A difference is that Doctors are not like Cops. In particular, doctors don’t defend doctors who hurt patients / make more work for other doctors.
I’m not so sure about that.
Ask a medical malpractice attorney – plaintiff’s side – how easy it is to find physicians to testify to another physician’s malpractice.
Tribes are tribes, and institutions work fiercely hard to protect themselves. I’m not sure which tribes are truly immune to this.
A more serious issue there is that attorneys want a witness to testify on their side, whatever the evidence might show. My father was sometimes asked to be an expert witness, and he often declined because the lawyer told him what he had to say before he even saw the evidence. But he did it for the UK courts, where he was encouraged to testify to whatever he thought the truth was. I don’t remember whether his testimony supported or damned the doctor. He went off to the UK without knowing, because he hadn’t yet seen the evidence.
The US adversarial court system sucks, by the way.
I can relate, I did some expert witness work, but gave it up (despite charging $500/hr for my time, which was considered cheap) because I too was expected to produce the answer desired by whomever was paying the bill.
We had an email sometime this year that the the law has changed and labs are now released to the chart as soon as they are resulted. It used to be not until the provider reviewed or three days whichever came first.
At my facility, you can’t request results from the lab. You have to either see them in mychart or request them from the provider. Now we just release them, it used to be that I couldn’t release it until the provider had reviewed or three days, whichever came first.
The American malpractice industry is notoriously random – and that’s saying something, given that all courts in all countries adopt a ‘legal’ standard of proof rather than a ‘medical’ or ‘scientific’ standard of proof. The fact that doctors don’t wish to get involved says more about the legal system than it says about doctors – apart from the fact that they are intelligent, educated, well paid and busy.
There are, of course, many differences. Another major one is that people get to choose their doctor, but they don’t get to choose their cop.
This is the change I had in mind,
~Max
Only 13 states have adopted that law. I had to re Google to specify which states and which ones were not included.
No links had an update links got closed. Easy to find yourself.
The article says 13 state laws were preempted by the HHS rule. That means 13 states had laws that allow labs to withhold results from patients, and the rule overrides those state laws.
I don’t know what you mean by “No links had an update links got closed”, sorry.
~Max
Well, sure, if you can go out of network (if your insurance covers even a portion of what an out of network doctor might charge), or pay out of pocket.
"The interpretation was that if a patient had a Patient Portal account in the EHR (electronic health record) of the clinic or health system, this meant immediate release of this information. This is a major change for many health systems who had not yet adopted Open Notes (release of progress notes) or delayed the release of test results by several days."
https://www.google.com/amp/s/ctlin.blog/2021/03/17/info-blocking-rule-is-coming-4-5-2021-here-is-some-last-minute-help-for-health-systems/amp/
The links I had earlier was to specific states. I can’t locate that now.
FYI I need a new phone as mine randomly restart or not whenever it wants too. This phone is old and work out. Why is it so hard when occasionally asked to look. Geezzz
These samples of how to write clinical reports and letters of introduction for patients both use the phrase - so it’s apparently somewhat standard
https://www.mtsamples.com/site/pages/sample.asp?Type=86-Letters&Sample=1460-Wilson
Oh yes, the new rules about information blocking. I totally forgot about those…
~Max
Is there only ONE doctor in network?
I’m not familiar with your network, of course. There are a number of doctors in my network. I have pretty good insurance.
Funny, though, I was just discussing health insurance with my brother, a self-employed freelancer. He has the best policy he could afford on his own. The cost is brutal, and there are very few doctors in the area in-network. None in his immediate neighborhood.