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Digest Number 1205/Pricing

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Bob Felt wrote

" Prescription prices effect those who have

at least

temporarily committed to your services. Treatment prices

are public

(people ask about cost when they select a clinician).

Prescription prices

would be lest frequently questioned because fewer naive

patients know that

there are secondary costs "

 

I think that in order to gain patient's trust it is

important they know what all the costs are. I plan on

putting the costs of the herbs for three categories of

prescription on my web site and on my pamphlets.

 

There are many practioners in this area, so I think aware

consumers would want as much information as possible on

each one, including any secondary costs.

 

Public education, rather than legislation, might better

address this issue.

 

Regards, G

 

 

 

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, Gabrielle Mathieu <gabriellemathieu>

wrote:

 

>

> I think that in order to gain patient's trust it is

> important they know what all the costs are. I plan on

> putting the costs of the herbs for three categories of

> prescription on my web site and on my pamphlets.

>

 

bravo. if more did this, there would be no issue. I challenge everyone to do

this. if your prices are fair, you should have no qualms about revealing

upfront the average cost to your patients so they may make an informed

decision.

 

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, " " <@i...> wrote:

 

> > I think that in order to gain patient's trust it is

> > important they know what all the costs are. I plan on

> > putting the costs of the herbs for three categories of

> > prescription on my web site and on my pamphlets.

> >

 

> bravo. if more did this, there would be no issue.

 

Please forgive me, but what is really the issue? Who is making an

issue about pricing?

 

> I challenge everyone to do this.

 

Why? What or who puts you in the position to chanllenge anyone on how

to run their business?

 

>if your prices are fair,

 

What or who determines fair pricing? I think this is really bordering

on some form of holier than thou; self-righteousness type of attitude.

 

Fernando

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, " fernando b. " <fbernall@a...> wrote:

 

>

> Please forgive me, but what is really the issue? Who is making an

> issue about pricing?

 

referring to the health field in general: patients who frequently report

feeling

ripped off by providers. professional organizations in other fields where

medicines are being prescribed. medical ethicists. government regulators.

consumer fraud organizations like the horrrible council against health fraud,

etc.

 

> > I challenge everyone to do this. Why? What or who puts you in the

position to chanllenge anyone on how

> to run their business? What or who determines fair pricing? I think this is

really bordering

> on some form of holier than thou; self-righteousness type of attitude.

 

I am trying to provoke discussion on an important topic, not impose my will.

Part of such a discussion does involve maing my current partially evolved

position clear. Sorry this topic causes you discomfort; no one likes talking

about ehtics, but a mature profession demands it. Challenging people to do

something is meant to provoke a thoughtful response, not a personal one, but

so be it. I know you do not think people should be feel free to basically pull

bait and switch shemes on their patients where they advertise a low consult

fee and then load a ton of products on the unsuspecting patients. Bait and

switch is illegal in used car sales in some states. I would hope our ethics are

a tad higher than the most despised of professions.

 

I don't think we should criminalize anything; I think we should establish what

we as profession believe are reasonable ethical standards. I have sugested

several methods I perceive as a fair remedy to this situation. They range from

not making pharmacy profit to fully disclosing costs to patients upfront as was

suggested by Bob Felt. If someone believes these are bad ideas or has other

ideas, please feel free. But I dispute that this is not an issue. It is an

issue

whose time is about to come and a little healthy debate in advance will

prepare us to deal with it.

 

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, " " <@i...> wrote:

 

They range from

> not making pharmacy profit to fully disclosing costs to patients upfront as

was

> suggested by Bob Felt.

 

I prefer the full disclosure option myself. I usually have a talk with new

patients on the phone before their first visit and I give them an estimate of

their

monthly and total costs. I do think we all should be free to earn money any

legal way we please. As long as I believe my patients are not being tricked

into spending more than they intended, I can live with myself. But it may be

that this is not enough for the public. that is why I brought this up. we are

outside the fold on this issue and that makes us vulnerable.

 

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Regarding pricing:

 

Alot of the discussion on pricing is a response to laws that prevent MD's from profiting from pharmacy, diagnosis or PT services that they prescribe. A primary initiator in this situation is third party reimbursment, specifically Medicare. There are volumes of laws written specifically to the problem of MD's and large corps (read hospitals) raping medicare and private insurance. I have seen MD's get around this by creating " provider groups " ; very legal.

Until practicionors of OM are regularly reimbursed by third parties for services, and more importantly herbs or home massage/exercise equiptment, I don't see a legal issue.

I do not see us in the loop at all in the future of third party reimbursment considering current trends in; 1. increasing medical costs. 2. aging population. 3. stinking stock market(where do you think insurance cos make the real money with your premium?) 4.have you looked at your monthly premiums lately (double digit increased scheduled for the next few years.)...........but I digress :) or :/

Of course ethics are important, but with private people paying for services out of their own pocket, it is " buyer beware " , or " what the market will bear " .

Sorry to be so cynical

 

Mark Costello

 

 

 

 

 

11/22/02 11:59 PM

Re: Digest Number 1205/Pricing

 

, " " <@i...> wrote:

 

They range from

> not making pharmacy profit to fully disclosing costs to patients

upfront as

was

> suggested by Bob Felt.

 

I prefer the full disclosure option myself. I usually have a talk with

new

patients on the phone before their first visit and I give them an

estimate of their

monthly and total costs. I do think we all should be free to earn money

any

legal way we please. As long as I believe my patients are not being

tricked

into spending more than they intended, I can live with myself. But it

may be

that this is not enough for the public. that is why I brought this up.

we are

outside the fold on this issue and that makes us vulnerable.

 

 

Chinese Herbal Medicine, a voluntary organization of licensed

healthcare practitioners, matriculated students and postgraduate

academics specializing in Chinese Herbal Medicine, provides a variety of

professional services, including board approved online continuing

education.

 

<http://www..org>

 

 

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