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Stunned.

That?s the best way I can describe my latest revelation from Tech Support.

Shocked, shocked, to discover that simple fixes are eschewed in the corporate world. How else are the CEO's to earn their money, if it isn't to convince us all that the world is too complex without their priceless assistance?

Agree with what you say about the folks on the line at tech support -- they, like the doctors they are trying to help, are working hard in a very intellectually and morally hostile environment.

However, there is just too much money on the table- and the insurance companies have all of it, and they want to keep it.

If there were any sense to "prior authorization" it would be in some kind of "risk sharing" model with patient, physician and insurance company all sharing both the risk and the rewards.

Of course, insurance companies are too smart by half, and they have cleverly figured out how the doctors can share the risk (and pay for the privilege) while they pick up the chips. And if there is any problem with the arrangement, well, it's the doctors' fault -- they didn't do the PA procedure properly. Patients get mad at my office, not their insurance company if there are glitches.

This will not stop until doctors wise up and refuse to do PA without adequate reimbursement or honest risk/benefit sharing.
This "healthcare system" is completely dysfunctional and needs to be brought to a complete halt.

I used to believe you could cooperate with the sociopaths that run the world, (being of an essentially liberal persuasion), but I have belatedly seen the error of my ways.


Tom Duncan
Family Practice
Astoria OR