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Corruption in Medicare

Started by Terry Smith4 · · 👁 6 views · 35 replies

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Participants Terry Smith4dustycanyon6Sean DoyleLarry Cruz51Joshua Jonesgoldentinker79Betty Bennett10Kyle White2Casey Palmer5placidjackal97copperridge912Justin Gonzalez87Brandon Newman95Brian Martin9
placidjackal97 placidjackal97 Active Member
135 messages
joined May 2003
#21 ·
Nicole Sanchez45

I don't have to imagine—I've lived it. My mom works in healthcare, and she’s always been strictly against bribes. That was the rule in our house growing up. But honestly? In my case, it wasn't about cash—it was about who you know. Mom came to the hospital with me, the department head recognized her, and suddenly those tests I’d been waiting six months for were done in just a few days. 🙄 I could list the specific tests, but that's probably too boring for this thread.

So, how am I supposed to report him? I didn't bribe him; he did us a favor because of the connection. We actually had a favorite painter, so when I was discharged, I gave him a monograph from that artist. I truly don't see it as a bribe—it was a thank-you gift for a service he provided for free, and he had no idea it was coming. Look, I don't judge people who pay bribes—desperate people do much worse things than that. What I judge are the doctors who solicit them and demand them.👎

I should probably tell you what that same department head said to me as I was leaving the hospital... nothing pleasant, but that's a whole different story.
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#22 ·
To actually report someone, you need rock-solid evidence—witnesses, documentation, the whole nine yards. It’s definitely not some simple task!
If you ask me, how all those doctors manage to stay tight-knit and protect one another seems almost impossible.
Just take a look at the news; you see headlines about doctors being investigated all the time, and then what happens? Poof. They just disappear from the conversation entirely.
The real question is whether a patient's family, after dealing with all that sickness and chaos, actually has the strength left to file a formal complaint. Why would they want to pick a fight with powerful people and make their already complicated lives even more of a mess?

To be completely honest, I tried reaching out to everyone from the Department of Health to major outlets like the New York Times, and guess what? Zilch. Zero. Nothing. I even had half of them send me auto-replies saying my email was deleted without being read...
😲
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#23 ·
placidjackal97 said:Nicole Sanchez45

I don't even have to imagine it. I've lived it. My mom works in healthcare, and she’s always been strictly by the book—never once took a bribe. She’s always been fundamentally against that kind of thing, so that was the moral compass I grew up with. But honestly? In my own experience, it wasn't about cash, it was about connections. Like, when my mom came to the hospital with me, the department head and the chief of staff recognized her. Suddenly, tests that usually have a six-month waiting list were done for me in just a couple of days. 🙄

I totally get where you're coming from. Most of us end up doing it; I wouldn't call it bribery per se, even though I know it isn't right, but it feels like just part of being human in this system. I didn't really realize how deep the issue went until I actually had a sick family member to worry about. At first, I thought people were just assuming I was pulling strings because I work out in the field and they think I'm raking in the dough. But once I started asking around, I realized this practice is everywhere.😲

What makes it even worse is that there is basically no specialized care for the elderly. Nobody seems to give a damn about them. It’s nearly impossible to find them a bed in a facility, and even if you do, you can bet they won't approve any expensive diagnostic tests unless someone hands over a thick envelope. Honestly, if you dare to go back home and grow old, good luck.
🙂
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#24 ·
I know this is a bit of a tangent, but I really need to get this off my chest!

So, back in mid-July last summer, I was traveling through America. About ten days into the trip, I started dealing with this persistent cough that would only flare up whenever I laid down—whether it was heading to bed for the night or just settling in on a beach towel. It felt pretty strange to me, honestly. I wasn't running a fever, my throat didn't feel scratchy, and I didn't have that heavy, wiped-out feeling you usually get when the flu hits. It was just this one weird symptom.
The cough was just so relentless that I found myself hacking away until 5 in the morning—and mind you, I don't even smoke. It was one of those frustrating things where if I actually got up and moved around, it would settle down for a bit, only to come roaring back the second I tried to lie down again. Honestly, looking back on my life, I can't remember ever dealing with a cough quite this intense.

Finally, on May 8th—which happened to be a holiday here in the States—I just couldn't take it anymore. I finally bit the bullet and headed straight to the ER in Bakersfield.
I pulled up to the clinic around 7:45 in the morning. There were about five or six people already ahead of me in line. I went up and asked if the doctor had actually started seeing patients yet—since the sign on the door clearly says they open at 7:00—but everyone just told me he wasn't in yet.

I was walking down the hallway, a few doors down from where I was sitting, when I started hearing this burst of noise and laughter coming from around the corner. I decided to head over that way, mostly because I wanted to check if the doctor had actually started his rounds yet. When I got there, I found four nurses, two custodial staff members, and an ambulance driver all gathered together. They were just sitting there, sipping coffee and having a good laugh. I made sure to give a polite knock first—didn't want to be rude or interrupt their break too abruptly—and apologized for the intrusion. I just asked if the doctor was seeing patients yet, since the waiting room was absolutely packed.

So, I was talking to one of the nurses earlier, and she actually looked me right in the eye and asked, "What's the big rush? Why couldn't this wait until tomorrow or even the day after?" Honestly, it’s funny how people react when you're trying to get things moving.
I ended up feeling a little caught off guard, so I just told her that I didn't really want to bore everyone with my health issues and that I was just looking to see a doctor. Her response? She basically told me, "Fine then, go stand outside and wait in line like everyone else. We don't have time for social cases like you here."

I honestly just lost my cool for a second there. I told her straight up that we were done talking—there was just nothing left to say between us. I let her know that if she wanted to continue this conversation, she’d have to go through her manager instead. At that point, I decided to be completely professional about it; I gave her my full name and asked her to do the same. I figured if I'm going to sit down and file a formal complaint later, I need her actual name on the paperwork so I can hold her accountable.

It was right around the end of my coffee break when things started getting weird. Most of the staff had already stood up to head back to their stations, but this one woman just sat there for a second before she completely lost it. She started screaming "Van!" at the top of her lungs, totally hysterical. I wasn't even inside the room—everything was happening right by the doorway—but I felt stuck. I couldn't exactly walk out while she was spiraling like that, and then, before I knew it, she just bolted out of the room and vanished. Honestly, who knows where she went.

It took about fifteen minutes of waiting before I finally made it to the front of the line and stepped into the exam room. To be honest, I couldn't quite tell if the doctor was an intern or not—she had that certain vibe about her—but hey, who am I to question the expertise of medical professionals?

So, an outpatient clinic basically looks like this: just a single room where a nurse and a doctor sit at a desk, facing one another. Patients—or whoever happens to be coming through those doors—just drift in and out pretty smoothly. It’s a very low-key, steady flow without any real chaos or fuss.

So, I just gave her the rundown on my symptoms and everything I’d tried to throw at them. Honestly, I'm a little embarrassed to admit it, but I ended up taking pretty much every cough suppressant and syrup we had sitting in the medicine cabinet at the time. I even went through an entire bottle of Albuterol. It wasn't until I hit that point—where nothing else was touching the congestion—that I finally realized I had to go see a doctor.
She just shot back at me with, "Look, if your Albuterol isn't doing the trick, you seriously need to head to the ER!" So I just looked her right in the eye and said, "Fine then, send me to the hospital." Honestly, I think she was hoping the mere mention of a hospital would spook me enough to make me run off and follow her advice, but that wasn't going to happen.

The nurse pointed me toward the exam table to have my lungs checked out. I actually hesitated for a second, mostly because I was thinking that before I started undressing, maybe one of the nurses would step out and lock the door or something—you know, just to stop the constant stream of people walking in and out. But apparently, stripping down right in front of a crowd is just business as usual for them.

The doctor pressed her stethoscope against my left shoulder blade—hardly more than three seconds—and then moved it right over my heart for about the same amount of time. She let out this big sigh and just told me, "Your lungs are as clear as a sunny day."
So, I was feeling pretty great, honestly—just telling her how much better everything felt! But then she asks me, "Well, if you're so good, why on earth are you coughing so much?" She actually suggested that maybe there might be fluid in my lungs. I just looked at her and said, "If my lungs were full of fluid, I don't think I'd feel this 'great,' would I? You'd definitely hear it." At that point, the poor woman just gave up. It was one of those moments where I realized she really didn't have a clue what she was talking about. She just stared at me and admitted, "I honestly don't know what's going on with you. This is strange, and I've truly never seen a case quite like this before." So, I decided to pivot and asked if it could possibly be some kind of allergy. That actually got her excited again, and she was all like, "Oh, absolutely, that's definitely a possibility!"

I realized there was just no point in arguing with someone who hasn’t dealt with a "situation" like this before, so I decided to stop engaging. Honestly, I've already spent way too much energy listening to nonsense!
She just grabbed a pen and started scribbling down prescriptions (I guess that's about the only thing she's actually good at).
So, I walked away with an antibiotic, an antihistamine, and an antitussive. At that point, if you'll excuse my language, I would have swallowed just about anything just to make the Cough stop so I could get one single night of peaceful sleep!

Another thing—after finally hunting down the number for the 24-hour pharmacy in San Diego on my phone (since neither the doctor nor the nurse had a clue), I drove all the way there, only to realize I had to drive right back to the clinic. The doctor completely forgot to electronically send over the prescriptions, and you can't pick up medication without valid orders.

To top it off, they billed me for an "extended consultation" at $8.00, even though a standard visit is only $4.00 per the price list. I have no idea what was so "extended" about my appointment, considering she didn't even bother to use a tongue depressor!

Don't get me wrong, I'm not trying to sound stingy. The actual cost isn't the issue—$8.50 is nothing when we're used to paying $16.00 elsewhere—it's more about the quality of the service I actually received!

In the end, surprise, surprise: none of those medications did a lick of good. The Cough just sort of "settled down" to a tolerable level on its own after about fifteen days.
I still have no clue what was wrong with me, and I probably never will.

This whole odyssey was a total nightmare for me. I really feel for anyone who needs a doctor in our "beautiful country." It's not even because of the illness itself, but because of all this bureaucratic nonsense and the blatant rip-offs that follow any visit to these medical facilities.
It’s so exhausting when you're already feeling sick, having to practically bow down to various nurses, doctors, and all that medical and administrative staff just to access basic healthcare!

Look, I get it. I know money is tight, the equipment is outdated, working conditions aren't great, and salaries are low. I hear all the excuses for why the service can't be "top-tier," but I also know that a kind word and a little empathy don't cost a dime, and they mean the world to someone who's suffering.
Betty Bennett10 Betty Bennett10 Active Member
92 messages
joined May 2005
#25 ·
Clea said:Yeah, they just go after extra fees for C-sections too, even when it isn't the patient's choice but a medical necessity... which is honestly pretty disgusting.👎

In America, "elective" C-sections aren't really a thing you can just request on demand.

As for emergency C-sections—I haven’t heard of anyone being charged extra for those, though I have heard stories about doctors claiming a delivery had to be surgical, only to suggest they might try a vaginal birth instead, just so they could eventually circle back to a C-section once the payment was processed.

That said, I tend to be pretty skeptical of these anecdotes I hear through the grapevine or from third-hand sources, mostly because I've realized how much people love to gossip about bribing doctors. I'm certainly not saying that corruption doesn't exist, but I suspect the reality where doctors demand cash and refuse service unless they're paid under the table is far less common than the rumors would lead you to believe.
copperridge912 copperridge912 Member
24 messages
joined Apr 2007
#26 ·
man, it’s all just so depressing... even though there are plenty of solid, top-tier doctors here in America..
Justin Gonzalez87 Justin Gonzalez87 Active Member
78 messages
joined May 2005
#27 ·
copperridge912 said:Honestly, it’s all pretty tragic—there are plenty of highly skilled, capable doctors in America...

They tend to burn out quickly, though.

Nicole Sanchez45, your post had me dying.😁
I don't think it's actually funny, but... I know exactly how that script plays out. 😁 Living in San Diego, most of them are just like that.
I deal with it on a regular basis.😢
Brandon Newman95 Brandon Newman95 Active Member
245 messages
joined Jun 2024
#28 ·
Nicole Sanchez45, I actually died laughing at your post. I mean, it’s not even funny, it’s just sad... but I know exactly how this plays out. I live in San Diego and most of them are exactly like that. It's a constant struggle.

Honestly, this sounds like one of the most typical situations you'll find in Florida. For these people, "office hours" basically don't exist. Sure, you might stumble upon a decent doctor once in a while, but the ones out in the rural areas? Even worse. It's the same story in Savannah and everywhere else. In Florida, if you want anyone to actually follow basic rules or show an ounce of discipline, you pretty much need to know someone on the inside just to get seen. 😢
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#29 ·
Honestly, I didn't even know whether to laugh or cry! For starters, before I moved away, I lived in Washington, D.C., and I’m just not used to being treated like that. On top of that, I have this nagging feeling that this kind of behavior is becoming the norm, mostly because everyone else standing in line ahead of me was just waiting there so obediently, like little sheep. It made absolutely no sense to me.

And what I truly can't wrap my head around is why these people (and I’m talking about the clinic in Bakersfield) act like they’re somehow superior or more powerful than everyone else just because they're doing their jobs. Is there really nobody sane enough to actually step up and tell them to get in line?

I just can't fathom it! If anyone ever put me in charge of that office, I swear I’d have them all behaving themselves within a month tops!

🙂
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#30 ·
Carol Grant33 said:They tend to burn out or act up pretty quickly....

Nicole Sanchez45, I was absolutely dying laughing at your post.😁
I don't know if it’s actually funny, though... I just know exactly how that script plays out. 😁 Living here in San Diego, I see this kind of behavior all the time.
I feel like I'm constantly having to stand my ground.😢

I hear you, Carol. My sister deals with the exact same thing over in San Diego and she tells me all about it! Honestly, you just have to fight those battles and claim your space. Once people finally figure out who you are, they usually back off and leave you alone. At the end of the day, we all need to show up to work on time and get things moving—you can always grab your coffee once you're actually at your station! And being kind? That doesn't cost a dime.

Every healthcare worker (and really, any regular person) loves walking into a shop or a hair salon and being greeted with a smile. Why can't they start acting that way too?😕
Casey Palmer5 Casey Palmer5 Regular
470 messages
joined Jan 2016
#31 ·
Nicole Sanchez45 said:Every healthcare worker (just like the rest of us mere mortals) loves walking into a store or sitting down at a hair salon and being greeted with a smile. So why can't they start acting the same way?😕

I always make sure to flash a smile, honestly... I just do.
Brian Martin9 Brian Martin9 Member
23 messages
joined Nov 2008
#32 ·
Casey Palmer5 said:I always just flash a smile, seriously, every single time.


Then, suddenly, everything's fine...
Just tell me where you work, and we're basically family.......hopefully it's not something like being an anatomy professor...
Terry Smith4 Terry Smith4 NewcomerOP
6 messages
joined Dec 2004
#33 ·
Rebecca Fox53 said:Well, if that's the case, then there's no issue at all...
Just let me know where you work, and we'll consider you one of our own... though I really hope it isn't something like anatomy...

😁 👍

Before all that, though, they really ought to fix the situation so that Casey Palmer5 gets paid based on actual revenue! Honestly, she shouldn't even have to deal with kickbacks.😉
copperridge912 copperridge912 Member
24 messages
joined Apr 2007
#34 ·
Casey Palmer5 said:I just put on a smile, I always do.

Then strike a pose, wrap up that paperwork ASAP, and boom—I'm headed your way.😁
shoo, shoo! get back to studying, what are you even doing online??😁 😁
placidjackal97 placidjackal97 Active Member
135 messages
joined May 2003
#35 ·
In America, there’s no such thing as a C-section chosen by the patient.

Actually, there is.

I know we’ve already gone down this rabbit hole—placidjackal97 chimed in saying she actually wanted one herself, and mentioned some women who go that route, plus a friend of hers who did something similar... I can't recall the exact details, but we've definitely covered this ground before.

Just putting it out there to show that elective C-sections happen—regardless of what people try to claim.
Betty Bennett10 Betty Bennett10 Active Member
92 messages
joined May 2005
#36 ·
placidjackal97, there isn't actually a legal way to go about this—what I mean is, there’s no mechanism for a decision to be made if the medical necessity isn't there. I can't just walk into a hospital and demand a C-section if there isn't a legitimate medical indication for it.

Maybe some people are getting them scheduled under the table (though, honestly, I can't wrap my head around why anyone would even want a C-section, but whatever)—but if they are, it follows that they're paying for it. If it's being done outside the standard protocols, it's essentially off the books, so it's hardly surprising that money changes hands.

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