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Old 05-26-2011, 07:59 AM
 
593 posts, read 1,315,032 times
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Quote:
Originally Posted by Mathguy View Post
Good point, let me explain.

Fair discrimination is NOT illegal. You can refuse service to someone without a shirt, you can charge them for two seats if they fill two seats, you can charge male drivers higher rates for auto insurance and you can refuse someone a loan based upon their FICO score or refuse them a spot in the military for their age.....the list goes on and on and on.

So, a doctor in THIS instance is refusing care to obese women for medical risk....there are even doctors that SPECIALIZE in high risk pregnancies and as such if you are obese, 50 years old or have certain medical conditions a standard OBGYN may not want to treat you.

The doctor isn't saying, I don't like fatties so I'm not going to treat your poison ivy.
I agree, except with Fair...
the law only includes discrimination is: Hotels, Motels, Rest. and public services. No more.
Since a private doctor is not in the very very short list, any type of discrimination is allow, (we are not talking about employment, which is a different law).
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Old 05-26-2011, 08:07 AM
 
Location: Toledo
3,860 posts, read 8,449,979 times
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Quote:
Originally Posted by Mathguy View Post
Key word....SPECIALIST. Heck, they refer specifically to this in the modern hypocratic oath someone just linked to. It encourages you to let someone more specialized or expert treat the patient.

Additionally, if it's a basic straightforward broken arm....even a new doctor could set it. If you have a shattered femur you probably want a guy that has done a whole bunch of those. It's no different than any other profession where the trickier stuff gets dealt with by the most experienced people.
Yeah but the OB/Gyn is a specialist and if an obese woman has no plans on getting pregnant it makes no sense to send her to a OB/Gyn that specializes in high risk pregnancies. I can understand not wanting to treat high risk pregnancies, my problem is that they won't see obese woman even if it's for a routine pap smear.

But this is south Florida we're talking about. The botched plastic surgery capital of the U.S.
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Old 05-26-2011, 08:12 AM
 
78,339 posts, read 60,527,398 times
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Quote:
Originally Posted by yayoi View Post
Yeah but the OB/Gyn is a specialist and if an obese woman has no plans on getting pregnant it makes no sense to send her to a OB/Gyn that specializes in high risk pregnancies.
The article itself mentioned these women being "high risk" so I'm going with thier own definition. Perhaps their choice of words is poor (the article is a bit of a hack job) but it's what I have to work with.

There are "specialists" even within the OB/GYN field that deal predominantly with high risk pregnancy is all I'm trying to say on that point.
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Old 05-26-2011, 08:16 AM
 
78,339 posts, read 60,527,398 times
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Quote:
Originally Posted by infiri View Post
I agree, except with Fair...
the law only includes discrimination is: Hotels, Motels, Rest. and public services. No more.
Since a private doctor is not in the very very short list, any type of discrimination is allow, (we are not talking about employment, which is a different law).
I'm trying to understand your point the way it was written so forgive me if we are miscommunicating.

However, there are other ways you can have discrimination and FAIR vs. UNFAIR discrimination are important topics in a number of private enterprises not included on your list. Insurance in particular springs to mind. (Google "redlining")
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Old 05-26-2011, 08:49 AM
 
Location: Baltimore, MD
5,327 posts, read 6,012,751 times
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Quote:
Originally Posted by infiri View Post
I agree, except with Fair...
the law only includes discrimination is: Hotels, Motels, Rest. and public services. No more.
Since a private doctor is not in the very very short list, any type of discrimination is allow, (we are not talking about employment, which is a different law).
Not that simple. For example, if the medical practice accepts federal funds, i.e., medical assistance and/or medicare, it is subject to Title VI of the Civil Rights Act of 1964. If the practice is subject to Title VI (and I don't know of one medical practice that does not accept ANY federal funds) the issue then becomes whether obesity is in one of the protected classes. It is not.

Also, even if the discrimination is legal under Federal Law, a determination as to its legality must also be made under State and Local laws which frequently provide greater protection for specific groups than Federal Law.
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Old 05-26-2011, 10:02 AM
 
593 posts, read 1,315,032 times
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Quote:
Originally Posted by Mathguy View Post
I'm trying to understand your point the way it was written so forgive me if we are miscommunicating.

However, there are other ways you can have discrimination and FAIR vs. UNFAIR discrimination are important topics in a number of private enterprises not included on your list. Insurance in particular springs to mind. (Google "redlining")
Insurance yes, that is a good example, and this is because of others laws.
but currently there is not law for medical offices, clinics..
there are laws for hospital where they cant reject PT.
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Old 05-26-2011, 10:11 AM
 
593 posts, read 1,315,032 times
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Quote:
Originally Posted by lenora View Post
Not that simple. For example, if the medical practice accepts federal funds, i.e., medical assistance and/or medicare, it is subject to Title VI of the Civil Rights Act of 1964. If the practice is subject to Title VI (and I don't know of one medical practice that does not accept ANY federal funds) the issue then becomes whether obesity is in one of the protected classes. It is not.

Also, even if the discrimination is legal under Federal Law, a determination as to its legality must also be made under State and Local laws which frequently provide greater protection for specific groups than Federal Law.
No, only hospitals get funding, and that is why they have to take you... also community health clinics. but accepting medicare/id, is not accepting funds.
What medical assistance are you talking about?
A private office that accepts patients for medicare or medicaid are not subject of title VI...

Here you have the evidence:

Federal agency administering a program of Federal financial assistance by way of grant, contract, or loan.

Private office dont get grants, or contract or any loans from the federal gov. Only non-profit community health clinic and hospitals.
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Old 05-26-2011, 10:18 AM
 
78,339 posts, read 60,527,398 times
Reputation: 49626
Quote:
Originally Posted by infiri View Post
Insurance yes, that is a good example, and this is because of others laws.
but currently there is not law for medical offices, clinics..
there are laws for hospital where they cant reject PT.
Ok, got it. Thanks for clarifying.
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Old 05-26-2011, 10:34 AM
 
7,099 posts, read 27,175,023 times
Reputation: 7452
The next time you go into a exam room, look at the width of the examing table.

Now, imagine the behind of some of these obese women on that table.

The bottom line is that MOST of them ( not all, some do have problems,) lack the personal responsibility to control themselves. And that type of person, pregnant or not, male or female, does not make a good patient. They seldom do what's best for their bodies. There is a limit to what a doctor can do if the patient does not take the primary responsibity for proper care.
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Old 05-26-2011, 10:40 AM
 
Location: Toledo
3,860 posts, read 8,449,979 times
Reputation: 3733
Quote:
Originally Posted by Padgett2 View Post
The next time you go into a exam room, look at the width of the examing table.

Now, imagine the behind of some of these obese women on that table.

The bottom line is that MOST of them ( not all, some do have problems,) lack the personal responsibility to control themselves. And that type of person, pregnant or not, male or female, does not make a good patient. They seldom do what's best for their bodies. There is a limit to what a doctor can do if the patient does not take the primary responsibity for proper care.
Yes they lack the personal responsibility to control their diets. This doesn't mean that they will be non-compliant in other areas concerning their health.
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