RESUMO
Both physicians and patients are becoming increasingly frustrated with the decreasing flexibility of our health-care system. Forty-one million citizens remain uninsured while ill patients in managed-care plans find themselves subject to bureaucratic hurdles in attempting to obtain necessary care. Rather than relying on the market place to provide affordable insurance to patients, physicians should embrace single-payer catastrophic coverage. A government insurance program should be enacted that covers all medical bills that exceed a $15,000 deductible annually for families and a $10,000 deductible annually for individuals. Patients could then purchase plans through the private sector to cover these deductibles. While such a plan would require a tax increase, premiums would decrease, health insurance would become more affordable to low wage earners, and more treatment decisions would be made by physicians and patients.
Assuntos
Reforma dos Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde , Seguro Médico Ampliado/economia , Programas de Assistência Gerenciada/economia , Sistema de Fonte Pagadora Única/economia , Connecticut , Custos de Cuidados de Saúde , Humanos , Reembolso de Seguro de Saúde/economia , Reembolso de Seguro de Saúde/normas , Seguro Médico Ampliado/normasRESUMO
Hyphema resulting from a laser iridotomy (iridectomy) occurred in a patient with chronic subclinical angle closure glaucoma. This complication has been described previously in patients with rubeosis iridis and uveitis and in patients receiving anticoagulant drugs, but to our knowledge, this is the first report of a hyphema resulting from a laser iridotomy in a patient having no known predisposing pathological condition, either ocular of systemic, While no complications of hyphema were encountered in this patient, we recommend that this rare complication be kept in mind whenever a laser iridotomy is contemplated.
