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Texas Drifter: Managing Feed Lot Health Care

Marshall’s Law Dateline – Feed lot health care, one by-product of Obama Care, involves many “assembly line clinics” and their health care providers treating their patients like feed lot livestock.

Standard meaning of feed lots are places where usually cattle are fed, fattened, and moved out. Feed lot clinics are places where: 1) government subsidized health care patients are assembly line diagnosed 2) public subsidy payments are collected 3) patients are moved out.

Managing feed lot health care systems or processes for better, starts with individual patients being “pro-active” in being part of their health care delivery systems. Reader might look up definition of “pro-active”. Why, so reader might remember definition longer.

Another brutal reality, many health care providers like doctors, physician-assistants, registered nurses, and other medical technicians; get so used to Medicare, Medicaid, and indigent patients, treating them like infallible gods. Constant over stroking of health care providers’ vanities; results in some to many health care providers, treating their patients like feed lot assembly line livestock.

One example, consider following letter written for an old Texas Drifter friend and professional associate. Names have been deleted to protect patient and the guilty.
Date –
To –
From –
Subject – Things to hopefully discuss next appointment.
1. My health care maintenance depends on my financial budget, not unaffordable pharmaceutical salesmen “text book” prescriptions.
2. Example, you recently prescribed “------” which I have not used for 2- 3 years; which also, costs more for one month than all my other drugs in my ninety day prescription budget.
3. Noticed upon picking up my prescriptions; you did not re-prescribe my blood pressure medicine (-------) without any explanation of why medicine I had been taking for estimated fifteen months was suddenly stopped – luckily I had enough in reserve to last me until about (----) this month.
4. Also notice when picking up my prescriptions that my -------- and ------ had both been reduced by fifty percent; again without any explanation. Since the reduction, I have noticed swelling in my foot and ankle on right side which was side effected by my stroke during September -----.
5. Not of your, doing but your office sent me medical notices in “unsealed” envelopes by mail which anyone could take out and read.
6. Should get my (------) heart test results on ------ this year; maybe by then we can start a data base which allows me to get my prescription drugs on six month schedule.
7. I do not pretend to be medical professional; however, since I am the primary one, I depend on for my health maintenance care; I try to read latest materials best I can. For example, believe there is a difference between “pre-maintenance tests” and “during maintenance tests”. Which might explain why I was interested why medications I had been taking for over a year were stopped and reduced; just days before my heart test.
8. Understand this; I have only one interest, maintaining my health care on my available financial resources – seems best way to do that, is my being apart of decision making process. Would like re-consideration for re-prescribing my high blood pressure medicine (-------) for thirty days until I come in shortly after results of my heart test (--------).
You can respond by reaching me at phone: (000)-000-0000 Monday through Friday 9AM – 430PM.
Your time and interest are appreciated – (inserted patient’s name)

Reader might reference Marshall’s Law Texas Drifter Library Entries before continuing this writing exercise.
822 Texas Drifter: Fact Obama Care Worse Than V.A. Care?
820 Texas Drifter: Obama's Policies Reducing Life Expectancy in America?

Texas Drifter will take brief break from writing exercise to allow Reader to review above Library Entry Numbers --- Intermission ---

(Intermission Over)

Perhaps good starting point following “Intermission” might be excerpt by MAYO CLINIC: My blood pressure is always higher in the doctor's office than it is at home. Why is this? - Answers from Rekha Mankad, M.D. - You could have white coat hypertension. White coat hypertension occurs when the blood pressure readings at your doctor's office are higher than they are in other settings, such as your home. It's called white coat hypertension because the health care professionals who measure your blood pressure sometimes wear white coats. (End excerpt)

Some studies reveal that many doctors are targets of frivolous civil suits primarily due to doctor’s offensive “bed side manner”. Could it be that “white coat hypertension” is by-product of doctor’s reputation for treating patients like “too stupid to understand livestock”?

Moving on to profiling doctors in third world culture regions in U. S.
1. Incompetent
2. Frauds
3. Minority racists
4. Mixture of above three personality traits
5. Different than above: by being honest, competent, not greedy, not racists

Odds seem to be one of five (20%) that patient will blinding encounter: honest, competent, not greedy, not racist health providers. Only way for patient to improve their chances of finding: honest, competent, not greedy, non-racist health care providers is to be proactive in their selection of (often transitory) health maintenance processes. TRUE or FALSE

Clues – Some health providers engage in some frauds by (there are many others):
1. Ripping off patients by accepting “plastic” they know health providers, are not in “network” to be reimbursed for – scam is to tell patient “premium payer” changed policies; so patient is responsible for paying bill, which is usually several times higher than average charges.
2. Ripping off “insurance” company by double, even triple submitting same invoice for services; another scam is charging for unnecessary tests or services patient does not need. Clever way is to change prescription medications before maintenance test is conducted to “slant test”. Why, to show patient needs extensive treatments like unnecessary surgeries. Other fraud practices Reader can learn about on their own.
3. Simplest fraud is patient being too lazy to question purpose of treatment maintenance models. Lazy patients make “easy suckers”.

Best cure to use medial term for resolving Obama Care “feed lot assembly line health care” for dummies is nation-wide crossing all state boundaries ethical capitalist consumer market accountable health care. Translation, let incompetent dishonest racist frauds compete for business against honest competent non-racist health care providers. TRUE not FALSE

Clue, what a strange concept, pro-active patients relying on consumer awareness and their personal free will assisting in their own health care maintenance programs.

Bonus question, honor alone, will never ever be sufficient standard for managing Obama Care “feed lot assembly line health care” systems. Why, Obama feed lot assemble line health care systems will always be managed by the incompetent greedy who have no honor. TRUE not FALSE

Bonus thought question, might be “compassionate” to use good Obama and Bush Clan word; not to blame all medical health care providers for being part of Obama’s Obama Care “feed lot assembly line health care” system. Why, good intentions can get lost and replaced with greed along debtor’s highway. Consider following:
1. Continuing decreasing socialist government reimbursement fees after provider expenses incurred and services rendered
2. Massive student loans
3. Facilities, equipment, staff, insurance fees, plus other costs constantly increasing in Obama’s “zero inflation” economy
4. Health care providers can probably add to this list
TRUE or FALSE

Clue – Guess truth in adage, one gets what one pays for. Translation: paying for good health care is a privilege. While getting free Obama Care “feed lot assembly line health care” may be one of Obama’s “welfare civil rights” for those entitled to be lazy. Certainly not one of Heaven’s inalienable rights America’s pro-active defend!