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rockdawg21
04-03-2010, 03:12 AM
http://msnbcmedia2.msn.com/j/MSNBC/Components/Photo/_new/100402-sign-hmed-230p.hmedium.jpg
I love this guy!

http://www.msnbc.msn.com/id/36152956?GT1=43001
Fla. doc's sign warns off Obama supporters
Democrats should ‘seek urological care elsewhere,’ says notice on door

updated 4:42 p.m. CT, Fri., April 2, 2010

MOUNT DORA, Fla. - A central Florida urologist has posted a sign on his office door warning supporters of President Barack Obama to find a different doctor.

The notice on Dr. Jack Cassell's Mount Dora practice says, "If you voted for Obama, seek urologic care elsewhere. Changes to your healthcare begin right now, not in four years."

Cassell told the Orlando Sentinel on Thursday he wasn't questioning patients or refusing care, because that would be unethical.

"But if they read the sign and turn the other way, so be it," he said.

Cassell, 56, also provides Republican reading material in the waiting room — probably not a risky move, given that Mount Dora's 10,000 residents and the surrounding area lean heavily conservative. Above a stack of GOP health care literature, a sign reads: "This is what the morons in Washington have done to your health care. Take one, read it and vote out anyone who voted for it."

A spokeswoman from the Florida Department of Health, which licenses physicians and investigates complaints, said Friday there was no law prohibiting Cassell from advertising himself this way.

"Because there is no statute, there would be no grounds for a complaint," spokeswoman Eulinda Smith said. "It would be legally deficient,"

A University of Florida professor said Cassell is walking a thin line between free speech and professional obligation. William Allen, a specialist in bioethics, law and medical professionalism, said civil rights protections can prevent patient discrimination. But the law only provides for race, gender, religion, sexual orientation and disability — not political opinion.

Allen said Cassell may be within his rights if he doesn't quiz patients about their politics and hasn't refused to see anyone.

"(He's) trying to hold onto the nub of his ethical obligation," Allen said. "But this is pushing the limit."

Cassell has been practicing in the area since 1988. His wife, Leslie Campione, is a lawyer and GOP candidate for the county commission.

Cassell says most patients have been extremely supportive, though three had complained.

"They know it's not good for them," Cassell said.

philips4
04-03-2010, 03:15 AM
I heard this today on Rush Limbaugh, ha ha ha ha ha, LOVED it, sooo funny! :happydancing:

jason2130
04-03-2010, 07:23 AM
i like reading how the people offended the most arent reading the article, they are screaming he cant revoke patients, and you cant deny people service because of his oath

but hes not, he says he isnt asking anyone who they voted for or telling anyone to leave, but if you read the sign and dont come in.. so be it :laugh:

NateR
04-03-2010, 01:27 PM
civil rights protections can prevent patient discrimination. But the law only provides for race, gender, religion, sexual orientation and disability — not political opinion.

Yep, and I foresee a lot more perfectly legal discrimination of Obama supporters coming in the next couple of years. :cool:

logrus
04-03-2010, 06:46 PM
Wonder if hes like my Doctor out here who told me I just had a simple cold, The next Doctor I saw a day later said I had pneumonia.

Neezar
04-03-2010, 07:02 PM
Wonder if hes like my Doctor out here who told me I just had a simple cold, The next Doctor I saw a day later said I had pneumonia.

Probaly not. He is a Urologist. He wouldn't be looking at your lungs. :rolleyes:





:laugh::laugh::laugh:

logrus
04-03-2010, 07:21 PM
Probaly not. He is a Urologist. He wouldn't be looking at your lungs. :rolleyes:





:laugh::laugh::laugh:

I know, I was just curious if he was just as big of an idiot as the Doctor I saw was lol.

Also I wonder if this is one of the Doctors that's wants to screen potential employees for smoking so he knows not to hire them..

Neezar
04-04-2010, 06:09 AM
I know, I was just curious if he was just as big of an idiot as the Doctor I saw was lol.

Also I wonder if this is one of the Doctors that's wants to screen potential employees for smoking so he knows not to hire them..

I would. Smokers take too many breaks. :laugh:

I once worked for a man that wouldn't hire ex-football players. He said they were more likely to have knee injuries and try to file workman's comp. I'm not sure if that classified him as an idiot employer or a smart one. lol

mscomc
04-04-2010, 07:29 AM
I know, I was just curious if he was just as big of an idiot as the Doctor I saw was lol.



Hey be careful if this same doctor has to write you a prescription. Take my story for example. I walked in the Dr's with a really congested nose and scratchy throat and I walk out with a srcipt for some medication.

20 min later, the pharmacist is handing me my medication for my supposed EXPLOSIVE diarrhea :sign0094:

When I told the pharmacist, the look on his face was priceless. Apparently the DOC had wrote "pro" instead of "cro" in the drug name.

TexasRN
04-04-2010, 12:56 PM
Hey be careful if this same doctor has to write you a prescription. Take my story for example. I walked in the Dr's with a really congested nose and scratchy throat and I walk out with a srcipt for some medication.

20 min later, the pharmacist is handing me my medication for my supposed EXPLOSIVE diarrhea :sign0094:

When I told the pharmacist, the look on his face was priceless. Apparently the DOC had wrote "pro" instead of "cro" in the drug name.

:laugh: This is exactly why we don't write prescriptions anymore. We send them all electronically to the pharmacy by computer. Or if it's a narcotic or controlled substance of some sort we print it out from the computer for them to take to the pharmacy. No more hand written ones.


~Amy

logrus
04-04-2010, 08:07 PM
Hey be careful if this same doctor has to write you a prescription. Take my story for example. I walked in the Dr's with a really congested nose and scratchy throat and I walk out with a srcipt for some medication.

20 min later, the pharmacist is handing me my medication for my supposed EXPLOSIVE diarrhea :sign0094:

When I told the pharmacist, the look on his face was priceless. Apparently the DOC had wrote "pro" instead of "cro" in the drug name.

Well it prob said Cro, but doctors handwriting is a bunch of scribbling. The pharmacist prob though pro..

flo
04-04-2010, 08:08 PM
Hey be careful if this same doctor has to write you a prescription. Take my story for example. I walked in the Dr's with a really congested nose and scratchy throat and I walk out with a srcipt for some medication.

20 min later, the pharmacist is handing me my medication for my supposed EXPLOSIVE diarrhea :sign0094:

When I told the pharmacist, the look on his face was priceless. Apparently the DOC had wrote "pro" instead of "cro" in the drug name.

:scared0015:

Good thing you noticed.:laugh:

J.B.
04-04-2010, 09:39 PM
Obama or Nobama....we don't need no stinkin doctors...it's just a flesh wound!

http://www.intriguing.com/mp/_pictures/grail/large/HolyGrail018.jpg

rearnakedchoke
04-04-2010, 11:05 PM
I know, I was just curious if he was just as big of an idiot as the Doctor I saw was lol.

Also I wonder if this is one of the Doctors that's wants to screen potential employees for smoking so he knows not to hire them..

maybe it was the doc that Brock saw in Minnesota ... complaining of stomac pain for a year and he tells him it may be swine flu ... hopefully no one goes to this doc and he goes out of business ...

flo
04-04-2010, 11:58 PM
Obama or Nobama....we don't need no stinkin doctors...it's just a flesh wound!

http://www.intriguing.com/mp/_pictures/grail/large/HolyGrail018.jpg

:laugh::laugh::laugh::laugh:

I love that movie!

Robertboxerboy
04-05-2010, 01:24 AM
is that montey python's the Holy Grail?
We Are the nights who say Nay!

Tyburn
04-05-2010, 09:08 PM
As he's not breaking the law, Why shouldnt he :)

He may be coming close to a line...but desperate times call for desperate measures...I hope a lot more decide to follow in his footsteps...perhaps then one day when Barack himself goes to the doctors...he'll get the message he needs to hear :ninja:

Rev
04-06-2010, 04:24 PM
As he's not breaking the law, Why shouldnt he :)

He may be coming close to a line...but desperate times call for desperate measures...I hope a lot more decide to follow in his footsteps...perhaps then one day when Barack himself goes to the doctors...he'll get the message he needs to hear :ninja:
not gonna happen, you dont take a JackAss to the doctor. You take him to the vet.:wink:

DonnaMaria
04-06-2010, 04:32 PM
is that montey python's the Holy Grail?
We Are the nights who say Nay!

I thought it was NEE!

It was hysterical! Love that movie!!!!!!!:laugh:

logrus
04-06-2010, 05:06 PM
I thought it was NEE!

It was hysterical! Love that movie!!!!!!!:laugh:

WRONG

We are now no long the Knights who say Ni, We are now the Knights who say eki eki eki eki futang zup poing.....

:laugh:

Tyburn
04-06-2010, 05:46 PM
not gonna happen, you dont take a JackAss to the doctor. You take him to the vet.:wink:

I suppose he'd have his own private and personal doctor :unsure-1:

Twinsmama
04-06-2010, 09:55 PM
this happened by me. i wonder if this will start happening at other places. i'm didn't think insurance companies could charge more than the co pay. i thought they had to accept the contract price from the insurance company. i don't know health insurance but it doesn't seem okay. i'm sure there is some loop hole somewhere.

http://www.tcpalm.com/news/2010/apr/05/russ-lemmon-woman-refuses-to-pay-new-50-fee-cold/?partner=popular

INDIAN RIVER COUNTY — Upon checking in at the front desk for her doctor’s appointment, she was handed a piece of paper.

It was a letter informing patients of a new “administrative/technology fee” — and the $50 had to be paid that day.

“Since I see this doctor once a year, it didn’t make sense for me to pay this fee,” reader Nancy wrote. “I could go to a walk-in clinic when I get sick! So, I refused to pay this fee and only paid my co-pay.

“The billing lady said she would send me an invoice for this $50 fee in the mail. Again, I said I wasn’t going to pay this fee and asked if I was still going to be seen by the doctor, or if I needed to leave and go to a walk-in clinic. They did agree to let me see the doctor.”

So, her “protest” worked — sort of.

She didn’t have to pay the $50 fee, due annually, but she’s not welcome to return.

On the way out, she was handed another letter.

“I regret to inform you that I am withdrawing from further professional attendance upon you as my patient,” the physician wrote. “... During the next 30 days I will be available to you only for emergency care while you are making arrangements to retain another physician. Upon written request from you, I will provide a copy of all of your medical records to your new physicians.

“This letter serves as notification from all of the physicians in this practice that we will be unable to have you as our patient.”

Geez.

Is there a chill in the air?

Been nice knowing you! (She had been a patient since July 2005.)

In its letter, dated March 26, the three-physician practice — located near the Indian River Medical Center — made reference to the sweeping health care legislation that was signed into law by President Barack Obama.

The letter says the $50 fee will help cover the costs associated with two new things required by law — “implementation and use of electronic medical records” and “implementation and use of electronic prescribing.”

The letter lists, in numerical sequence, 12 reasons for the fee.

Some of the reasons are more valid than others. Nancy scoffed at reasons 9 through 12.

No. 9? “Answering our patient messages in timely fashion.”

No. 12? “Continuing the traditional model of the Doctor-Patient relationship.”

As Nancy said in her e-mail, “Duh. Shouldn’t they be doing this anyway?!?!”

This medical practice is a for-profit venture, and its revenue needs to exceed expenses, just like any other business.

But is it fair to charge a patient like Nancy, who averages one trip to the doctor a year, the same as someone who goes three or four times?

The fee is $50. End of discussion.

In these tough economic times, it seems like more and more companies are adding fees. For example, some have added a fuel surcharge to help offset increased expenses of maintaining a fleet of vehicles.

But a $50 yearly surcharge for access to medical care?

In its letter, the practice was kind enough to give telephone numbers for the Indian River County Medical Society, which can provide the names of other physicians, and the Health Department.

The letter closes with a rather unusual parting-of-the-ways sentence:

“I wish you the best of luck in the future.”

Luck?

She might need it.

I don’t know. The conspiracy theorist in me wonders if these physicians aren’t implementing this fee to get people even more riled up about the recently passed healthcare legislation.

If so, it’s working.

Miss Foxy
04-06-2010, 10:26 PM
this happened by me. i wonder if this will start happening at other places. i'm didn't think insurance companies could charge more than the co pay. i thought they had to accept the contract price from the insurance company. i don't know health insurance but it doesn't seem okay. i'm sure there is some loop hole somewhere.

http://www.tcpalm.com/news/2010/apr/05/russ-lemmon-woman-refuses-to-pay-new-50-fee-cold/?partner=popular

INDIAN RIVER COUNTY — Upon checking in at the front desk for her doctor’s appointment, she was handed a piece of paper.

It was a letter informing patients of a new “administrative/technology fee” — and the $50 had to be paid that day.

“Since I see this doctor once a year, it didn’t make sense for me to pay this fee,” reader Nancy wrote. “I could go to a walk-in clinic when I get sick! So, I refused to pay this fee and only paid my co-pay.

“The billing lady said she would send me an invoice for this $50 fee in the mail. Again, I said I wasn’t going to pay this fee and asked if I was still going to be seen by the doctor, or if I needed to leave and go to a walk-in clinic. They did agree to let me see the doctor.”

So, her “protest” worked — sort of.

She didn’t have to pay the $50 fee, due annually, but she’s not welcome to return.

On the way out, she was handed another letter.

“I regret to inform you that I am withdrawing from further professional attendance upon you as my patient,” the physician wrote. “... During the next 30 days I will be available to you only for emergency care while you are making arrangements to retain another physician. Upon written request from you, I will provide a copy of all of your medical records to your new physicians.

“This letter serves as notification from all of the physicians in this practice that we will be unable to have you as our patient.”

Geez.

Is there a chill in the air?

Been nice knowing you! (She had been a patient since July 2005.)

In its letter, dated March 26, the three-physician practice — located near the Indian River Medical Center — made reference to the sweeping health care legislation that was signed into law by President Barack Obama.

The letter says the $50 fee will help cover the costs associated with two new things required by law — “implementation and use of electronic medical records” and “implementation and use of electronic prescribing.”

The letter lists, in numerical sequence, 12 reasons for the fee.

Some of the reasons are more valid than others. Nancy scoffed at reasons 9 through 12.

No. 9? “Answering our patient messages in timely fashion.”

No. 12? “Continuing the traditional model of the Doctor-Patient relationship.”

As Nancy said in her e-mail, “Duh. Shouldn’t they be doing this anyway?!?!”

This medical practice is a for-profit venture, and its revenue needs to exceed expenses, just like any other business.

But is it fair to charge a patient like Nancy, who averages one trip to the doctor a year, the same as someone who goes three or four times?

The fee is $50. End of discussion.

In these tough economic times, it seems like more and more companies are adding fees. For example, some have added a fuel surcharge to help offset increased expenses of maintaining a fleet of vehicles.

But a $50 yearly surcharge for access to medical care?

In its letter, the practice was kind enough to give telephone numbers for the Indian River County Medical Society, which can provide the names of other physicians, and the Health Department.

The letter closes with a rather unusual parting-of-the-ways sentence:

“I wish you the best of luck in the future.”

Luck?

She might need it.

I don’t know. The conspiracy theorist in me wonders if these physicians aren’t implementing this fee to get people even more riled up about the recently passed healthcare legislation.

If so, it’s working.

Honey I pay out for the Insurance companies and have not seen this.. We pay off the CPT/DX codes so if they present some fee to us we will deny it as not medically necessary and they can by law bill the patient. Sucks! I would recommend everyone to always check if the provider is within your network, because if they arent the insurance will only pay Reasonable and Customary fee so therefore any bogus balance will be billed to the patient. :angry:

logrus
04-07-2010, 01:48 AM
“implementation and use of electronic medical records” and “implementation and use of electronic prescribing.”

The letter lists, in numerical sequence, 12 reasons for the fee.

Well nice spin to blame it on Obama to take the cost out of the Doctors pocket. Truth is that its pretty much become the standard in a lot of states and areas. I know cause I set up Network security for these things. I have also been doing this long before Obama was even president.

Another thing is a lot of pharmacy are recommending that doctors send scripts electronically instead of phoning in or sending a paper with the patient. It becomes easier for them to just do it electronically, no answering the phone and writing down what they think they heard, and no trying to make out Doct scribbles. Plus it cuts down on bogus scripts.

Chuck
04-07-2010, 03:06 AM
this happened by me. i wonder if this will start happening at other places. i'm didn't think insurance companies could charge more than the co pay.

From what I read it wasn't the insurance company doing the charging, it was the doctors office. I don't think there is anything keeping them from charging certain fees and admin costs. A charge for sending/making copies of your medical records for example is quite common. That's not something that has anything to do with your carrier. I think the charges mentioned would be similar.

TexasRN
04-07-2010, 11:48 AM
I work in a doctor's office. Mine is affiliated with a huge hospital system here in NC so all of our computer systems and such are covered by them. Smaller offices may be required to upgrade all of their software and may need to hire new staff (which is the part about "answer patient messages in a timely fashion"-it takes more staff to do that) and that costs money. If they accept medicare and medicaide the pt co-pay at the time of visit is $3 and then we have to wait for reimbursement from medicare/medicaide which takes at least 6 months. It's very hard to pay bills when we get paid this way. Plus medicare/medicaide reimburses only what THEY decide is fair compensation and for some services it doesn't cover the cost of the service we provided. AND if they decide to not pay there are times WE eat the cost. So I understand the frustration of the lady in question but I also sympathize with the doctor and his office staff who are trying to make a profit (yes, profit is what they pay staff salaries and update equipment with). Why is being a for profit office a bad thing?

We have a doctor here in town who charges a flat rate for all services. He is a full service provider, he does his own labs and his own xrays even. He keeps his overhead low because he does not deal with insurance at all. The patient is free to take the papers home and send them in to their insurance company on their own and get reimbursed that way. I think it's very cool and he's doing a roaring business.


~Amy

Twinsmama
04-07-2010, 02:51 PM
From what I read it wasn't the insurance company doing the charging, it was the doctors office. I don't think there is anything keeping them from charging certain fees and admin costs. A charge for sending/making copies of your medical records for example is quite common. That's not something that has anything to do with your carrier. I think the charges mentioned would be similar.

Oops that's what I meant the drs office...i was in go home mode!:laugh: i did pay for some kind of physical and shot record form to be filled out once for my kids. they had two pages each and it was $50. I just didn't realize that there was a fee to be able to use them. I don't know why that shocked me. Are a lot of doctors doing this now? I already have $50 out of pocket when I take my kids to the dr for the copay ($25 each). I'd hate to have to spend another $100.

I can't believe medicaid/medicare can wait 6 months to pay. That is ridiculous. Sometimes, depending on the time of the month, if I write a policy I won't get paid the commission for 60 days. I think that sucks....6 months I can't even imagine.

TexasRN
04-07-2010, 08:20 PM
Oops that's what I meant the drs office...i was in go home mode!:laugh: i did pay for some kind of physical and shot record form to be filled out once for my kids. they had two pages each and it was $50. I just didn't realize that there was a fee to be able to use them. I don't know why that shocked me. Are a lot of doctors doing this now? I already have $50 out of pocket when I take my kids to the dr for the copay ($25 each). I'd hate to have to spend another $100.

I can't believe medicaid/medicare can wait 6 months to pay. That is ridiculous. Sometimes, depending on the time of the month, if I write a policy I won't get paid the commission for 60 days. I think that sucks....6 months I can't even imagine.

Yep. Small practices suffer bigtime from stuff like this. It's unfortunate for the patients but someone has to cover the cost of the bills or the whole practice goes under. Like I said, I am lucky to be in a practice that is affiliated with a big hospital.


~Amy

Chuck
04-07-2010, 11:26 PM
Oops that's what I meant the drs office...i was in go home mode!:laugh: i did pay for some kind of physical and shot record form to be filled out once for my kids. they had two pages each and it was $50. I just didn't realize that there was a fee to be able to use them. I don't know why that shocked me. Are a lot of doctors doing this now? I already have $50 out of pocket when I take my kids to the dr for the copay ($25 each). I'd hate to have to spend another $100.

I can't believe medicaid/medicare can wait 6 months to pay. That is ridiculous. Sometimes, depending on the time of the month, if I write a policy I won't get paid the commission for 60 days. I think that sucks....6 months I can't even imagine.

Have you kids hold hands and tell the nurse they're twins.... POW!!!!!! I just saved ya $25 :D