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Originally Posted by rahl
I think a reasonable solution would be to cover anyone who can prove they can't afford health insurance, meaning, if you are working two jobs trying to raise a family living on the bare essential and have to choose between food or medicine then you should be covered. But all too often I see(know) people who are on some form of welfare(food stamps, medicaid, etc) who have 2 big screen tv's a playstation3, xbox 360 and a wii. Digital cable with every package offered, and a dvr for every tv. These people are taking advantage of the system and waisting money on luxuries instead of being responsible and providing for their families first.
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This was kind of what I was getting at with my sliding scale comment.
Not sure how you're going to enforce this, it's a good idea, IMO. But unless you start going through people homes to inspect TV sizes or game console price tags it's not very feasible. Every system has someone working it. I have little doubt they are people scamming your company right now.
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Originally Posted by rahl
Finding a way to break through the barriers Doctors and patients have with insurance companies.
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Not sure what you mean here.
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Originally Posted by rahl
More education for people about their policies ex. don't go to ER for a runny nose, go to your PCP. or atleast an urgent care. ER's should be reserved for life or death emergencies as they were intended. I have several friends who are medics, the vast majority of their runs are for people calling the squad to give them a ride to the er to score some narcotics because they are so far under the influence they can't drive themselves.
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People should be arrested and charged for this, it's misuse of the emergency system.
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Originally Posted by rahl
Systems need to be in place to track prescriptions each person has filled in a given month, often times people bounce from hospital to hospital receiving multiple Rx's for narcotics that the doctors don't know they already have had 120 filled.
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Maybe it depends on the state but in Oregon there is a system for this, has been for while. I know when I crushed my leg and was taking pain killers my doctor would have to either call or enter into a system that would verify I had an Rx for X number of tablets. I think anything schedule II. If he didn't when I got to the pharmacy they'd call him to verify. Once it was filled it would show a person with my name and date of birth was given that Rx on that date. Twice this messed me up. Once a person on the other side of the state picked up a similar Rx the day before I went to fill mine. The system kicked it out. After a few questions from the pharmacist we both noticed the middle name didn't match and I assured him I hadn't done any traveling. So he filled it, but he questioned it first. The other time I'd gone into one pharmacy, waited 20 mins and was told "sorry we only have half of this and we need to either fill it completely or not fill it at all." They asked if I wanted to come back in the morning or go elsewhere. I told them I'd check elsewhere. so off to another pharmacy. When I got there they told me "you just filled this at another pharmacy." "Umm, no I didn't, please call them.
Both cases left me feeling like some drug addict. The second time the lady at the counter announced loud enough for everyone in the waiting area hear"These are pain killer, you just filled this Rx... WE"RE NOT FILLING THIS!" There was a sign that read "Please stand behind this line to wait your turn, This is for the privacy of others." I guess privacy only mattered if they didn't think you were and addict. Not all people seeking pain killers are addicts, some happen to be in actual pain.
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Originally Posted by rahl
these are just a few ways imo that would help
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Yes these could help.