Paperwork is the scourge of education and medicine

Corrie Scoenberg, Kanwe Wyatt, and Ruth Farfel of the Fund for Educational Excellence provide readers of The Baltimore Sun with an insight into the administrative burden placed on teachers during times of teacher shortages and how accountability requirements are changing nationally. teacher burnout (“Keep Helps Valuable Teachers By Reducing Paperwork” Nov. 3)

I am not a teacher, but kudos to the letter writer for dealing with the unnecessary paperwork that is a big problem for teachers. I endorse their letter, saying that despair was enough to make me stop taking drugs.

I am a doctor. It could be argued that documentation requirements push physicians to the brink of burnout and distraction. Insurance companies pretending to be doctors, withholding essential medicines or procedures from patients, requiring patients to fill out pre-approval forms online about why they need certain medicines, and asking patients to avoid procedures or without medicines. for months and weeks of suffering, leading to appeals.

Medicare Advantage runs chart reviews to sift through diagnostic codes from doctors’ notes and charges Medicare’s exorbitant amounts for each code, while doing little for the knowledge gleaned from taking notes. Paying doctors for nothing or punishing doctors for not cooperating with insurance companies on fishing expeditions chart.

For insurance plans with high deductibles and high copayments, to record missed procedures and laboratory tests not ordered and to remind doctors that they are not following the standard of care. Create a review They do this without considering the fact that those who cannot afford the tests will not go if the costs of these tests and procedures have to be paid for by the patient.

Medicine has degraded from being an intellectual subject to an ignorant martial arts match between doctors and insurance companies, who also referee the matches. Doctors and their secretaries and nurses are betrayed and unbelievable by terrible websites and phone systems, unavailable operators, and endless loops of torturous music awaiting answers from insurance workers in India and the Philippines. hours.

I ask which of these are sane and improve patient care and medical outcomes. Others who call themselves ‘experts’ seem to be accountable to no one but themselves. It’s time for Congress to look into this purulent system, excise it, and replace it with single-payer universal health care. I don’t think Congress has the moral compass to do so.

For-profit private health insurance companies have Congress in their pockets. Congress wants doctors to be scrutinized for luncheons and other goodies they receive from Big Pharma so that medical decisions aren’t compromised by bribery and corruption, but Congress doesn’t agree on this point. And the U.S. Supreme Court has taken the position that dark money from donors to members of Congress is free speech. Thus, private for-profit health insurers and big pharmaceutical companies laughed all the way to the bank over the heads of doctors, nurses, patients, etc. in the trenches, and even while they Repress and demand piles of paperwork.

— Usha Nellore, Bel Air

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