美國骨科醫學會對歐巴瑪總統有關截肢醫療評論的聲明

[TC]

不曉得是什麼事, 有空再來仔細看. 好像是跟截肢有關的問題.

Statement from the American Academy of Orthopaedic Surgeons Regarding Comments from President Obama

The American Academy of Orthopaedic Surgeons (AAOS) is profoundly disappointed with President Obama’s recent comments regarding the value of surgery and blurring the realities of physician reimbursements. The AAOS represents over 17,000 US board-certified orthopaedic surgeons who provide essential services to patients every day. As President Obama has said, “Where we do disagree, let's disagree over things that are real, not these wild misrepresentations that bear no resemblance to anything that's actually been proposed.” In that spirit, we would like to bring some clarity to his comments and underscore the value that orthopaedic surgeons bring to Americans every day of every year.

First, surgeons are neither reimbursed by Medicare, nor any provider for that matter, for foot amputations at rates anywhere close to $50,000, $40,000 or even $30,000. Medicare reimbursements to physicians for foot amputations range from approximately $700 to $1200 which includes the follow up care the surgeon provides to the patient up to 90 days after the operation. Moreover, orthopaedic surgeons are actively involved in the preventive care he mentions. We are a specialty that focuses on limb preservation whenever possible and when it is in the best interests of the patient. Our approach to amputation follows the same careful, thoughtful approach, always with the patients best interest as the primary focus.

It is also a mischaracterization to suggest that physicians are reimbursed “immediately.” The AAOS itself, along with numerous other organizations, has testified in Congressional hearings investigating the delays in reimbursement by Medicare and other payers that create additional administrative burdens making it more difficult to provide access to care for patients.

As President Obama continues to pursue the health care reform agenda, we implore him to disengage from hyperbole and acknowledge that health care delivery can only be improved by recognizing that health care is a system in which orthopaedic surgeons play a crucial role. With $849 billion of our national economy impacted by musculoskeletal conditions, orthopaedic surgeons provide care that improves lives and puts people back to work. Pediatric orthopaedic surgeons provide life-altering care to our nation’s children and play an invaluable role in ensuring Medicaid patients have access to needed services. Military and civilian orthopaedic surgeons provide care to our service women and men which preserves limbs and has improved survival rates over past conflicts. Orthopaedic trauma surgeons perform limb- and life-saving procedures and help to ensure that our communities have the medical services that we all deserve. Total hip and knee replacement surgeries are now two of the most successful operations in medicine through a predictable reduction in pain, restoration of function, and return of patients to both work and activities of daily living. And we are working every day to ensure that medicine provides Americans with disabilities the quality of life to which they are entitled.

The AAOS is committed to improving the American health care delivery system and increasing health care coverage. The most expedient way to accomplish health care reform is to ensure that the debate is based in fact and reflects the value of the services that all physicians, including orthopaedic surgeons, provide.

# # #

Online: August 13, 2009

=========

可能是針對這段談話:

(Youtube) Obama: Doctors Choose Amputation Because Surgeons Get Paid More Than Physicians

[Nathant]

唉! 看看人家的學會多麼積極的維護醫師的專業形象與尊嚴
我們的全聯會真的要加油 !

(By the way，最近兒科醫學會在小李P帶領下做得不錯喔!)
(感謝小李P !!!)

[desktop]

只有小兒科 ,其他專科醫學會

[desktop]

電腦翻的


即時發布：
2009年8月13日

聯繫方式：
尼克皮翁泰克202-548-4143
勞倫皮爾遜847-384-4031

聲明來自美國科學院整形外科學會主席關於奧巴馬的評論

美國矯形外科醫生學院（美國骨外科學會）是深深的失望與奧巴馬總統最近提出的關於手術的價值和模糊的現實，醫生償還。 在美國骨外科學會代表了17,000美元委員會認證的矯形外科醫生誰提供必要的服務，每天為病人。 正如奧巴馬總統說，“如果我們不同意，讓我們不同意對事情是真實的，沒有這些野生歪曲的承擔任何相似的東西，實際上已提出。”本著這一精神，我們想帶來一些澄清對他的評論並強調的價值，帶來的矯形外科醫生每天美國人每年。

首先，外科醫生既不報銷醫療保險，也沒有提供這方面而言，為截肢任何地方的速度接近$ 50,000，$ 40,000，甚至30,000元。 醫療保險報銷的醫生為截肢的範圍從大約700美元到1200美元，包括後續治療的外科醫生向病人提供長達90天手術後。 此外，骨科醫生積極參與預防護理他提到。 我們是一個專業，專注於四肢盡可能保存，當它的最佳利益的病人。 我們的做法截肢遵循同樣的細心，周到的態度，始終與病人的最佳利益作為首要重點。

這也是錯誤描述表明醫生報銷“立即。”在美國骨外科學會本身，以及大量其他組織，已在國會聽證會上作證調查拖延報銷醫療保險和其他繳納人，創造額外的行政負擔，使之更加困難提供獲得照顧病人。

正如奧巴馬總統繼續推行醫療改革的議程，我們懇請他脫離誇張，承認醫護服務只能通過承認改善醫療服務是一種制度，使骨科醫生發揮了關鍵作用。 隨著849000000000美元我國國民經濟的影響，肌肉骨骼條件，矯形外科醫生提供護理，並提出改善人民生活恢復工作。 小兒骨科醫生提供改變生活的照顧，我們國家的兒童，發揮寶貴的作用，確保病人醫療補助獲得必要的服務。 軍事和文職人員的矯形外科醫生為我們提供護理服務，婦女和男子的保存肢體，提高了存活率比過去的衝突。 骨科創傷外科醫生進行肢體和救生程序，並幫助確保我們的社區醫療服務，我們都值得。 全髖關節和膝關節置換手術是目前兩個最成功的行動，通過在醫藥在可預見的減少疼痛，恢復功能，病人返回工作和日常生活活動。 我們每天都在確保藥品殘疾人提供美國人的生活質素它們有權。

在美國骨外科學會致力於改善美國的醫療保健服務系統，增加醫療保險。 最便捷的方式來完成醫療改革，是確保辯論的事實根據，而且反映了價值的服務，所有醫生，包括整形外科醫生提供。

＃＃＃

在線：2009年8月13日

[X-MAN]

Statement from the American Academy of Orthopaedic Surgeons Regarding Comments from President Obama

The American Academy of Orthopaedic Surgeons (AAOS) is profoundly disappointed with President Obama’s recent comments regarding the value of surgery and blurring the realities of physician reimbursements. The AAOS represents over 17,000 US board-certified orthopaedic surgeons who provide essential services to patients every day. As President Obama has said, “Where we do disagree, let's disagree over things that are real, not these wild misrepresentations that bear no resemblance to anything that's actually been proposed.” In that spirit, we would like to bring some clarity to his comments and underscore the value that orthopaedic surgeons bring to Americans every day of every year.
聲明來自美國科學院骨科外科學會主席關於奧巴馬的評論

美國美國骨外科學會對奧巴馬總統最近提出關於手術的價值和實際上醫生醫療給付事實失焦的評論深深的感到失望.美國骨外科學會代表了17,000每天為病人提供必要的服務的專科骨科外科醫生。正如奧巴馬總統說，“如果我們不同意，讓我們對真正的問題不同意,而不是對我們實際上已提出事情不具任何相似性做瘋狂扭曲錯誤的陳述。”本著這一精神，我們想對他的評論與低估骨科外科醫生對國人一年中每天帶來的價值做一些澄清。


First, surgeons are neither reimbursed by Medicare, nor any provider for that matter, for foot amputations at rates anywhere close to $50,000, $40,000 or even $30,000. Medicare reimbursements to physicians for foot amputations range from approximately $700 to $1200 which includes the follow up care the surgeon provides to the patient up to 90 days after the operation. Moreover, orthopaedic surgeons are actively involved in the preventive care he mentions. We are a specialty that focuses on limb preservation whenever possible and when it is in the best interests of the patient. Our approach to amputation follows the same careful, thoughtful approach, always with the patients best interest as the primary focus.
首先，外科醫生既未從政府的老人醫療保險獲得償付，也沒有從任何保險者為同類事件獲得償付，譬如腳的截肢任何地方的費用接近$ 50,000，$ 40,000，甚至30,000元。 政府的老人醫療保險支付醫生的範圍從大約700美元到1200美元，還包括外科醫生向病人提供長達90天手術後續治療。 此外，骨科醫生積極參與總統提到的預防照護。 我們是一個當對病人最佳利益時，專注於盡可能保存病人肢體的專業。 我們的處理截肢遵循同樣的細心，周詳的態度，始終與病人的最佳利益作為首要重點。


It is also a mischaracterization to suggest that physicians are reimbursed “immediately.” The AAOS itself, along with numerous other organizations, has testified in Congressional hearings investigating the delays in reimbursement by Medicare and other payers that create additional administrative burdens making it more difficult to provide access to care for patients.
讓人聯想醫生“立即”獲得醫療給付這是錯誤描述.美國骨外科學會本身，以及其他非常多的組織團體，已在國會聽證會上關於政府老人醫療保險和其他保險支付者拖延醫療給付，製造額外的行政負擔，使的提供照顧病機會加困難,的調查作證.


As President Obama continues to pursue the health care reform agenda, we implore him to disengage from hyperbole and acknowledge that health care delivery can only be improved by recognizing that health care is a system in which orthopaedic surgeons play a crucial role. With $849 billion of our national economy impacted by musculoskeletal conditions, orthopaedic surgeons provide care that improves lives and puts people back to work. Pediatric orthopaedic surgeons provide life-altering care to our nation’s children and play an invaluable role in ensuring Medicaid patients have access to needed services. Military and civilian orthopaedic surgeons provide care to our service women and men which preserves limbs and has improved survival rates over past conflicts. Orthopaedic trauma surgeons perform limb- and life-saving procedures and help to ensure that our communities have the medical services that we all deserve. Total hip and knee replacement surgeries are now two of the most successful operations in medicine through a predictable reduction in pain, restoration of function, and return of patients to both work and activities of daily living. And we are working every day to ensure that medicine provides Americans with disabilities the quality of life to which they are entitled.
當奧巴馬總統繼續說服推行醫療改革議程，我們懇請他脫離誇張，承認骨科醫生在醫療服務制度裏扮演了關鍵角色才能改善這個制度。在肌肉骨骼疾病帶來8490億美元經濟的影響裏，骨科外科醫生提供醫療服務，改善人民生活讓病人回到工作崗位。小兒骨科醫生提供國人小孩改變生活的照顧，並且在確保低收入病人醫療保險病患獲得必要的服務上發揮無價的角色。在過去的軍事衝突中 軍方和一般平民的骨科外科醫生為我們無論男女軍職人員提供服務，保存他們肢體，提高他們存活率。 骨科創傷外科醫生執行肢體和救命的手術，並幫助確保我們的社區人民應享有的醫療服務。在醫學上全髖關節和膝關節置換手術經由減少可預見的疼痛，恢復功能,返回工作和日常生活活動是目前兩個最成功的手術。 我們每天都在工作以確保醫學提供身障國人應該擁有的有品質的生活。



The AAOS is committed to improving the American health care delivery system and increasing health care coverage. The most expedient way to accomplish health care reform is to ensure that the debate is based in fact and reflects the value of the services that all physicians, including orthopaedic surgeons, provide.
在美國骨外科學會致力於改善美國的醫療保健服務系統，增加醫療保險照顧層面。最便捷的方式來完成醫療改革，是確保辯論建立於事實基礎，而且反映包括骨科外科醫生在內的所有醫生提供服務的價值。

# # #

[Ocean]

有guts的談錢
談醫師們對國家社會的貢獻
為民眾做了多少事
就是面對總統
也是振振有詞
這就是令人讚賞的醫師團體
是團結一致的表達會員的立場

[dr. monaludau]

只有小兒科 ,其他專科醫學會

???????? do nothing, so may be we asssocaite a new socialty .It calll do somthing

[xkuk]

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