Modern medicine has become nothing more than a convoluted maze of deductibles, copays, HMOs, and preauthorizations. What has been lost in our system of health care is the basic act of a doctor and patient sitting across from one another, with the patient explaining his or her problems in complete detail. However, in order for the doctor-patient relationship to develop in this manner, it can only be done outside of the current health insurance model. Why? Because insurance companies aren’t interested in getting people healthy. Rather, they are only looking to get people asymptomatic. They believe, despite the level of published evidence to show otherwise, that restricting patients’ access to medical care will lower costs.
Here is a perfect example of why our offices and doctors do not participate with insurances. Yesterday a goon from Blue Cross/Blue Shield walked into our Richmond office and proceeded to strong-arm our medical assistant, Callie. The goon basically attempted to railroad Callie by chastising her because the doctors send “too much” bloodwork to out-of-state specialty laboratories (you know, the ones that actually identify the origins of various diseases). She told Callie that BCBSM would sanction us if we kept referring to these specialty labs instead of those that BCBSM likes.
This is exactly what the public never sees. Even with an insurance company like BCBSM, where you can choose your doctor, you are not truly free to select the type of medical care you want.
Anyhow, Callie ultimately directed her to me, and I promptly spoke to this goon and told her that we don’t participate with BCBSM at all (for exactly this reason). Hence, sanctions cannot be administered, and BCBSM cannot tell us how to treat our patients.
WE CARE ABOUT OUR PATIENTS ONLY. WE DON’T CARE WHAT INSURANCE THEY HAVE, WHAT IT COVERS OR DOESN’T, OR WHAT THEIR DEDUCTIBLE IS. WE WANT TO HELP OUR PATIENTS RECOVER FROM THEIR ILLNESSES, AND NOT JUST “MANAGE” THEM. WHATEVER LABORATORY STUDIES WE NEED TO IDENTIFY THE ORIGIN OF A PATIENT’S ILLNESS, WE WILL USE.
If you want to get better, come see us. If your insurance deductible and copay is your primary concern, then call BCBSM and get a referral to an office where they don’t really care about getting you better.
