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Canadian Doctors have less freedom to order tests, capped fees. So you see strange workarounds. One strange rule is a doctor can only bill for one medical iss
by wolco 7y ago
Canadian Doctors have less freedom to order tests, capped fees. So you see strange workarounds. One strange rule is a doctor can only bill for one medical issue per day. So if you go in with a broken arm and the flu you only get to treat one condition and are forced to make a second appointment.
So Canadian doctors order whatever tests they are allowed and don't order tests you actually need. It is 1000% easier to get a cat scan than an mri even when an mri would provide more details in certain cases.
If they are allowed a certain test than they will say it's extremely important. If you point out other tests that could helpful those ideas are not well received.
The whole thing has become some strange lineitem exercises where doctors are gaming the system because the government keeps changing the rules to pay them less so they find ways to fight back.
There was a strange case where a doctor would give patients a drug to induce labour and give birth early. This allowed them to get over the quota of deliveries per month but there was a rule if the patient gave birth early they could go over the quota. After hundreds of early births the death rate was much higher for this one doctor.. this doctor was working for his own interests.
- elliekelly 7y ago> There was a strange case where a doctor would give patients a drug to induce labour and give birth early. It also allowed him to bill for Saturday deliveries which paid a higher rate. The story is well worth a read for anyone who missed it. Edit: This article[1] just provides a summary. This article[2] was the original investigative reporting. [1] https://www.thecut.com/2019/07/paul-shuen-toronto-medical-malpractice.html https://www.thecut.com/2019/07/paul-shuen-toronto-medical-ma... [2] https://torontolife.com/city/greed-betrayal-medical-misconduct-north-york-general/ https://torontolife.com/city/greed-betrayal-medical-miscondu...
- pkaye 7y agoSeems like people find a way to game everything. Yesterday I was reading elsewhere about what happens in long term care facilities where patients are kept around for unnecessary procedures until the insurance runs out and which point they are pushed back to the hospital under pretense of some emergency.