A.
waste provider time
B.
avoid paying for things providers think will
benefit their patients
I will also point out that peer to peer is a misnomer. An
OB/GYN is not a peer to a Genetics doctor. Just because you have MD after your
name, you are not magically endowed with the knowledge and experience to judge
the care of other disciplines of medicine. In the same way you would not want
my favorite Gastroenterologist delivering babies, I don’t want you telling my
doctors they don’t really need a microarray.
This is a world where a patient well managed on a
non-narcotic pain medication is told it is better to be on Oxycodone, because
it is cheaper. Forget the addiction potential- it is all about the bottom line.
Medicine is hard enough without adding these obstacles. How
can we provide the best care when somebody wholly uninvolved gets the final say
on key decisions?
Is this the best we can do?
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