Bruce Bostwick <[EMAIL PROTECTED]>
> But I
> would still trust practicing (or at least experienced) MD's to make
> those judgment calls more than I would accountants with no medical
> knowledge or training and little or no accountability for their
> decisions, which is what we have now.
I wouldn't. It is mostly a matter of statistics and following best
practices. Unfortunately, many doctors are either remarkably
ignorant of statistics or frequently overrule their knowledge to go
with their gut. Or order a bunch of unnecessary tests to cover
their ass. The bean counters, as you call them, provide important
and necessary oversight to such wasteful procedures. Doctors
obviously should have a great deal in input in deciding how to
diagnose and treat a patient, but when it comes down to a
question of money, oversight and implementation of statistically
proven best practices is necessary in order to allocate health
care spending most efficiently.
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