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Author25 Posts
  #1

Has anyone seen it? If you haven't I highly suggest you go out and see it. Even if you are studying, take a short break and go see it.

It will give you a lot to think about as a doctor practicing medicine in the US health care system.

I would like to know what you all think about the movie and the message.


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Our greatest glory is not in never falling, but in rising every time we fall.

  #2

I have been waiting for about two weeks to hear from some member what he thought about it. Thanks for your input. If youre saying its really good, I think ill buy it.


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2008 Step 1 Study Plan Discussion ........ My Blog

  #3

what's it about?raised eyebrow

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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #4

It is about managed care in the US. The movie shows how our health care system is flawed, and how other countries which have a socialized health care system are better off.
I didn't agree with everything in the movie, but it is definitely a conversation starter and gives you a lot to think about.

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #5

thanks, will try to catch it......one day!confused

___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #6

p.s. i wonder what's with the name though. sound like a psychopath horror movie, with lots of blood and gore.....[shudder]shockedsad

___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #7

paheli ... its a documentary by Michael Moore.

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2008 Step 1 Study Plan Discussion ........ My Blog

  #8

no kidding....!!confused i thought it was a movie type of movie! i've only watched his farenheit 9/11.

___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.

  #9

good movie

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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #10

you guys should see the arguements between michael and bill o'reilly

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There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #11

Fantastic and realistic movienod I came to USA from a developing country, when I first saw the quality of health care here I couldnot belive that, after watching this movie I realised that this is universal all over the country. I really like to work as a doctor in this country, but donot like to be a patient (anywhere especially) here.
nod

Edited by hedieh on 08/16/07 - 01:14 AM

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Destiny is not a matter of chance, it is a matter of choice.

  #12

Agree with you, not like to be a patient in the states, hedieh.smiling facegrin

  #13

US healthcare is outstanding for those that have the money or a proper insurance, come on, no waiting list - that means immediate treatment and access for screening and imaging, best docs, best technology, what else do you need? As a doc, if you work in acedemia you and prolly ur family get "free" healthcare in addition to your salary.

Here in DK ppl often waiting a month or more for a cancer treatment, thats just horrible and you often get much inferior care in rural and suburban areas. Id rather pay the money and get my cancer burned or cut immediately.


Edited by Jackofknives on 08/16/07 - 01:43 PM

___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #14

Let me have an example for you, Jackofknives, to know more about this.

My nephew was affeceted by a pneumonia last month.( He is 18 months old). He was affected by common cold before having it, but after one week of having cold, his signs got worse, plus he had a 39.8 C fever + cough+ rales in his right lung. Diagnosis of pneumonia could be made clinically. So I told his parents that he has pneumonia, and it is necessary for him to go doctor to prescribe antibiotic for him ( I cannot prescribe because as you know, I donot have my liscense here. smiling face ).

First day when they talk to their family physician he told them ( by phone, without visiting the child)that it is his cold which is continueing, so no need to worry and only they could give him tylenol for his fever. He couldnot sleep of cough that night, and despite tylenol every 4 hours his fever was never less than 39 C.

Next day they talked to Doctor again and requested for a office visit. They told me that docotr only examined his throat & his ears (not his lungs) and again gave them reassurance and told them that he will be relieved in the next days. ( no antibiotic prescribed again). That night again he couldn't sleep becoz of cough, and the fever was still so high. So I told them to take the child to the Children's Hospital( which is a very good hospital and rich people go there).

Next day I went with them to the children's hospital. Registration and taking triage paper took about 40 minutes. Even he was considred a yellow triage patient( emergent) It took about 40 minutes for us to be visited by a pediatric resident. She ordered CXR, and believe me or not, we were waiting 3 hours in radiology waiting room for his turn to come. All of this time, the sick child was moaning and crying. After 3 hours of waiting, the CXR was taken, and this time he was visited by the attending physician( fortunately we didnot wait again) and she prescribed Amoxicillin+ tylenol. Obtaining the medication also took about 40 minutes.

At the end of the month when the hospital sent them the bill, it was 2400 $. 2400$+ plus about 5 hours of waiting for diagnosis of Pneumonia and prescription af antibiotic+ tylenol!!!!

If I served in my country in the hospital that I work ( which is a public-insurance hospital for poor people) I would order a CXR, after being sure of having the patient pneumonia, I would prescribe Amoxicillin + fever reducing medication like Acetaminophen and if the cough was so sever and distracting, a cough remedy suitable for a child like Diphenhydramine( 3 medications). All of the process ( patient registration+ triage+ physician visit+ taking CXR+ physicain visit again & prescription+ taking the drug from hospital pharmacy) took 1.5-2 hours for free.

That's why I say I prefer not to be sick here.

Anyways, have you seen the movie Sicko? The couple at the beginnig of the film who had to sell their house were rich people.




Edited by hedieh on 08/16/07 - 06:08 PM

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Destiny is not a matter of chance, it is a matter of choice.

  #15

Do they live in an underdesired area, if I may ask? You can find this kind of care everywhere, inexperienced or indifferent FP, long waiting time in the ER etc. also, hedieh you probably worked in a decent level 3 hospital back in your country, am I right? You cant compare the best hospitals from one country with a below average one from another country.


___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #16

We live in California, Sanfransisco bay area. ( one of the best area in US) . And I compared a high-quality hospital( as you might know, educational hospitals here considered of the best and most expensive ones_ in contrast to where I came from) here with a medium-quality (a public- insurance for poor people- not a private one for rich people) in my country.(both level 3)nod

Like jackofknives, I could not believe the healthcare system of here- the most powerful country of the world-at the beginning. As Jackofknives said before, they have the most equiped hospitals, very good physicians, the most sophisticated tools and machines, but from the point of a patient, the system is unequal, expensive and time consuming.



Edited by hedieh on 08/18/07 - 12:43 PM

___________________
Destiny is not a matter of chance, it is a matter of choice.

  #17

so what u r saying is that US healthcare is inefficient, not cost effective and sub par? it might be true that its unequal but its hard to believe that for those that can afford it, the care provided is overall inferior to other countries.

___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #18

It's rank in world is in 35th place. nod


Edited by hedieh on 08/20/07 - 12:10 AM

___________________
Destiny is not a matter of chance, it is a matter of choice.

  #19

I presume a major factor to the low rank is due to the unequality? if you take unequality out of the equation and only consider the portion of healthcare provided to the people that can afford the cost, then wouldnt you think the rank would go considerablely higher?
And how do you compare healthcare? By comparing life expectancies, infant mortalities, the cost of repairing a hernia? In these turns US are in a disadvantage bc of the inequality, strong economy and high salaries to the MDs. But on the other hand if you compare the mortality and recovery rate in surgery and other hospitalizations US would prolly exile.

As we agreed US has all the powerhouses and that in turn would increase the cost but it doesnt make sense that the quality of care is inferior.


Edited by Jackofknives on 08/20/07 - 01:35 AM

___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #20

The people that cannot afford are also humans, Jackofknives. And their population in the society is high.

And about the infant mortality rate, you can refer to CNN news:

CNN.com - U.S. has second worst newborn death rate in modern world ...

I copied and pasted a part of it:

(CNN) -- An estimated 2 million babies die within their first 24 hours each year worldwide and the United States has the second worst newborn mortality rate in the developed world, according to a new report.

American babies are three times more likely to die in their first month as children born in Japan, and newborn mortality is 2.5 times higher in the United States than in Finland, Iceland or Norway, Save the Children researchers found.

Only Latvia, with six deaths per 1,000 live births, has a higher death rate for newborns than the United States, which is tied near the bottom of industrialized nations with Hungary, Malta, Poland and Slovakia with five deaths per 1,000 births..........

You can read the rest the page in the bottom link.

The adress of link is:

www.cnn.com/2006/HEALTH/parenting/05/08/mothers.index/index.html








___________________
Destiny is not a matter of chance, it is a matter of choice.

  #21

shocked disapproval

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2008 Step 1 Study Plan Discussion ........ My Blog

  #22

Yes, system might be flawed but what i was refering to was that the quality of care should not be inferior if not better than most countries. and hedieh, you said you dont want to be a pt in the states, i dont see the reason why, as a physician ur healthcare is either covered by ur fat pay check or by the institution.


___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #23

You are right, I'll be covered after I started residency. Before that, I hope that something wouldn't happen to me.

Goodluck with your studies, all of you.smiling face


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Destiny is not a matter of chance, it is a matter of choice.

  #24

Hopefuly nothing would happen to you before nor after! rolling eyes

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2008 Step 1 Study Plan Discussion ........ My Blog

  #25

is this 1 what oprah talked about?

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