Clarification of Question by
health777-ga
on
29 Aug 2006 11:55 PDT
I was trying to discover the ways doctors are limiting telemedicine
competition to protect themselves and increase their prices. Almost
all trades and profession do this, but the medical profession is
greediest. Some regulation is needed but it must be fair to both the
doctor and the customer. For example, if dollar distance eyeglasses
are available, legislation should not exist that makes the customer
pay $300 for a pair that offers no better vision.
I was looking for more of the following including the same in Germany and England:
A national teleradiology license does not exist. Most states
require the physician to have a license in each State where the
patient?s physical care occurs. Some states offer special telemedicine
licenses and teleradiology licenses.
Full License required in = Alabama, Alaska, Arizona, Arkansas,
California, Colorado, Connecticut, Florida, Georgia, Illinois,
Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland,
Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire,
New Jersey, New York, North Carolina, North Dakota, Oklahoma,
Pennsylvania, South Carolina, South Dakota, Utah, Vermont, Washington,
West Virginia, and Wisconsin.
Telemedicine, Teleradiology License Available = New Mexico, Ohio,
Oregon, Tennessee, Texas, Montana
No laws addressing Telemedicine, Teleradiology. Out of State
Physicians may consult with a licensed Physician = Rhode Island,
Hawaii, Idaho, Wyoming
No laws addressing Telemedicine, Teleradiology = Delaware
Special Purpose License Required= Nevada,
politicalguru-ga has raised some good points: (1) As learnt painfully
by BA and other British service providers,
Indians do not always understand the Brits and vice versa (esp.
Scottish accent). I am not talking about German. Get another German to
understand the Bavarians, not an Indian, who might know German. And
what about the cultural connotations/associations?
1.Reply: Anyone who has had trouble with their computer and calls
India to have it repaired has talked to some technicians that they
cannot understand and others who speak more clearly than their own
family members.
(2) A second question is whether a physician not licensed in a
Specific country can write prescriptions,
2. Reply: I do not have all the answers!!!!!!!! How should this
problem be handled? Could the patient consult with their local doctor,
on the medicine, or what would be the best rational course of action
that is fair and safe for both the patient and their providers?
(3) A third question, regarding Britain and Germany, is whether health
insurance would accept it or not. I live in Germany, and for me a
psychiatrist, shall I need one, is not expensive at all - it is
covered by my relatively cheap state insurance. If I need one, I'll
have to pay 10 EUR each 3 month for his services. I don't think that
even an Indian psychiatrist would work for such amounts. Not even a
Google Answers Researcher! Theoretically, the British NHS also covers
psychiatric treatment to those afflicted with mental illness (I say
theoretically, because I understand that the problem is getting an
appointment with a *good* consultant.
3. Reply:You have answered your own question when you say: I
understand that the problem is getting an appointment with a *good*
consultant. Many British citizens go to India to have their eye
operated on for $400 because they do not want to wait 18 months to
have it done at home. It is an illusion that the British or German
patient is only paying what the state charges them for a particular
procedure. What about the yearly fees, taxes and other state costs
they have had to pay for even having the insurance?