In article <000301bde8f5$04a51080$750d1fd1@lessman>, Robert Lessman
<[log in to unmask]> writes
>You may understand this, but most of the "managed care" people in the US do
>not: with a medical history like mine (immune system problems that are fully
>documented), failure to use antibiotics right away only endagers my health
>and puts me out of work.
Thank you for sharing your experience of managed care in the US. Your
description does seem to be an indictment of such practice.
The antibiotic 'problem' in the UK is, however, a different scenario I
think. The call to limit its use is based on bio-physically
innapropriate prescribing, i.e. reduction of use of antibiotics as
symbols, substitututes for uncertainty, promotion of patient -
satisfaction or time management etc. Rational use is still considered
appropriate and mirrors the maxims of best, effective use at time of
need to all. We still retain the freedom of probabilistic therapy based
on peer-referenced practices and understanding.
Personally I dislike managed care although it may become a financial
reality, much to the loss of all concerned.
Regards
George
(GP in UK)
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