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Com all right speaking up real doctors -- -- now.
-- I'm very gallant as it on -- doctor Pamela gallon is a practicing doctors she's a highly specialized pediatric on -- -- I believe one of the best in the world so -- she's hanging it.
Well what does a top notch specialist think all of Obama camp and the public option what do you think.
I think it's a disaster we are really respectfully while we all believe that everybody should be treated I'm speaking as an individual.
We already have ration health care when I have to ask permission from an eighteen year old high school graduate if I can do an -- line of patient.
And then if they say -- not be able to treat them properly.
This is quite disturbing doctor Scott's comment is exactly right -- tort reform is the elephant in the room.
And people are not getting the same care they had a few years ago.
But if you look you really -- one of the best in the field and it's -- narrowed field that you'll in orthopedic eye surgery okay now.
You don't deal with people who are likely going to have the public option plan.
Do you well I do in the fact that I teach people and will affect me indirectly because with not being stated is that they'll be a higher -- patients.
And people have to cover them as it is now we have fifteen minute medicine's most office visits -- fifteen minutes.
What is implicit in some of what they're saying is that a lot of this patients at formally would be going to sub specialists will be kept by the generalists.
And said that this specialists won't have the experience and be patient won't be able to get the exposure.
OK but yet you're critical of Obama -- you critical all of the public option okay.
The key to this whole thing seems to me to -- how do you reduce the cost of providing medical plan.
Do you think the president can do it with his suggestions of cost cutting wringing money out of hospitals and doctors and drug companies.
That's complicated question I'm not an economic pundit -- -- worker -- I'm a physician who delivers care but what's happened in the last five to ten years is.
There's less care being delivered to the patients who are now getting and one of my concerns and -- from my personal friends.
-- that there be another layer of administration.
And as it is now many people had to hire additional people in their offices just to deal -- The electronic -- work a filing claims so now we're gonna -- on another group of patients.
Of course people need to be covered and their needs to be a solution to this problem.
And a lot of his points are particularly excellent but as an individual practitioner I can't go very much -- -- and already we are fees have been caught.
The reimbursement if you would for a dog cataract in the city of New York.
Is twice the price of your cataract in line under Medicare.
And Medicaid yes sir and Medicare fees have been consistently lower in -- Penalize doctors are really having a very difficult time providing care at the level to which they'd like to -- We asked and.
Ethics question of of a retired judge today on this program that would -- -- sort of -- okay the five year old child 10% chance of survival.
Do you operate on that -- at a cost of a million bucks or do you treat fifty children who was sick but not so sick.
At the moment it seems that the decision is made between that parents and adult to.
That judgments thought that if you get Obama look at politicians will be involved in that decision what do you -- We have and it.
We have not had to make those ethical decisions and when we're confronted with difficult -- it that difficult moral decisions for the patient.
We make what the decision of what space best for the patient period however.
-- in other countries such as the UK.
There are there is ration medical care already and -- kidney transplants first began there were committees to decide who would get the kidneys.
Doctor Pamela gallant thank you as usual you've been here before we hope you'll come again document we appreciate -- thank you my.
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