Financial motives: Do some private... - Advanced Prostate...

Advanced Prostate Cancer

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Financial motives

pd63 profile image
pd63
30 Replies

Do some private clinics overtreat based on financial gain

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pd63 profile image
pd63
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30 Replies
Tall_Allen profile image
Tall_Allen

Yes. There was a scandal a few years ago about urology clinics referring patients to their own radiation clinics or getting kickbacks:

justice.gov/opa/pr/two-cali...

thelancet.com/pdfs/journals...

nytimes.com/2013/08/19/us/d...

Huzzah1 profile image
Huzzah1

I am Very suspicious about 2 of the groups I first had. A large U group that performed some unnecessary tests before finally finding the cancer. They then started me on the wrong drugs. They had slick brochure pack with a DVD that had a CC date of 2012 for a RO place. When I went there, it felt like I was at a used car dealership. I told the RO guy that I had switched from the U group, he was upset about that. He asked why and I told him that I shouldn't have given Prolia with out cause and that I should have been started on Zytiga. In July of this year, he started arguing with me that the data wasn't in about he need for Zytiga. I left and 2 hours later, their finance group wanted me to pay them all of the remaining out of pocket from my insurance as they thought i would be starting treatments.

MyDad76 profile image
MyDad76

Well I come for a country with universal state health (no private hospital…). In our system the problem is under treating (and it starts with under diagnosing). If I could choose between the 2 extremes I know which I would choose… Since I can’t (no way out, they just deduct from salary in form of tax and social contributions) I pay ridiculous amount of money for system that should not even exist in modern states.

E2-Guy profile image
E2-Guy

I'm sure they do.

MSPCF2021 profile image
MSPCF2021

some of them are owned by venture capitalists. Many private specialty groups in the USA are. Need I say more?

BB_1 profile image
BB_1

Yes, and include public. Its all about the $$$.

pjd55d profile image
pjd55d

yes that was my experience with the Urologist at Uro Partners

besides the Dr was an arrogant officious little bitch who talked down to me. He also refused to share his note with my PCP - and always just stood in the room and typed on his computer. The day he patted me on the shoulder ( after being an hour late for my appointment ) and told me " you have to understand that we are very busy with important work " was the end of our " relationship "

Daveofnj profile image
Daveofnj

Would you ever go to an M.D. who has an MBA?...especially one dumb enough to list the degree among their credentials on their website?

monte1111 profile image
monte1111 in reply to Daveofnj

Doctors are the best salesmen in the world: do you want to live or die? Way better than car salesmen: do you want to walk or ride?

Mrtroxely profile image
Mrtroxely in reply to monte1111

????I'll top your doctor's with religions....you want go up, or down???

dhccpa profile image
dhccpa in reply to Mrtroxely

LOL you guys are crackin'me up!

monte1111 profile image
monte1111 in reply to Mrtroxely

Excellent

Lrv44221 profile image
Lrv44221

Yes, I think so. There is no money in wellness.........🌹

slpdvmmd profile image
slpdvmmd

It's not just private clinics. Most US universities are just private practices with high overhead.

pd63 profile image
pd63 in reply to slpdvmmd

Living in the UK, healthcare is free, so no financial incentives, there is private as well but that's for people with money who want to jump the queue

Mrtroxely profile image
Mrtroxely in reply to pd63

Your mistaken dude.Healthcare is not free in UK.

We pay into the NHS from our taxes and wages.

Psst the financial incentives are further up the chain.

carbide profile image
carbide

There are only some (very few) that are thinking of profits first.

jackcop profile image
jackcop in reply to carbide

That has not been my experience. But your mileage may vary.

Bethpage profile image
Bethpage

Florida Cancer Specialists was fined $100 million in 2020 for a criminal antitrust for "for “conspiring to allocate medical and radiation oncology treatments for cancer patients in Southwest Florida”.

cancerfox profile image
cancerfox

And the great thing is, they get to bury their mistakes! 😄

jackcop profile image
jackcop in reply to cancerfox

Now that's some dark humor.

Mrtroxely profile image
Mrtroxely

A financial business, With financial businesss selling and recommending drugs that are over inflated to make financial gain....

Selling treatments and drugs to make money.

Focussing on returns for share holders and investors.

Surely they can be trusted to focus on welfare and society before financial gain.....

groundhogy profile image
groundhogy

Ok, so big or government is always good..

Small or private is always bad.

Got it (sarc/).

maley2711 profile image
maley2711 in reply to groundhogy

who in these replies said that? Your opinion re VA system? Greedy Docs? What do you say to those who state that many countries have universal care with much public involvement, yet health outcomes are just as good or better, at 50-60% of the cost of the 17% of GDP we spend??? I thought the whole idea of private vs public was that private is more cost-effective??? Or maybe you don't care what we pay for medical?

groundhogy profile image
groundhogy in reply to maley2711

That was the overall implication of the thread. But there are several posts above of people that exist in large government run health systems and they are in general not happy with the service or value. And yes we have the VA in the usa.

You can find good care in both small and large institutions.

Also, who has the resources to do investigations? Just the big guys and government. Who investigates them?

My uncle in canada needed a heart operation. He was told the docs didn’t feel he was strong enough and might not survive the operation. He was assigned to hospice. Took many months for him to die while his family watched on.

maley2711 profile image
maley2711 in reply to groundhogy

My Dad died slowly from deteriorating heart......surgery could have been tried, but his Doc advised against it ,,,,so he passed on the surgery at age 84. Peaceful death..much better way to go than cancer!!

My friend once said about this or that altenrative economic system......problem is people , not as much which system. I imagine that applies to the medical field also.

Is Medicare a government system....Docs are mostly private? Private insrance would result in better outcomes for oldies?? I doubt it. At Kaiser, we haven't had one Doc who I would accuse of trying to run up the bill.

groundhogy profile image
groundhogy in reply to maley2711

”My friend once said about this or that altenrative economic system......problem is people , not as much which system.”

I think the system is an extremely important determinant of success or failure.

Why did McDonalds succeed vs say Burger Chef?

Same humans, same hamburgers.

groundhogy profile image
groundhogy

oh, and just remembered. Before that about a year or two, he needed dialysis. They assigned him a clinic three hours drive away. His wife could not drive.

So they set him up with some type of system where he put hoses into his stomach? Some type of home DIY dialysis.

I remember being horrified as he happily described the process over the phone to me.

Probably led to his heart problem.

maley2711 profile image
maley2711 in reply to groundhogy

Did he live in a town large enuf to justify a dialysis clinic?

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