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Showing posts with label representative. Show all posts
Showing posts with label representative. Show all posts

Saturday, April 8, 2017

Why is My Doctor Prescribing This Medication? Bet You Thought Kickbacks Were For the Sleazy!



Does the aroma of pizza waft through your doctor's waiting room, driving you crazy because you're fasting for blood-work?  It could be a form of kickback from a company that sells pharmaceuticals or medical devices.  photo courtesy Jon Sullivan/Wikimedia Commons



Have you ever gone to the doctor and seen that man or woman in a suit, and often with a briefcase, waiting to see the doctor?  Worse yet, do they always seem to get in to see the doctor only moments after arriving, despite the fact that you and other patients have been waiting to see the same doctor an hour or more!!

Worse yet -- when you finally get in to see the doctor after fasting for several hours in preparation for a blood test -- does the smell of a hot pizza make you even hungrier?  All these scenarios have happened to me -- and even all at the same time, while waiting to see my doctor.   Have you ever wondered who those suited-up people are, who seem to get priority over us dumb but patient and sometimes-starving medical consumers.

Read this article from Mediguard which backs up what I am saying.  Furthermore, the next time you are in your doctor's office look around at the notepads, clips, magnets and other little office goodies with the logos of medical device and pharmaceutical companies.  These bring back memories of the little amenities with the cute Cayman Airways "Sir Turtle" logo I used to throw at my travel agents.  "Get the name in front of them and they will book us", advised my mentor Winston ad nauseam.  Medical reps work the same way -- they are no more sacred than representatives of any other company.  They are rated, reviewed and keep their jobs according to prescriptions written in the regions they cover.

Am I telling you what you already know?  What's a little notepad or a pizza between representative and doctor?  Can it be true that doctors get kickbacks? Will that little magnet or that pizza really induce a doctor to write a prescription? Studies show that the answer is "yes" and the article I linked above, also points out that the amount of kickbacks -- oops compensation -- to doctors who actually see patients, may be higher than you ever imagined and can even induce a doctor to do less than what's best for patients because they sense a need for reciprocity.  That's how sales and promotions work, even in the medical world which we are somehow programmed to think is less sleazy than the "real world". Yes, kickbacks are not just for the skanky among us.

Finally, why should you know this and what can you do with this information ?  I say it again and again -- question your doctor when s/he prescribes a new medication .  Ask questions like "why are you prescribing this?", "what are side effects?" and the ever-important "Is there a less-expensive generic version?"  I have shared in this blog that there are doctors who resent these questions [I had a doctor who said "when you graduate from med school, you can question me"].  Any doctor who refuses to answer these types of questions, deserves to be changed.  When you get home, read anything you can, about the new medication.  Don't hesitatetate to take up the doctor's precious time because your life is just as precious.  If the doctor seems to give you the bum's rush, remind her that her pizza or fried chicken can be reheated in the office microwave.

Friday, March 6, 2009

Community Choice Act (CCA) is the mos...



Community Choice Act (CCA) is the most important health care reform bill for people with disabilities and seniors. Simply put, it will give people with disabilities and seniors in nursing homes and other institutions, or folks who are at risk of such placement, the choice to live at home with the services and supports that they need to stay in their communities independently.

Become an initial Community Choice Act co-sponsor! Write to your Senators and Representatives in the House:

If you don't know who your senator or representative is, click here

Dear [recipient name inserted here],

I am contacting you today to ask that you take action on a critical issue:

The institutional bias of long term care.

I am sure you are aware that seniors and people with disabilities Overwhelmingly prefer to live in the community with supports rather than Receive assistance in a nursing facility or other institution.

Unfortunately, the current system does not give people a choice and often requires that people go into a nursing facility or other institution to get the assistance they need. In fact the vast majority of our Medicaid Funding for long term care is earmarked for expensive institutional settings, rather than supporting people at home in the community.

The Community Choice Act (S799 in the 110th Congress) changes this by establishing a national program of community-based attendant services and supports for people with disabilities, regardless of age or disability.

This bill would allow the dollars to follow the person, and allow eligible Individuals, or their representatives, to choose where they would receive services and supports. Any individual who is entitled to nursing home or other institutional services will now be able to choose where and how these services are provided.

This legislation is supported by every national organization representing

people with disabilities.

Your support of the Community Choice Act is extremely important. This

legislation is about individual choice and allows an individual to choose

to receive care in the community, rather than be forced into an institutional setting. Please give seniors and people with disabilities a Real choice in long term care.

Sincerely,

Name