Incentivized Payments in This Pandemic

There is a Huge Argument between Healthcare and Sickcare in the United States.

Many Americans are having trouble distinguishing what healthcare actually is. They pay for an insurance company to cover the bills that they have regarding health, but every year it covers less and less. They don’t feel like they have options to choose providers that are listed as being the best. They feel like they are strangled in choosing a procedure, prescription, and even if they should get testing done to see if a medication or procedure is necessary. The hoops one must jump through to achieve a diagnosis take longer and longer each year. The insurance layers to gain access to appropriate care or the prescription that the physician recommended instead of some other brand or different drug has affected the ability to recover.

Unfortunately, SARS-COV2 may be even worse.

On March 27th, 2020 information was released that was part of the COVID19 Stimulus Bill. It reported that facilities would receive 20% more than typical reimbursement for positive COVID19 cases. If such a case ended up on a ventilator, the increased in reimbursement with be $39,000. 3x’s the normal reimbursement. Senator Jensen of Minnesota said in a statement on April 8th,

“Nobody can tell me after 35 years in the world of medicine that sometimes those kinds of things impact on what we do.”

He did later say that he doesn’t believe that all decisions were made based on this reimbursement, but he believes that cases are over reported. There were some indications that he believes that the Point of Care cases were over reported and flu cases under reported.

IF you remember the blog from Nov 30th, I talked about the different types of tests. The most common test done does not rule out the common cold or flu. It simply tests for all coronavirus.

So, if this is true…..the number of cases of the flu are under-reported, cases of SARS-COV2 are over reported and we are not being cared for the way we need or expect as the American Public.

A Nurse comes Forward

On May 5th a nurse from Nevada, who had willingly traveled to New York to help relieve some of the stress of overwhelmed medical providers, put a video up on YouTube.

In the video she claims that they are murdering people in the most affected low income, minority hospital in New York. She talks about the fact that people were being defibrillated while they still had a pulse of 40BPM. This is significantly contraindicated and will cause cardiac arrest (heart stop). She states that a patient died waiting for an x-ray because the ventilator tube was not in place. They could not breath on their own. She told the anesthesiologist and the warning went ignored. There is also the discussion about the pressures on the ventilators being higher by 20% than they should be given normal human lungs. Reporting on a case where a feeding tube was placed into the lungs instead of the stomach as well. The mother of two traveled from Nevada to New York to assist. Like hundreds of others. She said that they had plenty of assistance by the time of the video and yet mistakes that were being blamed on over worked and too tired were simply negligence and mismanagement.

This woman was not the only one affected. The protocols placed by administration of the hospitals were not what most of the providers thought were a good idea. There have been an increase in Medical Provider suicide since the start of COVID-19 protocols.

Protocols to improve Finances don’t always mean Best Care

This past decade has brought about more and more Direct to Patient Care, Concierge or Hybrid type Practices. There are some who will say that this shift was due to the ACA Healthcare Bill, but as a provider, I Know it is about more. I have had the opportunity over the past 4 years to interview physicians and other providers who have made the switch. The common theme among them is that they have to see too many people and they don’t actually get to practice medicine anymore. The Popularity of Alternative Medicine currently also paints the picture of what Americans Desire.

Physicians don’t want to see 30 patients a day, neither do physical therapists, surgeons, cardiologist, chiropractors, etc. Yet with declining reimbursement, more hoops for pre-authorization and less autonomy when recommending medication and protocols, this is reality. That is why so many are jumping ship and quitting the profession entirely or moving to concierge direct to patient models.

What happened to that new disease Vaping Lung? or even Influenza?

Do you remember back to January of 2020 the stories of vaping lung disease that was affecting young people. Particularly those who used flavored vape pens? What ever happened with that? My guess is that some of the negative tests where people have died of respiratory symptoms, have been attributed to COVID19, even if it was this instead. Senator Jensen believed this was the case of a 38 year old male who tested negative twice, did admit that he vaped, died of respiratory symptoms, but cause on Death Certificate was attributed to COVID-19.

It also seems that no one has the traditional flu anymore, even though we can trace influenza A and B outbreaks back to 1889 with certainty, and likely back 500 years.

 

Do Your Research! From websites that are giving facts, not social media. 

Stay healthy out there!!

 

References:

Please be sure to FACT Check all information that you see. 

Most information for this blog was taken from the CDC WebSite. 

 

FDA.gov/media/140161/download

FDA.gov/media/143737/download

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862331/#:~:text=The%20most%20significant%20of%20these,intervals%20averaging%20approximately%2040%20years.