Archive for the ‘Advance Health Directive’ Category

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”


Recently, a friend of mine had teeth extractions and when the bill was reviewed while waiting, there was an over-charge. The billing was done in anticipation of how many teeth would be removed, not after the procedure for the actual number removed. In one case, there was a charge for tooth #9, that was not even there (yes, in this procedure they charged per tooth…strange).

It caused me to wonder, how many patients actually check and question their medical and dental bills? (Watch VERY important videos below).

My nurse gave me an article that was written in the Washington Post about healthcare markups for the uninsured. Some interesting points includes:

negotiating-hospital-bills “Fifty (50) hospitals in the United States are charging uninsured consumers more than 10 times the actual cost of patient care, according a research published [recently]. All but one of the facilities are owned by for-profit entities and the largest number – 20 – are in Florida.”  Gerard Anderson, professor at the John Bloomberg School of Public Health noted,  “This means, when it cost the hospital $100, they are charging patients on average $1000. It would appear that these facilities are price gouging, simply because they can.”

Of note, other consumers who would be charged this ridiculously high rates are patients whose hospital are not in their insurance company preferred network of providers, patients using workers compensation and those covered by automobile insurance policy. Most patients covered by private, government and programs such as Medicare do not pay full price, because these entities negotiate lower rates. Location in big cities does not account for these high prices either, as hospital in the suburbs/rural area can be quite expensive.

See the Hospital list HERE

Only 2 states, Maryland and West Virginia, set hospital rate charges for procedures. Federal government does not regulate prices that healthcare providers can charge. Of course, these sky rocketing medical bills can lead to damaged credit scores, bankruptcy, or worse yet, avoidance of needed medical care.

Do consumers now have to shop around for best health care cost for a procedure? As the commercial noted, shopping around for other things, not just your car, especially if uninsured or in one of the above categories, may be to your benefit.

Watch VERY important videos below.

Unfair Hospital Charges

Negotiating Hospital Bills 

Read Rose’s story HERE



Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…






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From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information”


Advance DirectiveA difficult conversation is anything you find hard to talk about. It is challenging, because it is surrounded by a cloud of possible conflict, fear, anxiety, anger, depression, or frustration (among other emotions).

But, when having a difficult conversation with yourself, there is no blaming, no misunderstanding, just you and your thoughts. Tough.

Advance directive end-of-lifeFor 2015, I resolve to have a better handle on my finances. Though finance can be a difficult conversation in and of itself, I was caught off guard, when asked if I had a “Living Will and Advance Health Directive”…what? I have asked patients that question on many occasions, but never thought to ask myself. If the patient answered “no” then our wonderful nurse would take care of it and it becomes part of the “cloud”…  doctors are usually not involved.

I am young, healthy, why do I need a Living Will? Hhhmmm. The world is indeed unpredictable and having this information known and written will only serve to help love ones.  Things can happen…suddenly!

Do YOU have an Advance Directive?  

Advance direct dyingA Will Preparation Questionnaire was sent to me. Some of the questions were simple and straight forward, but others were downright brazen and difficult. I am still chewing on:

  • Do you want to be buried or cremated? (depends if natural death or otherwise – hhhmmm)
  • Which of your organs would you like to donate? Hhmmm. (Most organs seem ok…but I flinch whenever I think about my eyes)
  • Do you consent to an autopsy? Or do you leave that decision to your appointed love one/agent? (if foul play suspected, ok with autopsy…otherwise, unsure if necessary), etc.,

Thinking about death may be depressing…but we all know, that death is inevitable. When do you need an Advance Directive? If you are over 18 years old, the experts say you should think about it.

See videos below…think about it?


Advance Health Directives


Last Will and Testament



Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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