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My brother worked in Seattle as a doctor for a while.  As a European he was amazed that he had to spend half his time negotiating with insurance companies on behalf of patients as to which tests/procedures he could authorise that they would pay for.  He ended up having to do a lot of horse trading - I won't do test X if you let me do Y and z.  

He said it was incredibly inefficient in terms of doctor time.  In Ireland health care, whether public or private, simply doesn't involve a prior conversation with an insurance company.  If a doctor authorises a test/procedure, its covered in terms of the general provisions of the policy.  There is no individual negotiation.

Vote McCain for war without gain

by Frank Schnittger (mail Frankschnittger at hot male dotty communists) on Sat Aug 30th, 2008 at 06:14:24 PM EST
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