tag:blogger.com,1999:blog-15575652.post3250829616508458144..comments2024-03-05T00:59:35.390+08:00Comments on Angry Doctor: Confidence Goods 8angry dochttp://www.blogger.com/profile/03132410467147982699noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-15575652.post-56936417471973960402007-04-12T18:54:00.000+08:002007-04-12T18:54:00.000+08:00Hah! good crack on the PM there. Healthcare has al...Hah! good crack on the PM there. Healthcare has always been quite a big debate in SG; wonder if it's because of the displaced minister, being from a northern neighbour, has no real ideas of his own.<BR/><BR/>Anyway, this can allow doctors to earn more money can't it? So why bitch about it.<BR/><BR/>In another 'news paper' article, it was said that the top 6 private sector earners don't include doctors.<BR/><BR/>For heaven's sake: doctors study the hardest, work the hardest, face all sorts of dangers in their work place (MRSA, VISA, radiation). How can that damn accountant earn more than doctors?<BR/><BR/>I think it's time that doctors all around the world unite and make sure healthcare is reasonable to doctors first, then patients. <BR/><BR/>How else will you improve quality without that small monetary incentive? Am I right Mr. Ministers? PM? anyone?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-15575652.post-56341118439525099302007-04-08T19:41:00.000+08:002007-04-08T19:41:00.000+08:00It is really up to us to speak to the patient (nic...It is really up to us to speak to the patient (nicely) and educate them. When they read data, they may read it very subjectively and may also take some evidence point blank without considering its validity in the patient's context.<BR/><BR/>I won't be surprised if someone reads about R-CHOP and on generic substitution and ask for generic Mabthera and Adriamycin @@ >.<OJ - Da UNlicensed Pharmacisthttps://www.blogger.com/profile/10472558477127356890noreply@blogger.comtag:blogger.com,1999:blog-15575652.post-40259836553960778752007-04-08T01:53:00.000+08:002007-04-08T01:53:00.000+08:00I think the minister is more concerned about cost-...I think the minister is more concerned about cost-effectiveness rather than quality. As for the public, if there is consumer ignorance as this article suggests, they won't be the wiser.<BR/><BR/>How many breast cancer patients would know enough to ask about Herceptin and apart from the Prime Minister, how many fellow patients with lymphoma would have heard of Rituxmab?<BR/><BR/>How do you estimate the charges then? Do you mention to a breast cancer patient that treatment may include a various lab tests, a FISH assay for Her2 amplificatrion and treatment with Herceptin? The inclusion of state-of-the-art treatment can easily triple your estimate. <BR/><BR/>If you reveal all, an undercover reporter may report in the press that you are over-charging. If you only mention the cheapest mode of treatment, you have done your patient a disservice by not revealing to her the best options available.<BR/><BR/>As for MOH, the minister would rather you keep expensive investigations and treatment to yourself but will publicly declare that doctors have to provide the best treatment available to their patients.Anonymousnoreply@blogger.com