InstaCare doctors see kids during the day, all the time. Why would that change
during the evening hours? This child should have received care in whatever place
was chosen by the parent. If the parent didn't want to have the child seen
by a pediatrician, that's the choice of the parent. Why should we care. The
child had ear pain and a fever. It's not like they were having chest pain
or something. Shame on this doctor to refuse care to this child.
@Kora, thanks for the clear explanations.Urgent care does not mean
emergency. If there was an emergency, an ambulance will be called to such a
facility.Children will get the best care by a pediatrician and if a
doctor feels more comfortable treating adults then for your childs sake please
take your child to someone who sees a lot of kids even if that means a longer
line at the KidsCare. Is our society so entitled that they think its their
right to dictate to a medical facility or doctor who or when they should be
@Kora: The reason the KidsCare was open..."Kora- in holy
scripture Jesus said "suffer the little children" and Jesus is the Great
Healer so all doctors should see children because this is a Christian nation
which means that urgent care was founded on Christian principles and Thomas
Jefferson always saw children in his urgent care even if the kids care was open
too. I agree with pope Francis and Prohet Monson on this and
I'm a Pastaferian. (I think I covered the usual arguments from
Mike- The reason the KidsCare was open is to treat the kids, hence its name. An
internal medicine doctor is trained only in medicine for adults, and receive no
pediatric training at all. If an Internal Medicine physician is working the
InstaCare and they opened the KidsCare to serve the pediatric population, what
is the problem? You cannot expect the doctor only trained to treat adults to
treat a child just because you think they should. You don't expect to be
able to walk into the Primary Children's ER when you are having a heart
attack and not have them send you to another ER. They are not qualified to do so
just because it is an ER, and no one would expect them to be able to treat
adults. Nothing in this letter demonstrates any problem with our
health care system or the free market. What it shows is that some people have an
entitlement mentality. The only facility required by law to see anyone is an ER.
Urgent Care centers are not entitlements, and only exist because of the profit
motive. Without it, all you would have is the ER with really long wait times.
"...Sorry, but "free market" was decided when the doctor signed on
with the insurance company to serve the customers of the insurance
company'...".No.Sorry, but "free
market" was decided when the doctor signed on with the insurance company to
serve the NEEDS of the insurance company.Perfect.
Did I misread the letter or was the child at an URGENT care facility. Every
time that I've visited an URGENT care facility, everyone, young or old were
seen by the first available doctor, i.e., they didn't wait for the "big
toe" specialist to check their big toe.When URGENT help is
needed do you really think that a doctor would stand around with his hands in
his pockets pretending that he didn't see a child in distress?
Yet another example of how ridiculous and silly our for profit "trickle
up" health care system is.Get rid of the for profit nonsense.
Time for us to join the rest of the industrialized world and go single payer.All repubs know how to do is charge more, cut benefits, and bring up
Benghazi (while ignoring the 13 benghazi's that happened under Bush's
This has got to be Obama's fault. It's just got to be...
"My immediate suspicion was that it was more of the political mud used by
the party out of power"I completely disagree.I
suspect it was someone skirting the rules to make themselves and their operation
look better.As such, if someone died, this person should be held
accountable.This applies to people, it applies to govt agencies, it
applies to small businesses and it applies to corporations.PEOPLE
who make decisions for these entities should not be allowed to hide behind the
cloak of the agency. Make the people personally liable when they skirt the law.
Recently there is talk about VA hospitals making false entries regarding the
availability of VA doctors and having long wait times for appointments. My
immediate suspicion was that it was more of the political mud used by the party
out of power. But then the reporter said that "private doctors were to be
used when VA doctors are not available". This statement brought a new facet
to the problem in that the profits of private doctors could be enhanced by
deliberately having a shortage of VA doctors. Hopefully an audit will find this
untrue.Robert Johnson's story fits into my thoughts that
businessmen really don't want a free market and often do things to prevent
it. When the doctors and medical care suppliers get together in
their Union meetings, do they make rules about who can do what, when and where.
The pediatricians have a favorite saying: "Kids are not just little
adults." Their medical needs are very different and must be treated very
different. That is why we have Children's Hospitals and pediatric
specialists. You simply don't treat adults and kids the same way with the
same symptoms. Why would you want your child treated by someone who is not
comfortable treating kids?I have worked in an urgent care center
where the policy was we did not see anyone under age 5 as most of the providers
who worked there were not comfortable with younger children. That was standard
policy. As for being bound as a provider on an insurance panel to
treat anyone and everyone who has that insurance, that is wholly inaccurate. As
a matter of fact, I have fired patients from my practice who violate our
policies, and it is well within my legal and ethical rights to do so. Some
providers even refuse to see individuals who don't receive standard
vaccinations in order to protect their other patients. If you are not in an ER,
there is no duty to treat a non-established patient in most cases.
@Mike Richards,So... no office rules allowed?Once you
agree to take insurance... you can't have any rules?Of course
they are "qualified" to see children (hint... they see children outside
kids clinic office hours).... so obviously they are qualified to see them. Nobody said they aren't "qualified"... but kids clinic is
the best place for kids to wait and be seen... the waiting room, the offices,
the equipment, and the physicians, are geared to kids specifically.
Mike- Are you really that ignorant to the practice of medicine? I am a Family
Physician. As such, I am trained to treat all ages, but I may decide in my
practice that I only want to see a certain age group. That is well within my
right, as it should be. Many doctors are not even trained to see children, while
others are not trained to treat adults, and would be very inappropriate for them
to do so. I am no longer trained to treat and manage pregnancy. It is not my
obligation to do so. The reason the KidsCare exists is to specifically treat
children as an urgent care. When they are open, many times the InstaCare is
staffed by doctors only trained in adult medicine.As physicians we
are not bound by the will of the people, but by our own ethics and constraints
of training. And when I sign on to an insurance panel, we do not enslave
ourselves to see anyone and everyone that has that insurance. Why would you
expect this to be the case? Why would you expect/demand a pediatrician to treat
adults, or a heart specialist to treat neurological conditions?
All doctors should be qualified to treat patients, regardless of size or age.
If that doctor was on duty in the facility visited and if that doctor had
accepted the terms and conditions of the insurance company, that doctor had the
responsibility to treat that patient. No doctor has the right to pick and
choose patients when he/she has aligned himself with an insurance company.Sorry, but "free market" was decided when the doctor signed on
with the insurance company to serve the customers of the insurance
You've discovered that health care cannot be considered like any other
To "Robert Johnson" despite the implications by Obama, the healthcare
industry is still largely made up of private companies, not the government.
Private companies are able to establish rules for what they will and will not
do. Imagine you go into Big Al's Clothing shop for portly people and
demand that they sell you clothes in your children's size. Big Al says
that he doesn't carry that size, but that you can go next door to the
children's clothing store to buy clothes.You are demanding that
a business change its policies to accomodate you.
How is this an issue of "Healthcare RIGHTS"?Is it your
RIGHT... to walk into any doctor office you want, even if they have office
rules, or your problem isn't that office's specialty?I
mean how is this taking away your Healthcare "RIGHTS"?? Must any office you decide to walk into have to do whatever you want? Or they
are taking away your healthcare Rights?
The author left the clinic and went where?If he took the kid to
another clinic, it sounds like free market principals are working just fine.If he took the kid home, perhaps they should not have been at a clinic
in the first place.
Health care offices ARE allowed to have rules.Evidently it was one
of their rules that kids are seen at the kids-care office when it's open
(when it's not... they can go to instacare). Seems fair to me.Kids care is specially equipped for kids. It's the right place for
them. Even if the wait is a little longer.rules are rules...They didn't take your healthcare away... they just followed their
office rules! You should follow them too...
I'm positive this is the fault of Obamacare and is another reason to
repeal...not! What it is, is a great argument for national health insurance for
everyone. We ALL need medical care at sometime(s) in our lives. We will get it
somewhere and the less red tape involved the better, especially when the need is
urgent. In network, out of network, emergency room, walk in clinic, only the
cost is different in our current system. Why are we so afraid to learn from the
entire of the rest of the Western (and much of the Eastern) world? Instead of an ongoing debate on how to deliver healthcare to the entire nation
we get only the 82 vote to repeal the ACA and Bengazhi.
I'm sure that there was a valid reason that this Doctor had to refuse the
service. Many Doctors are specialized in Adult or Child care. So maybe it was
the best option to go to the Kids Care? I hope that you were not refused service
other than due to the policies that this Doctor is required to work under. The
Doctor is contracted by Insta-Care and has to follow their requirements. The
good part is that it sounds like other than a longer wait time this child
No one likes to wait at the doctor. However if you are going to what is
essentially an emergency room, you should expect to wait. Kids care is staffed
by a pediatrician. A child medical specialist would have been worth waiting
for. It sounds like the instacare doctor was looking out for your
granddaughter, Next time bring a book, and be more patient. Lots of
people were probably there, and wanted to get in and out as quickly as possible.