Tuesday, February 5, 2008

The problem with health care today...

I have the answer for everyone. If anyone really wants to know why health care costs so much today, here is the answer.
A woman started to complain to me today about her health care from last week. She works in the hospital, so you might think she has at least a TINY bit of knowledge about the subject. The problem was this:

She was a driver in an SUV and she rolled it over on the highway. She says she remembers going through the air and hitting the Jersey barricade, and then she blacked out. And they brought her into the ER. They wouldn't take her to the closest hospital, because it wasn't a trauma center, and instead they took her to our hospital, where she works. And when she got there, all they did was xray her elbow. No CAT scans or anything. She wanted to know why she didn't get any CAT scans.

I said, "But you're OK, aren't you?"

Yes, she agreed, but shouldn't she at least have gotten some CAT scans?

"I guess you didn't need them," I pointed out. "You're OK, right?"

"They didn't even xray my neck," she said.

"Does your neck hurt? Did it hurt then?"

"Well, not really, but..."

Here is the biggest problem with American health care: the American patient. I know there are other problems, but over treatment is a big one.
I know another woman who says she was really mad because when the ambulance brought her into the ER no one even looked at her. No one checked her to make sure she wasn't dying. "I saw you in the ER," I said. "And that was after the ER doctor saw you in the ER. Then he called me. And the residents saw you in the ER." In fact I am certain that at least four doctors saw her in the ER, not to mention all the nurses and EMTs, and she is in fact still alive and going home three days later without any big interventions. But what she was driving at was that someone should have been there to meet the ambulance as it rolled in to check on her.
The ER has patients stacked like cord wood waiting for help, but she feels that because she has a belly ache, the medical equivalent of a SWAT team should be ready to save the hell out of her as soon as she rolls in the door.
I can come up with a hundred examples, but these are the two I saw this morning. So if any politicians know a good way to alter the demands and expectations of the AMerican patient, our health care crisis will be fixed.

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