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Why do patients have to fill out forms when visiting a doctor? Why isn't there a "Facebook connect" for patient history/information?
There are many (many) reasons - so I'll list a few of the ones that I can think of off-hand.Here in the U.S. - we have a multi-party system: Provider-Payer-Patient (unlike other countries that have either a single payer - or universal coverage - or both). Given all the competing interests - at various times - incentives are often mis-aligned around the sharing of actual patient dataThose mis-aligned incentives have not, historically, focused on patient-centered solutions.  That's starting to change - but slowly - and only fairly recently.Small practices are the proverbial "last mile" in healthcare - so many are still paper basedThere are still tens/hundreds of thousands of small practices (1-9 docs) - and a lot of healthcare is still delivered through the small practice demographicThere are many types of specialties - and practice types - and they have different needs around patient data (an optometrist's needs are different from a dentist - which is different from a cardiologist)Both sides of the equation - doctors and patients - are very mobile (we move, change employers - doctors move, change practices) - and there is no "centralized" data store with each persons digitized health information.As we move and age - and unless we have a chronic condition - our health data can become relatively obsolete - fairly quickly (lab results from a year ago are of limited use today)Most of us (in terms of the population as a whole) are only infrequent users of the healthcare system more broadly (cold, flu, stomach, UTI etc....). In other words, we're pretty healthy, so issues around healthcare (and it's use) is a lower priorityThere is a significant loss of productivity when a practice moves from paper to electronic health records (thus the government "stimulus" funding - which is working - but still a long way to go)The penalties for PHI data breach under HIPAA are significant - so there has been a reluctance/fear to rely on electronic data.  This is also why the vast majority of data breaches are paper-based (typically USPS)This is why solutions like Google Health - and Revolution Health before them - failed - and closed completely (as in please remove your data - the service will no longer be available)All of which are contributing factors to why the U.S. Healthcare System looks like this:===============Chart Source: Mary Meeker - USA, Inc. (2022) - link here:http://www.kpcb.com/insights/usa...
Why are British people so proud of the NHS?
Why are the British so proud of the NHS? Because it saved most of our lives, resulting in increases in life expectancy year-on-year until the Conservatives took over government in 2022 and started privatising parts and starving it of cash.Let me tell you a story about my life. My maternal grandmother was caught in a bomb during the Second World War and became a Type 1 diabetic after her pancreas failed. Now my grandfather was a successful amateur musician and owned many expensive musical instruments. But before the NHS was founded he had to sell all of them to pay for to keep his wife alive. He was saved from bankruptcy and she was saved, period, by the NHS.Being diabetic my grandmother had difficulties with childbirth and had many still-born children. Only my mother survived, thanks to the NHS.My father suffered from schizophrenia. He was admitted to mental hospitals for treatment until the best medicines were found to allow him to rejoin society and work to support his family, thanks to the NHS.My mother suffered from high blood pressure. This increased severely during pregnancy but she safely delivered my brother and I, thanks to the NHS. In her middle-age she became asthmatic but received treatment free of charge, thanks to the NHS. In her old age heart surgeons discovered she had a defected valve and clogged arteries, so she was given a double bypass free of charge on the NHS. She is now fit and well, living out her eighth decade.When my brother was born he was four weeks premature and weighed only 4 pounds 5 ounces. When he was born the umbilical cord wrapped around his throat and he didn’t breath for several minutes. But he survived and is fit and well, and the condition of his birth has had no lasting effects, thanks to the NHS.As a child I was long-sighted, with a lazy eye, and wore down my shoes due to weak ankle muscles. On the NHS I was given glasses, eye patches and supports for my shoes to prevent them from wearing out. Now I don’t wear glasses, don’t have a lazy eye and walk perfectly normally, thanks to the NHS.A couple of decades ago I was knocked unconscious by a thug in the street where I lived. I was found on the pavement by an off-duty police officer who called an ambulance that took me to my local emergency unit. There I was treated for concussion. All free of charge, thanks to the NHS.A couple of years ago I badly cut my knee on a broken ceramic basin at home. I patched it up as best I could and drove to my nearest minor injuries unit where I was quickly treated by a nurse, who bandaged up the wound and gave me a set of clean dressings to replace the ones he had used. All free.I could go on. But the reality is that virtually everyone in the UK owes their lives to the NHS. Yes it costs us some tax, but having a state founded health service makes treatment a third of what it costs in a private system such as that present in the USA. The poor can be treated just as easily as the rich, although the rich pay for the NHS through their taxes, the cost is probably less than private medical insurance due to NHS bills being a third of equivalent American bills.National Insurance, invented by the Liberal Party and expanded by the Labour Party, is an insurance premium that looks after the NHS, pensions and out-of-work benefits, so no-one should be sick, hungry or homeless in the UK. Unfortunately the two Conservative governments of Thatcher/Major and Cameron/May have implemented cuts that weaken the power of the NHS and cut benefits, to save money while ignoring the effect such cuts have on the health of the nation and the economic impact that increased sickness and poverty has on the economy. Nevertheless, the NHS, implemented by Aneurin Bevan when the UK was in vast debt to the USA after WWII, is the most splendid example of what a government can do if it invests money for the good of all by taxing the richest to save the poorest. As Nye Bevan said, “No society can legitimately call itself civilized if a sick person is denied medical aid because of lack of means.”And this isn’t just a nostalgic view of someone that’s come out of the rationing of World World Two, with the illusive hope of modernity glistening in his watery eyes. This is the belief of many still today. As the actor Michael Sheen put it, “In 1945 Aneurin Bevan said: ‘We have been the dreamers, we have been the sufferers, and now, we are the builders.• And my God, how they built. And what they built. Every bit as much a wonder of the world as any architectural marvel, or any natural miracle • The National Health Service. A truly monumental vision. The result of true representation. Of real advocacy. A symbol of equality, of fairness, and of compassion.” (The Guardian, 2 March 2022. Full text of Michael Sheen's speech) This is why the British are so proud of the NHS, and why it is the envy of so many nations around the World - even now in its weakened form, once again starved of cash by more Tory cuts and plans for irrational and expensive privatisation to extract profits from the sick and the poor.
In what cases do you have to fill out an insurance claim form?
Ah well let's see. An insurance claim form is used to make a claim against your insurance for financial, repair or replacement of something depending on your insurance. Not everything will qualify so you actually have to read the small print.
Why do ex-employers refuse to fill out the VA form 21-4192 for a vet?
VA Form 21–4192 is an application for disability benefits and like similar state benefits, it must be filled out by the veteran or by his or her qualified representative. This is a private, sensitive, legal document and every dot or dash in it can be critical, so must be accurate and verifiable.Employers have zero responsibility to fill out this form or furnish information for it, however, Social Security would have all the information required that the Department of Defense did not have. The veteran’s DD-214 is likely required, but does not furnish all the information required on the form.
How much time and money does it take for a new startup (50 employees) to fill out the paperwork to become a group for the purpose of negotiating for health insurance for their founders and employees?
I'm not sure if this is a purely exploratory question or if you're inferring that you're planning on navigating the group health insurance market without the assistance of a broker. If the latter, I'd caution against it for several reasons (which I'll omit for now for the sake of brevity).To get a group quote, generally all that's needed is an employee census. Some states apply a modifier to the rate depending on the overall health of the group members (for a very accurate quote, employees may need to fill out general health statements).Obtaining rates themselves can take a few minutes (for states like CA which don't have a significant health modifier) to several days.I suspect your cor question is the time/effort required once you've determined the most appropriate plan design for your company. This is variable depending on how cohesive your employee base is.Best case scenario - if all employees are in one location and available at the same time, I could bring an enrollment team and get all the paperwork done in the course of 1-3 hours depending on the size of your group. In the vast majority of cases, the employer's paperwork is typically around 6 pages of information, and the employee applications about 4-8 pages. Individually none of them take more than several minutes to complete.Feel free to contact me directly if you have specific questions or concerns.
How does one get invited to the Quora Partner Program? What criteria do they use, or is it completely random?
I live in Germany. I got an invite to the Quora partner program the day I landed in USA for a business trip. So from what I understand, irrespective of the number of views on your answers, there is some additional eligibility criteria for you to even get an email invite.If you read the terms of service, point 1 states:Eligibility. You must be located in the United States to participate in this Program. If you are a Quora employee, you are eligible to participate and earn up to a maximum of $200 USD a month. You also agree to be bound by the Platform Terms (https://www.quora.com/about/tos) as a condition of participation.Again, if you check the FAQ section:How can other people I know .participate?The program is invite-only at this time, but we intend to open it up to more people as time goes on.So my guess is that Quora is currently targeting people based out of USA, who are active on Quora, may or may not be answering questions frequently ( I have not answered questions frequently in the past year or so) and have a certain number of consistent answer views.Edit 1: Thanks to @Anita Scotch, I got to know that the Quora partner program is now available for other countries too. Copying Anuta’s comment here:If you reside in one of the Countries, The Quora Partner Program is active in, you are eligible to participate in the program.” ( I read more will be added, at some point, but here are the countries, currently eligible at this writing,) U.S., Japan, Germany, Spain, France, United Kingdom, Italy and Australia.11/14/2018Edit 2 : Here is the latest list of countries with 3 new additions eligible for the Quora Partner program:U.S., Japan, Germany, Spain, France, United Kingdom, Italy, Canada, Australia, Indonesia, India and Brazil.Thanks to Monoswita Rez for informing me about this update.
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