Surgeons Play the Most Important Role in Surgical Procedures...

From: Helen Dynda (olddad66@runestone.net)
Sat May 12 15:19:01 2001


Dear Bev, I have corrected some errors, made an improvement on the wording in some of the sentences and I decided to go with lower case letters at the end; so that the statement about ARD stands out. Please use THIS VERSION of this topic.!!

Love, Helen ~ ~ ~ ~ ~ ~ ~

||| Surgeons Play the Most Important Role in Surgical Procedures...

Surgeons play the most important role in the surgical procedure -- if their patient is going to have the best possible result with an adhesion barrier. It has become more and more clear - especially as a result of Managed Care -- that surgeons are NOT taking the time necessary to do a meticulous clean-up at the end of a surgical procedure; and there are reasons for this:

Insurance companies and government health programs, such as Medicare and Medicaid, are reimbursing surgeons at the same LOW RATE...whether the surgery takes 2 hours or as many as 10 hours.

Put yourself in the role of a surgeon: If you were a surgeon, would you spend more than an estimated 2 hours doing a surgery that may need many more hours to complete ( say 3 -10 hours? ) -- when you knew that you were going to be paid for only the estimated 2 hours?

Hospitals are also in the same position as the surgeon is -- when it comes to adhesiolysis procedures!! Hospitals are reimbursed in the same way as surgeons are -- for the use of their operating rooms - based on that " simple " adhesiolysis which is supposed to be completed in about 2 hours. An adhesiolysis procedure that takes much longer than those 2 hours, ties up the operating room for other procedures...including emergency procedures! If you were in charge of a hospital, would you be satified if one of the surgeons spent many more hours ( 3-10 hours?) in surgery for an adhesiolysis procedure ( a procedure reimbursed for only 2 hours )?

THIS IS WHERE THE PROBLEM IS!!

Insurance companies and government health programs ( Medicare and Medicaid ) are actually telling surgeons and hospitals how much time " they " are actually allowed to complete an adhesiolysis procedure -- by the rate at which they reimburse surgeons and hospitals for adhesion surgeries. Adhesiolysis procedures are perhaps listed as the " lowest " reimbursed payment according to their schedule of reimbursement for surgeries!!

Are insurance companies and government health programs qualified to practice medicine? Of course not!! THIS IS WHERE THE PROBLEM LIES!

Doctors and surgeons DON'T need this kind of interference in their practice of medicine!!!

Until there are changes in the way that adhesiolysis procedures are reimbursed by insurance companies and government health programs, ARD SUFFERERS WILL CONTINUE TO SUFFER FROM FAILED SURGICAL PROCEDURES!!


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