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From a fat-cat's wife ........

Posted By: sm on 2008-06-03
In Reply to: Except that the doctors & hospitals - sm - Lowly MT

I'm not sure what particular fat-cats you're speaking of, but my husband worked for HCA, for those of use who remember a great company, for nearly 20 years. He was over medical records dept and highly-qualified transcriptionists were a top priority with him. He made sure they were paid top dollar for their jobs. He knew what they had to sit and do and how monotonous it could be but how very important all the same. He knew that because I did the same for my job and he could see what went into it and the stress involved. In this case, the docs had all the say in the world in what they wanted and how they wanted it. Administration kissed up to them on a regular basis and still does within the hospital setting. My husband nor his CEO meted out who would or would not get healthcare...just the opposite, the HCA hospital was known as the ONLY hospital that accepted indigent patients while the other hospitals thought themselves too good for such and didn't want to be left with no payment. (That is against the law and if you know of a hospital doing that to a patient in need, you need to report them).

As far as docs not being able to choose procedures or drugs, that is solely due to insurance companies, not hospitals, at least not private hospital companies. Private companies can have NO say over what procedure is ordered by a physician or drugs ordered. The insurance companies, unfortunately, have all the power in that regards and THEY alone decide who will and will not get care, who will get what drug, and who will or will not get procedures ordered. The hospitals have their hands tied in this regard as well. Now, nonprofit hospitals on the other hand, 2 in my city, screw people over all the time. They have sorry ERs and ER docs for the most part and could care less what the patients think or say until a law suit is slapped on them. My husband would never manage a nonprofit hospital for just that reason and he got plenty of offers. They are not structured.....are ran by a board of individuals who are hotshots in the community and wouldn't know a drug name from a procedure name, and just draw a check. Nonprofit hospitals stink. They pay no taxes in their town/city and their CEOs make extraordinary income. You really need to know your homework before you blame Health Management Corporations for your woes.
If private hospital corporations did not exist, many would have nowhere to go for healthcare. And like one of my friends said, You sure would be glad that ER was still open if you needed to go to it. Ain't that the truth!!

Those trying to balance a budget of nonpaying patients with what little insurance companies want to give, are constantly in a juggling act keeping things afloat, all the while NOT letting FT employees go and NOT losing their most valuable employees. For those who knew Dr. Frisk (Sr), his top priority with HCA was the patient and he detested HMOs and the like. Now, there are those higher up in his company that did very well, they never were home, on the road all the time, never saw their families, paid a price for their company. Try doing a budget to the tune of millions a year ahead of time, reading a crystal ball on how many funds will come in from insurance companies, Medicare/Medicaid, and see how much fun you have, all in the name of keeping your doors open.

You need to be complaining to the insurance industry for those problems.

Too bad we don't have a fat-cat salary....we'd be living large wouldn't we?


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