Disillusionment Of An American Doctor Summary

Improved Essays
Part I: Doctored: The Disillusionment of an American physician
I chose to read the book entitled Doctored: The Disillusionment of an American physician (2014), by Dr. Sandeep Jauhar. What peaked my interests about this book was the; corruption, cronyism; unnecessary tests and referrals with the patient not gaining much benefit. I know there is a problem in this country with our medical system. I am very interested in learning about an honest firsthand experience from a physician in regards to our health care in the United States.
Part II: Unnecessary Tests and Excess Referrals
The suggestion of unnecessary tests I supposed would get most people’s attention, it did mine. With the state of most hospitals and private practices in financial trouble, this is putting pressure on the physicians to come up with creative ways to make more money. The financial stress derives from the change in reimbursement from insurance companies, Medicare, and Medicaid. Doctors are having to do double sometimes triple the work to make up for the lost revenue. To make up for lost revenue doctors have discovered that if they own lots of testing equipment they can bill for procedures and tests and make more money. This is illustrated on page 164, Paragraph one (Jauhar, 2014). This becomes a moral hazard for the doctor, in that tests
…show more content…
I plan to do this by asking the doctor up front the reason for the test and the benefit to the patient, if there is a question. I have a responsibility as a nurse to question orders and advocate for my patient so I can prevent further abuse of the current system. Finally, Dr. Juahar has opened my eyes to the corruption in the current medical system. The source is evident, now we need to work together to bring a solution to the table while health care reform is being

Related Documents

  • Improved Essays

    Collins and Pinch wrote, “Bogus doctors who perform well across the board are not caught and not reported. There may be many, many more bogus doctors who remain undetected” (Collins and…

    • 517 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Choosing a primary physician is a crucial part of your commitment to health, and every year, your annual checkup provides a great opportunity to catch up with your doctor about your wellness strength and weaknesses. At Fairview Clinic, P.C., a team of three physicians provides the Dothan community with top quality medical and preventative care for ages 13 and up. Here are just three reasons why you should choose Fairview Clinic, P.C. for your annual checkup this year: In-House Laboratory Testing: Fairview Clinic, P.C. can provide patients with prompt results through their up-to-date clinic equipment. In-house laboratory testing means that patients can receive results faster, which gives you peace of mind and facilitates better medical care…

    • 196 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The cost of healthcare is constantly on the rise, but about 30 cents of every dollar is spent on healthcare in the United States is wasted. $750 billion dollars is wasted and that’s ridiculous. In the article, Six Wasteful Practices in United States Healthcare Spending by Pat Palmer, she believes unnecessary services and procedures, inefficient care execution, administrative wasted, inflated prices, poor prevention tactics and abuse are the contribute to healthcare wastefulness. Doctors providing unnecessary services and procedures are one of the biggest wastes.…

    • 246 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Usually we hear of stories where physicians get sued because they fail to abide by a patient’s wishes, however, the article “All-Time Craziest Frivolous Lawsuits”, (Krane 2014), discusses how a physician was sued for abiding to a patient’s wishes. The article provides insight into how some malpractice lawsuits impact physicians who try to provide patients with standard of care, only to have care refused by them and then later have legal action taken against them for complying with their wishes. The author best explains how physicians are affected by malpractice lawsuits in stating, “The assault on their reputations and the emotional upheaval they face can be traumatic even when the lawsuit is obviously fraudulent” (Krane, 2014, p. 1). This particular article discusses the story of a man who cut his hand off because he “saw the number ‘666’ written on it and stated that he heard voices which told him to cut it off. When the on-call surgeon was called in for a consult, the patient stated that if the surgeon reattached his arm, “he would cut it off again” (Krane, 2014, p. 1).…

    • 401 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Lisa Eramo Cloning

    • 602 Words
    • 3 Pages

    Eramo (2017) described several situations where patient safety was severely compromised, and some even resulted in death. In one instance, a patient who had presented to the emergency department with atrial fibrillation was discharged to his primary care physician, and the admitting physician copied the same assessment over twelve office visits over a 2-year period. Consequently, the patient died from a myocardial infarction and the physician was successfully sued. In another instance, a child was diagnosed with tuberculosis meningitis who had suffered significant deficits after weeks of office visits with copied documentation of negative TB exposure results, despite the child having recently traveled to a country where tuberculosis is endemic. Other examples of consequences include HIPAA violations associated with copied physician’s notes, legal ramifications from false documentation, and increased costs associated with duplication of…

    • 602 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Gone are the days when doctors withheld certain diagnoses or treatment details from patients.” (Argonin). Today, if a doctor were to take anything from a patient without consent, he would be sued by the patient, expelled by the hospital, and hated by many. It is morally and ethically wrong of someone to do such a thing without permission. Not to mention…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Medical Malpractice Theory

    • 1563 Words
    • 7 Pages

    Literature Review: Theory The literature review is vital to the success of this paper as it will look at the past relevant theories and studies to help define important terms while theory in this paper will serve to help define medical malpractice. The first step is to determine when a doctor is liable to their patient, and the courts can use the entry rules (Stein, 2012) to help determine when a doctor is liable to their patients. Also entry rules also help determine when medical malpractice occurs (Stein, 2012), but the theory also acknowledges when these medical malpractices should be exempt with the creation of the exit rules (Stein, 2012). Ideally according to Stein's theory, medical institutions should govern entry rules as they…

    • 1563 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Better Now Book Review

    • 819 Words
    • 4 Pages

    Book Choice I chose to read and analyze the book Better Now: Six Big Ideas to Improve Health Care for All Canadians to gain insight to the improvements that can be made upon Canada’s praised healthcare system. While it is a blessing to have free healthcare in Canada, free certainly does not always mean better. Any Canadian who has waited for hours in an emergency room can attest to this fact. With the recent events in the United States, there has been a lot of conversation regarding their healthcare system, or lack thereof.…

    • 819 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Many Americans are going to in-network Urgent Care or Emergency Rooms and are being seen by out-of-network physician without their knowledge. When a patient decides to get treated by a physician thinking that it is covered, many patients find a very disappointing bill from the physician weeks later. This issue has become very controversial issue on why out-of-network physicians are seeing in-network patients and not letting them know. If a patient is made of aware of the cost associated with the visit, many would decline treatment. Doctors know what they are doing and know how to find the loop poles around the insurance coverages.…

    • 776 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Patients, like Tommy, don’t truly know the effects of not pursuing the doctor’s recommendations due to the lack of education on the sciences itself. In Abraham’s book, Dr. Jones suggests that the government should encourage “aggressive public health programs [to] help [the] poor, less educated patients live healthier lives” (Abraham 144). By implementing such programs, individuals can not only be well informed of the long term effects that they may not foresee when making poor medical choices, but also build a stronger bridge between the physician and patient. Through the analysis of this book, it would be interesting to know more about how physicians can improve upon their method in portraying the importance of good health to their patients. Additionally, in what ways can we implement the aggressive public health programs, as suggested by Abraham, at a national, or even a global level in efforts to improve global…

    • 1014 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    For example, after CHIP (Children’s Health Insurance Program) the probability of spending less than 10 minutes with a doctor increased. So much of time at the doctor’s office is filled by time with nurse practitioners, and physician’s assistants doing things like tests and histories that used to be done by doctors. This will be furthered by the fact that a study done by Association of American Medical Colleges estimates that in 2025, there will be a shortage of 124,000- 159,000 physicians in America. A byproduct of doctors spending less time on each patient is that doctors will have less time to evaluate doctors, as well as less time to dedicate to making their diagnoses, thus making it more likely for doctors to misdiagnose their patients.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Affordable Healthcare Act

    • 980 Words
    • 4 Pages

    The article further reveals that there lacks a sufficient cause to determine the reasoning behind the sizeable difference in charges. The Affordable Healthcare Act seeks to curtail this issue by adding this aspect of transparency. There are future hopes that insurance companies and hospitals can enter into further negotiations to reduce this cost, and provide better services to its patients. This is important as “unexpected health care bills continue to be a leading cause of financial ruin for American families” (Young, 2013). This issue is above all is important, as the patients are recovering from what condition forced them to seek treatment.…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Case Study Two: A Complete Physical Assessment Shannon A. Lewis University of Mississippi Medical Center N 610 A 52-year-old female comes to your office today for a physical exam. She states that she enjoys good health and believes she is active for her age. She states she has been feeling well but just decided it was time for a complete check-up. She sees a local health care provider annually at the health department for refills on her prescriptions but has not had a “real” physical in many years. She is a WDWNWFNAD (well-developed, well-nourished, white female, no acute distress.…

    • 2434 Words
    • 10 Pages
    Superior Essays
  • Superior Essays

    One of the most fundamental trust relationships is between a patient and their doctor. Physicians have supposedly earned their trustworthy title because of their extended education and desire to help others. However, this perception is being shattered by physicians violating patients’ trust by not providing all the information needed for making a responsible decision for a person’s health and performing unimaginable procedures. “The Immortal Life of Henrietta Lacks” provides multiple examples of the unethical practice of doctors. When scientists do not recognize their subjects as human beings and their relationship results in an unbalanced power dynamic, their advantageous position often leads to the unethical treatments of subjects, especially…

    • 1566 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    During a patient visit, both the patient and provider must decide on which health issues to discuss. The provider must also decide on what care to provide the patient within the limited time frame of the appointment. By introducing a new guideline, another may be dropped, resulting in the rationing of care. The discontinued care is the opportunity cost of implementing the new guideline. Even when a provider is able to follow all guidelines on a given patient and spends the extra time required to do so, opportunity cost still occurs.…

    • 1081 Words
    • 5 Pages
    Superior Essays