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Comment by jnardiello | Hacker News Reader

From the Oscar front page: "Free doctor visits via phone". WTF is this? How can a doctor visit by phone? All this story is just a smell on how deeply broken the entire US health system is (together with all the healthcare-systems of 3rd world countries).

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This was part of the coverage I had with QLiance in Seattle. I could send an e-mail or call my doctor on the phone and get a prompt response.

At one point we went from "noticed problem" to "discussed via e-mail" to "at the clinic being treated" in an hour. Other times, we'd notice a problem and solve it entirely via e-mail or phone, and save the clinic visit entirely.

I could see this being really useful. There are many times I have needed questions answered by the doctor (e.g. I've been diagnosed with x - can I still do y safely) and the only way is with an appointment which wastes both our time. I wish my local GP would set aside 1 hour per day to answers questions via email or phone. It would make things much more efficient.

The issue with that, is there's no good way for the doctor to get paid for doing it. Prior to 2009 there was no billing code for phone calls or email and currently the rules around what is a "billable" consultation are complex and the coverage by insurers is far from uniform.

More info here: http://patients.about.com/od/followthemoney/f/Why-Doctors-Wo...

I was thinking more about my own healthcare system where the government pays the doctor. So his salary would just stay the same. In the US or other systems like it I can see how that would be an issue.

well use something like the UK model where dr's can have both a NHS contract plus private patients.

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