Idea: common care clinic

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TheVrolok

Lifer
Dec 11, 2000
24,254
4,090
136
Originally posted by: Scouzer
Originally posted by: TheVrolok
Originally posted by: Scouzer
Seeing a doctor in Canada without health insurance (for example, if you're not from here) is $26.50. Why can't you just have cheaper doctors? lol

Because if I want an expensive procedure I want to be able to walk in and get it done that day, or perhaps shortly thereafter. I won't argue against some sort of NHI or more socialized system because I see a lot of benefit; but being coy about the cheap Canadian system is a bit off the base here.

In anywhere but Canada that has socialized medicine, you could. Everywhere else has a private system along the public system, so you could get the best of both worlds.

If you got the best of both worlds then I suppose the countries (with those systems) would be topping all the health/healthcare indexes. They are not. Simply, those systems are also far, far, from perfect and do involve quite a bit of waiting in certain cases. But hey, it's really all about trading one downfall for another. I'm very much of the opinion that those compromised systems of partial socialized care along with allowable privatization can work very well. In fact, I think that they often work better than the current US system. However, the problem is that there are other social/governmental factors in those countries that simply don't exist in the US and as such the US could not have a similar system at this point. Bummer.

Originally posted by: Pandamonium
... EMT-B snip ...

As much as I agree with the fact that an under trained medical "professional" diagnosing illness is a bit absurd; equating it to an EMT-B is a bit of a stretch. You have to realize what the 3 months of EMT-B training is geared toward .. it's set up such that high school grads, even non-high school grads, can get through the training. A college student (especially a student with any aptitude for science) could easily complete all the EMT-B training in.. probably.. 40, ok ok.. 60, hours of class? Maximum. That is to say, an EMT-B really doesn't know much of anything (from the classroom). In the field training amounts for quite a bit more.
 

TwiceOver

Lifer
Dec 20, 2002
13,544
44
91
Originally posted by: Scouzer
Seeing a doctor in Canada without health insurance (for example, if you're not from here) is $26.50. Why can't you just have cheaper doctors? lol

Because our lawyers like to sue doctors for millions upon millions of billions of dollars for even the slightest misdiagnoses, error in judgment, slip up.



 

nakedfrog

No Lifer
Apr 3, 2001
59,258
13,875
136
We have quick care clinics inside a few stores in my area, for colds, ear infections, all that minor stuff. I haven't been to one so I don't know who they're staffed by.

Looks like it still runs about $70 for most common treatments, but that's still cheaper than a visit to the doctor's office.
 

wwswimming

Banned
Jan 21, 2006
3,695
1
0
Originally posted by: Scouzer
Seeing a doctor in Canada without health insurance (for example, if you're not from here) is $26.50. Why can't you just have cheaper doctors? lol

the way it used to be in the states.

i think the OP's idea is a good one, although with one tweak - you need an RN
in there, who has access to a doctor.

i pay $14 for one semester, access to the clinic at the JC. one of the 2 MD's is
in one of the 2 groups i swim with.

the RN's are able to handle most things - poison oak, setting up an exam for
a blood test, handing out free condoms.

i'm faced with a situation now that would be a good test case. i have a bad
cough/ cold or a mild case of pneumonia. from inhaling water at the pool
during a workout a week ago (i was trying to stay healthy.)

in order to diagnose it, which wouldn't be a terrible idea since i've spent Thursday Friday Saturday Sunday and Monday nights coughing & blowing my nose, i would need to go to a doctor who would charge me $150, then pay for a lab test on a mucus sample

EEWWW

then pay another few hundred for a chest X-ray.

instead, i'm doing the "frontier medicine" thing - taking penicillin i bought in Mexico 2 years ago.

i could definitely use a clinic just like the OP proposes, with a nurse who has the authority to dispense antibiotics.

American medicine is remarkably self-serving - their solution for nearly every health situation involves the transfer of many $hundreds or $thousands from the patient's bank account to their own.
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,090
136
Originally posted by: wwswimming

instead, i'm doing the "frontier medicine" thing - taking penicillin i bought in Mexico 2 years ago.

i could definitely use a clinic just like the OP proposes, with a nurse who has the authority to dispense antibiotics.

The absurd misuse of antibiotics is intensely frustrating to me. Using 2 year old penicillin from Mexico? Is it probably ok? Yeah, penicillin lasts quite some time. Is it a great idea? I'd say no. Also, just popping antibiotics every time someone feels "a cold coming on" is a terrible idea. Creating more antibiotic resistance is a terrible idea. Over-prescription is bad enough, I can't imagine if we had a nurse sitting at a cheap clinic handing them out like candy.
 

Modelworks

Lifer
Feb 22, 2007
16,240
7
76


You can't waive away a right you have under law, so you can't promise not to sue for malpractice.

Clinics like this already exist and are run by a PA, that is as close as you are going to get to someone that can diagnose and prescribe without seeing a fully licensed physician.

A big cost of any clinic isn't the doctors , its the lab work and medical test. I think targeting the cost of medical supplies and test would go further to solve the problem. They sell a bag of IV saline (water + salt) for $78 that is a good place to start. Blood alcohol test $350.

 

GeneValgene

Diamond Member
Sep 18, 2002
3,884
0
76
i think the OP's idea has already been done

they are called mini-clinics or minute clinics. you seem them at local grocery stores, and local pharmacies now. i see them at walmarts all the time

for example:
CVS


just google mini clinic
 

GasX

Lifer
Feb 8, 2001
29,033
6
81
This is a wonderful idea and would last just as long as it would take for the guy with zero meaningful medical education to send someone with early stage meningitis home for having a mild fever.
 

Capt Caveman

Lifer
Jan 30, 2005
34,543
651
126
Originally posted by: GeneValgene
i think the OP's idea has already been done

they are called mini-clinics or minute clinics. you seem them at local grocery stores, and local pharmacies now. i see them at walmarts all the time

for example:
CVS


just google mini clinic

Except they have Nurse Practitioners. The OP wants someone with less training/educated but wants them to still be able to prescribe medications.
 

rudder

Lifer
Nov 9, 2000
19,441
86
91
Originally posted by: Leros
Originally posted by: ConstipatedVigilante
I'll just see a doctor when my symptoms start causing problems.

But if you're poor and have no health insurance. You might not go to a clinic and pay $100. But you might go to a clinic and pay $20.

Doctors pay $300,000/year in malpractice insurance. That is a lot of $20 visits to cover one misdiagnosis of lung cancer.

Obviously you would need to sign some kind of waiver. "I recognize that I am being treated at a Common Care Clinic as defined by... blah blah. I understand there is a higher risk of misdiagnosis, etc and I waive my right to sue for malpractice in the event of a misdiagnosis, etc."

So the patient waives the right... but what about the family of the deceased that sues the clinic?
 

child of wonder

Diamond Member
Aug 31, 2006
8,307
176
106
Another problem would be that the $20 it costs to go to a Common Care clinic is about the same as most people's health insurance co-pays. Personally, I'd just go straight to a real doctor. Why screw around with Common Care? Plus, those that can't afford health insurance would just go to a Free Clinic instead of Common Care because they, too, would see a real doctor but it wouldn't even cost them $20.
 
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