I explained, above, the financial aspects of this doctor's decision, yet, you continue to rant "discrimination".
Where does she say, fat people don't deserve healthcare?
Here's the main reason, imo, why she made this decision, though...
Nurses are the "horses" of healthcare. They're the ones that do the bulk of the work. They're the ones that administer care to patients. Its a fact. The more direct contact nurses have with patients, the better the patients health outcomes. Period.
In a small private practice, an experienced & highly trained nurse is like gold. They cannot miss work or the entire staff workload is in shambles. Other nurses must scramble to cover the overload.
Kids can't be picked up daycare...Lunches are skipped... Dinner is burgers...
Its a mess. imo, this is why this doctor made this decision. She has to protect her staff from injury. She has to protect her staff from burnout. The number one cause of short and long term disability of nurses?
Lifting too heavy patients. Period.
Hey, harli1965, are you willing to pay a higher copay so this doctor can hire more full-time nurses to cover for unforeseen injuries to her staff?
The Centers for Disease Control estimates that the cost of caring for an overweight or obese patient is an average of 37% more than the cost of caring for a person of normal weight. This adds an average of $732 annually to the medical bill of every patient.
Earlier, I discussed the difficulties for doctors using ultrasound on obese patients. Have you ever had an MRI or CT scan? Have you ever wondered how in the world big people fit inside those things?...
They don't"026Need special scan equipment...$$$
Have you ever lied down on a standard examining table in a doctor's office and felt it rather shaky and unstable?Have you ever wondered how in the world could a really big person could fit on such a table in complete safety?...
Not possible"026Need special reinforced table with higher weight rating...$$$
Have you ever noticed how tiny the examining rooms at a doctor's office are? Its crowded for three people (one nurse, one doctor and one patient"026spouse has to wait outside). Have you ever wondered how an obese person in need of assistance in moving from a lying position to a seated one can receive any assistance in a room so small?
They can't"026Need newly remodeled examination rooms that can safely accommodate 6-7 people or equipped with special hoisting equipment...$$$
Physicians, like any business, can decline service to whomever they choose for any reason as long as it's not discriminatory.
If it was choice between practicing medicine without malpractice insurance and workers comp for my nurses and choosing patients that present less risk, less cost...plus, I had two kids I needed to send to college...
Angry this doctor placed a weight limit on patients?
You think she has no right to deny heavy people of healthcare?
Please consider the following...
Let's talk about "Malpractice Insurance"
OB-GYNs, for years, have declined to see pregnant women who are overweight, typically referring them to specialists, instead. The reason: Obese patients are more likely to develop surgical and post-operative complications, thus, increasing risk to malpractice lawsuits.
Ultrasounds are more difficult to perform and interpret in obese patients. If they miss-read an ultrasound due to a patient's obesity, a plaintiff's attorney will argue that the patient should have been referred to someone with more experience under those circumstances.
Drug dosing is another area of great concern for physicians. Dosing must be modified for a morbidly obese patient; however, this is not simply a matter of larger body equals larger dose. The physician must differentiate between fat-soluble and water-soluble medications, and obtain an estimate of the patient's weight and body mass index to determine the proper dose of any given medication. Many times, determining proper dosing of drugs for the obese can be a stressful and dangerous guessing game.
In South Florida, ob-gyns who pay some of the countries highest rates for medical-malpractice insurance have decided on a different strategy to combat litigation bought on by patients"026More than half go without malpractice insurance coverage, altogether"026
excerpt: "...The phenomenon of practicing medicine without insurance, or "going bare," is most rampant in Florida, where health officials say more than 3,000 of the state's 89,000 licensed physicians have dropped their coverage..."
Dr. Rene Loyola says he has given up just about everything to keep practicing medicine. The surgeon owns no home or land, and has no savings other than a retirement plan after 29 years in the profession. He says he frequently has to turn away patients who need his help the most. Loyola blames all the trouble on soaring malpractice insurance rates that forced him to join the thousands of other doctors nationwide who have dropped their liability coverage. "On paper, I have nothing. I'm a pauper. My wife owns everything," said Loyola, who made the changes to protect himself from lawsuits. "It's a good thing we get along"026"
Now, let's talk "nurses" and support staff at private practices and hospitals"026
Today, its estimated 2 out of every 3 hospital patients weigh between 200 to 300 lbs; 10% of all hospital patients weigh between 300-500 lbs.
OSHA guidelines state the maximum safe limit a nurse is supposed to lift is 35 lbs"026
A recent study on hospital workplace safety found that floor staff of hospitals (orderlies, CNAs, RNs) routinely lift 1.8 tons during the course of one 8 hr shift.
Nursing staff have among the highest back and shoulder injury rates of any occupational group in the country.
In a 2003 study by the state of Washington, based on Washington workers' compensation data, the average annual workplace musculoskeletal disorders (WMSD) claim costs for hospitals and nursing homes is approximately $32.8 million.
2011 health and safety survey by the American Nurses Association showed disabling injuries from lifting are a top concern among 62% of nurses.
The problem is so serious, nurses are transferring to other medical related fields that don't require lifting"026medical coding, dialysis, case management, and pharmacy.
Now, let's talk about "additional costs" when treating the obese...(cont.)View Thread
You want "compassion"? You have so much "compassion" for others? Why not start with yourself? Rather than tell others why you can't, why not tell yourself, "I can!"?
Stop making "doctors" the issue...There is only one issue you need to worry about. There's only one issue you have complete control over. If you can't care enough to extend your body the respect it deserves, stop protesting the lack of compassion you receive from others.
Don't beat your kids? Good, I'm happy for both you and your kids. Still doesn't change one fact...
If you want to see that doctor so bad, you know what you gotta do. So, do it. You can do it...
Believe it or not, I'll be rooting for ya, too.View Thread
So, you've surrounded yourself in "sticklers", have you. Well, what happens when you change your mind? What happens if you child is not a "stickler"?
I prefer Job's approach to product planning, "We shall not be suppressing any point-of-views at this time..."
PS: Srinivasa Ramanujan, the actual Good Will Hunting and Gregor Mendel, the self educated, beekeeping monk recognized as the father of modern genetics. Both, would be shown the door @ fixit.View Thread