Also in this playlist...
This transcript is automatically generated
I guess -- -- former Doctor Who left his medical practice because he held insurance companies made it impossible for him.
To campers patients the way that he wanted to.
Now he says Obama cares only got to make matters worse when it comes to read taping government regulation joining us right now I'm -- nutrition during.
Christmas tree -- doctor Ed -- Ed what way in which do you think obamacare is gonna hurt this old system.
Well I think that it's it's complex and of course his attempts to address is some serious issues which we do have which include.
Overall costs and so forth but.
I'm a little bit reminded you may remember the Bill Maher imovie -- caddie shack where.
He had a legitimate problem with these gophers and his golf course but to use dynamite to get rid of them.
Didn't seem to be the right way to go so I think it's a little bit analogous to that.
We've got problems we need to address some but.
I think that this is a dynamite to a solution and I'm afraid it's going to end up actually causing more trouble than it helps.
So you started your practice -- you went to medical school back in the sixties thing.
You're doing your practice in the seventy's and eighty's and ninety's what changes did you see how to the medical field involved that was -- -- -- Well when I first started and I started as a pediatrician.
There was no insurance actually available for pediatric care so.
Those of us were practicing pediatrics had to deal on a day to day basis with the it costs that actually we're going to be paid out of pocket by the patients who were taking care of and that meant that every transaction that we had required us to talk in think in some depth and to talk with patients about.
What the cost would be what the risks might be what the benefits might be.
Then as as I've mentioned in an article in the Wall Street Journal earlier.
The insurance companies came along and that was great from an income point of view for pediatricians because.
Realize that then we could charge third party.
And it didn't cost our patients directly -- so it felt freed -- them.
And if that meant that a number of other things then followed in a practice including how when allocated.
Costs whether one -- ask for additional consultations.
Whether you've paid as much attention to medication costs and a variety of things of that sort.
It also meant that issues like using a telephone four -- taken -- patients.
Became a little less useful because you there was no provision for collecting any return for a telephone.
All these things tended to.
Subtly but in in very important ways pushed the direction of practice to being much less concerned about cause.
But this is something that's gone on for long time I'll just take a quick anecdote.
When I was in training.
It -- I would say on 1961.
In in a very good high quality teaching hospital.
I remember being concerned about the fact that I noticed that just to be on this quote safe side.
Extra bottles extra bags of IV fluids were ordered up for patients because you didn't know whether -- are needed or not and I.
It occurred to me that a number of these were actually being -- -- what went to the building office and I said to the office.
Look how about if you send every resident physician a copy of the bill when the patient's discharge so they can see exactly -- these costs are.
The that they they said no thank you we but preferred to keep those costs under -- you.
Patients become more demanding and and doctors don't seem to care about price we'll see of Obama to collapse under its own -- doctor -- march thanks so much.
Thank you very much well --
Filter by section