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RE: One Doctor's Resonse - 4/3/2010 7:47:10 AM

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I think his sign is great. If people who voted for obama decide to go elsewhere, then that is their choice. However, i doubt he asks people who walk in for treatment who they voted for, so only those who choose not to walk into the facility are the ones making the choice not to seek his care.

He is not only a doctor but a person who has to live by what transpires in this country, he has a right to turn people away if he chooses as long as the treatment they need is not life threatening -- umm i am sure everyone remembers that HOSPITALS do this all the time. However, he isn't actively turning people away, he is making a statement and if people read it and go elsewhere -- that is by their choice. As i said, i doubt he is asking people who they voted for in the election prior to treating them. Doctor's offices turn people away all the time simply by saying they aren't accepting new patients, they fire patients etc. As far as i know political affiliation is not a discrimination concept. Therefore, he does in fact have a right to treat whom he chooses as long as the need for treatment isn't immediately lifethreatening.

He is a doctor, a US Citizen and a person -- he has a right to pick and choose who he applies his trade too.

I am sure it has caused some interesting conversations with his patients however.

angel

< Message edited by barelynangel -- 4/3/2010 7:48:46 AM >

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RE: One Doctor's Resonse - 4/3/2010 8:47:13 AM

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quote:

I just found this funny. Warped sense of humor?

It's mildly amusing. And completely unprofessional.

I would change. I'd turn around, get back in my car, and consult another urologist.

Most doctors, though, support health care reform, and even a public option.

http://www.npr.org/templates/story/story.php?storyId=112818960

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RE: One Doctor's Resonse - 4/3/2010 9:18:41 AM

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quote:

ORIGINAL: Musicmystery

quote:

I just found this funny. Warped sense of humor?

It's mildly amusing. And completely unprofessional.
I would change. I'd turn around, get back in my car, and consult another urologist.
Most doctors, though, support health care reform, and even a public option.http://www.npr.org/templates/story/story.php?storyId=112818960

The only concerning consequence would be if that minority of 27% reported by the self represented "random", and not scientific or statistically validated, survey taken in September 2009 before the Health Care Law was written and its consequences established, decide to express their disfavor by leaving general practice; hoping that under the new medical profession government set pay scale for services, they'll be replaced.

Or you can be concerned that versus the 2009 survey, Dr Cassell is more representative of Doctors reacting to reading the impact of this Law on their profession, practice, and livelihood.

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RE: One Doctor's Resonse - 4/3/2010 9:28:48 AM

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I thought the sign was pretty funny.

Any doctor can see or not see patients as he or she chooses. Many doctors won't see Medicare or Medicare patients. A surprising number won't see Tricare Military healthcare patients unless they get a special monetary spiff over and above what Tricare pays. There are a whole plethora of doctors who are mainly in it for the money. That's their choice. My chocie is to not see those doctors.

The Hyocratic Oath doesn't say one word about treating anyone and everyone who crosses a doctor's path.

If a doctor harbors an opinion or a prejudice that could be potentially harmful to me, or could prehaps keep me from getting the best care possible... a whole lot better to know it up front. I appreciate this doctor's honesty.

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RE: One Doctor's Resonse - 4/3/2010 9:57:55 AM

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quote:

ORIGINAL: DomKen

I mourn the Hippocratic Oath.

It's been gone for years when doctors can perform unnecessary surgeries and not be held accountable to the hospitals they perform them in and the patients they harm with them all in the name of making a payment on a yacht.

Tort reform to limit a patient's ability to seek damages against a doctor who has wronged them is *NOT* the means to drive down medical expenses.

Make doctors accountable on all levels.

boi

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RE: One Doctor's Resonse - 4/3/2010 10:21:56 AM

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quote:

ORIGINAL: eyesopened

Many doctors won't see Medicare or Medicare patients. A surprising number won't see Tricare Military healthcare patients unless they get a special monetary spiff over and above what Tricare pays. There are a whole plethora of doctors who are mainly in it for the money.

I have had a lot of occasions to listen to surgeons talk - and as far as medicare and medicade goes? - they are at the point that it doesn't pay to treat these patients. As in , doesn't pay the office staff, the office space, the mortgage - much less make a profit.

Since doctors are"in it" to make a living and pay off medical school loans and care for people, they can't take a lot of these patients. Not every patient pays their bills, so there is a large percentage of care that surgeons write off - and can't take a deduction on their tax return, by-the-way.
Its just lost time and effort.

How many mechanics and plumbers write off uncollected revenue? The doctors I have talked to about bills don't know anything about them. They don't want to know who has outstanding balances - they don't want to be influenced in their care.
Doctors make a lot of money - don't get me wrong - but they work 13 hour plus days, take call, and are responsible for the lives of the patients in their care. In my humble (!) opinion they earn every penny they make - except maybe the cardiac surgeons. (way over-paid in my mind)

The vast majority of doctors in any speciality are hard working , honest, caring individuals. They aren't money-grubbing, selfish, evil people. They want to do the right thing for their patients, and do their damndest. And yes, like everyone else they have bad days, bad moods and don't get it right all the time. They are human, they provide a service and they are worth the pay. If they were perfect - they would be Jesus, and we would all be dead. Perfection is only in heaven.

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RE: One Doctor's Resonse - 4/3/2010 10:41:28 AM

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quote:

ORIGINAL: Mercnbeth

quote:

ORIGINAL: Musicmystery

quote:

I just found this funny. Warped sense of humor?

It's mildly amusing. And completely unprofessional.
I would change. I'd turn around, get back in my car, and consult another urologist.
Most doctors, though, support health care reform, and even a public option.http://www.npr.org/templates/story/story.php?storyId=112818960

The only concerning consequence would be if that minority of 27% reported by the self represented "random", and not scientific or statistically validated, survey taken in September 2009 before the Health Care Law was written and its consequences established, decide to express their disfavor by leaving general practice; hoping that under the new medical profession government set pay scale for services, they'll be replaced.

Or you can be concerned that versus the 2009 survey, Dr Cassell is more representative of Doctors reacting to reading the impact of this Law on their profession, practice, and livelihood.

Dr Cassell is an asshole. He probably has forgotten the reasons for becoming a doctor.

Fuck Dr Cassell. Don't let the door hit you on the way out.

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RE: One Doctor's Resonse - 4/3/2010 10:43:59 AM

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quote:

ORIGINAL: BoiJen
It's been gone for years when doctors can perform unnecessary surgeries and not be held accountable to the hospitals they perform them in and the patients they harm with them all in the name of making a payment on a yacht.

Tort reform to limit a patient's ability to seek damages against a doctor who has wronged them is *NOT* the means to drive down medical expenses.

Make doctors accountable on all levels.

boi

I agree with you up to a point, but when Doctors have to order all kinds of tests to cover their asses due to litigation, you have to expect some unnecessary surgeries for the same reason.

(in reply to BoiJen)

RE: One Doctor's Resonse - 4/3/2010 11:05:26 AM

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quote:

ORIGINAL: subrob1967

quote:

ORIGINAL: BoiJen
It's been gone for years when doctors can perform unnecessary surgeries and not be held accountable to the hospitals they perform them in and the patients they harm with them all in the name of making a payment on a yacht.

Tort reform to limit a patient's ability to seek damages against a doctor who has wronged them is *NOT* the means to drive down medical expenses.

Make doctors accountable on all levels.

boi

I agree with you up to a point, but when Doctors have to order all kinds of tests to cover their asses due to litigation, you have to expect some unnecessary surgeries for the same reason.

Why would you expect unnecessary surgeries because doctors perform unnecessary tests?

Where is your source for knowing that unnecessary tests are being performed and do you trust their judgement?

Are you really this dense?

< Message edited by domiguy -- 4/3/2010 11:14:18 AM >

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RE: One Doctor's Resonse - 4/3/2010 11:09:36 AM

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Thanks for posting this Merc, I thought this was funny as well, lol!

(in reply to domiguy)

RE: One Doctor's Resonse - 4/3/2010 11:18:30 AM

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quote:

ORIGINAL: ShhhImNotHere

Thanks for posting this Merc, I thought this was funny as well, lol!

No one cares what you think. No one knows who you are.

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RE: One Doctor's Resonse - 4/3/2010 11:31:49 AM

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Joined: 3/7/2007
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quote:

ORIGINAL: subrob1967

I agree with you up to a point, but when Doctors have to order all kinds of tests to cover their asses due to litigation, you have to expect some unnecessary surgeries for the same reason.

You are dense, aren't you? Unnecessary surgeries can and do lead to major problems later on in a patient's life. There's no such thing as an unnecessary test when looking to cover one's ass by ruling out all kinds possibilities in a patient's treatment. Tests, no matter what their result, are done to make sure a patient is treated the best way possible for a problem. You never know when that Ct scan of someone's leg is gonna show some abnormality that shows the cause for that migraine that never goes away. The human body is complex, tests are done to understand a problem.

And often issues as a result of surgeries can not be found until well after the statue of limitations is over in terms of seeking damages because of unnecessary surgeries or poorly performed surgeries. There is NO relationship between a perceived "unnecessary test" and a bad surgery. The doctors have the hand up because they cannot, in most states, be held liable for damage done to a patient after three years from the surgery date. Surgeries done poorly can take longer than that to show the damage because of the body's recoup process and because doctors are looking to cover their asses by saying things like "it's supposed to take this long to recover", "that's normal for the type of surgery you receive", and because other doctors don't like to be held legally accountable for disagreeing with other doctors, no matter how much it hurts or harms the patient.

Get real.

boi

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RE: One Doctor's Resonse - 4/3/2010 11:56:56 AM

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Cassell told Fox News on Friday he wasn't refusing care to patients but wanted to educate them on how the new health care law would affect them.

"I came across the timeline for implementation of Obamacare and I got a little discouraged when I got to next year when I found that most of the ancillary services and nursing homes and diagnostic imaging, all these things start to fade away," he told Fox News' Neil Cavuto. "And I felt that my patients really need to know about this. And the more I thought about it, the angrier I got until I finally felt like I'm going to put a little splash page on my front door and just get people thinking a little bit."

Cassell, 56, also provides Republican reading material in the waiting room -- probably not a risky move, given that Mount Dora's 10,000 residents and the surrounding area lean heavily conservative. Above a stack of GOP health care literature, a sign reads: "This is what the morons in Washington have done to your health care. Take one, read it and vote out anyone who voted for it."

A spokeswoman from the Florida Department of Health, which licenses physicians and investigates complaints, said Friday there was no law prohibiting Cassell from advertising himself this way.

"Because there is no statute, there would be no grounds for a complaint," spokeswoman Eulinda Smith said. "It would be legally deficient."

But Grayson appears undeterred, arguing the Cassell has violated the Hippocratic Oath when he turned away patients on the basis of political beliefs.

His spokesman, Jurkowski, told FoxNews.com that at least one person followed the instructions on the sign and there could have been more.

"I think a reasonable person would deemed that being turned away," Jurkowski said.

A University of Florida professor said Cassell is walking a thin line between free speech and professional obligation. William Allen, a specialist in bioethics, law and medical professionalism, said civil rights protections can prevent patient discrimination. But the law only provides for race, gender, religion, sexual orientation and disability -- not political opinion.

Allen said Cassell may be within his rights if he doesn't quiz patients about their politics and hasn't refused to see anyone.

"(He's) trying to hold onto the nub of his ethical obligation," Allen said. "But this is pushing the limit."

Cassell has been practicing in the area since 1988. His wife, Leslie Campione, is a lawyer and GOP candidate for the county commission.

http://www.foxnews.com/politics/2010/04/03/congressman-plans-file-complaint-anti-obama-doctor/

And now... the rest of the story.

Start to "fade away"?

Anyone have a clue what he is referring too? I know people were going into nursing homes last year scaring the residents with "Obamacare". I cannot find anything about what he was referring too.

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RE: One Doctor's Resonse - 4/3/2010 12:06:21 PM

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the doctor be nasty.

the most beautiful white man in the world aside from Jeffff, Anderson Cooper, had the Doc on his show. I guess youz can watch the interview somewheres on the internets. The doc comes across as a just another dumb honky.

There is AMA code – 9.012 – does mention politics. It reads like this...

"...Under no circumstances should physicians allow their differences with patients or their families about political matters...."

That anderson cooper is a fine looking white boy.

< Message edited by Brownsugasub69 -- 4/3/2010 12:11:38 PM >

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RE: One Doctor's Resonse - 4/3/2010 12:14:36 PM

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Wow sugga, you post remarkably like a Friend of mine....:)

This means Jeffff will soon be dinning on the dark meat!

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RE: One Doctor's Resonse - 4/3/2010 12:14:39 PM

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You may want to finish that quote:

"Under no circumstances should physicians allow their differences with patients or their families about political matters to interfere with the delivery of high-quality professional care."

First of all, unless he asks those coming in his office who they voted for, he won't know thereby he won't be aware of same. If a patient refuses to come into the office due to the sign, then the doctor is not delivering any care to that patient as the patient isn't there to treat. That quote only matters if the doctor's treatment of an actual patient who comes in seeking treatment becomes below the standard of care due to the difference of political opinoin.

Also did you by chance read the first part of that OPINION? Seems to me it states a doctor has every right to express themselves politically even has a responsibility to same -- even to the point of lobbying etc. even expressing their views to patients.

angel

< Message edited by barelynangel -- 4/3/2010 12:15:12 PM >

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What lies behind us and what lies before us are tiny matters compared to what lies within us.
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RE: One Doctor's Resonse - 4/3/2010 12:20:56 PM

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quote:

ORIGINAL: barelynangel

You may want to finish that quote:

"Under no circumstances should physicians allow their differences with patients or their families about political matters to interfere with the delivery of high-quality professional care."

First of all, unless he asks those coming in his office who they voted for, he won't know thereby he won't be aware of same. If a patient refuses to come into the office due to the sign, then the doctor is not delivering any care to that patient as the patient isn't there to treat. That quote only matters if the doctor's treatment of an actual patient who comes in seeking treatment becomes below the standard of care due to the difference of political opinoin.

Also did you by chance read the first part of that OPINION? Seems to me it states a doctor has every right to express themselves politically even has a responsibility to same -- even to the point of lobbying etc. even expressing their views to patients.

angel

barely, read the sign again. What did it say?

"If you voted for obama seek urological care elsewhere."

He is telling Obama voters they will not receive any care at his office...I doubt he is capable of giving "high quality professional care."

So once again you have proven that you are incapable of logical thinking. You are barelynanvil.

Not the sharpest tool in the shed.

poor barely.

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RE: One Doctor's Resonse - 4/3/2010 2:17:04 PM

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Joined: 9/13/2004
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quote:

ORIGINAL: BoiJen
You are dense, aren't you? Unnecessary surgeries can and do lead to major problems later on in a patient's life. There's no such thing as an unnecessary test when looking to cover one's ass by ruling out all kinds possibilities in a patient's treatment. Tests, no matter what their result, are done to make sure a patient is treated the best way possible for a problem. You never know when that Ct scan of someone's leg is gonna show some abnormality that shows the cause for that migraine that never goes away. The human body is complex, tests are done to understand a problem.

And often issues as a result of surgeries can not be found until well after the statue of limitations is over in terms of seeking damages because of unnecessary surgeries or poorly performed surgeries. There is NO relationship between a perceived "unnecessary test" and a bad surgery. The doctors have the hand up because they cannot, in most states, be held liable for damage done to a patient after three years from the surgery date. Surgeries done poorly can take longer than that to show the damage because of the body's recoup process and because doctors are looking to cover their asses by saying things like "it's supposed to take this long to recover", "that's normal for the type of surgery you receive", and because other doctors don't like to be held legally accountable for disagreeing with other doctors, no matter how much it hurts or harms the patient.

Get real.

No, unlike Domiass, I am not dense, and yes there are a hell of a lot of unnecessary tests ordered by Doctors.

Tests are ordered to cover ass, or to make money off of unnecessary tests, not to diagnose symptoms.
Proof
More Proof
Even more proof
Even Domiass has to believe this source.

I'm not the one who looks dense here;)

(in reply to BoiJen)

RE: One Doctor's Resonse - 4/3/2010 3:37:43 PM

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Ya know - you say "cover their ass" like it is a bad thing - I personally know a doctor, good guy, caring, hard working, knows what he is doing - who works in an ER. He had a patient come in, hit in the head, not knocked out, and his head hurt. He did a neurological exam, took a history and told him to go home and come back if he had any dizziness, nausea etc etc.

Two days later the guy comes in with a bleed in his head, and the doctor is hit with a law suit. Now, bear in mind he did all the appropriate things, and told the guy to come back if he had problems. The guy has a slow subdural bleed - not symptomatic at the time of examinations, and the doctor has to go to court and defend his actions. He loses time at work, he has the stress of being on the stand, accused of being a bad doctor and injuring his patient, and he has to pay for all of this. And did I mention that it is very stressful?

Needless to say, now when someone comes into the ER complaining of being hit in the head - he orders a CAT scan right away. and those don't come free, by the way! What would you say to him - that 99% of the CT scans are unnecessary? Yes they are, but he is covering his arse the best way he knows. Add to that, his compatriots all saw what happened to him, and took note - I bet that there are a lot more CT scans ordered around here now.

You add this scenerio at least 1000 fold, and you have unnecessary tests all over the place. I can't tell you what the answer is, but as long as doctors are being sued for ungodly amounts of money, it isn't going to stop.

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RE: One Doctor's Resonse - 4/3/2010 3:55:57 PM

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quote:

ORIGINAL: kiwisub12

Ya know - you say "cover their ass" like it is a bad thing - I personally know a doctor, good guy, caring, hard working, knows what he is doing - who works in an ER. He had a patient come in, hit in the head, not knocked out, and his head hurt. He did a neurological exam, took a history and told him to go home and come back if he had any dizziness, nausea etc etc.

Two days later the guy comes in with a bleed in his head, and the doctor is hit with a law suit. Now, bear in mind he did all the appropriate things, and told the guy to come back if he had problems. The guy has a slow subdural bleed - not symptomatic at the time of examinations, and the doctor has to go to court and defend his actions. He loses time at work, he has the stress of being on the stand, accused of being a bad doctor and injuring his patient, and he has to pay for all of this. And did I mention that it is very stressful?

Needless to say, now when someone comes into the ER complaining of being hit in the head - he orders a CAT scan right away. and those don't come free, by the way! What would you say to him - that 99% of the CT scans are unnecessary? Yes they are, but he is covering his arse the best way he knows. Add to that, his compatriots all saw what happened to him, and took note - I bet that there are a lot more CT scans ordered around here now.

You add this scenerio at least 1000 fold, and you have unnecessary tests all over the place. I can't tell you what the answer is, but as long as doctors are being sued for ungodly amounts of money, it isn't going to stop.

I'm not disagreeing with you, I say we make the Lawyer who loses in court pay 1/2 the judgment out of his or her own pocket, and you would see quite a few less lawsuits.

(in reply to kiwisub12)

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