I said paid, not laid. Treat a patient, enter shit in a computer, get paid. That’s about the extent my own knowledge regarding the matter. Holy crap, what a clueless Turd Of Paradise I am.
Ever heard of CMMS? Me neither.What a damned dystopian nightmare. Reading this article — by the same Dr. Noel I posted yesterday — is quite an eye-opening informative education. At least it will help you understand why they do the shit they do (like not prescribing Ivermectin). That’s NOT to excuse them, however. As Dr. Noel states in his closing sentence; — “It takes a spine of steel to stand up to the authoritarian orthodoxy.” Sadly, from what I read here and elsewhere, not 1 in 50 doctors has a “spine of steel” … or, any spine at all.
And what an “authoritarian orthodoxy” hell it is!! Doctors are no longer autonomous human beings. They are Automatons Of The State, robots dutifully doing what they are told, patient welfare be damned. Another Yuge win for the marvels of government involvement. It’s like this …
I’m not sure why anyone in their right mind would want to become a practicing physician these days. It’s now one of the most horrid professions in America.
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Why Do Doctors Go Along with COVID Panic Porn and CDC Prescriptions?
I recently had a conversation with a reasonably well-informed writer who simply missed the real reasons why most practicing physicians go along with the Fauci Fraud. As a public service, I will attempt to fill in a few gaps. But first, I must define the fraud. There are two basic legs to the fraud.
First is the idea that the Centers for Disease Control is in any way concerned with a mission related to its name. The failure of the CDC to endorse any treatment that did not emanate from its exalted halls should give us our first glint of clarity. There are literally millions of physicians around the world, and the great bulk of them truly wish to treat their patients well. Among those are thousands of researchers, a number far in excess of those at the CDC, the NIH, and other alphabet soup government agencies. The very idea that outside researchers are incapable of discovering anything useful without the help of the bureaucrats in D.C. is hubris of the highest order. And it prevents the CDC, the FDA, or any other such agency from considering the idea that maybe, just possibly, there might be intelligent life down here. Mount Olympus cannot be threatened.
The second leg of the fraud is less visible to the naked eye but much more powerful. If I wrote this before I retired, I would be called before the Board of my group and told in no uncertain terms to shut up. I might even be assessed a financial penalty with several zeroes after the one. That’s a serious impairment of my pursuit of happiness. The reason for my group’s dislike is more than the fact that I might be an irritant. They may actually agree with what I have to say. But they simply cannot afford for me to say it. That’s right: as a practicing physician in a group, my freedom of speech can become very expensive…to the group.
My group cared for patients of all descriptions, with roughly half of them on Medicare and another batch on Medicaid. Both programs are ultimately managed by the feds, one of the most humorless groups on the planet. They write a whole bunch of rules on how you have to document everything you do. If you didn’t document it correctly, it didn’t happen, and you won’t get paid. But that’s not the half of it.
Suppose you have one of those patients brought in by the ambulance from under the bridge. His only clothes are the ones he’s wearing, and he doesn’t have two nickels to rub together. It’s more than obvious that this surgery for bowel obstruction will be a charity case.
Before Medicare, you’d simply write it off as your good neighbor duty. Now you don’t get a choice. CMMS (the actual administrative agency) requires you to send a bill. Twice. Or maybe three times. Whatever it takes to turn the bill into bad debt. Then you have to send it to a collection agency. Your only alternative is for your group to bring it up in its Board meeting and declare it a write-off that gets noted in the minutes.
All this rigmarole serves no purpose, and you knew that before you got to this sentence. But CMMS has a sinister side. If you do the case for free (which you did before you spent that useless money on billing and collection), CMMS will define that as your “usual and customary” bill for an exploratory laparotomy. Since your U&C is now zero, you can’t ever bill more than that for an ex lap in the future.
But what does that have to do with ivermectin? I’m glad you asked.
U&C bills are just one of the hundreds of rules that CMMS enforces. Another is “Pay for Performance.” Basically, P-f-P requires you to check a host of boxes when taking care of patients. If you didn’t get that IV antibiotic in 20 minutes before the incision, you failed P-f-P and may not get paid. The hospital won’t get paid to take care of the patient if there’s a complication.
So let us suppose that you use ivermectin to treat a COVID patient as he arrives in the hospital. Ivermectin isn’t on the Medicare/Medicaid approved list of medications for COVID. Your hospital pharmacy will call you up and give you grief. After wasting a lot of time getting them to finally let you have it, you’ve had to cancel half of your office day. The next day, you’ll get a visit from a coder, who will tell you that you didn’t use the approved treatment protocol and put the hospital in jeopardy because you flunked P-f-P. By the way, that “coder” is the person who “helps” you use the proper ICD (billing) code for whatever the patient has in order for the hospital to make the most money. But that’s not the worst of it.
Because you flunked P-f-P, that waves a red flag in front of the CMMS bulls, and you’re about to get gored. They will wonder what other bad things you’ve done. As soon as they find one, it gets flagged as “Medicare fraud,” and they will bill you for twice what you got paid as a penalty. Can you guess how many other instances of fraud they’ll find if they look hard? Do you have to ask why my partners would get upset if I published while I was still in practice? By the way, CMMS can go two years back as they look for your crimes. They can ultimately take your house, your car, and your wife’s poodle while they’re at it.
Let’s change the scene. Suppose you’re in private practice. You can’t give ivermectin because the feds will key in on it if your patient’s on Medicare or Medicaid. So you decide to take care of him off the books. He pays you cash, and all is well. Not! You now took a private payment for Medicare-covered service. That will get you barred from seeing another Medicare patient for two years.
Let’s forget all the regulatory traps. You’re conscientious and try to do the best for your patients. But you’re busy, and you can’t keep up with the flood of papers on all the various COVID bits. So you wear a mask, have your patients wear masks, and do a lot of telemedicine. You keep up on the latest through Medscape and the Morbidity and Mortality Weekly Reporter. You should be good? Not! MMWR is put out by the CDC, and they won’t say the first good word about HCQ or ivermectin. Medscape is a little better, but not much. And all the specialty societies are toeing the line. Can we guess why?
Any doctor who actually reads the studies, or follows any of the protocols published by the Association of American Physicians and Surgeons, will see a lot of peer pressure to stop. The financial risks may be extreme. It takes a spine of steel to stand up to the authoritarian orthodoxy.
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Ted Noel, M.D. is a retired anesthesiologist/intensivist who posts on social media as DoctorTed and @vidzette.
SOURCE: Dr. Noel on AmericanThinker.com
THE END
Death by a thousand paper cuts.
They are doing to healthcare what they did to education. Once you make that bargain with the devil, you have to dance to his tune. It is the reason millennials can only read and write at a 3rd-grade level and why most college graduates couldn’t pass an 8th-grade exam from 1900.
Make no mistake, if the government demanded that the doctors bleed us with leaches and blister us to treat humors then rest assured that the entire medical establishment would jump on board.
Most doctors are reasonably smart, but not brilliant. So yeah, maybe one standard deviation up in IQ from teachers, but that’s about it. They’re not particularly curious about anything. They absorb standard guidance from places like the CDC and just follow standard protocols. I’m sure that has a lot to do with avoiding liability and their overall incentives, but a lot are just upper-level midwits.
They are highly functional bots, but still bots nonetheless.
On my first (and last) appointment with a new doctor, I asked her if she would proscribe Ivermectin. She started on a speech about how she frames her medication policy. I asked her again specifically to proscribe Ivermectin to me under some sensible circumstances. The diatribe continued. It was obvious some lawyer had taught her a sanitized response to such a topic. I surmised she was under some constraint and now I know why.
Thanks for posting.
Present as having scabies or lice. Tell them you itch all over, scratch yourself before going in and they will give you ivermectin. Let me rephrase that….they SHOULD give you ivermectin.
and they have student loans up the jing jang..
Doctors don’t keep up with the research at all, in my experience, and when I have offered to email them recent studies, they refused…
If doctors were that smart there’d be no reason you’d ever have to go to another one for a “second opinion”.
My confidence in medicine and academia were thoroughly tortured to death and executed since this plot started. I didn’t want to see before. It was crushing in ways that go pretty deep.
I knew about liberalism and go-along-to-get-along in liberal arts and to a lesser degree in the empirical sciences, but I was wrong in not seeing the rot goes all the way through and there are no good guys left. I am done making excuses for them.
And if you pointed out the insanity, you’d be ostracized as a conspiracy theorist.
Diagnostic codes back up the CPT/billing codes. Any mistakes and you must resubmit and wait another 30 days for payment.
I have Triple Check once a week to sync the ICD’s. Often admins set the primary Dx according to reimbursement levels by Medicare. We may tx the primary problem but have to document in a way to ensure that it looks like we’re in protocol for the listed Dx/ICD. It’s the only way to give proper care to pts and still fly under govt auditors.
The whole thing stinks, but those of us who care about pts first have to do this to provide proper care.
New grads are bots.. little diagnostic skill/talent and simply order billable test after test or issue scripts with crossed fingers. I only have a few weeks left before my vax mandate ends my career. I might write a book….
So true, Javelin. Medical system has been rotted for a while, but I did not want to admit the depth of it to myself when I was still in it. No surprise that my husband’s physician refused to prescribe Ivermectin when he got Covid, but a friend of his who is 2 months short of retirement did (less to lose and the older docs more likely to think for themselves). I love buying and reading books. Have thought about writing one myself, but I guess I am too busy reading Stucky’s stuff here.
Nobody who joins a cartel, a gang, has a spine of steel. Cartelistas have nervous systems set to steal.
Great article. And, no, nobody in their right mind would choose to become a doctor for the next few decades. We will see if there will be such things as licensing boards, medical schools, medicare/medicaid etc. in 50-100 years from now. In the short term, I think, “illegal” cash for service healthcare will emerge as a black market.
Doctors are state control murder bots nowadays.
Oh I’m sure we all have seen what the medical field will be like in the near future.
https://www.youtube.com/watch?v=BdPmNM0IF7Y
Licensing boards were supposed to keep us safe. They will end up killing medicine. They almost have already, not much further to go. People should be allowed to make mistakes and pay for them.
Licensing boards and property taxes were just a couple of the lesser lies used to let people hang themselves with.
They were never about safety, they were about seizing control of independent doctors and turning them into what we have today.
This is OT:
I found this from VD. It has some good insights and food for thought. These are increasingly rare.
Interesting but as naive as it is penetrating.
My wife and son have their annual check up scheduled for the end of the month. She received a telephone call from that doctor’s office this morning asking if the appointment could be changed to a virtual physical (telemedicine, Ha!). I told my wife to ask why. The response was to “protect” the doctor due to Covid…and only after a slight pregnant pause did the employee add patient. My wife asked what if we need blood work, which they do need due to prescriptions, if for no other reason, to which the employee replied: You’ll need to pick up the doctor’s order. Like most people in this area, we live 26 miles from the doctor’s office. I whispered to my wife that if if were me, I’d refuse the virtual visit. She did and the employee’s voice intonation was a bit flustered. I understand why so many AmeriKows would jump at the chance to stay home, rather than travel for a personal visit…cause we’re terminally ignorant, lazy and pray at the gawd of convenience.
Riddle me how a physician can in any way properly attend to your health by not collecting your vitals; weight, respiration rate, blood pressure, pulse, using a stethoscope, observing your ears, eyes, mouth/throat, skin, finger nails ect.? This is a gross neglect of us and all the while the insurance companies pay these cacksuckers the exact same rate.
Last year I had to submit to a virtual urology visit. I challenged the doctor that this was not a proper venue, to which he obviously disagreed. I had a cystoscopy appt yesterday and let me tell ya, I am none to comfortable with anyone in the medical ‘community’ anymore. They have been the tip of Satan’s spear these past 17 months.
We’re going to have to take action or suffer ignoble misery for the rest of our lives, and hoist that legacy upon our children and their children.
I visited my surgeon, recently, just to let him look at his work, not because it benefited me personally. He is one that wears the mask, but doesn’t believe in it. They are in a tough moral position of being able to help people (to an extent), but having to compromise their integrity to do so.
It is easy for me. I am not going to go homeless and I would watch it all burn before I would see it perverted. I am a solider. I can’t be anything else. I can only do other things. Our brains are changed. I am trying to apply the agency I have to better things.
Of course you’re right, but so many are silent. A reminder would probably help some to stiffen their resolve.
Absolutely.
3rd leading cause of death in the U.S. Enough said.
Yes, and it could actually be #1. We don’t know how many patients with heart disease and cancer are actually killed by a doctor and not the disease.
It is pretty simple. Doctors will go along to get along or the PTB will pull their license and threaten them with prison for practicing medicine without a license. The rest of us will be put into the same kind of bind before this is over.
In the mid 90s, I attended law school with a practicing physician who had a practice specializing in treating acute chronic pain. TPTB were already harassing him for over prescribing (because one size fits all) so he pursued a law degree. Last I heard, they pulled his license anyway, notwithstanding the testimony of his patients that they could not function without the levels of pain relief he prescribed.
My suggestion is we take the US Federal Government and replace it with trinitite.
When I was a child I wanted to go to NM and grab some trinitite. I thought is was pretty cool the fission-gone-wild fused sand was given a special name, based upon the location of the event.
I am always totally impressed if a doctor appears to keep up on at least some primary research. Most don’t and it shows.
Doctors should ONLY get paid by one person – the patient. Doctors should only be CHOSEN by one person – the patient. Doctors should ONLY be certified by a competitive marketplace of independent certification agencies, but ultimately the choice to do business with someone should fall to the patient, regardless of certification status. Medical freedom MUST be restored. Every last bit of the bureaucracy must be burned to the ground if we are ever to be free or healthy again.
Should is a big word, Mr. Lib. Let me know when you have solutions. Here’s a start…drop your insurance. It’s been freeing ever since I lost my medical insurance.
Humor… or prediction.
Medical Schools Update Hippocratic Oath To Exclude The Unvaccinated
https://babylonbee.com/news/medical-schools-update-hippocratic-oath-to-exclude-unborn-unvaccinated/
They’re getting paid to harm you, by using ventilators instead of ivermectin, and your kids (see video above), and only a minority are refusing…If they can’t understand that masking little kids is harmful to them, they should be forced to work as prison doctors, and not allowed anywhere near children…
RUDOLF STEINER ON THE QUESTION OF VACCINATIONS
“A great majority of the population looks on with complete indifference as the medical papacy assumes ever greater proportion, worming its way into the most diverse fields – for instance, intervening extensively in children’s education, in school life, and staking a claim here to a certain form of therapy.” Rudolf Steiner, GA 107
SOME INGREDIENTS FOUND IN VACCINES
Aluminum, squalene oil, thiomersal, thimerosal, gelatin, sorbitol, stabilisers, emulsifiers, taste improvers, antibiotics, egg proteins, ovalbumin, yeast proteins, latex, formaldehyde, acidity regulators, human cell strains, animal cell strains, recombinant DNA, bovine products, viruses, bacteria, antigens, genetically modified organisms, aluminum salts, preservatives, human serum albumin, excipients, aluminum hydroxide, aluminum phosphate, potassium aluminum sulphate, pneumococcal viruses, flu viruses, polysorbate 80, sorbitan trioleate, sodium, mercury-based preservatives, ethyl mercury, sugar, lactose, mannitol, glycerol, medium 199, arginine hydrochloride, monosodium glutamate, urea, polysorbate 80, antibiotics, penicillins, cephalosporins, sulphonamides, neomycin, streptomycin, polymyxin B, gentamicin, kanamycin, gentamicin, yeast proteins, glutaraldehyde, disodium adipate, succinic acid, sodium hydroxide, hydrochloric acid, histidine, sodium borate, borax, trometamol, human cell lines, lung cells from aborted fetuses, HEK-293 cell line, adenovirus, kidney cells aborted fetuses, animal cell lines, chick embryo rotavirus cells, coronavirus spike protein, bacterium, hepatitis B virus, bovine products, graphene oxide, iron oxide, super paramagnetic nanoparticles, paramagnetic hydrogels, medium 199, eagle medium, and minimum essential medium, among others.
Doctors help 15%, hurt 15%, and the remainder get better or not on their own. Doctors push pills, are trained to look out for life ending emergency stuff so they don’t get sued, and collect money. Being of high character is not a requirement to get into medical school – grades and test scores are the measurement, and that is not good enough.
A friend of mine’s father was a leading surgeon and head of surgery at an Ivy med school. He used to turn purple talking about this stuff – he said that becoming a doctor should be about people skills, not grades, and that any B student was more than capable of being a doctor. He loathed the system and the lack of character of his students. And he hated the AMA, which is the most powerful union in the US, and which dictates how many doctors there are, how med schools are run, etc etc etc.
As an example, took my kid into the doc once with knee pain. Doc ordered a knee X-ray. Viewing the X-ray doc started to panic – oh no, gotta get him into the emergency room, their is a huge cyst and it could burst! Show me said I. There, pointing, said the quack. That is his patella said I. That is 100% a true story – damn quack didn’t even know what a patella looked like in an X-ray, but was desperate to pass the patient off in case it was actually something serious rather than being able to prescribe an aspirin.
“Ever heard of CMMS? Me neither.”
If you are 65+ years old and have registered for Medicare, you get a yearly booklet from CMMS (Center for Medicare and Medicaid Services).
A Doctor I know prescribed two doses of Invective to two family members ,all vaxxed,who caught covid. He’s a vax advocate and did so just in case. It was before draconian rules were in place to prevent him from doing so. He was brought before the board and grilled mercilessly. It shook him up pretty good.
We are on our own.
I don’t have any doctor’s who prescribe me or my family anything unless it’s unavoidable. I’ve been put on 1 antibiotic in the past 5 years (for 2 weeks). Besides that, they’ve always either just recorded the hiccup in my health OR told me what I can change (exercise/vitamins/diet).
If everyone else’s doctor’s are doing otherwise… then you probably need a different doctor.
As for Ivermectin… this time next year it’ll be like Hydroxychloroquine (ineffective and forgotten). If I’m wrong (that’d be great!), but I was saying the same thing about HCQ this time last year and it was obviously just a fad.