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Old 11-20-2009, 07:56 AM   #61
Shawnee123
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And while you're at it, let's cut down on pap smears as well, k?

http://www.cnn.com/2009/HEALTH/11/20...cer/index.html
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Old 11-20-2009, 10:19 AM   #62
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Old 11-20-2009, 10:22 AM   #63
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Old 11-20-2009, 11:13 AM   #64
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My friend, the breast cancer surgeon, was talking about this yesterday. She said she had been researching the members of the U.S. Preventive Services Task Force, and that while they are doctors, they aren't cancer doctors ... family medicine, pediatrics, specialists in medical informatics and medical economics, but interestingly, not cancer.

Just looking over the list, not a lot of them appear to be in active practice, either ... researchers, university posts, that kind of thing.
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Old 11-20-2009, 11:23 AM   #65
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All they've done is crunch numbers to determine the bang for the buck. Men will tell you when it comes to tits, money is not the prime consideration. Women will tell you when it comes to their lives, money is not the prime consideration.
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Old 11-20-2009, 11:28 AM   #66
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Quote:
Originally Posted by Shawnee123 View Post
And while you're at it, let's cut down on pap smears as well, k?

http://www.cnn.com/2009/HEALTH/11/20...cer/index.html
If you got a look at the the stoners working in the lab testing the paps you wouldn't bother anyway.
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Old 11-20-2009, 12:09 PM   #67
TheMercenary
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Originally Posted by wolf View Post
My friend, the breast cancer surgeon, was talking about this yesterday. She said she had been researching the members of the U.S. Preventive Services Task Force, and that while they are doctors, they aren't cancer doctors ... family medicine, pediatrics, specialists in medical informatics and medical economics, but interestingly, not cancer.

Just looking over the list, not a lot of them appear to be in active practice, either ... researchers, university posts, that kind of thing.
And that is the problem with most government panels which try to recommend how the government should manage your healthcare.
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Old 11-20-2009, 12:38 PM   #68
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And that is the problem with most government panels which try to recommend how the government should manage your healthcare.
It is not the role of the Preventive Serivces Task Force studies to determine or even recommend how the government should manager your healthcare.

The role is to conduct government funded, but independent research on the "effectiveness of a broad range of clinical preventive services" or to suggest best practices....to expand the knowledge base for practitioners and patients.
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Old 11-20-2009, 12:39 PM   #69
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It is not the role of the Preventive Serivces Task Force studies to determine or even recommend how the government should manager your healthcare.

The role is to conduct research on the "effectiveness of a broad range of clinical preventive services"....to expand the knowledge base for practitioners and patients.
As per our discussion yesterday, the facts prove out that this is not what happens.
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Old 11-20-2009, 12:42 PM   #70
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As per our discussion yesterday, the facts prove out that this is not what happens.
Absolutely, you were wrong yesterday.

This latest study, which was funded and began under the Bush administration, did not make policy recommendations for government-administered health programs like Medicare, Medicaid, SCHIP....that was not, nor has it ever been, the intent of PSTF research.

It offers a perspective for physicians and patients to consider when making choices.
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Old 11-20-2009, 12:44 PM   #71
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Quote:
Originally Posted by wolf View Post
My friend, the breast cancer surgeon, was talking about this yesterday. She said she had been researching the members of the U.S. Preventive Services Task Force, and that while they are doctors, they aren't cancer doctors ... family medicine, pediatrics, specialists in medical informatics and medical economics, but interestingly, not cancer.

Just looking over the list, not a lot of them appear to be in active practice, either ... researchers, university posts, that kind of thing.
So what is her current view of the new statements? Does she agree with the "preventative" measures as they are now?
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Old 11-20-2009, 12:47 PM   #72
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Originally Posted by Redux View Post
Absolutely, you were wrong yesterday.

This latest study, which was funded and began under the Bush administration, did not make policy recommendations for government-administered health programs like Medicare, Medicaid, SCHIP....that was not, nor has it ever been, the intent of PSTF research.

It offers a perspective for physicians and patients.
No, I am in this business and this is not what happens in the end. I deal with it every day.

Care is dictated by Medicare by paying or not paying for procedures in specific locations, costs, who can get care and who cannot get care is controlled by Medicare and Medicaid.

Intent is specifically different.
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Old 11-20-2009, 12:53 PM   #73
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No, I am in this business and this is not what happens in the end. I deal with it every day.

Care is dictated by Medicare by paying or not paying for procedures in specific locations, costs, who can get care and who cannot get care is controlled by Medicare and Medicaid.

Intent is specifically different.
If you are in the business, please cite any PSTF research findings in the last 20 years that have been incorporated into policy recommendations or guidelines for Medicare...or even into private insurance guidelines for treatment and/or coverage....or adopted by any medical association as a new standard protocol.

Last edited by Redux; 11-20-2009 at 01:00 PM.
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Old 11-20-2009, 01:02 PM   #74
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It is not about studies it is about people who have been in the business and can tell us how it works from the inside.

This is a perfect example from a former senior official at the Centers for Medicare and Medicaid Services. This is exactly what I am talking about and what I have observed.

Further, Medicare and Medicaid will pay $15,000 for a patient of theirs to have a surgery done in a major hospital down the street but will not pay $8000 for the same procedure in a surgery center. It happens every day in the US.

Quote:
President Barack Obama deflects criticism that his health-care plan will bring on government rationing of medical care by arguing that insurance companies ration care. Everyone knows private payers limit access to some health care. But government does it in far more byzantine and arbitrary ways.
http://online.wsj.com/article/SB1000...052451436.html
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Old 11-20-2009, 01:19 PM   #75
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Washington State Panels

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OLYMPIA, Wash. — When it's judging the value of medical treatments it pays for, Washington state imposes a tough standard, the kind that might save tens of billions of dollars a year if it were applied nationally.

A panel of medical professionals compares the effectiveness and safety of new treatments and tests with standard alternatives, typically choosing the least costly if there's no real difference. The panel's decisions don't apply to private health plans, but they're binding on 750,000 residents: state employees; people insured by Medicaid, the state-federal program for the poor; and those who are receiving workers' compensation.

The program is unique in the United States, and experts sometimes cite it as a possible model for the federal government. Studies suggest that using this approach would help eliminate inappropriate and wasteful care.

Critics, however, say it interferes with patient-physician decision-making and is a dangerous step down the road to what they consider rationed care, and it appears highly unlikely to gain support in Washington, D.C.

http://www.mcclatchydc.com/homepage/story/69564.html
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