Throwaway05
12hr ago
Your citation is from 1991 - even with an atypical forum such as this one....most of our posters didn't exist at that time.
This is one of the central problems of complaints like yours, the lobbying activity of the AMA that people get frustrated about was something that occurred in their parents time, or their parent's parents.
That system is dead. Private practice is dead in most specialties. Physicians don't bill, the people who own the work of the physicians bill and make decisions.
You are misattributing blame.
Speaking of which, from your own citation -
"Opposing forces varied from state to state and included hospital and medical associations, physicians, chiropractors, and physical therapists."
If the AMA is the villain can you explain why doctors, physical therapists, and even fucking chiropractors were on the same side of the lobbying?
Throwaway05
19hr ago
Weird, could have sworn I double checked and didn't see anything about the timelessness in your original post. shrug
That doesn't address the substance of my complaint, however.
Throwaway05
19hr ago
So I stand by what I said - in many states it is illegal to see a PT indefinitely without seeing a doctor.
That's extremely different from what you said before - seeing a PT for initial evaluation and treatment is not the same as seeing a PT indefinitely without further evaluation (such as things like imaging).
One of the purposes of that sort of restriction is to prevent scams where a PT just bills insurance without doing anything.
One of the reasons I can be reliably summoned this way is because the complaint is essentially baseless slander that does not acknowledge the possibility of other sensible explanations or the reality that the situation has changed in healthcare has changed. I am therefore (reasonably I think?) frustrated.
Conspiratorial posts about the AMA have low predictive value and create uncertainty for legitimately information seeking third parties like OP.
Throwaway05
1d ago
As per your link the restrictions include things like:
"A therapist who has more than one year of experience supervises any therapists licensed for less than one year."
And:
"The therapist thinks the care is within his or her scope. If a therapist thinks the care is outside of his or her scope, he or she must refer the patient to an appropriate healthcare provider."
How are these unreasonable?
Insurance is more likely to prove a barrier.
Throwaway05
1d ago
My usual recommendation for this kind of thing is to look for stuff you can pirate that US grads are using. Most US speciality boards have at least on killer app or test prep book. Easy to nab on Libgen or whatever.
Obviously might end up with different areas of focus but overall should get the job done?
Throwaway05
1d ago
Yes this is always my plan - straight to PT. Obviously I have more information which makes things a bit easier for me.
In the U.S. you do need to ensure your insurance will allow this, but a local PT can usually help walk you through that.
Throwaway05
1d ago
it really shouldn't taste like fried rice
You mean like....good?
Throwaway05
1d ago
I think I'm just expecting it to taste like fried rice and it doesn't. Might be an expectation thing.
Throwaway05
2d ago
.... I think I'm just a heathen, I've been to the few places in the US with legit stuff and still meh
Throwaway05
3d ago
And if I recall correctly the author is an actual straight up SneerClub poster.
Throwaway05
3d ago
beyond a fondness for biryani.
Can you change my view that Biryani is just crappy fried rice?
What you provided was evidence of nearly every stake holder involved saying "this is a bad idea" including PTs themselves.
That is not evidence that the AMA is indirectly or directly responsible for this, it may be evidence that the AMA had a stance, but that doesn't make the AMA the villain here, or the decider.
It also does not establish that cutting physicians out is a good idea, indeed PTs don't seem to think it is a good idea as per your source.
And again, the restrictions seem to be reasonable and common sense, again as per your source.
Things like "if you try for awhile and it doesn't work you need to escalate the level of care providing therapy that appears to be ineffective."
That's common sense!
And why are you focusing on blaming the AMA when seemingly everyone opposed the change??
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