thought about the problem with private medicine.

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thomas81
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19 Mar 2013, 5:39 pm

While perusing other forums, I've read of suspected American aspies who refuse to pursue a diagnosis because they feel that autism is an underhanded cash cow exploited by doctors to 'make a profit'. Surely this exposes a problem with the concept of private sector healthcare, if the health service is nationalised doctors have no motive to pursue sinister money making agendas.

What other conditions are being undiagnosed throughout the United States due to an intrinsic suspicion of doctors?


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Fnord
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19 Mar 2013, 5:51 pm

thomas81 wrote:
While perusing other forums, I've read of suspected American aspies who refuse to pursue a diagnosis because they feel that autism is an underhanded cash cow exploited by doctors to 'make a profit'. Surely this exposes a problem with the concept of private sector healthcare, if the health service is nationalised doctors have no motive to pursue sinister money making agendas.

How so?

Nationalized health service still pays physicians (although at a salaried rate), and if someone is willing to pay the physician more to "diagnose" a certain disability to avoid conscription, to get a job, or to acquire subsidies for housing, then the motive for "sinister money" is still there.

One of the reasons communism failed in the Soviet Union is due to just that kind of corruption.



0_equals_true
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19 Mar 2013, 5:58 pm

Personally I think you need both.

Supply isn't enough somethings aren't worthwhile commercially and will never be so, this is why there is no such thing as comprehensive insurance (my sister is an insurance broker). They have tried regulations which don't really work.

So you need public health cover, but private health care also is useful. For some thing it is a good option.



Jacoby
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19 Mar 2013, 6:02 pm

Unless you need services or medication or whatever, there is very little reason for someone to want an official DX imo.

I do not believe people are under-diagnosed, usually it is the other way around. I don't think it's so much greedy doctors as it is greedy pharmaceutical companies, I doubt it would be much different with more government involvement, they usually increase corporatism not the other way around.



visagrunt
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19 Mar 2013, 6:05 pm

Anyone who thinks that physicians are purusing profit by diagnosing Aspies is deluded.

There are no medical treatments for AS--the only people who "make a profit" from AS are non-medical health care professionals, like psychologists and counsellors. If you want to go looking for a medical-pharmaceutical conspiracy, then it is to depression and anxiety that one should be turning one's attention.


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19 Mar 2013, 6:13 pm

Fnord wrote:
How so?

Nationalized health service still pays physicians (although at a salaried rate), and if someone is willing to pay the physician more to "diagnose" a certain disability to avoid conscription, to get a job, or to acquire subsidies for housing, then the motive for "sinister money" is still there.

One of the reasons communism failed in the Soviet Union is due to just that kind of corruption.


This is general misconception of nationalized health system, they actually have little to do with Communism. In fact even many the conservative in the UK, value the nhs. The NHS doesn't just have labour roots it also had Liberal (in the old meaning of the word).

I have talk to people in who lived in soviet countries, like you say it was never really free, they paid to see someone, even if that wasn't the official line. In their system nobody had any money, anyway.

Given that a GPs can have private practice as well. Paying a bribe isn't worth it, there is no advantage, they can't jump queue.

In the UK we contribute with a type of insurance, it is just a lot broader than than the cover you'd ever get commercially. Of course you can also get private instance too, then you are double covered.

It is a cultural differnce, the US, you are taking along time to privatize water supply. Most people in the UK woudl find this bizarre, like they would that most of your firefighters are volunteers.

You have municipal services, which if you you turn the argument on its head could be considered as 'pinko', but practically speaking are an essential part of that municipality. Yet in the UK, this would be done completely differently.

Health affects productivity, so naturally it is prudent that you have some health policy that is beneficial to health.



thomas81
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19 Mar 2013, 6:14 pm

visagrunt wrote:
Anyone who thinks that physicians are purusing profit by diagnosing Aspies is deluded..


of course, but its not that the doctors are or aren't pursuing diagnosis to make money is the problem, its that people think they are.


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Jacoby
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19 Mar 2013, 6:21 pm

visagrunt wrote:
Anyone who thinks that physicians are purusing profit by diagnosing Aspies is deluded.

There are no medical treatments for AS--the only people who "make a profit" from AS are non-medical health care professionals, like psychologists and counsellors. If you want to go looking for a medical-pharmaceutical conspiracy, then it is to depression and anxiety that one should be turning one's attention.


I was more speaking in general than specifically about AS or other spectrum disorders but I agree about depression and anxiety medications. Those are a lot of time companion diagnoses for people on the spectrum of course. They may help a lot of people but I don't think anybody would disagree that they aren't overprescribed.



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19 Mar 2013, 6:22 pm

visagrunt wrote:
Anyone who thinks that physicians are purusing profit by diagnosing Aspies is deluded.

There are no medical treatments for AS--the only people who "make a profit" from AS are non-medical health care professionals, like psychologists and counsellors. If you want to go looking for a medical-pharmaceutical conspiracy, then it is to depression and anxiety that one should be turning one's attention.


That is exactly it is not ASD itself, but a range of mental disorders, which are co-morbid.

However there have been some psychiatrists trying to offload anti-psychotics (not for psychosis), with some people on the spectrum. This is specifically approved from aggression in ASD.

So I wouldn't rule it out.

ADHD is a classic case in point. Drugs, which have no proven long term efficacy, and at best tend to wear off, leading to lack of coping mechanisms.



thomas81
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19 Mar 2013, 7:01 pm

Fnord wrote:
thomas81 wrote:
While perusing other forums, I've read of suspected American aspies who refuse to pursue a diagnosis because they feel that autism is an underhanded cash cow exploited by doctors to 'make a profit'. Surely this exposes a problem with the concept of private sector healthcare, if the health service is nationalised doctors have no motive to pursue sinister money making agendas.

How so?

Nationalized health service still pays physicians (although at a salaried rate), and if someone is willing to pay the physician more to "diagnose" a certain disability to avoid conscription, to get a job, or to acquire subsidies for housing, then the motive for "sinister money" is still there.

One of the reasons communism failed in the Soviet Union is due to just that kind of corruption.


in the private sector the problem is confounded, because the doctors practices profit by the client rather than the doctor earning by the hour.


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19 Mar 2013, 8:16 pm

0_equals_true wrote:
[In fact even many the conservative in the UK, value the nhs.


Even in UKIP, a lot of people within the party deeply value the NHS as well. There are different opinions about it within the party.