under a Creative Commons License.

Blog powered by Typepad

Subscribe to this blog's feed

« Hillary Has No Clothes | Main | WE NEED HIGHER DRUG PRICES »

EXPATIATIONS

Bradford DeLong, Professor of Economics at The University of California at Berkeley, discusses the CodeBlueBlog on his website, a site I recommend, and I responded to his column with the following letter in the "comments" section following his piece "A Health Care Weblog":

I was there in the early '90's when the market did what markets do, i.e., jumped ahead of Hillary (whose intentions were outlined early in the presidency) and anticipated drastic reimbursement reductions, or worse. This was exacerbated by the word out of Washington (and Jackson Hole -- lead by Uwe Rhinehardt) that "managed competition" effected through HMO's would be the predominant reimbursement strategy (read mandated). If you look back you will see that HMO enrollment expanded dramatically, and private insurers began cycling their prices higher and stratifying their policies to make HMO-like options the most appealing financially. This phenomenon is verified by the meteoric rise in the market capitalizations of HMO’s during this period. Once begun, this process has continued, as it would, until its maximum economic benefit began to be eroded by competition and negative market and provider/patient feedback. Notice there are select markets allowed to operate openly, in some ways, within the current health care system; but, each market has its own set of rules which is one reason why the health care market, as a whole, is so inefficient.

I strongly object to the unfair, contextually predatory characterization of me as having ill will towards “freeloaders” (foreigners, illegal aliens, migrant workers et al) of which I am accused. Here is what I wrote in my CodeBlueBlog concerning the ER waiting room:

If you walk through the waiting room, where patients sit for 5 and 6 hours to see a doctor for these mundane ailments, you’ll see a population predominantly composed of the young, the poor, immigrants, illegal aliens, migrant workers, and a smattering of the middle class. Although this population is disparate, it has a common bond drawing it the ER at all hours, for any physical complaint: no health care insurance.

My adumbration of the typical emergency room population was based on two data sets. First, the CBO report of 1/24/2004 that characterizes the uninsured population as: 39% under the age of 24; 51% as other than white, non-Hispanic; 91% without a college degree; and, by the way, 86% with health status ranging from good to excellent.

Second, my own 24/7/365 experience and observations of over 15 years servicing a community hospital ER that logs 100,000 visits a year. My assessment that migrant workers and illegal aliens are also heavily weighted in the ER population is certainly skewed by my geographical location in South Florida; however, the CBO and all other federal reporting groups on health care admit freely that they have no way to accurately gauge the number of these visits themselves, due to the vagaries of locating and studying this transient and sometimes elusive population.

One of my Blog objectives is to illustrate where health care dollars go. The Emergency Medical Treatment and Labor Act (EMTLA) of 1986 that obligates emergency rooms to assess and treat every person who walks through the doors is an example of the unanticipated consequences principle, and, without passing judgment on the populations affected, it needs to be addressed in any serious discussion of health care spending.

In my practice I, as with most other physicians I know, have yearly written off 40% of anticipated collections (without a tax deduction) for those who cannot – for whatever reason – afford the bill. This will surely evoke the perfunctory snide replies about “rich doctors,” but it is a fact, and it represents only a part of the countless hours every good physician I know spends in labor, efforts, and liability risk taking care of all comers.

Responding ahead to those who will snipe, let me say that if you look at the network of federal and state regulations governing physicians and the manner of reimbursement (fixed and regulated basically by the federal government’s Medicare scale), we are de facto public utilities. With that in mind, try asking Adephia or ConEd to write off the portion of your bill you cannot afford to pay. You’ll soon be using a flashlight to watch history unfold through your living room window.

Posted by Doctor CBB on May 20, 2004 at 10:50 AM | Permalink

Comments

Yes, EMTLA causes huge problems. But I cannot help but think that repealing EMTLA would cause even worse problems.

Posted by: Brad DeLong | May 20, 2004 at 03:14 PM

You are not going to be able to rationally cope with the problems of the health care system until you come to grips with your own extraordinary prejudices. The largest and most obvious is your attachment to the term "reimbursement". Reimburse means to receive funds to replace what you have spent. Doctors are to reimbursed, they are PAID. The fact that you and most other doctors insist on a euphemism to obscure the fact that they are being paid is symptomatic of the rampant narcissism that leads to blaming everyone but themselves for the health care crisis. Your complaint about writing off ER fees is an artifact of your devotion to the holy principle of fee-for-service "reimbursement". We doctors who work on salary don't have this conniption.

Posted by: Marc Stone, MD | May 22, 2004 at 03:03 PM

Posted by: Tomeczek | September 19, 2006 at 07:02 AM

Posted by: qwer | November 16, 2006 at 03:25 PM

http://www.hugechoiceof.com/

Posted by: account | April 23, 2007 at 06:39 AM

http://www.gopowerlevel.com/powerleveling.htm http://www.gopowerlevel.com/powerlevelingservice.htm http://www.gopowerlevel.com/wow(eu)-powerleveling.htm http://www.gopowerlevel.com/wow-powerleveling.htm http://www.gopowerlevel.com/wow-power-leveling.htm http://www.gopowerlevel.com/wow(us)-powerleveling.htm http://www.gopowerlevel.com/world-of-warcraft-powerleveling.htm http://www.gopowerlevel.com/world-of-warcraft-power-leveling.htm

http://www.oilingmachine.com/english/company.htm http://www.oilingmachine.com/english/pro_fuel-dispenser.htm http://www.oilingmachine.com china dispenser http://www.oilingmachine.com/english/pro_dispenser_nozzle.html

http://www.oilingmachine.com/english/pro_fuel-dispenser.htm http://www.oilingmachine.com/english/pro_dispenser_flowmeter.html http://www.oilingmachine.com/english/pro_dispenser_solenoid.html http://www.oilingmachine.com/english/pro_electric-transfer.htm fuel http://www.oilingmachine.com/english/pro_jyj_flowmeter.html http://www.oilingmachine.com/air-operated-diaphragm-pump.htm http://www.mystery.net.cn/longfei/index.php http://www.mystery.net.cn/index/index.php http://www.mystery.net.cn/ http://www.dengzuochina.com

http://www.chinacupmachine.com/Paper_bowl_forming_machine.html http://www.chinacupmachine.com/DEBAO_B3_Paper_Bowl_of_Outside_Packing_Agglutinating_Machine.html http://www.chinacupmachine.com/Dish_box_machine.html http://www.chinacupmachine.com/DB_300_Paper_Meal_Box_Dish_Forming_Machine.html http://www.chinacupmachine.com/Cutting_machine.html http://www.chinacupmachine.com/Ice_cream_cone_forming_machine.html http://www.chinacupmachine.com/DB_B5_ICE_CREAM_Paper_Cone_Forming_Machin.html http://www.chinacupmachine.com/pros.html http://www.clickra86.com/NewsList_1.htm http://www.clickra86.com/NewsList_2.htm http://www.clickra86.com/NewsList_3.htm

Posted by: sadfasd | May 30, 2007 at 12:43 PM

http://www.clickra.com http://www.clickra.com/NewsList_2.htm http://www.clickra.cn http://www.tzonegroup.cn http://www.oilingmachine.com http://www.oilingmachine.com http://www.call110.cn http://www.beidaihe.cn/ http://www.beidaihe.cn/ http://www.mycvcv.com/ http://www.shangrun.com http://www.abcdfy.com http://www.gzguangyi.com.cn http://www.east163.com/ http://www.yuan-yu.com

http://www.laundry-bag.com.cn http://www.laundry-bag.com.cn http://www.cn-sculpture.com http://www.nonwoven-bags.cn http://www.nonwoven-bags.cn http://www.nonwoven-bags.cn/product2.htm http://www.clickra86.com http://www.cnnfyj.com http://www.cnnfyj.com/product9.htm http://www.cnnfyj.com/product7.htm http://www.169call.com http://www.xinzhouzl.com http://www.zzyl.com.cn http://www.shdyf.com http://www.shdyf.com/nbdy.htm http://www.shdyf.com/tyn.htm http://www.slqz.net/About.asp

http://www.plastic-thermoforming-machine.com http://www.plastic-thermoforming-machine.com/product.htm http://www.plastic-thermoforming-machine.com/product10.htm http://www.plastic-thermoforming-machine.com/plist255.htm http://www.plastic-thermoforming-machine.com/plist257.htm http://www.sinceremachine.com http://www.sinceremachine.com/about.htm http://www.sinceremachine.com/product.htm http://www.cn-sanhuan.com http://www.cn-sanhuan.com/company.asp
http://www.tzonegroup.cn/about.asp http://www.tzonegroup.cn/news.asp http://www.tzonegroup.cn/products.asp http://www.todesign.com.cn/ http://www.todesign.com.cn/google1.html http://www.todesign.com.cn/gogole2.html http://www.icansee.cn/ http://www.icansee.cn/chanpin.htm http://www.icansee.cn/8.htm

http://www.52588.com.cn/Intro.asp http://www.52588.com.cn/Advantage.asp http://www.52588.com.cn/Class.asp http://www.52588.com.cn/Company.asp http://www.52588.com.cn/Study.asp http://www.52588.com.cn/Class1.asp http://www.52588.com.cn/Class4.asp http://www.52588.com.cn/Class2.asp http://www.52588.com.cn/ http://www.ac021.com/

http://www.lw510.com http://www.ac021.com/x2.htm http://www.ac021.com/x2-4.htm http://www.cyqy.com/html/about.asp http://www.cyqy.com/index.asp http://www.cyqy.com/index.asp http://www.shoukuanji.com.cn/ http://www.pjwsdyb.com/ http://www.pjwsdyb.com/c.html http://www.pjwsdyb.com/y.html http://www.dengzuochina.com

Posted by: sadfasd | May 30, 2007 at 12:43 PM

Posted by: fjyjut | July 27, 2007 at 07:47 AM

Posted by: wow | September 15, 2007 at 04:01 PM

wow power leveling
wow powerleveling
wow power leveling
wow gold
wow items
feelingame.com
wow tips
Most Valuable WOW Power Leveling Service
wow power leveling faq
cheap wow power leveling
wow power leveling
wow powerleveling
wow power lvl

Posted by: 23333jki | October 22, 2007 at 09:40 PM

Posted by: 222222222 | October 22, 2007 at 09:41 PM

http://www.runescapegogo.com
http://www.runescapegogo.com/Runescape-gold-USD.html
http://www.runescapegogo.com/Runescape-gold-GBP.html
http://www.runescapegogo.com/runescape-items.html
http://www.runescapegogo.com
http://www.runescapegogo.com/Runescape-gold-USD.html
http://www.runescapegogo.com/Runescape-gold-GBP.html
http://www.runescapegogo.com/runescape-items.html

Posted by: gogo | November 03, 2007 at 03:06 AM

We offer WoW Power Leveling and gold,Final Fantasy XI Gil,Maple Story US and Lord fo Ring Online
Powerleveling.WoW level service and cheap wow gold,game gold sale for you. wow Power levelng,Powerlevel
1-60 levels.Rf online,all service is faster,safer,and cheaper.WOW Power leveling US/EU level1-60 is only
$139,level1-70 is only $228.Lord fo Ring Online Power Leveling 1-50 is only 330.5.We Please remember,we
are your online game helper.

http://www.pvpsale.com/Powerleveling.asp

Posted by: jim green | November 08, 2007 at 10:44 PM

Powerleveling
WOW powerleveling Special Offer :
Name Price Days
level 1-20 14.99 1
level 1-30 30.99 3
level 1-40 55.99 6
level 1-50 90.99 9
level 1-60 135.99 13
level 1-70 259.99 24
Level 60-70 + 1000 G+ First Aid 375 + level 40 Mount $99.99 9Days
Level 1-60 + 200 G+ First Aid 300 + level 40 Mount + Any one professions to 300 $159.99 13 Days
Level 1-60 + 300G + level 40 Mount $139.99 12 Days
Level 1-70 + First Aid 375 + Level 225 riding skill and flying mount $209.99 19 Days
Level 1-70 +1500G +First Aid 375 +level 60 mount+Any two related professions to 300 $ 275.99 25 Days

http://www.pvpsale.com

Posted by: jim green | November 09, 2007 at 10:14 PM

http://www.jazz-d.com 北京展览公司
http://www.jazz-d.com 展览制作
http://www.jazz-d.com 展柜制作
http://www.jazz-d.com 展台搭建
http://www.jazz-d.com 会议布置

http://www.suohenggk.com/ 工控产品
http://www.suohenggk.com/ 东方马达
http://www.suohenggk.com/ rkc温控器
http://www.suohenggk.com/ 神视传感器
http://www.suohenggk.com/ 日东胶带

http://www.lawyer2345.com/ 中国刑事辩护律师
http://www.lawyer2345.com/ 刑事律师
http://www.lawyer2345.com/ 北京刑事律师
http://www.lawyer2345.com/ 刑事辩护
http://www.lawyer2345.com/ 辩护律师
http://www.lawyer2345.com/ 辩护
http://www.lawyer2345.com/ 刑法
http://www.lawyer2345.com/ 刑事辩护网

http://www.tsyuyin.cn/ 收费TS
http://www.tsyuyin.cn/ 收费TS服务器
http://www.tsyuyin.cn/ TS服务器
http://www.tsyuyin.cn/ TS语音
http://www.tsyuyin.cn/ TS语音聊天
http://www.tsyuyin.cn/ TS语音平台
http://www.tsyuyin.cn/ TS语音下载
http://www.tsyuyin.cn/ teamspeak中文版
http://www.tsyuyin.cn/ 收费TS
http://www.tsyuyin.cn/ TS官方网站

http://www.jcseo.cn google排名
http://www.jcseo.cn google左侧排名
http://www.jcseo.cn google优化
http://www.jcseo.cn google排名优化
http://www.jcseo.cn seo优化
http://www.jcseo.cn seo

http://www.7come.com/ 爱普泰克
http://www.7come.com/ 爱普泰克网易拍
http://www.7come.com/ 爱普泰克网e拍
http://www.7come.com/ 网易拍
http://www.7come.com/ 网e拍
http://www.7come.com/ Aiptek

http://www.yaone.com 服务器托管
http://www.yaone.com 北京服务器托管
http://www.yaone.com 北京主机托管
http://www.yaone.com 双线托管
http://www.yaone.com 电信托管
http://www.yaone.com 托管主机

http://www.qiledao.com/ 成人用品
http://www.qiledao.com/ 性用品
http://www.qiledao.com/ 性生活用品
http://www.qiledao.com/ 性保健用品
http://www.qiledao.com/ 北京成人用品
http://www.qiledao.com/ 成人用品商城

http://wz.yaone.com 网站建设
http://wz.yaone.com 网站制作
http://wz.yaone.com 网页制作
http://wz.yaone.com 北京网站建设
http://wz.yaone.com 北京网站制作
http://wz.yaone.com 北京网页制作
http://wz.yaone.com 北京网站建设公司
http://wz.yaone.com 网站建设公司

http://www.achristmas.cn 圣诞工艺品
http://www.achristmas.cn 圣诞工艺品厂

Posted by: fdsafds | December 02, 2007 at 05:18 AM

We offer WoW Power Leveling and World of Warcraft powerleveling,Final Fantasy XI Gil,Maple Story and Lord fo Ring Online Powerleveling.WoW Powerleveling service and cheap wow Powerleveling,World of Warcraft Power leveling sale for you. WOW Power leveling,Cheap WOW Powerleveling 1-60 and Cheap WOW Powerleveling 1 - 70.All service is faster,safer,and cheaper.WOW Powerleveling 1 - 60,WOW Powerleveling 1 - 70.Lord fo Ring Online Power Leveling 1-50 .We Please remember,we are your online game helper.
www.pvpsale.com

Posted by: jim green | December 08, 2007 at 01:18 AM

Posted by: jim green | December 09, 2007 at 10:52 AM

Great site and I love it. welcome to my site: http://www.bawwgt.com/game/?id=17 - maple story power leveling

Posted by: efijsdsjfieef | September 11, 2008 at 01:46 AM

Vietnam lies on the eastern seaboard of the Indochinese peninsula. It borders Chine in the north. Laos and Cambodia in the west, and looks out on the East Sea [url=http://swiss-roll.com]ロールケーキ[/url]

Posted by: thanh | September 28, 2009 at 10:16 PM

Do not explatate anyone.

Posted by: celebrity oops | December 06, 2009 at 01:04 AM

hello friend excellent post about EXPATIATIONS thanks for sharing!!

Posted by: Viagra Online | December 21, 2009 at 12:21 PM

what is EXPATIATIONS??

Posted by: buy propecia | January 29, 2010 at 11:49 AM

Life is a pure flame, and we live by an invisible sun within us.

Posted by: fast easy runescape | July 20, 2010 at 09:27 AM

And forever has no end.

Posted by: runescape sale | July 20, 2010 at 09:28 AM

Don’t cry because it is over, smile，because it happened.

Posted by: buy runescape | July 20, 2010 at 09:30 AM

The comments to this entry are closed.

2004 WINNER: BEST CLINICAL SCIENCES MEDICAL WEBLOG

What People Are Saying

"Dr. Boyle is a man of strong views and good will...read the weblog."
Brad DeLong-- Semi-Daily Journal
"My New Favorite Internet Obsession"
cripes, suzette
"Marvelous Medical Blog"
Ambivalog
"Entertaining and lluminating"
Counterpunch Magazine
"Enjoyable Weblog"
Alexander Cockburn
"I have found a new medical blog, and a blogging hero."
Liz Ditz-- I Speak of Dreams
"Your Blog Rocks!"
Allyson Dyar-- DyarStraights.Com
"A remarkable blog."
Eric Scheie – Cultural Values
"Good thoughts"
E. Moritz-- Life Liberty and the Pursuit of Happiness

CodeBlueBlog

health care also health·care (hlthkâr) n. :efforts made to maintain or restore health especially by trained and licensed professionals -- usually hyphenated when used attributively

*****************

THE AWARD WINNING MEDICAL WEBLOG

April 2005

About

Recent Posts

Archives

Links

EXPATIATIONS

Comments

2004 WINNER: BEST CLINICAL SCIENCES MEDICAL WEBLOG

What People Are Saying

Around The Hospital

Nonmedical Consultants

Science

Sources

Technorati

	Webster's Online Dictionary The Rosetta Edition™
	English Non-English