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Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review May 22, 2006 / 24 Iyar, 5766

Hunting for a Medicare doctor

By Jan L. Warner & Jan Collins


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http://www.JewishWorldReview.com | Q: My mother has been disabled and receiving Social Security Disability payments for the past 15 years due to chronic psychiatric problems. She has not worked since she was 33. She is now 59 and divorced because Dad took all he could while we were growing up and decided that "enough is enough." This left Mom's care to my brother and me — mostly to me. Here is the problem:


Mom takes seven different prescriptions every day to treat her various physical and mental health conditions. When she gets off her medications (as she sometimes does), she becomes very verbally abusive and violent, and she has been committed three times in the past four years to a psychiatric ward for self-abuse.


She has seen the same physician and psychiatrist for years and, although there have been tiffs, these relationships have withstood her being difficult — until last month when she threw her urine sample at the wall, splattering urine all over the office. When her doctor told her he would no longer treat her, she became so aggressive that the police were summoned to take her out.


I tried in vain to convince the doctor to let her back into his practice, but he refused and told me to pick up her records. Since then, I have taken time off from work to try to help Mom find another doctor who would accept Medicare, but have fallen flat. It is now time for her prescriptions to be refilled, but there is no doctor to refill them. Her former doctor still refuses to take her back. How can I get her treatment, and why is it that the number of doctors who accept Medicare is dwindling?


A: You have two questions here, the first being what responsibility her doctor owed to your mother, and the second being why finding physicians who still take Medicare is so difficult.


First, once a doctor treats a patient, he or she is legally and ethically duty bound to provide treatment unless the relationship breaks down due to the patient becoming uncooperative and/or hostile to the physician and/or staff.


Because of potential claims of "abandonment" by the patient — that is, firing a patient at an unreasonable time without giving the patient a chance to get a qualified substitute doctor that results in injury to the patient — doctors generally give the patient written notice of termination, an explanation of the reasons for termination, and access to services for a reasonable period of time, such as 30 days, to allow a patient to get care from another physician. The doctor also transfers the patient's records to the new physician after receiving signed authorization.

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Second, the number of family doctors who no longer accept new patients on Medicare has been rising by double digits for years due to reductions in Medicare reimbursements that make it impossible for doctors to cover the cost of health services provided to seniors. In addition to making care harder to find — as your mother now knows — cuts in Medicare will hasten a crisis for the seniors of the future as the baby boomers reach retirement age. Unfortunately, the group hardest hit — the seniors and disabled — is the one most ignored by Congress, until it's time to get out the vote.


Taking the NextStep: Keeping a relationship with your family doctor or internist is essential, even if it hurts, because finding a replacement may be most difficult.

Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

JAN L. WARNER received his A.B. and J.D. degrees from the University of South Carolina and earned a Master of Legal Letters (L.L.M.) in Taxation from the Emory University School of Law in Atlanta, Georgia. He is a frequent lecturer at legal education and public information programs throughout the United States. His articles have been published in national and state legal publications. Jan Collins began co-authoring Flying Solo in 1989. She has more than 27 years of experience as a journalist, writer, and editor. To comment or ask a question, please click here.

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