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Washington state health care panel may deny payment for a medical procedure that helps patients that are suffering from chronic pain.
So is this an example of rationing health care something we may see more of as obamacare is implemented doctor David -- is a -- -- the American society of intervention -- pain that.
Physicians and doctor Marc Siegel is a Fox News medical contributor we saw before he stay with us -- -- high temperature -- result doctor -- This is a program Washington State has a program called.
HT -- what is what is it.
And how are they involved in this.
That's the health technology assessment committee and the theory behind it is certainly sound in that we're trying to control fraud abuse over utilization.
But the problem with the excuse there -- -- literature and evidence.
That will ultimately result in rationing of health -- because this is this the kind of panel I mean we heard a lot about death panels -- or does or not exist in obamacare but it.
This is a panel that.
That decides what insurance companies can and cannot cover correct in this HT covers any state employees so if you work for the -- fewer workers compensation.
If you're Medicaid bomb or anything that the state covers -- -- -- was three point eight million Washingtonian so people -- in the state of Washington.
There's a bill right now part of the Washington legislature to expand that to all insurance carriers OK so everybody if we have once we have obamacare.
Assuming that it's not derailed by the courts or whatever.
Will we see these kind of panels.
And federally four for as a national program doctor Siegel.
No question about it and you know we're gonna see we're gonna see just this kind of thing being cut out David part of the art of medicine is this kind of pain injection could the patient comes to me.
They're in pain I need all the modalities I have.
They have a disk let's say if I give them a shot like this I may actually prevent surgery.
Because if I didn't have -- shot and my quiver if I wasn't able to offer this they might rush to an unnecessary operation.
And -- -- isn't taking that and -- into account because -- So there would be no flexibility.
In a -- order and it's always black and -- it's always there were any flexibility in the state of Washington not in the -- guidelines -- -- passed so far everything has been in terms of pain management and non coverage but say I'm one of those patients it starts ago was talking about and it's clear that.
To the doctor's eyes anyway that if I receive this pain treatment.
I wouldn't go run out and get an operation could not make an appeal.
To VH DA authority is live for for an exception.
Not under the current rules and regulations relatives -- no chance for -- the treatment that they have the night are non -- this is just will not be covered treatment.
There warming up for something called comparative effectiveness where they decide that one treatment is cost effective.
And another -- and the decision is not being made by practicing physicians so I'm worried that the art of medicine will be jeopardized.
Eileen have you ever seen in patients such as doctor Siegel described who's who's having an issue that if they didn't get the pain medication might go out and get some treatment that they don't need a publishing twenty people -- -- like that twenty people a day yeah I mean that this these are very current procedures these are standard of care.
There are available all over the country these treatments are covered by Medicare.
And the fact that -- -- -- -- a personal -- -- profit personally from providing this out of the correct this is the state of Washington I -- -- national spokesman for my society I get about paid one dollar to be here I get paid nothing to work on this.
I am doing this because -- patients' access and I'm very concerned that this will spread around the country and patients will not -- -- -- quality treatment and.
Work -- for paintings but I'm very familiar with us because my wife works -- a painting and I can tell you if you don't have these injections available you might be more likely to get narcotics.
Or surgery we're gonna see more and more opiates prescribed with all kinds of side effects were absolutely and and it only options patients in Washington have left if they have a disgrace -- what doctor Siegel described is surgery.
Or chronic narcotics and neither of those -- the best option for every patient or patients need surgery.
But a lot of patients don't need surgery and the cost of surgery is 500 times as much as -- -- -- -- if indeed these what we're talking about his spinal injections for pain treatment correct and that that would very often.
If you if you can't get that you might go into or narcotic to which you can get addicted you don't get addicted to a spinal injections right.
Capsule that's correct our and and there are products.
May masked the pain they don't treat -- -- like problem.
We -- we don't need to legislate.
This kind of health -- because when this happens some of our best -- -- lawful and again that is the biggest problem we've mentioned over and over about Obama -- they try to legislate something for everybody which is much more of an individualistic sort of thing the biggest -- -- this -- -- they have actually no expert input from any Doctor Who practices with the feel the pain management.
Would you vote who all of a cardiologist and asking for an opinion about neurology know -- wanna cardiologists to give their opinion it's the same by the way I learned a lot about -- manager also learned her two doctors in the -- -- is that correct.
There's a wife that's a neurologist that's an expert -- my goodness -- my -- the -- -- while by the way I don't actually agree with him on one point I don't think the panel works -- of his doctors on it or not I still think it's gonna end up making decisions that's part of the argument last word from doctor -- doctor -- thank you for.
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