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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Can legal action be taken? What circumstances would warrant this?[/quote]
Doctor here. I once had to fire a patient because he was violent toward me and staff. This was 20 years ago. [/quote]

This is extreme and well warranted. 
This is more about getting rid of a patient without reason. It’s happening 
I can’t help but feel it comes down to money.
Low, Medicare, reimbursements, unlikely to get paid, that type of thing[/quote]

Disagree-doctors build their practices around accepting Medicare/medicaid/certain insurances (or not accepting them.) they aren’t going to them fire patients with that insurance for no reason! Much more likely is that the patient is a repeated no show/rude/non-compliant and doesn’t adhere to agree  upon treatment plan or office procedure. [/quote]

What the dr perceives as rude is a judgement call. Or is it the pt appears threatening because they’re knowledgeable? So a doctor can say a patient is rude and get rid of them when that may not be the case at all. 
I went to numerous specialist with a life-threatening condition and was consistently treated poorly and was told I was a problem and not to come back. I came to find out. I had a very rare condition that there is no research on And it was “ the worst thing you could walk through the door with”. This was told to me by a friend who is in the same field. [/quote]

Okay, but this is just a business. If your mechanic doesn't like you asking a lot of questions because you are more knowledgeable than they are about cars, wouldn't you want a different mechanic? There is no benefit to going to a mechanic when you have superior knowledge or skills.

The key focus of the practice of medicine is providing good medical care. That requires people to be able to work together, and if either party thinks you can't, then you can't (emergency room needs aside). And your values about what good medical care looks like has to be similar enough to work together, too. Either party can make that call -- you can leave, or they can leave the relationship. It's just a business, and doctors aren't special. They don't have to sit and listen to you, or argue with you, or do what you tell them to do -- certainly not if they don't think it is a productive relationship.

None of the doctors you fired were going to be able to provide you the services you wanted and needed, and you knew more than they did. No lose to you to leave them.[/quote]

As a doctor I honestly kind of agree here. I do put my patient relationships in a special category and I feel much more responsible for my patients health and well being than I’m sure my mechanic feels for my person health and well being. But, as you say, it’s a business. If someone thinks they know more than me about my speciality and wants to ignore my recommendations in favor of their own plans, that’s their choice of course. It’s their body and their life. But it’s not a productive use of either of our time if they routinely choose to not adhere to my treatment plan or undergo my recommended diagnostics. And it puts me in the position of having a patient who might have a bad outcome, because they didn’t follow my recommendations, that they can then try to turn around back on me- maybe not successfully in a legal sense, but they could try, and it would still affect my professional reputation. Because they won’t say “I refused a C section for 3 hours and then when they finally performed it after I consented , it was too late and my baby had suffered a birth injury”. They’ll say “my baby has CP because the doctor didn’t take it out in time and I’m gonna sue”. And that’s what people hear in the community. [/quote]

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