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	<title>Comments on: The Maze &#8211; Pt 6The Nigerian Health Care Plan</title>
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	<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/</link>
	<description>a physician looks at medicine, religion, politics, pets, &#38; passion in life</description>
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		<title>By: The Maze - Part 7Is There an Exit? - I &#124; The Doctor Is In</title>
		<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/comment-page-1/#comment-9346</link>
		<dc:creator>The Maze - Part 7Is There an Exit? - I &#124; The Doctor Is In</dc:creator>
		<pubDate>Tue, 02 Jan 2007 07:28:42 +0000</pubDate>
		<guid isPermaLink="false">http://docisinblog.com/archives/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan#comment-9346</guid>
		<description>[...] RSS        &#8592; The Maze - Pt 6The Nigerian Health Care Plan The Maze - Part 8Is There an Exit? - II &#8594; [...]</description>
		<content:encoded><![CDATA[<p>[...] RSS        &larr; The Maze &#8211; Pt 6The Nigerian Health Care Plan The Maze &#8211; Part 8Is There an Exit? &#8211; II &rarr; [...]</p>
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		<title>By: The Doctor Is In &#187; The Maze - Part 8Is There an Exit? - II</title>
		<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/comment-page-1/#comment-3618</link>
		<dc:creator>The Doctor Is In &#187; The Maze - Part 8Is There an Exit? - II</dc:creator>
		<pubDate>Wed, 05 Jul 2006 00:46:22 +0000</pubDate>
		<guid isPermaLink="false">http://docisinblog.com/archives/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan#comment-3618</guid>
		<description>[...] Part 6&#8211;Managed Care [...]</description>
		<content:encoded><![CDATA[<p>[...] Part 6&#8211;Managed Care [...]</p>
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		<title>By: Valerie</title>
		<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/comment-page-1/#comment-3595</link>
		<dc:creator>Valerie</dc:creator>
		<pubDate>Fri, 23 Jun 2006 01:55:32 +0000</pubDate>
		<guid isPermaLink="false">http://docisinblog.com/archives/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan#comment-3595</guid>
		<description>I loved both of your &quot;Strictly Confidential Proposals&quot; - may I copy them and prominently display them on my office wall?!  

As a provider, I&#039;ve experienced all that you have written, and then some. Bottom line is that I am getting paid less now for services than what I was even 10 years ago.  As a consumer, I can&#039;t begin to tell you the horror stories of trying to wrestle my way through the myriad of pre-auths, referrals, etc - in light of my oldest daughter&#039;s illness (Lupus).  The latest was that Aetna wouldn&#039;t pay for two of her meds because she had to try other drugs on the first two tiers before they&#039;d okay these meds - the problem being that if she discontinued these meds to try the other meds, then it could seriously jeapordize her treatment.  

In the end, though, there is no way we could afford to NOT have insurance - my daughter&#039;s meds alone would cost over $2,000.00 a month if we didn&#039;t have it.  So, I end up reminding myself that I need to be grateful for it (albeit begrudgingly grateful!).  

Looking forward to hearing about some solutions.</description>
		<content:encoded><![CDATA[<p>I loved both of your &#8220;Strictly Confidential Proposals&#8221; &#8211; may I copy them and prominently display them on my office wall?!  </p>
<p>As a provider, I&#8217;ve experienced all that you have written, and then some. Bottom line is that I am getting paid less now for services than what I was even 10 years ago.  As a consumer, I can&#8217;t begin to tell you the horror stories of trying to wrestle my way through the myriad of pre-auths, referrals, etc &#8211; in light of my oldest daughter&#8217;s illness (Lupus).  The latest was that Aetna wouldn&#8217;t pay for two of her meds because she had to try other drugs on the first two tiers before they&#8217;d okay these meds &#8211; the problem being that if she discontinued these meds to try the other meds, then it could seriously jeapordize her treatment.  </p>
<p>In the end, though, there is no way we could afford to NOT have insurance &#8211; my daughter&#8217;s meds alone would cost over $2,000.00 a month if we didn&#8217;t have it.  So, I end up reminding myself that I need to be grateful for it (albeit begrudgingly grateful!).  </p>
<p>Looking forward to hearing about some solutions.</p>
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		<title>By: All Blogged Up: A Moof&#8217;s Tale &#187; Blog Archive &#187; Dr. Bob is Back in the Maze</title>
		<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/comment-page-1/#comment-3591</link>
		<dc:creator>All Blogged Up: A Moof&#8217;s Tale &#187; Blog Archive &#187; Dr. Bob is Back in the Maze</dc:creator>
		<pubDate>Thu, 22 Jun 2006 16:11:39 +0000</pubDate>
		<guid isPermaLink="false">http://docisinblog.com/archives/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan#comment-3591</guid>
		<description>[...] Dr. Bob has posted Part VI of his series: The Maze - Pt 6: The Nigerian Health Care Plan. As we move through the zoo which our health care system has become, we find ourselves in our fourth maze &#8230; we have danced with gorillas, been cornered by Rottweilers, and now we&#8217;re entertaining monkeys &#8230; [...]</description>
		<content:encoded><![CDATA[<p>[...] Dr. Bob has posted Part VI of his series: The Maze &#8211; Pt 6: The Nigerian Health Care Plan. As we move through the zoo which our health care system has become, we find ourselves in our fourth maze &#8230; we have danced with gorillas, been cornered by Rottweilers, and now we&#8217;re entertaining monkeys &#8230; [...]</p>
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		<title>By: Dr Bob</title>
		<link>http://docisinblog.com/index.php/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan/comment-page-1/#comment-3590</link>
		<dc:creator>Dr Bob</dc:creator>
		<pubDate>Thu, 22 Jun 2006 15:09:39 +0000</pubDate>
		<guid isPermaLink="false">http://docisinblog.com/archives/2006/06/21/the-maze-pt-6the-nigerian-health-care-plan#comment-3590</guid>
		<description>Both federal and state policies and regs suffer from the same problem: their well-intended purposes virtually always end up causing more problems than they solve. Man is better ruled from within than without (this was the premise of a post I wrote some time back called &lt;a href=&quot;http://docisinblog.com/archives/2004/06/14/the-law-of-rules&quot; rel=&quot;nofollow&quot;&gt;The Law of Rules&lt;/a&gt;). The feds tend to have more far-reaching effects, and the Rottwielers have very big teeth, indeed.

As far as answers go, there is, I think, a deceptively easy solution to this morass, which I hope to flesh out a bit in a post coming soon to a blog near you (how&#039;s that for a teaser? better than the daytime soaps...)</description>
		<content:encoded><![CDATA[<p>Both federal and state policies and regs suffer from the same problem: their well-intended purposes virtually always end up causing more problems than they solve. Man is better ruled from within than without (this was the premise of a post I wrote some time back called <a href="http://docisinblog.com/archives/2004/06/14/the-law-of-rules" rel="nofollow">The Law of Rules</a>). The feds tend to have more far-reaching effects, and the Rottwielers have very big teeth, indeed.</p>
<p>As far as answers go, there is, I think, a deceptively easy solution to this morass, which I hope to flesh out a bit in a post coming soon to a blog near you (how&#8217;s that for a teaser? better than the daytime soaps&#8230;)</p>
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