FDA to poor old folks..You are criminals

[Cap'n R an R]

The FDA plans to make it a crime for people to purchase pharmaceutical drugs on the internet or bring them into the country from Canada or Mexico...they cost about 80% less in Canada and Mexico....if this passes, this country is not going down the tubes it is in the sewer!!!....how's that for a lobbying effort by the drug industry???....if the White House lets this pass and the Republicans let this pass there will be damm few Republicans left in this country!!!!

[WWheeler]

Glaxo has already leaned on most of the ones located in Canada, by threatening to cut them off completely. They said it was for "safety reasons".

[Jim H]

Yes, there will be a revolution! Hopefully this will be quietly snuffed and the offending 'crat will be shown the door. :mad:

[Rocky]

Howdy Doody and Mr. Ed in 2004! Anyone!

[ 03-12-2003, 03:04 PM: Message edited by: Rocky ]

[Wiley Baggins]

Originally posted by Cap'n R an R:
<snip>....if the White House lets this pass and the Republicans let this pass there will be damm few Republicans left in this country!!!!Cap'n,

I may have to push for this. Greatest good for the greatest number. :(

[Cap'n R an R]

Might even get me to vote for Hillary!!!!.... now that would be a MIRACLE!!!!

[Wiley Baggins]

Originally posted by Cap'n R an R:
Might even get me to vote for Hillary!!!!.... now that would be a MIRACLE!!!!Praise the Lord, and pass the ballots? ;)

[huisjen]

Cap'n R an R said:
Might even get me to vote for Hillary!!!!.... now that would be a MIRACLE!!!! It'd be a miracle to get me to move to New York too. The winter there is even colder than here, and gloomy too. :D

Dan

[Andrew Craig-Bennett]

What you gentlemen need is a National Health Service.

My two children get all their prescription medicaments free until they are 16, my wife has just come to the end of her free entitlement as a nursing mother so, like me, she will have to pay Pds 6.50, regardless of what medicine may be prescribed, until she is 60, when all medicaments will be free until the end of our lives.

Oh, the visit to our (excellent) doctor is also free, all the time.

[ishmael]

Might even get me to vote for Hillary!!!!.... now that would be a MIRACLE!!!! We need to chip in right now guys and get the Cap on some Altzheimers meds. :D

[Cap'n R an R]

Every little bit helps!!...altho I will admit she looked better BEFORE I had my cataract operations!!...that much I remember!!

[Wiley Baggins]

Originally posted by Andrew Craig-Bennett:
What you [Americans] need is a National Health Service.The choir hears you, and the corporations and their minions thwart you. Preach on pastor, please. ;)

[John of Phoenix]

Hillary may be a bit drastic. Try this guy.


In our state virtually every child under the age of 18 has health insurance. We made Medicaid into a middle class entitlement. If I become President, with your help, the first item of business on the agenda is to do something that Harry Truman put into the Democratic platform in 1948. We're going to bring health care to every man, woman and child in America.

I'm the only Doctor in this race, and I've done it.

[and]

We're going to change this party, and then we're going to change this country, and we're going to take back the White House, and we're going to balance the budget, and we're going to have healthcare for everybody, and we're going to have an America with its best institutions - right up to the Capitol - that looks, once again, like America.
Governor Howard Dean, M.D, Vermont

http://deanforamerica.com/dean.cfm?section=about&page=speeches&drill=022103

[David N.]

So all you old Pharts , ( Me Too ) just remember AARP is one of the Major voting blocks in this country .

Drug money , how they love their drug money .

What did I read 25% of amercians can not afford health insurance , what a disgrace .

[John of Phoenix]

Cap'n R, my mother in law says that cataract surgery causes wrinkles. Is that right? ;)

My doc explained higher USA drug costs this way. "Where do you think drug companies get their butts sued off?”

[Cap'n R an R]

John...never heard the wrinkles complaint before....maybe they were there before surgery but now you can see them!!! Dean sounds good until he gets to the balanced budget theme.....dont believe we will see that ever again!!!

[Cap'n R an R]

John...I'm a bit slow today....just noticed the Smiley face after the wrinkle "thing" anyway she's correct....unless of course you are a youthfull looking Cap'n....

[John of Phoenix]

... maybe they were there before surgery but now you can see them!!! Well, you'd never convince her of that. :D She was telling all her friends, "Never have cataracts removed! It causes HORRIBLE wrinkles." They'd just smile and nod.

Just another politico you say? Ah well, I guess I'm just desperate for an encouraging word.

[ccmanuals]

To make a long story short - we very recently went on a tour of Biscane Bay in Miami and part of the tour was to cruise by millionaries row. Well, the tour guide guy goes' something like this, "there is Rosy O'Donnells house, there is Gloria Estefan's house, there is Sylvester Stallone's house, there is Julio Iglesia's house, there is Frank Sinatra's house (when he was alive) and then the tour guy kinda stops to point out to us the largest most expansive house and property on all of millionaires row - and there is So and So's house (can't remember the guys name)and "so and so" is the CEO of a well known pharmaceutical company. Nobody on the cruise boat was surprised by this at all.

[Matt Middleton]

Ccmanuals- I was on the same type of cruise, with a guy who used to give tours like that. He said they made it all up, and our guy probably was too.

Matt

[Cap'n R an R]

Matt....we used to keep our boat at Monty's on the Bay....it's all true....the guide left out Jose Canseco.....the ball player that ran his Porsche into his wife's car because he was angry!!!!....Don Johnson once owned a House there while filming Miami Vice...

[seafox61]

ABC
are the doctors in Brition very wealthy? do the smartest people become doctors like in america? is their a malpractice problem in england?

One other thought : health insurance became wide spread espically employer provided occured because durring WW2 wages were frozen and the only way to attract workers in a full employment was fringe bennifits. their are places in america that truely do have a doctor shortage and I do not see any doctors competing for sick people with addvertisements sayng " friend cured free" like the friends fly free promotion delta airlines campained on.
now commonly the copay is 10%. imagion what would happen to the cost of food if you could go to a grocery store ( but only have one or at most two stores per city) get what your "Dr Checker" thought best and some one else would pay for 90%.

why not double the number of doctors and let people but the drugs they think they need with out the permission of a doctor.

freedom its messy but lovely and an inalienable right
jeffery

[JimD]

This thread reminds me of the conspiracy thread about who owns the whitehouse. Maybe time to add the pharmacutical companies to the list. Big Business is Big Business. Got indigestion? How do you spell l-o-b-b-y?

[Andrew Craig-Bennett]

Well, Seafox, our doctors are mostly pretty comfortable, rather than wealthy, although, as in the USA, some specialists make very good money indeed. This is because we have a private sector, which runs alongside the National Health Service - if you can afford it, you can still receive private treatment and many people do belong to our two main private health insurance schemes, BUPA and PPP, just as we have a private education sector running alongside our state education sector.

We do have medical malpractice suits - not very many, though.

We do have a moderate shortage of doctors at the moment, but this seems to be a cyclical thing - a few years ago we had a surplus. We have a severe shortage of nurses, at the moment.

Personally, I am happy with the system, although it does perform rather badly in the areas of non-urgent operations and geriatric care.

[Sam F]

Originally posted by seafox61:
ABC
are the doctors in Brition very wealthy? do the smartest people become doctors like in america? Smartest people become doctors in America?
HA HA HA HA HA HA!!!!!!
That's a joke right?
Please say it's a joke. :confused:

[Sam F]

Originally posted by Cap'n R an R:
The FDA plans to make it a crime for people to purchase pharmaceutical drugs on the internet or bring them into the country from Canada or Mexico...they cost about 80% less in Canada and Mexico....Here's how it works. Say you’re a drug company…you want to make more money right? The best way is to not pay your help. To lower costs you move your factory to Latin America or Asia. So it "costs" jobs in the US? So what? Bring up Capitalist ideology. It's all about free trade and that’s good isn’t it?
Want to make some more money? Lobby to weaken pollution rules or move to an area so economically desperate that they have no choice but to accept the filth. (I used to live 6 miles from a Merck plant. They put out a stink at night that would wake me from a sound sleep. Nice huh?) Then you kick out some propaganda about “trading pollution credits” and using the power of a free market to solve the problem.
Got a competitor costing you profits? Lobby hard for a patent extension or make a trivial change and re-patent the product. Use the law to shut out the competition but always talk up the free market.
Tell folks about the millions your company puts into Research. Forget to mention how you spend even more on marketing.
Also don’t mention that a government funded academic institution helped you develop you products saving you millions in the process. Make sure you decry government involvement every chance you get. Talk some more about the creativity of a free market system.

Some of your customers finally follow your free market example and find a way to lower their costs? Do what you always do. Eliminate anything that threatens profits and remember that Free Market means free for you, not anyone else.
Now whine to government about these un-patriotic law-breaking senior citizens. Cut some campaign contribution checks and get a law written to put a stop to all this nonsense! Trumpet your free market again and rake in the bucks.
Simple isn’t it?

[Nicholas Carey]

Originally posted by WWheeler:
Glaxo has already leaned on most of the ones located in Canada, by threatening to cut them off completely. They said it was for "safety reasons".Yeah..."Safety Reasons." Right. Feh :mad:

The supposed rationale behind this is that they want to protect the health and safety of the elderly. Since the FDA doesn't get to certify/license the canadian pharmaceutical factories and pharmacies, they can't be sure that what people buy there is suitably pure and healthful.

Hey, there! Canucks: any o'youse guys have problems with the quality of drugs in your country?
.
.
.
Hmmpph. Didn't thinks so.

More like the FDA wants to make sure that Americans don't get to exercise the invisible hand of the mighty free market, the invisible hand that supposedly ensures that we have access to the highest quality stuff at the cheapest price.

Ever notice that the Right's 'free market' rhetoric is highly quailfied and subjective.

[Rocky]

The invisible hand that holds the invisible knife.

[Wiley Baggins]

Originally posted by Sam F:
Here's how it works... Simple isn’t it?Very nicely done, Sam F. I hope you are proudly wearing an "En Fuego" lapel pin. You've certainly earned it. I'm sure that some champion of the "free" market will be along to (attempt to) disabuse [us] of these truths, but let's enjoy them a while before the din descends upon us.

[ 03-14-2003, 06:23 PM: Message edited by: Wiley Baggins ]

[seafox61]

Thankyou ACB. like you we have a shortage of nurses I think in the past the women who wanted to be in medison were steared from being doctors to being nurses not it is pretty equel why get pid less work harder and take a worse job so the best people male or female just head for medical school. it takes one heck of dedication and desire to serve others to dream of spending your life as a nurse.

Yes Sam F I ment it of the 200 or so grandchildern and great grand childern of my paternal grandmother the smartest amoung them be came doctors. on my mothers side my great aunt Beuhla was the smarterst in her family became a doctor married a doctor and spend WW2 in an interment camp in the philipines. other fine people became nurses .

just wondering what field you think the smartest people go into. ( if you say the law I would agree it is close mores the pitty. other fine and smart people I know went into busness, computers and science and make this a better world. I think a lot of those who go into politics are more crafty than smart)
jeffery

[David N.]

What really burns my butt ( no I wont say it ) is these sensitive commercial's , about some new wonder drug , and they show some old phart kicking up their heels while running down the beach , laughing and being all kissy face . And then they hit you with the side affects , and some how they sound worse than what it was you were taking the drug for in the first place ( man alive , you should see these two fingers flying now ), and just why is it that they dont have good side affects , like make your hair grow back , or look younger or not need viagra ( not me of course !! ) or your eyesight get better ?? .
Dont get me started , cause I will open a 55 gal drum of whupass , easy settle down , where is my damn pills anyway , which way to canada , about 100 miles due north .
One of my cousins married a woman from Mexico , and they are thinking of moving there to live . The money they pay in health insurance here , will allow them to pay all of their bills while living there and still have health insurance for their selfs and their kids . A family of 4 , $600 per month here , and that is not including auto , or home ?? .
Garlic , the penicillin of third world countries .

[Wayne Jeffers]

Originally posted by JimHillman:
Yes, there will be a revolution! Hopefully this will be quietly snuffed and the offending 'crat will be shown the door. :mad: Jim,

I hope you're right.

BTW, the offending 'crat is the one who lives at 1600 Pennsylvania Avenue. Career civil servants don't have the authority to make policies like this. Only the politicians have (or assume) such authority.

Wayne

[D]

I had to add to this thread as this is something I am knowledgeable about...
Pharmaceutical companies spend trillions of dollars collectively to discover new compounds to prevent or cure disease. I am in the business of discovering new compounds so I can tell you the costs involved in just clinical trials alone are almost incomprehensible to me. The costs are so high because of the amount of research involved to deem these compounds as safe or not. Thousands of "subjects" voluntarily ingest each compound during the course of the investigational phase of a compound's development and many physicians act as Principal Investigators to monitor the effects and effectiveness of these compounds. There are many levels of "checks and balances" in place to verify accuracy of data from start to finish. Drug development in the US is largely beaurocratic (and therefore expensive) due to the involvement of the Federal government but without this governing body the work that I and thousands of others in this field would be essentially worthless. The questions you have to ask yourself on a personal level are: Do I want access to safe drugs to treat disease X? Should these drugs be available to me if I need them? Should I expect with some degree of certainty that these drugs are relatively safe?
The cost of most pills are relatively low considering many of the alternatives too numerous to mention in detail but I imagine everyone can think of examples that hit close to home. (nothing like a good run-on sentence, huh?).

[Cap'n R an R]

D....a question....why are these drugs on average 80% less in foreign countries....are drug companies selling them overseas to vendors for less then they sell them to vendors in the U.S.A.? ....if so why?.....how in the world can they be so much less overseas????...I dont believe the FDA propaganda that Canadian pharmaceuticals are not safe....thats garbage....if so there would be a lot of dead Canadians...what is the truth ???

[D]

It is due, in part, to the fewer restrictions imposed by the other countries standards regarding drug research and development. It does not cost as much to get a drug approved in other countries as it does in this country. Other factors are the "financial health" of other nations. Take Mexico for example, Mexico is a very poor country but people in Mexico still would benefit from advancements in pharmaceuticals. Drug companies sell to these countries because they are better off increasing their economics of scale in production and taking a reduced profit margin from drugs sold to these poorer countries. There are many other factors that go into the cost of drugs in this country but I don't want to get on the topic of the prescription writers themselves and the whole marketing aspect of pharmaceuticals in the US. I know drugs seem and in some cases are expensive but I also know that if you take a drug in the US that was prescribed and purchased in the US, you are taking the safest form of the drug that you possibly could. I understand the issue of senior citizens having to pay for their drugs because they are no longer covered by health insurance and that burns me up also because that was an issue that the Federal government caved into with the whole medicare plan. I do think that the Feds will eventually contribute to the cost of prescription medication for those covered under medicare. I don't want this next statement to sound harsh or uncompassionate because compassion towards others is why I am in the field that I am in but, I also need to make the point that health care is not a 'right' but a 'priviledge' and it is a priviledge that is getting more and more expensive every day.

[Cap'n R an R]

Thank you for the answer D....I have noticed more and more people are turning to "natural" cures....homeopathic medicine....nutrition....healthy diets....vegetarian diets...chelation and other forms of cure for their ailments....if this keeps up and accelerates the drug industry may find it has priced itself into a much smaller size....providing only absolutely neccessary drugs...

[Meerkat]

Yeah, let's dump the public health system - that way we can all have the "priviledge" of being exposed to tuberculosis, polio and a host of other fun recreational diseases. (Tuberculosis you say - that's all gone? Nope: it's growing fast again, in part due to misuse of the most dangerous drug on the planet: antibiotics.)

The government pays a significant part of drug development in the US through grants from the CDC. The feds paid 100% of the cost of developing AZT for example - and the pharacutical companies charge sky-high prices for it.

What Americans pay for drugs has more to do with greed than cost: we can afford more, so we're charged more. It's the new phenomenon that's sweeping much of the retail industry: scientific pricing. This is a scheme where your demographics (affluence) determines the asking price for things instead of any intrinsic worth. This works especially well on the web where the price you see is different depending on your demographics and even the web browser you use. (One place that does this is amazon.com.)

As for the cost of testing: I think that's cheaper than another horror like thalidmide babies. That, incidentally, was one of the driving forces behind the current FDA testing regulations. They got burned by accepting lax European standards for safety and efficacy.

Speaking of efficacy, anyone read the recent report that the old, cheap, diuretics are as effective and with fewer side-effects than the expensive beta-blockers etc?

[Wiley Baggins]

D,

I, for one, would be interested in your further thoughts on a number of the issues that you raised. Marketing costs for the pharmaceutical industry (and the practices associated with that cost) are remarkable. Since you mention the "prescription writers," I'll be interested to hear your view of the chicken and the egg.

You also mention the "reduced profit margins" and the relative costs of developing and testing drugs in the context of developing countries. Are you saying that the drugs could be sold at an equivalent price in the United States (given the economies of scale) or that the lower prices (and profits) are subsidized by the prices charged in the United States?

With repect to the costs of development and testing, are you familiar with the series of articles run in the "Washington Post (http://www.washingtonpost.com/wp-dyn/world/issues/bodyhunters/)." The six-part series had the following leads, and describes behavior that is beyond remarkable

"Profits and Lives Hang in Balance
A Post investigation into corporate drug tests around the world reveals a booming, poorly regulated system."

"Avoiding the Watchdogs
A global boom in overseas drug experiments is changing the way new drugs are tested and approved."

"Failure of Consent
Drug companies often use coercion and trickery to recruit naive, impoverished or uneducated patients in far-flung countries for medical tests."

"Harvesting China's Blood
The same standards that apply to medical testing in developed nations may not provide the same protections to more vulnerable populations."

"Testing's El Dorado
Western drug companies increasingly view Latin America as a major source of subjects for drug experiments."

"Suit Accuses Pfizer of Rights Violations
Pfizer Inc. was sued Wednesday on behalf of 30 Nigerian families who contend that the world's largest drugmaker violated international law during a 1996 meningitis epidemic by experimenting on children without their knowledge or consent."

A synopsis of the above series of articles is as follows:

<snip>This series documents the way overseas drug experiments are changing the manner in which new drugs are tested and approved. The series also gives some unsettling examples of how the quest for clinical data “raises questions about corporate ethics and profits on a frontier of globalization where drug companies wield enormous influence, and where doctors paid by U.S.-based corporations sometimes perform experiments on ill-informed patients in authoritarian societies.” Partly in response to this series, the U.S. Department of Health and Human Services has established a new program to educate researchers and monitor international ethical concerns raised by clinical trial experiments in Third World countries.<snip>

-from content in context (http://pubs.acs.org/subscribe/journals/mdd/v04/i03/html/03editorial.html)

[Sam F]

Originally posted by seafox61:

it takes one heck of dedication and desire to serve others to dream of spending your life as a nurse.
Yes Sam F …
just wondering what field you think the smartest people go into. En Fuego? On fire?
Yeah that was a bit of a rant wasn't it? :D
Blatant outrageous hypocrisy brings it out from time to time.
What steams me is that the “Free Market” is just a dodge to be abandoned the moment it gets in the way of higher profits. I don’t approve of the corrupting rationale behind Capitalism, but it bothers me even more to see Capitalists running to the government for help like a good Socialist every time they hit a rough patch. What hooey.

Jeffery,
I don't know where the brightest people go but from my experience it sure ain't medicine.

I have a good friend who’s a nurse. She is very dedicated indeed, but tells tales of the US medical system that make me want to rely on something rational… like prayer… before I get stuck in its clutches. But that’s too long a story for here…

I come by my views honestly, Here’s my recent experience (15 years) with local doctors. You be the judge.

Dr. 1. A bright, perceptive guy and a practicing Christian… when I had to go back for a second strep throat visit he said: “I didn’t do so well the first time, so this visit is on the house.” Wow. Did your doctor ever do that? The Doctors who ran the local hospital were very upset with him because he didn’t send enough patients to said hospital. Dr. 1 told me that: “I thought my job was to keep people out of the hospital!” Since the hospital controlled the lease on his office they eventually ran him out of town. That was bright. :rolleyes:

Dr. 2. What a funny fellow. He liked to tell dirty jokes in front of clients in the waiting room. Medically, I think his judgment was fairly average. His legal judgment was another matter. He’d attended school on a govt. scholarship with strings attached. He was obligated to go to an officially Medically Underserved area. I live in such an area but the Feds wanted him in a different Underserved area. He lost the fight and as punishment ended up as a prison doctor. Once there, he got into some dubious money making schemes and got caught writing some improper prescriptions. A lot of them. He’s now in jail himself. Not in the genius category.

Dr. 3. I know this fellow personally. He’s tall, handsome and Dumb as a Stump. Not that this handicap has stopped him from achievement. He’s the company doctor for several industries and now county coroner. That’s handy since he’s had some problems… For instance, a neighbor’s sister went to him. He told her that she didn’t need all the medicines her previous (now retired) Dr had given her and told her to stop taking all of them. She was dead within a week. I know from unfortunate personal experience that one cannot, as he did, adequately diagnose a back injury in 30 seconds.

Dr. 4. This guy is our local surgeon. Dr # 2 told me how he’d send patients and tell Dr. 4 things like: “”Bob”, just take out the gall bladder. Don’t take anything else out… OK? While you’re in there leave everything else alone!” If he’d left things alone he’d have been all right but unfortunately he often left things behind. Sponges and such. Rather often too. Don’t worry; he’s on “probation” now but still practicing.

Dr.5 is a pretty decent sort. He’s been very kind to my family. He even occasionally treated my mother for free. He’s probably a bit smarter than I am… which isn’t saying all that much. He admitted that mostly what he does is push pills though… “Here’s the steroid de jure”….

It’s a mixed bag at least don’t you think? I certainly couldn’t use my evidence and experiences to assume that Doctors were uniformly smart. Of the bunch, the only really outstanding one was run off by the other doctors… I envy the lucky folk in Ohio where he moved! :(

[D]

There are major flaws in the deliverability and accessability of healthcare in the US. Unfortunately, there are no good solutions to most of them. We demand more and better healthcare and more and better equals more expensive. I think greed does drive a lot of pharmaceutical companies but I don't think all fo that greed is misdirected. R & D is phenomenally expensive and big pharma has to make money to R & D. Capt, I hope you can find cheaper alternatives to prescriptions you need and I hope there is some equalizing financial factor in years to come to help those on medicare pay for the drugs they have been prescribed.

[seafox61]

SamF
really like Dr # 2 story

My cyropractor saved my ability to stand I developed a kink in my back due to the arm rest being 4 or 5 inches too low in dodge minivans I could walk or lay but nut stand still for 20 seconds

that was some years back ( pun not intended)
been blessed with a lot of work lately and by body wants to lock up right now <g>

heard to day a new AIDS medison called "fusion" (sp) Most people taking it have no detectable HIV after 5 weeks ba news a 1 year percrition is expcted to cost $20,000. on the one hand I don't know how to lower the cost of drugs but I can only think that the more widespread insurance is that pays most of the cost the higher prices the pharmasudicals can charge.
jeffery

[Rocky]

Kaiser-Permanente is a model that works just fine. Owns the hospitals, collects the premiums, physicians are all on staff, good treatment and lots of preventive programs. Physicians are salaried and may not make as much as others, but on the other hand they get paid each week and don't have all the other headaches. The cost of health care in this country comes from the tremendous overhead of all the people getting paid for "administering" it.

The high cost of developing drugs reminds me of a doctor I knew who kept complaining of the high cost of entertaining.

[Meerkat]

The US's first ever cooperative health organization is an HMO called "Group Health" (GH). It's based in the Puget Sound area and is still an independent organization that is now in partnership with Kaiser-Permenente (KP). GH was villified and constantly threatened by the medical establishment and to this day, some people still call it "Group Death".

I had a very close friend who was under KP's care and when she had blood clots in her legs, the doctor made a house call and the pharmacy delivered! I myself have had the great good fortune to have had Group Health coverage and it was truely outstanding. Of particular note was their strong emphasis on preventitive medicine. I was required to attend quarterly meetings with my health management team that included a highly respected Diabetologist and quarterly lab tests. My out of pocket premium costs where substantially less (over $70) then what I later paid with Blue Cross (BC). I didn't have the sloppy slow service, late payments to providers and countless treatment challenges with GH that I had with BC and the quality of care was inestimably better with GH.

HMOs and cooperative/socialized medicine can work and work damned well in this country!

[Cap'n R an R]

Thanks D....but I am fortunatly healthier then most old Pharts my age.....dont take or need meds...except a cholesterol lowering pill....but I do take a number of preventive steps...including "rapid" chelation treatments....these are NOT covered by any Insurance co or medicare..... the Dr's I use have withdrawn from participating in medicare or any other form of Insurance reimbursement....they have dramaticlly LOWERED their fees and let patients pay on any basis they can afford.....these docs have the only office I have ever been to that has ,as soon as you enter, a HEALING ENERGY....they are genuine,fine,caring human beings who happen to be Doctors....they hold a number of FREE nutrition and chelation classes...

[D]

That's THE best doctor you could have. You are very fortunate. I'd like to believe that the majority of men and women that go to school to become doctors start out with good intentions but I've seen many that have had to put up with so many regulations and so forth that they become more business oriented than medicine oriented.