Comments on: Health insurance http://abriefhistory.org/?p=1034 Mixed political and history blog Thu, 09 Sep 2010 10:33:22 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Home Health Care Services http://abriefhistory.org/?p=1034&cpage=1#comment-105936 Home Health Care Services Mon, 14 Sep 2009 21:11:11 +0000 http://abriefhistory.org/?p=1034#comment-105936 <strong>Home Health Care Services...</strong> Seniors prefer receiving Health Care Services in the privacy of their own home using Home Health Care Services providers.... Home Health Care Services…

Seniors prefer receiving Health Care Services in the privacy of their own home using Home Health Care Services providers….

]]> By: Michael Kennedy http://abriefhistory.org/?p=1034&cpage=1#comment-105844 Michael Kennedy Thu, 03 Sep 2009 22:03:23 +0000 http://abriefhistory.org/?p=1034#comment-105844 Cassandra, do you know what an SMA 21 blood panel costs ? About $18. When mammograms are done in a free market manner, such as having a small mammography suite in a big shopping mall, they will cost about $100. I knew a radiologist who was going to invest in just that sort of program with nurse practitioners staffing the clinic. I don't know what became of that but free market medicine will be much, much cheaper. Cassandra, do you know what an SMA 21 blood panel costs ? About $18. When mammograms are done in a free market manner, such as having a small mammography suite in a big shopping mall, they will cost about $100. I knew a radiologist who was going to invest in just that sort of program with nurse practitioners staffing the clinic. I don’t know what became of that but free market medicine will be much, much cheaper.

]]> By: cassandra http://abriefhistory.org/?p=1034&cpage=1#comment-105839 cassandra Thu, 03 Sep 2009 17:07:26 +0000 http://abriefhistory.org/?p=1034#comment-105839 "...with routine care funded largely out of our incomes;" I'm afraid that flies in the face of the "preventive medicine" that is being hyped as a cure-all. People aren't going to want to pay out of pocket for their own mammos and blood screens etc. “…with routine care funded largely out of our incomes;”

I’m afraid that flies in the face of the “preventive medicine” that is being hyped as a cure-all. People aren’t going to want to pay out of pocket for their own mammos and blood screens etc.

]]> By: Michael Kennedy http://abriefhistory.org/?p=1034&cpage=1#comment-105836 Michael Kennedy Thu, 03 Sep 2009 12:44:02 +0000 http://abriefhistory.org/?p=1034#comment-105836 CardioNP, you are exactly right. I see that U of Arizona has new vascular surgery residency program. I hope they are teaching interventional radiology. One big problem in my experience is who controls the angiography suite. A vascular surgeon friend of mine left the hospital he had been practicing in for years because the cardiologists controlled the angiography facilities with the radiologists and he could never get his patients scheduled. I was doing athrectomies and angioplasties in the late 80s when they were really new but many vascular surgeons never got going in this area. My point was that the cost of angioplasties and stents is far higher than the traditional surgery. Costs keep going up. CardioNP, you are exactly right. I see that U of Arizona has new vascular surgery residency program. I hope they are teaching interventional radiology. One big problem in my experience is who controls the angiography suite. A vascular surgeon friend of mine left the hospital he had been practicing in for years because the cardiologists controlled the angiography facilities with the radiologists and he could never get his patients scheduled. I was doing athrectomies and angioplasties in the late 80s when they were really new but many vascular surgeons never got going in this area. My point was that the cost of angioplasties and stents is far higher than the traditional surgery. Costs keep going up.

]]> By: CardioNP http://abriefhistory.org/?p=1034&cpage=1#comment-105833 CardioNP Thu, 03 Sep 2009 06:40:39 +0000 http://abriefhistory.org/?p=1034#comment-105833 Interesting article. He does have some good ideas for reform, but appears to have limited insight into his father's death. At my institiution the vascular surgeons are doing peripheral angioplasties (it is not in the realm of radiology) as well as a lot of endovascular aortic repair. Open AAA repair is decreasing dramatically as are open fem-pop bypasses due to the advances in peripheral techniques. Not sure what the long term outcomes will be, but I see a lot fewer patients having open vascular procedures. Interesting article. He does have some good ideas for reform, but appears to have limited insight into his father’s death.

At my institiution the vascular surgeons are doing peripheral angioplasties (it is not in the realm of radiology) as well as a lot of endovascular aortic repair. Open AAA repair is decreasing dramatically as are open fem-pop bypasses due to the advances in peripheral techniques. Not sure what the long term outcomes will be, but I see a lot fewer patients having open vascular procedures.

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