ethics

[Guest guest]

Good lazy Saturday morning all: Wasn't setting out this am to seek out issues but came across this on CPT chat board I'ver recently discovered; it add grist to our own concerns with all of these funding issues as we weave the current health conundrums and it is interesting to see the MD side. Nice to see some of them raising their head to look about the landscape.http://www.spiritofhealthcare.com/2011/10/31/where-does-medicine-go-from-here/ Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com

[Guest guest]

Great Article Sunny.

I am going to print it for my patients. I think that they need to see that we are not the only ones thinking about this.

The article approaches but fails to fully address the enormous pressures of:

inertia- we’ve ALWAYS done it this way (at least for the last 10 years);

Professional self esteem; I just don’t think I could sell care to people outside of insurance;

Rationalization (our ability to lie to ourselves)- I’d dump this MCO but I have patients on it who can’t come to me if I don’t take it.

We quit most MCO’s 3 years ago and it took some getting used to saying, we don’t think this is a good deal for us, and we lose a lot of autonomy. It gets easier.

--

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Sunny Kierstyn <skrndc1@...>

Date: Sat, 21 Jan 2012 09:24:03 -0800

< >, Matt Freedman <mochihchu@...>, Annette Simard <dranetsimard@...>

Subject: ethics

Good lazy Saturday morning all:

Wasn't setting out this am to seek out issues but came across this on CPT chat board I'ver recently discovered; it add grist to our own concerns with all of these funding issues as we weave the current health conundrums and it is interesting to see the MD side. Nice to see some of them raising their head to look about the landscape.

http://www.spiritofhealthcare.com/2011/10/31/where-does-medicine-go-from-here/

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

www.drsunnykierstyn.com <http://www.drsunnykierstyn.com>

[Guest guest]

The author summarizes, ". . . the key to the patient/physician relationship, traditionally the core of our American healthcare system, lies in the ability of both parties to deal fairly and honestly with each other without being inappropriately influenced by any third party."If the best care possible for the patient is the primary concern of the physician, then who cares who's paying? How much is enough to be paid in order to practice at your best? What's keeping me from practicing at my best? Not a third party, not the amount I'm paid.Putting the patient ahead of income seems to be the ethics involved here. Demanding proof of good practice shouldn't be a problem either. Would you want less as a patient? Putting the patient ahead of profit seems weird in the system, it's set up so much for profit. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Jan 21, 2012, at 9:24 AM, Sunny Kierstyn wrote: Good lazy Saturday morning all: Wasn't setting out this am to seek out issues but came across this on CPT chat board I'ver recently discovered; it add grist to our own concerns with all of these funding issues as we weave the current health conundrums and it is interesting to see the MD side. Nice to see some of them raising their head to look about the landscape.http://www.spiritofhealthcare.com/2011/10/31/where-does-medicine-go-from-here/ Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com