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Doctor vs. "Health Care Crisis"

hanselthecaretaker

High End Bro
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Diagnosis, prognosis and cure in just three short paragraphs.

If you doubt any part of what Dr. Jones says, go visit your local hospital emergency room as an observer for an hour or so some Friday or Saturday night.


Dear Mr. President:

During my shift in the Emergency Room last night, I had the pleasure of evaluating a patient whose smile revealed an expensive shiny gold tooth, whose body was adorned with a wide assortment of elaborate and costly tattoos, who wore a very expensive brand of tennis shoes and who chatted on a new cellular telephone equipped with a popular R&B ring tone.

While glancing over her patient chart, I happened to notice that her payer status was listed as "Medicaid"!

During my examination of her, the patient informed me that she smokes more than one costly pack of cigarettes every day and somehow still has money to buy pretzels and beer.

And, you and our Congress expect me to pay for this woman's health care? I contend that our nation's "health care crisis" is not the result of a shortage of quality hospitals, doctors or nurses.

Rather, it is the result of a "crisis of culture", a culture in which it is perfectly acceptable to spend money on luxuries and vices while refusing to take care of one's self or, heaven forbid, purchase health insurance. It is a culture based on the irresponsible credo that "I can do whatever I want to because someone else will always take care of me."

Once you fix this "culture crisis" that rewards irresponsibility and dependency, you'll be amazed at how quickly our nation's health care difficulties will disappear.


Respectfully,
STARNER JONES, MD



*edit* additional comments he wrote in to a paper after receiving criticism for what he said above-

America is Still the Land of Opportunity - For Everyone
Starner Jones, M.D.
Jackson, MS
January 11, 2010

I continue to receive numerous phone calls, letters, emails and face-to-face comments about my letter ("Why Pay For the Care of the Careless") which appeared in your newspaper a few months ago.

Most people express highest approval for the opinion set forth. Indeed, the truth has an illuminating quality all its own.

However, a few have disagreed and all of them falsely assume that a person who holds the views which I espouse must have been raised in a privileged home. Nothing could be further from the truth.

I grew up in a lower middle class, single parent home in the rural hill country of Pontotoc, Mississippi. While attending public schools, I paid attention in class and did my homework. I ran with the right crowd and stayed out of trouble. My dedication in school resulted in a full-paid scholarship to the prestigious University of the South in Sewanee, TN. After college, I left to go to medical school with everything I owned in three bags. The rest is history.

Motivation, not entitlement, is the key to personal success and happiness in life.


As best I can tell, Dr. Jones has made no further public statements on the matter.


http://urbanlegends.about.com/od/government/a/Dr-Roger-Starner-Jones-MD.htm
 
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The other situations that drive me nuts...

1) The 400 lb person with a $200,000 diabetic wound. What did you expect?

2) The 400 lb person who needs bilateral knee and hip arthroplasty (~ $200k worth of surgery). What did you expect?

3) The uninsured guy who wrecks his ATV while drunk and won't stop smoking long enough to let his broken bones heal correctly.
 
The other situations that drive me nuts...

1) The 400 lb person with a $200,000 diabetic wound. What did you expect?

2) The 400 lb person who needs bilateral knee and hip arthroplasty (~ $200k worth of surgery). What did you expect?

3) The uninsured guy who wrecks his ATV while drunk and won't stop smoking long enough to let his broken bones heal correctly.

4) peeps that gorge themselves with Taco Bell

5) peeps that participate (from teh bottom) in risky sechual practices
 
4) peeps that gorge themselves with Taco Bell

5) peeps that participate (from teh bottom) in risky sechual practices

6) People who try to simultaneously win 1st, 2nd and 3rd spot on the same evening during Cutter's "Anal Annihilation Night".
 
I'm going to reveal some real life stuff about myself here, but may have to delete it later on given the nature of the disclosure.

I'm the county manager for a mental health and substance abuse tx provider. The two locations I run do a total of about 105k to 115k a month. I have two psychiatrists, one psychologist, two RN's, two licensed counselors, and a bunch of other clinicians of various types. Big place in other words.

To the meat of it, we are constantly bombarded with people who want "an evaluation". They feel they cannot work and want Medicaid and SSI and/or SSDI. It is every single day. Some of these people are legitimately disabled by severe and persistent mental illness...but most are just goddamn lazy. And everyday I see the same hallmarks of misplaced priorities as the ER doc. Everybody's got a celly, and usually a nice one, but no one works. Lots of popular urban brand clothes and bags, but no one can work.

I am generally proud of my employer's position on "helping" these motivationally challenged individuals. We help them to some non-habit forming psych meds, and help them to counseling, and we don't help them be lazy by facilitating their disability claims.
 
So, is the alternative is that we let the people die? Or let them starve? I'm not saying that's right or wrong, I'm just looking for the desired outcome.
 
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