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Comments about ‘Letter: Health care rights’

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Published: Friday, May 9 2014 12:00 a.m. MDT

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VIDAR
Murray, UT

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.

Utefan60
Salt Lake City, UT

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 received care.

Grover
Salt Lake City, UT

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.

2 bits
Cottonwood Heights, UT

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...

Crusader
Layton, UT

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.

2 bits
Cottonwood Heights, UT

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?

RedShirt
USS Enterprise, UT

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.

Hutterite
American Fork, UT

You've discovered that health care cannot be considered like any other consumer commodity.

Mike Richards
South Jordan, Utah

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 company',

Kora
Cedar Hills, UT

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?

2 bits
Cottonwood Heights, UT

@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.

Kora
Cedar Hills, UT

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.

Ultra Bob
Cottonwood Heights, UT

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.

JoeBlow
Far East USA, SC

"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.

Irony Guy
Bountiful, Utah

This has got to be Obama's fault. It's just got to be...

The Real Maverick
Orem, UT

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 corrupt regime).

Mike Richards
South Jordan, Utah

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?

There You Go Again
Saint George, UT

"...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.

Kora
Cedar Hills, UT

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.

Stormwalker
Cleveland , OH

@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 that side.)

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