Are you a troll?  You can tell us... we're nurses.

It's always somebody else's fault, isn't it?  We all pay for healthcare,
one way or another.  If you are employed, it probably has more to do
with whether or how much your wages increase than any other factor.
IMO, the doc would be irresponsible if he did not weigh the cost of
expensive therapies - it is not denying service if done appropriately.
It is about cost-effective methods.  "Poor people" - poor enough for
medicaid - might be discriminated against less than those who pay for
insurance and/or out-of-pocket.  If the physician believes dressing
changes every three days are appropriate and doing them every two days
is wasteful, it sounds like a responsible decision.  Again, I suggest
you speak with the physician about his orders.

On 12/3/06 3:14 AM, in article
1165137268.533970.187800@80g2000cwy.googlegroups.com, "Jan"
<c3derp0nd@gmail.com> wrote:

Probably, just as they don't get to drive the nicest cars, drink the finest
champagne, and fart through silk. However, if I was paying out of pocket, I
would be the first to try and keep my costs down and I don't know of any
evidence that shows significant benefits to a two day change schedule
(unless you own stock in the company that makes the dressing change kits.
Yes, that is about money too and the manufacturer may gladly recommend more
frequent changes). We change wound vac dressings on a M-W-F schedule at the
hospital where I work, regardless of the person's income or their insurance
status because that's how the docs order it done.  I suppose if you had the
money to pay for it, you could have the dressing changed daily, although is
that really the "The best health care possible"?

By the way, as far as I know, insurance companies try to minimize the bills
of all medical care. "The best health care possible" is a subjective thing.
I suppose that if we all had live-in doctors and nurses, we would likely
receive better healthcare than we do now. But then your neighbor with the
better doctor or nurse might have better healthcare than you, right? So even
with a live-in physician, you would not be receiving "The best health care
possible".

I would be more worried about the person who doesn't have the resources to
get the wound vac in the first place. Not receiving adequate healthcare is a
much more important issue than worrying about whether your adequate
healthcare is as good as Bill Gates. The answer to that is obvious, and no
law prevents it from occurring.