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	<title>Comments on: Airline Fees At The Doctor&#8217;s Office</title>
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	<link>http://www.docgurley.com/2010/06/18/airline-fees-at-the-doctors-office/</link>
	<description>Posts from an Insane Healthcare System</description>
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		<title>By: pat</title>
		<link>http://www.docgurley.com/2010/06/18/airline-fees-at-the-doctors-office/#comment-61812</link>
		<dc:creator>pat</dc:creator>
		<pubDate>Thu, 29 Jul 2010 19:49:19 +0000</pubDate>
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		<description>I am a PA, have been one for 30 years, and I would never either 1) work with or 2) go to  a doctor where the PA was not permitted to divert complicated, sick, or confusing presentations/patients to the supervising physician at any time.  It would be the same thing as preventing the internist from referring for subspecialist consultation.</description>
		<content:encoded><![CDATA[<p>I am a PA, have been one for 30 years, and I would never either 1) work with or 2) go to  a doctor where the PA was not permitted to divert complicated, sick, or confusing presentations/patients to the supervising physician at any time.  It would be the same thing as preventing the internist from referring for subspecialist consultation.</p>
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		<title>By: worldcup</title>
		<link>http://www.docgurley.com/2010/06/18/airline-fees-at-the-doctors-office/#comment-56380</link>
		<dc:creator>worldcup</dc:creator>
		<pubDate>Sat, 19 Jun 2010 19:11:13 +0000</pubDate>
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		<description>Hi Doc Gurley,

I normally enjoy what you write, but there is one glaring inaccuracy in your post. School Principals do not get the same time off as students our teachers! The vast majority work year round, getting the same 2-3 weeks and standard holidays that other professions have. They also arrive at school much earlier and leave later than do the students and the teachers. Educating never ends in the classroom--there is ALWAYS work to be done at home, which of course, is never compensated. Not to mention all those after school meetings with parents and kids...and I highly doubt the highest paid school principal gets a comparable salary to the highest paid physician. Try talking with you local elementary school teacher if you want a good idea of how hard she works.

I know you want to emphasize that doctors are getting the short end of the stick, but don&#039;t do it by comparing them to public educators, who have been routinely shafted by public policy for decades. What educators do is just as important as what doctors do (with less support, money, and respect),and please don&#039;t imagine for a second that it is a comfortable life filled with playing with children, short days, and long vacations.</description>
		<content:encoded><![CDATA[<p>Hi Doc Gurley,</p>
<p>I normally enjoy what you write, but there is one glaring inaccuracy in your post. School Principals do not get the same time off as students our teachers! The vast majority work year round, getting the same 2-3 weeks and standard holidays that other professions have. They also arrive at school much earlier and leave later than do the students and the teachers. Educating never ends in the classroom&#8211;there is ALWAYS work to be done at home, which of course, is never compensated. Not to mention all those after school meetings with parents and kids&#8230;and I highly doubt the highest paid school principal gets a comparable salary to the highest paid physician. Try talking with you local elementary school teacher if you want a good idea of how hard she works.</p>
<p>I know you want to emphasize that doctors are getting the short end of the stick, but don&#8217;t do it by comparing them to public educators, who have been routinely shafted by public policy for decades. What educators do is just as important as what doctors do (with less support, money, and respect),and please don&#8217;t imagine for a second that it is a comfortable life filled with playing with children, short days, and long vacations.</p>
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		<title>By: Souply wonderful</title>
		<link>http://www.docgurley.com/2010/06/18/airline-fees-at-the-doctors-office/#comment-56371</link>
		<dc:creator>Souply wonderful</dc:creator>
		<pubDate>Sat, 19 Jun 2010 12:18:22 +0000</pubDate>
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		<description>I say yes. It sounds like the beginning of transition to pay as you go. I also am anticipating similar changes in Insurance. For many folks it a catastrophic health insurance policy and &quot;pay as you go&quot; or &quot;concierge plan&quot; or maybe a limited &quot;concierge plan&quot; would work. 

I have a bunc of questions - how do we provide access to a doctor for those with chronic, severe, life threatening conditions, or epidemic type diseases? Do concierge fees provide subsidy for some of those visits?</description>
		<content:encoded><![CDATA[<p>I say yes. It sounds like the beginning of transition to pay as you go. I also am anticipating similar changes in Insurance. For many folks it a catastrophic health insurance policy and &#8220;pay as you go&#8221; or &#8220;concierge plan&#8221; or maybe a limited &#8220;concierge plan&#8221; would work. </p>
<p>I have a bunc of questions &#8211; how do we provide access to a doctor for those with chronic, severe, life threatening conditions, or epidemic type diseases? Do concierge fees provide subsidy for some of those visits?</p>
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