This is the May 21, 2015 edition of Left, Right and You!

And the Smiling Conservative and I want to thank 65th District State Rep Steve Andersson for coming on the show and sharing some really interesting insights about the process in Springfield. You’ll want to listen to the show just for that!

Andersson2Then, using my damaged right knee as a prime example, we discussed how American medical practices leave so much to be desired. Why is it so difficult to get MRI approval?

By the way, Larry and I will be spending Memorial Day with our families, so no Monday show. Don’t worry! We’ll be back next Thursday! Until then…

2 thoughts on “This is the May 21, 2015 edition of Left, Right and You!

  1. Jeff, the medical insurance approval process has been an issue for a very long time. The insurance company wants to make sure it spends its money wisely, so the CEO can keep making the big bucks. One of the big issues is will doing this MRI actually change the course of treatment or the outcome for the patient. In reality, a significant percentage of the MRIs (and other x-rays and other tests) that are done don’t change the treatment or outcome. When I worked in a clinic setting we used to tell each other we were ordering a CYA series, i.e. ordering an x-ray, etc. that we KNEW wasn’t needed. The way many doctors prescribe anti-biotics for a sore throat because the patient wants them, even though the doctor knows it’s a viral condition. I knew one orthopedic surgeon who ordered much fewer MRIs than his partners. He always said he was going to make the decision whether or not to do arthroscopy based on the clinical presentation, i.e. how much pain, limited function, and the results of his hands-on eval. If the MRI showed a meniscal tear, but the patient really wasn’t doing that bad and was functional, able to do everything he wanted, he was going to hold off on the surgery. On the other hand, if the knee was swollen, motion limited, interfering with the patient’s daily activities, he would still do the scope even if the MRI was negative. I’ve actually grilled doctors about whether a test they wanted to order was REALLY necessary or not, especially on something that was going to radiate my body like x-ray or CT scan. I’ve personally had 3 or 4 MRIs, and went thru the approval process, and they all DID give us new information and make a difference in my care.

  2. The other Jeff is quite correct. By the way, if that group is ordering that many MRIs, it is to generate revenue. MRIs are quite expensive so they have to pay for it as well as profit from having one. And your PA gets evaluated on how much revenue she brings in. The surgeons as well.

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