FW: Re: [OANDP-L] Medicare rip off ,
BA Alg
Description
Collection
Title:
FW: Re: [OANDP-L] Medicare rip off ,
Creator:
BA Alg
Date:
10/12/2006
Text:
I appreciate the comments made by Tony Barr and Phillipe and would like to
comment as a practitioner from a licensure state. I believe in
accountability, standards of practice and even licensure, but when the state
does not enforce licensure, the results are undesireable.
The recurring licensure costs exceed $1000 ($1300 this year due to budget
deficits within the O&P Board). In addition, there are state mandatory
ongoing educational requirements which are expensive (tuition and travel
costs). Yet the unlicensed practitioners bear none of these costs and seem
to appropriate the funds to adverstising.
During June, 2006, a colleague from Jacksonville stood at a MANDATORY state
educational meeting about, ironically rules and laws, medical errors, and
HIV prevention (cost: >$600.00), turned his back to the podium where a state
regulatory board representative stood, faced the crowd of almost 1/3 of the
state's licensed practitioners and declared, Let's all drop our licenses!
Why do we need this expense? The state will obviously do nothing to us if
we are unlicensed! These comments followed a discussion by the room
demanding accountability from the O&P Board regarding why there are so many
practitioners without any any certifications providing products and some
certified professionals practicing way out of their scope of practice and
almost no efforts at all by the state's unlicensed activity unit. (The O&P
Board rep admitted there were a pitiful 11 cease and desist orders sent
throughout the state the previous year with no followup whatsoever. )
Nobody in the room disagreed with my colleague from across the state. And
the O & P Board representative at the podium looked very pale, but had no
significant response.
So, we need to ask ourselves. What will licensure accomplish? Will it
protect the citizens of the state from substandard care and practice? Will
it elevate our profession? Or will it simply fund salaries of lethargic
state workers at great costs to individual licensed practitioners?
Regards,
BethAnne Algie, RN, C-Ped, L-Ped
>From: Tony Barr < <Email Address Redacted> >
>Reply-To: Tony Barr < <Email Address Redacted> >
>To: <Email Address Redacted>
>Subject: Re: [OANDP-L] Medicare rip off ,
>Date: Wed, 11 Oct 2006 10:18:09 -0400
>
>Phillipe ,
>
>You are being forthright and honest.
>
>Those that state your comments were unprofessional hang on to the theory
>of being wanna be legitimate healthcare professionals.
>
>Heavens, lets not imply that some of your colleagues maybe incompetent and
>delivering less than satifactory services!!
>
>As long as your O&P field remains unlicensed its not a legitimate health
>care 'profession'.
>
>Yeah, we continue to beat the licensure drum but and we average adding one
>state a year to the states that have been regulated since 1995.
>
>The truth is that many don't want the accountability and oversight of state
>regulation and both credentialing association do neither.
>
>Both of your critics are in unregulated states, California and Penn, and
>seek or have legislated parity laws to force the state to make insurance
>carriers pay even more unqualified providers. Look at their certification
>#s and you can determine if they were required to have the requirements of
>today's certification.
>
>Most likely they were mailed their ABC cerificate upon paying a fee if the
>credential are numberd under 00600.
>Ask if they wear multiple hats as providers and manufacturer.
>
>When you make statements as to the shortcomings of qualifications of some
>providers work ,that, in my opinion, is healthy to the industry, some
>including Mr. Hime's and Mr. Hammontree's do not want to recognize the fact
>that there are some incompetent providers out there. Sad but true they see
>no reason for reform although both of them and all of them and you have
>seen some of this crap delivered by your 'profession'..
>
>
>Can you blame Medicare and third party payers from pulling back coverage's
>when providers in approx 39 states are not even required to have a
>meaningless and optional credential let alone any accountability or
>oversight of the faulty workmanship you have pointed out.
>
>Every provider is aware of the stuff that is being made out there by some
>providers.They have seen it and laughed but not not gotten angry to expose
>it or do anything about it ?
>
>We need folks like you to expose the fact that your field is infiltrated by
>many incompetent, untrained providers, who are insulated from any
>accountability and oversight by requirements of optional educational
>requirements,qualifications and accrediadations.
>
>I think its healthy for folks to point out shortcomings in any field
>,including in this self destructing and for the most part unregulated one.
>
>I respect your point of view and so should your critics.Your certificate
>wasn't mailed to you simply by paying a fee.
>
>Anthony T. Barr
>President
>Barr Foundation
>www.oandp.com/barr
>www.ErtlReconstruction.com
>
>-----Original Message-----
>From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
>Behalf Of Phillipe Cartaya CPO
>Sent: Friday, October 06, 2006 4:17 PM
>To: <Email Address Redacted>
>Subject: [OANDP-L] Medicare rip off ,
>
> I find it interesting that some find my post unprofessional, yet don't
>comment on the indecent. Would it be unprofessional if I said the same
>thing
>to you at one of our meetings? I write like I would speak, I've been in
>this
>field to long to put on a front while sharing things with those on the
>listserve. I think it might bother some that others not in our field might
>be reading this. Like someone said integrity is something you have or
>don't.
>We all see things like this , why should we ignore what the few are doing
>to
>screw it up for everyone else. I wonder if the patient I have who's poorly
>made socket has been cutting into him for 10 months, or whose totally
>inappropriate computer knee and ceterus foot weigh so much that he DRAGS
>his
>prostheses around is concerned that I sound professional . I'm sure he
>would be much happier in his situation if his old prosthetist had only had
>a
>professional bedside manner. People like those, who are sincere and
>honest with them wi!
> th our any fony fronts, who feel that there provider is SINCERELY
>interested in their well being, and helping them resume a normal life.
>Good
>bedside manner isn't something some of us have to study or even think about
>before meeting a new patient. If they going away feeling they just met a
>down to earth fellow who seems to really care about them , Ive done not
>just
>my job as a professional but as a human being. Phillipe Cartaya CPO
>________________________________________________________________________
>
>
comment as a practitioner from a licensure state. I believe in
accountability, standards of practice and even licensure, but when the state
does not enforce licensure, the results are undesireable.
The recurring licensure costs exceed $1000 ($1300 this year due to budget
deficits within the O&P Board). In addition, there are state mandatory
ongoing educational requirements which are expensive (tuition and travel
costs). Yet the unlicensed practitioners bear none of these costs and seem
to appropriate the funds to adverstising.
During June, 2006, a colleague from Jacksonville stood at a MANDATORY state
educational meeting about, ironically rules and laws, medical errors, and
HIV prevention (cost: >$600.00), turned his back to the podium where a state
regulatory board representative stood, faced the crowd of almost 1/3 of the
state's licensed practitioners and declared, Let's all drop our licenses!
Why do we need this expense? The state will obviously do nothing to us if
we are unlicensed! These comments followed a discussion by the room
demanding accountability from the O&P Board regarding why there are so many
practitioners without any any certifications providing products and some
certified professionals practicing way out of their scope of practice and
almost no efforts at all by the state's unlicensed activity unit. (The O&P
Board rep admitted there were a pitiful 11 cease and desist orders sent
throughout the state the previous year with no followup whatsoever. )
Nobody in the room disagreed with my colleague from across the state. And
the O & P Board representative at the podium looked very pale, but had no
significant response.
So, we need to ask ourselves. What will licensure accomplish? Will it
protect the citizens of the state from substandard care and practice? Will
it elevate our profession? Or will it simply fund salaries of lethargic
state workers at great costs to individual licensed practitioners?
Regards,
BethAnne Algie, RN, C-Ped, L-Ped
>From: Tony Barr < <Email Address Redacted> >
>Reply-To: Tony Barr < <Email Address Redacted> >
>To: <Email Address Redacted>
>Subject: Re: [OANDP-L] Medicare rip off ,
>Date: Wed, 11 Oct 2006 10:18:09 -0400
>
>Phillipe ,
>
>You are being forthright and honest.
>
>Those that state your comments were unprofessional hang on to the theory
>of being wanna be legitimate healthcare professionals.
>
>Heavens, lets not imply that some of your colleagues maybe incompetent and
>delivering less than satifactory services!!
>
>As long as your O&P field remains unlicensed its not a legitimate health
>care 'profession'.
>
>Yeah, we continue to beat the licensure drum but and we average adding one
>state a year to the states that have been regulated since 1995.
>
>The truth is that many don't want the accountability and oversight of state
>regulation and both credentialing association do neither.
>
>Both of your critics are in unregulated states, California and Penn, and
>seek or have legislated parity laws to force the state to make insurance
>carriers pay even more unqualified providers. Look at their certification
>#s and you can determine if they were required to have the requirements of
>today's certification.
>
>Most likely they were mailed their ABC cerificate upon paying a fee if the
>credential are numberd under 00600.
>Ask if they wear multiple hats as providers and manufacturer.
>
>When you make statements as to the shortcomings of qualifications of some
>providers work ,that, in my opinion, is healthy to the industry, some
>including Mr. Hime's and Mr. Hammontree's do not want to recognize the fact
>that there are some incompetent providers out there. Sad but true they see
>no reason for reform although both of them and all of them and you have
>seen some of this crap delivered by your 'profession'..
>
>
>Can you blame Medicare and third party payers from pulling back coverage's
>when providers in approx 39 states are not even required to have a
>meaningless and optional credential let alone any accountability or
>oversight of the faulty workmanship you have pointed out.
>
>Every provider is aware of the stuff that is being made out there by some
>providers.They have seen it and laughed but not not gotten angry to expose
>it or do anything about it ?
>
>We need folks like you to expose the fact that your field is infiltrated by
>many incompetent, untrained providers, who are insulated from any
>accountability and oversight by requirements of optional educational
>requirements,qualifications and accrediadations.
>
>I think its healthy for folks to point out shortcomings in any field
>,including in this self destructing and for the most part unregulated one.
>
>I respect your point of view and so should your critics.Your certificate
>wasn't mailed to you simply by paying a fee.
>
>Anthony T. Barr
>President
>Barr Foundation
>www.oandp.com/barr
>www.ErtlReconstruction.com
>
>-----Original Message-----
>From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
>Behalf Of Phillipe Cartaya CPO
>Sent: Friday, October 06, 2006 4:17 PM
>To: <Email Address Redacted>
>Subject: [OANDP-L] Medicare rip off ,
>
> I find it interesting that some find my post unprofessional, yet don't
>comment on the indecent. Would it be unprofessional if I said the same
>thing
>to you at one of our meetings? I write like I would speak, I've been in
>this
>field to long to put on a front while sharing things with those on the
>listserve. I think it might bother some that others not in our field might
>be reading this. Like someone said integrity is something you have or
>don't.
>We all see things like this , why should we ignore what the few are doing
>to
>screw it up for everyone else. I wonder if the patient I have who's poorly
>made socket has been cutting into him for 10 months, or whose totally
>inappropriate computer knee and ceterus foot weigh so much that he DRAGS
>his
>prostheses around is concerned that I sound professional . I'm sure he
>would be much happier in his situation if his old prosthetist had only had
>a
>professional bedside manner. People like those, who are sincere and
>honest with them wi!
> th our any fony fronts, who feel that there provider is SINCERELY
>interested in their well being, and helping them resume a normal life.
>Good
>bedside manner isn't something some of us have to study or even think about
>before meeting a new patient. If they going away feeling they just met a
>down to earth fellow who seems to really care about them , Ive done not
>just
>my job as a professional but as a human being. Phillipe Cartaya CPO
>________________________________________________________________________
>
>
Citation
BA Alg, “FW: Re: [OANDP-L] Medicare rip off ,,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/227428.
