*scientific literature |
Many pages ago, a poster asked why health care costs are so much higher than other countries. Anesthesiologists are just one of many reasons, but it's a big one. As an example, the most expensive part of a colonoscopy is the anesthesia, not the gastroenterologist. And that's for a procedure where the gastroenterologist themselves could administer and monitor the anesthesia, but they don't want to piss off the anesthesiologists that they need for the more complicated cases. So the anesthesiologists typically come in for every case, resulting in much higher costs. Colonoscopies are great deals for anesthesiologists. |
Those French and German doctors don’t have the student loan burden that US doctors do. They also don’t have the same restrictions on numbers of medical schools and numbers of residencies that they have in those countries. The number of potential new doctors each year is capped in this country. It’s inherently anti-capitalist. |
They are also huge money makers for gastroenterologists. But I don’t want a non-expert dabbling in anesthesia to save $. That is what killed Michael Jackson. |
And there is not one hour in prime time that does not feature a show about murder. That is how we choose to spend our free time. |
What gastroenterologist wants to monitor anesthesia? There is a reason why becoming an anesthesiologist and a gastroenterologist is a separate pathway. |
They do. That's why so many areas of France are now relying on Eastern European trained doctors. Shortages are an issue especially in rural areas. |
You are partially right. While the GI dr or colorectal surgeon can write for the drugs, they cannot give it and monitor/manage the patient’s airway under general anesthesia while they are doing their procedure. They are 100% focused on their scope, the findings/taking biopsies , and going in/out without perforating your bowel. But a RN (doesn’t need to even be a CRNA) can be certified in conscious sedation and give that and monitor the patient. That is how these scopes are done acutely at bedside in the ICUs here. This is also how they are done routinely in other counties- no one is getting general anesthesia for scopes in other counties |
This isn’t new. Take out a free trial on newspapers.com and spend some time browsing. The public has avidly followed crime (and the reporting in the past was often much more graphic than what you see today) since the press was a thing. |
all of this is currently legal in our country. our government has failed us by not providing a single-payor system. |
They don't have the same admin and liability costs either. |
are you a doctor? anesthesia is very different than GI. Jeezus. Ppl here are idiots. This is a surefire way to a dumpster dive 3rd class medical industry. |
Why do we do this? |
Why are you blaming the insurer and not the hospitals and doctors for their outrageous charges? The insurance industry evolved because hospitals and doctors were just charging whatever they wanted and ordering procedures for anything and everything until just paying claims became unsustainable. |
And most Americans just voted for Trump who will not only not create single payer but continue to enrich those at the top. They have no one to blame but themselves. |