Page 12/The Battalion/Tuesday, September 29, 1987
HMOs
(Continued from page 1)
For those who regularly need
medical attention, however, an
HMO usually can offer better ad
vantages than an independent phy
sician, he said.
“Certainly,” he said, “if you have
a lot of medical bills, a lot of sick
kids, you’re having to go to the doc
tor every month, you’ve got a pre
existing medical condition, then
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13
maybe an HMO is worth it, espe
cially if the type of care you need is
provided by the local providers in
the HMO.
“I realize that to a lot of people
on a marginal income, that’s really
important, and I wouldn’t fault
them a bit.”
Almost all routine medical care is
covered by HMOs, Gay said, in
cluding eye and hearing exams,
outpatient surgery, intermittent
home health care, post-natal care
and drug-abuse treatment.
Instead of the patients’ paying
for separate office visits for each
medical need, every service is in
cluded and available in the HMO,
Gay said.
Regardless of HMO benefits,
though, Doss said some of the per
sonal interaction with a family phy
sician may be lost if a patient goes to
an HMO.
“Most of these (independent)
docs have a fairly independent spi
rit,” he said.“They had confidence
in themselves, they were able to go
to a community and set up their
practice by themselves — they’ve
made it by themselves.
“They are not employees of a
large group where they’re working
nine to five.
“Their interests are the patients’
interests, and if they don’t come
across that way to their patients,
they know without any doubt in
their mind that that patient has a
right to, and will, without anyquei
tion, go to another physician.”
But Gay said HMO clients at
shop around for a physician the
like.They are not restricted to tht
doctor they first choose and may go
to another at any time, he said
^83Ma:
“HMOs don’t practice the ‘meai
market’ approach to medicine,
Gay said.“We encourage each fam
ily member to choose his own per
sonal physician.”
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Tuesday from
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Rep
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