<article>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#article10_03_11_0315240</id>
	<title>N.Y. Health Insurers To Offer Virtual Doc Visits</title>
	<author>samzenpus</author>
	<datestamp>1268312220000</datestamp>
	<htmltext>CWmike writes <i>"Two insurance organizations in upstate New York said on Wednesday that they will offer their members and employers virtual physician visits beginning this summer, making New York the fourth state to provide these types of services. BlueCross BlueShield of Western New York, BlueShield of Northeastern New York and technology services provider American Well said the Online Care service will allow members to <a href="http://www.computerworld.com/s/article/9169058/N.Y.\_health\_insurers\_to\_offer\_virtual\_doc\_visits">talk with physicians in real time through a private online chat network or through a voice-over-IP phone call</a>. The service also offers video chat and instant messages. Members can sign on to the insurer's Web sites and look for physicians who are available online in various specialty areas."</i></htmltext>
<tokenext>CWmike writes " Two insurance organizations in upstate New York said on Wednesday that they will offer their members and employers virtual physician visits beginning this summer , making New York the fourth state to provide these types of services .
BlueCross BlueShield of Western New York , BlueShield of Northeastern New York and technology services provider American Well said the Online Care service will allow members to talk with physicians in real time through a private online chat network or through a voice-over-IP phone call .
The service also offers video chat and instant messages .
Members can sign on to the insurer 's Web sites and look for physicians who are available online in various specialty areas .
"</tokentext>
<sentencetext>CWmike writes "Two insurance organizations in upstate New York said on Wednesday that they will offer their members and employers virtual physician visits beginning this summer, making New York the fourth state to provide these types of services.
BlueCross BlueShield of Western New York, BlueShield of Northeastern New York and technology services provider American Well said the Online Care service will allow members to talk with physicians in real time through a private online chat network or through a voice-over-IP phone call.
The service also offers video chat and instant messages.
Members can sign on to the insurer's Web sites and look for physicians who are available online in various specialty areas.
"</sentencetext>
</article>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436784</id>
	<title>This has been going on for years...</title>
	<author>Anonymous</author>
	<datestamp>1268318520000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Computer: you are now being connected to a doctor...</p><p>Doctor: Hi, how can I help you?<br>Mrs Smith: Hello!  Well, I've been having back pain for a few months now.<br>Doctor: How old are you?<br>Mrs Smith: I'm 35.<br>Doctor: How much do you weigh?<br>Mrs Smith:  Down to about 120lbs since my pregnancy last year...<br>Doctor: What are you wearing?<br>Mrs Smith: Ahh, what?<br>Doctor: A physical examination is necessary.  Please go on cam and disrobe.<br>Mrs Smith:  Umm, I'm not sure... are you really a doctor, that link in my email looked legit, but now I'm....<br>Doctor: brb...</p><p>Computer: Doctor has disconnected from chat.</p></htmltext>
<tokenext>Computer : you are now being connected to a doctor...Doctor : Hi , how can I help you ? Mrs Smith : Hello !
Well , I 've been having back pain for a few months now.Doctor : How old are you ? Mrs Smith : I 'm 35.Doctor : How much do you weigh ? Mrs Smith : Down to about 120lbs since my pregnancy last year...Doctor : What are you wearing ? Mrs Smith : Ahh , what ? Doctor : A physical examination is necessary .
Please go on cam and disrobe.Mrs Smith : Umm , I 'm not sure... are you really a doctor , that link in my email looked legit , but now I 'm....Doctor : brb...Computer : Doctor has disconnected from chat .</tokentext>
<sentencetext>Computer: you are now being connected to a doctor...Doctor: Hi, how can I help you?Mrs Smith: Hello!
Well, I've been having back pain for a few months now.Doctor: How old are you?Mrs Smith: I'm 35.Doctor: How much do you weigh?Mrs Smith:  Down to about 120lbs since my pregnancy last year...Doctor: What are you wearing?Mrs Smith: Ahh, what?Doctor: A physical examination is necessary.
Please go on cam and disrobe.Mrs Smith:  Umm, I'm not sure... are you really a doctor, that link in my email looked legit, but now I'm....Doctor: brb...Computer: Doctor has disconnected from chat.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436512</id>
	<title>Standard Fee</title>
	<author>Anonymous</author>
	<datestamp>1268316000000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext><p>I'm curious as to how much will be billed back through insurance.  You have a standard fee just for going in to the office to see the doctor, now that the office is not being used how much of a 'discount' will you see.</p></htmltext>
<tokenext>I 'm curious as to how much will be billed back through insurance .
You have a standard fee just for going in to the office to see the doctor , now that the office is not being used how much of a 'discount ' will you see .</tokentext>
<sentencetext>I'm curious as to how much will be billed back through insurance.
You have a standard fee just for going in to the office to see the doctor, now that the office is not being used how much of a 'discount' will you see.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436574</id>
	<title>Just wait until they outsource it...</title>
	<author>Turzyx</author>
	<datestamp>1268316660000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext>Although this certainly sounds more sophisticated, the UK NHS offers an 'over the phone diagnosis' service, <a href="http://www.nhsdirect.nhs.uk/" title="nhsdirect.nhs.uk" rel="nofollow">NHS Direct</a> [nhsdirect.nhs.uk]. Although the article mentions 'physicians' being used to monitor the network, how long will it be until they too are using <a href="http://www.dailymail.co.uk/news/article-1205113/NHS-pays-16-year-olds-run-swine-flu-hotline.html" title="dailymail.co.uk" rel="nofollow">unqualified staff to handle more routine cases?</a> [dailymail.co.uk] <br> <br>The danger for misdiagnosis is huge, although they no doubt have a clause somewhere about it - they may just end up telling patients to visit their doctor in person for a proper check-up, which kind of defeats the object.</htmltext>
<tokenext>Although this certainly sounds more sophisticated , the UK NHS offers an 'over the phone diagnosis ' service , NHS Direct [ nhsdirect.nhs.uk ] .
Although the article mentions 'physicians ' being used to monitor the network , how long will it be until they too are using unqualified staff to handle more routine cases ?
[ dailymail.co.uk ] The danger for misdiagnosis is huge , although they no doubt have a clause somewhere about it - they may just end up telling patients to visit their doctor in person for a proper check-up , which kind of defeats the object .</tokentext>
<sentencetext>Although this certainly sounds more sophisticated, the UK NHS offers an 'over the phone diagnosis' service, NHS Direct [nhsdirect.nhs.uk].
Although the article mentions 'physicians' being used to monitor the network, how long will it be until they too are using unqualified staff to handle more routine cases?
[dailymail.co.uk]  The danger for misdiagnosis is huge, although they no doubt have a clause somewhere about it - they may just end up telling patients to visit their doctor in person for a proper check-up, which kind of defeats the object.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437336</id>
	<title>Re:Don't mix it up with Chat Roulette...</title>
	<author>Anonymous</author>
	<datestamp>1268322720000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>So this is how goatse.cx came to be.</htmltext>
<tokenext>So this is how goatse.cx came to be .</tokentext>
<sentencetext>So this is how goatse.cx came to be.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436520</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436818</id>
	<title>You've got:  leprosy.</title>
	<author>Joe The Dragon</author>
	<datestamp>1268318880000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Lisa:        Maybe I ought to check with the doctor.<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; [Lisa, Bart, and Homer gather around Lisa's<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; computer.  She starts a program that displays a<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; medical logo -- the one with two snakes wrapped<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; around a staff]<br>Snake 1:    Welcome to "Virtual Doctor."<br>Snake 2:    From the makers of "Dragon Quest," and<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; "SimSandwich."<br>Snakes 1 + 2:    Enter symptoms now.<br>Lisa:        Let's see.  [types on keyboard] Crusty sores?<br>Homer:        Yes.<br>Lisa:        Horrible wailing?<br>Homer:        Yes, yes!<br>Lisa:        Any exposure to unsanitary conditions?<br>Bart:        Duh!  We're pigs.<br>Lisa:        [finishes typing] Okay.  And<nobr> <wbr></nobr>... diagnose.  [pushes<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; a key]<br>Virtual Doc:    You've got:  leprosy.<br>Homer +<br>
&nbsp; Bart:        Leprosy?!  Aaah!  [point at one another] Unclean!<br>Bart:        Unclean!<br>Homer:        Unclean!  Help us virtual Doc!  Look at me -- I'm on<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; my knees.<br>Virtual Doc:    Goodbye.  [leaves the virtual office]<br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; [Homer and Bart whimper]<br>Lisa:        [to herself, Burns-like] Excellent.</p></htmltext>
<tokenext>Lisa : Maybe I ought to check with the doctor .
                [ Lisa , Bart , and Homer gather around Lisa 's                 computer .
She starts a program that displays a                 medical logo -- the one with two snakes wrapped                 around a staff ] Snake 1 : Welcome to " Virtual Doctor .
" Snake 2 : From the makers of " Dragon Quest , " and                 " SimSandwich .
" Snakes 1 + 2 : Enter symptoms now.Lisa : Let 's see .
[ types on keyboard ] Crusty sores ? Homer : Yes.Lisa : Horrible wailing ? Homer : Yes , yes ! Lisa : Any exposure to unsanitary conditions ? Bart : Duh !
We 're pigs.Lisa : [ finishes typing ] Okay .
And ... diagnose. [ pushes                 a key ] Virtual Doc : You 've got : leprosy.Homer +   Bart : Leprosy ? !
Aaah ! [ point at one another ] Unclean ! Bart : Unclean ! Homer : Unclean !
Help us virtual Doc !
Look at me -- I 'm on                 my knees.Virtual Doc : Goodbye .
[ leaves the virtual office ]                 [ Homer and Bart whimper ] Lisa : [ to herself , Burns-like ] Excellent .</tokentext>
<sentencetext>Lisa:        Maybe I ought to check with the doctor.
                [Lisa, Bart, and Homer gather around Lisa's
                computer.
She starts a program that displays a
                medical logo -- the one with two snakes wrapped
                around a staff]Snake 1:    Welcome to "Virtual Doctor.
"Snake 2:    From the makers of "Dragon Quest," and
                "SimSandwich.
"Snakes 1 + 2:    Enter symptoms now.Lisa:        Let's see.
[types on keyboard] Crusty sores?Homer:        Yes.Lisa:        Horrible wailing?Homer:        Yes, yes!Lisa:        Any exposure to unsanitary conditions?Bart:        Duh!
We're pigs.Lisa:        [finishes typing] Okay.
And ... diagnose.  [pushes
                a key]Virtual Doc:    You've got:  leprosy.Homer +
  Bart:        Leprosy?!
Aaah!  [point at one another] Unclean!Bart:        Unclean!Homer:        Unclean!
Help us virtual Doc!
Look at me -- I'm on
                my knees.Virtual Doc:    Goodbye.
[leaves the virtual office]
                [Homer and Bart whimper]Lisa:        [to herself, Burns-like] Excellent.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436854</id>
	<title>Similar experience now..</title>
	<author>Anonymous</author>
	<datestamp>1268319120000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I just call my doctors office now.  He calls back and calls in a prescription for me.  Some times he charges for an office visit, some times he does not.  Example.  I get an outbreak of poision ivy at least once a year.  If its not in my eyes and I don't think its bad enough for a steriod shot in the ass, I call him and he calls in a prescip for some steroid cream.  I get sore throats occasionally, same thing.</p></htmltext>
<tokenext>I just call my doctors office now .
He calls back and calls in a prescription for me .
Some times he charges for an office visit , some times he does not .
Example. I get an outbreak of poision ivy at least once a year .
If its not in my eyes and I do n't think its bad enough for a steriod shot in the ass , I call him and he calls in a prescip for some steroid cream .
I get sore throats occasionally , same thing .</tokentext>
<sentencetext>I just call my doctors office now.
He calls back and calls in a prescription for me.
Some times he charges for an office visit, some times he does not.
Example.  I get an outbreak of poision ivy at least once a year.
If its not in my eyes and I don't think its bad enough for a steriod shot in the ass, I call him and he calls in a prescip for some steroid cream.
I get sore throats occasionally, same thing.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437012</id>
	<title>No office fees now?</title>
	<author>Mantis8</author>
	<datestamp>1268320440000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Does this also mean the end of the patient-gouging $75 office visit fee?</htmltext>
<tokenext>Does this also mean the end of the patient-gouging $ 75 office visit fee ?</tokentext>
<sentencetext>Does this also mean the end of the patient-gouging $75 office visit fee?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31443412</id>
	<title>Re:Conflict of interest</title>
	<author>Renraku</author>
	<datestamp>1268299440000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Yep, this will be like workman's comp doctors.</p><p>"Sore eye after you've been welding without a mask?  Probably just dehydrated.  Drink more water and come back in a month..if you come back sooner you'll have to pay out of pocket."</p><p>"Numbness in your legs after you slipped on that banana peel in the warehouse and hit your head?  You're just tired, walk it off."</p><p>"Strange black mole that's doubled in size in the past few weeks?  Well, I didn't get the pictures you emailed, but just put a bandaid on it."</p><p>I do NOT forsee this going well..insurance companies have wanted to pick-and-choose which doctors they support for years..and they have been in some cases.  This will put care of your health 90\% in their hands.</p></htmltext>
<tokenext>Yep , this will be like workman 's comp doctors .
" Sore eye after you 've been welding without a mask ?
Probably just dehydrated .
Drink more water and come back in a month..if you come back sooner you 'll have to pay out of pocket .
" " Numbness in your legs after you slipped on that banana peel in the warehouse and hit your head ?
You 're just tired , walk it off .
" " Strange black mole that 's doubled in size in the past few weeks ?
Well , I did n't get the pictures you emailed , but just put a bandaid on it .
" I do NOT forsee this going well..insurance companies have wanted to pick-and-choose which doctors they support for years..and they have been in some cases .
This will put care of your health 90 \ % in their hands .</tokentext>
<sentencetext>Yep, this will be like workman's comp doctors.
"Sore eye after you've been welding without a mask?
Probably just dehydrated.
Drink more water and come back in a month..if you come back sooner you'll have to pay out of pocket.
""Numbness in your legs after you slipped on that banana peel in the warehouse and hit your head?
You're just tired, walk it off.
""Strange black mole that's doubled in size in the past few weeks?
Well, I didn't get the pictures you emailed, but just put a bandaid on it.
"I do NOT forsee this going well..insurance companies have wanted to pick-and-choose which doctors they support for years..and they have been in some cases.
This will put care of your health 90\% in their hands.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436548</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436844</id>
	<title>Re:Standard Fee</title>
	<author>guruevi</author>
	<datestamp>1268319060000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>2</modscore>
	<htmltext><p>Most likely none. You will still have to pay your $20 co-pay or pay up until you meet the deductible full charge. The insurance company however will have reduced rates for these types of service provided by their doctors. So they will be billed less ($100 instead of $500) and they will be able to generate more money. Next thing they're going to start staffing their own 'doctors' (probably med students that just finished school) on an hourly rate with a 6 months turnover (so they won't have to provide benefits) and later some manager is going to find out that doctors in India charge 300 rupees instead of 300 dollars per visit.</p></htmltext>
<tokenext>Most likely none .
You will still have to pay your $ 20 co-pay or pay up until you meet the deductible full charge .
The insurance company however will have reduced rates for these types of service provided by their doctors .
So they will be billed less ( $ 100 instead of $ 500 ) and they will be able to generate more money .
Next thing they 're going to start staffing their own 'doctors ' ( probably med students that just finished school ) on an hourly rate with a 6 months turnover ( so they wo n't have to provide benefits ) and later some manager is going to find out that doctors in India charge 300 rupees instead of 300 dollars per visit .</tokentext>
<sentencetext>Most likely none.
You will still have to pay your $20 co-pay or pay up until you meet the deductible full charge.
The insurance company however will have reduced rates for these types of service provided by their doctors.
So they will be billed less ($100 instead of $500) and they will be able to generate more money.
Next thing they're going to start staffing their own 'doctors' (probably med students that just finished school) on an hourly rate with a 6 months turnover (so they won't have to provide benefits) and later some manager is going to find out that doctors in India charge 300 rupees instead of 300 dollars per visit.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436512</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436558</id>
	<title>No surprises here...</title>
	<author>Anonymous</author>
	<datestamp>1268316540000</datestamp>
	<modclass>Flamebait</modclass>
	<modscore>-1</modscore>
	<htmltext><p>I'm sure you're all very surprised to learn that a nigger was just involved in a stabbing:</p><p><a href="http://www.nbclosangeles.com/news/local-beat/Moviegoer-Tells-Woman-to-Stop-Talking-On-Cell-Phone-Gets-Stabbed-in-the-Neck-87144462.html" title="nbclosangeles.com" rel="nofollow">http://www.nbclosangeles.com/news/local-beat/Moviegoer-Tells-Woman-to-Stop-Talking-On-Cell-Phone-Gets-Stabbed-in-the-Neck-87144462.html</a> [nbclosangeles.com]</p><p>Here's a PERFECT example of why weapons control laws are useless.  This nigger didn't have a gun - he was packing a fucking MEAT THERMOMETER!  Are liberals going to try to outlaw meat thermometers?</p></htmltext>
<tokenext>I 'm sure you 're all very surprised to learn that a nigger was just involved in a stabbing : http : //www.nbclosangeles.com/news/local-beat/Moviegoer-Tells-Woman-to-Stop-Talking-On-Cell-Phone-Gets-Stabbed-in-the-Neck-87144462.html [ nbclosangeles.com ] Here 's a PERFECT example of why weapons control laws are useless .
This nigger did n't have a gun - he was packing a fucking MEAT THERMOMETER !
Are liberals going to try to outlaw meat thermometers ?</tokentext>
<sentencetext>I'm sure you're all very surprised to learn that a nigger was just involved in a stabbing:http://www.nbclosangeles.com/news/local-beat/Moviegoer-Tells-Woman-to-Stop-Talking-On-Cell-Phone-Gets-Stabbed-in-the-Neck-87144462.html [nbclosangeles.com]Here's a PERFECT example of why weapons control laws are useless.
This nigger didn't have a gun - he was packing a fucking MEAT THERMOMETER!
Are liberals going to try to outlaw meat thermometers?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</id>
	<title>Coming next:</title>
	<author>jgreco</author>
	<datestamp>1268316000000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>4</modscore>
	<htmltext><p>Outsourcing doctors offshore.</p></htmltext>
<tokenext>Outsourcing doctors offshore .</tokentext>
<sentencetext>Outsourcing doctors offshore.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436646</id>
	<title>I can't wait for the inevitable...</title>
	<author>Anonymous</author>
	<datestamp>1268317260000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>"Dr. Astley will see you now..."</p></htmltext>
<tokenext>" Dr. Astley will see you now... "</tokentext>
<sentencetext>"Dr. Astley will see you now..."</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436622</id>
	<title>a/s/l</title>
	<author>psnyder</author>
	<datestamp>1268317140000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><p><div class="quote"><p>The service also offers<nobr> <wbr></nobr>... instant messages.</p></div><p>Dr:  a/s/l?<br>
Dr:  to help me diagnose</p></div>
	</htmltext>
<tokenext>The service also offers ... instant messages.Dr : a/s/l ?
Dr : to help me diagnose</tokentext>
<sentencetext>The service also offers ... instant messages.Dr:  a/s/l?
Dr:  to help me diagnose
	</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436866</id>
	<title>Drop in Premium?</title>
	<author>Stenchwarrior</author>
	<datestamp>1268319180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>No office, no staff, low overhead....think we'll see a drop in insurance premiums? Nope. They have to pay for that fancy camera and 'puter. I bet you'll still have to pay a co-pay, even.</htmltext>
<tokenext>No office , no staff , low overhead....think we 'll see a drop in insurance premiums ?
Nope. They have to pay for that fancy camera and 'puter .
I bet you 'll still have to pay a co-pay , even .</tokentext>
<sentencetext>No office, no staff, low overhead....think we'll see a drop in insurance premiums?
Nope. They have to pay for that fancy camera and 'puter.
I bet you'll still have to pay a co-pay, even.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436752</id>
	<title>Re:Coming next:</title>
	<author>Anonymous</author>
	<datestamp>1268318280000</datestamp>
	<modclass>Troll</modclass>
	<modscore>0</modscore>
	<htmltext><p>I hope not as it will disrupt the health care in those countries that actually have healthcare.</p></htmltext>
<tokenext>I hope not as it will disrupt the health care in those countries that actually have healthcare .</tokentext>
<sentencetext>I hope not as it will disrupt the health care in those countries that actually have healthcare.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436780</id>
	<title>I hope you haven't just eaten...</title>
	<author>Anonymous</author>
	<datestamp>1268318460000</datestamp>
	<modclass>Offtopic</modclass>
	<modscore>-1</modscore>
	<htmltext><p><a href="http://www.drudgereport.com/nanc1.jpg" title="drudgereport.com" rel="nofollow">http://www.drudgereport.com/nanc1.jpg</a> [drudgereport.com]</p><p>Someone needs to tell Skeletor here that the next time she's at the plastic surgeon's office, she should ask for a collagen injection in her eye sockets.  For God's sake, they look like she's been dead a week!</p></htmltext>
<tokenext>http : //www.drudgereport.com/nanc1.jpg [ drudgereport.com ] Someone needs to tell Skeletor here that the next time she 's at the plastic surgeon 's office , she should ask for a collagen injection in her eye sockets .
For God 's sake , they look like she 's been dead a week !</tokentext>
<sentencetext>http://www.drudgereport.com/nanc1.jpg [drudgereport.com]Someone needs to tell Skeletor here that the next time she's at the plastic surgeon's office, she should ask for a collagen injection in her eye sockets.
For God's sake, they look like she's been dead a week!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437412</id>
	<title>The program begins</title>
	<author>Kingrames</author>
	<datestamp>1268323140000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext>When the process begins, the doctor says, "Please state the nature of your medical emergency."</htmltext>
<tokenext>When the process begins , the doctor says , " Please state the nature of your medical emergency .
"</tokentext>
<sentencetext>When the process begins, the doctor says, "Please state the nature of your medical emergency.
"</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436814</id>
	<title>Re:No surprises here...</title>
	<author>Anonymous</author>
	<datestamp>1268318760000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>Mods?</htmltext>
<tokenext>Mods ?</tokentext>
<sentencetext>Mods?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436558</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436850</id>
	<title>At least...</title>
	<author>Bourdain</author>
	<datestamp>1268319060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>... this offers some incentive to doctors to return/make phone calls in more competitive markets like Manhattan where doctors seldom spend more than 3-4 minutes in the diagnostic room and won't return calls<br>
<br>
perhaps these insurance companies might even establish a reasonable co-pay and fee for such a service (can I dream?)</htmltext>
<tokenext>... this offers some incentive to doctors to return/make phone calls in more competitive markets like Manhattan where doctors seldom spend more than 3-4 minutes in the diagnostic room and wo n't return calls perhaps these insurance companies might even establish a reasonable co-pay and fee for such a service ( can I dream ?
)</tokentext>
<sentencetext>... this offers some incentive to doctors to return/make phone calls in more competitive markets like Manhattan where doctors seldom spend more than 3-4 minutes in the diagnostic room and won't return calls

perhaps these insurance companies might even establish a reasonable co-pay and fee for such a service (can I dream?
)</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31451152</id>
	<title>Telemedicine for AMD on the way</title>
	<author>iarons</author>
	<datestamp>1268406780000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I've just written an in-depth article on the Notal Vision at home monitor for AMD sufferers, that is linked via a call center to a patient's retinal physician. The doc can monitor changes in retinal health of his patient, and arrange for an urgent visit if changes in vision require it.

In this way, vision can be preserved/saved for those with late-stage dry AMD before it converts to blindness causing wet AMD.

Here's the link: <a href="http://tinyurl.com/NotalVision" title="tinyurl.com" rel="nofollow">http://tinyurl.com/NotalVision</a> [tinyurl.com]

Irv Arons</htmltext>
<tokenext>I 've just written an in-depth article on the Notal Vision at home monitor for AMD sufferers , that is linked via a call center to a patient 's retinal physician .
The doc can monitor changes in retinal health of his patient , and arrange for an urgent visit if changes in vision require it .
In this way , vision can be preserved/saved for those with late-stage dry AMD before it converts to blindness causing wet AMD .
Here 's the link : http : //tinyurl.com/NotalVision [ tinyurl.com ] Irv Arons</tokentext>
<sentencetext>I've just written an in-depth article on the Notal Vision at home monitor for AMD sufferers, that is linked via a call center to a patient's retinal physician.
The doc can monitor changes in retinal health of his patient, and arrange for an urgent visit if changes in vision require it.
In this way, vision can be preserved/saved for those with late-stage dry AMD before it converts to blindness causing wet AMD.
Here's the link: http://tinyurl.com/NotalVision [tinyurl.com]

Irv Arons</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436616</id>
	<title>Re:Conflict of interest</title>
	<author>natehoy</author>
	<datestamp>1268317080000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>It's a good thing they are not, then.</p><p><div class="quote"><p>The Online Care service will allow eligible members to engage in immediate live encounters with credentialed physicians from the Blues plans' <b>established provider networks</b>.</p></div><p> <a href="http://www.prnewswire.com/news-releases/bluecross-blueshield-of-western-new-yorkblueshield-of-northeastern-new-york-and-american-well-bring-online-care-to-new-york-state-87223392.html" title="prnewswire.com">http://www.prnewswire.com/news-releases/bluecross-blueshield-of-western-new-yorkblueshield-of-northeastern-new-york-and-american-well-bring-online-care-to-new-york-state-87223392.html</a> [prnewswire.com]</p></div>
	</htmltext>
<tokenext>It 's a good thing they are not , then.The Online Care service will allow eligible members to engage in immediate live encounters with credentialed physicians from the Blues plans ' established provider networks .
http : //www.prnewswire.com/news-releases/bluecross-blueshield-of-western-new-yorkblueshield-of-northeastern-new-york-and-american-well-bring-online-care-to-new-york-state-87223392.html [ prnewswire.com ]</tokentext>
<sentencetext>It's a good thing they are not, then.The Online Care service will allow eligible members to engage in immediate live encounters with credentialed physicians from the Blues plans' established provider networks.
http://www.prnewswire.com/news-releases/bluecross-blueshield-of-western-new-yorkblueshield-of-northeastern-new-york-and-american-well-bring-online-care-to-new-york-state-87223392.html [prnewswire.com]
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436548</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436724</id>
	<title>Dr Eliza</title>
	<author>L4t3r4lu5</author>
	<datestamp>1268318100000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext>Eliza: Hi, I'm Dr. Eliza. How can I help you today?<br>
Patient: Hi, I have a pain in the left of my chest. It's quite bad.<br>
E: I'm sorry to hear that have a pain in the left side of YOUR chest is not feeling well.<br>
P: Yeah... Uhh, do you know what it could be? It's getting worse.<br>
E: I understand.<br>
P: You understand what? My left arm is starting to feel funny.<br>
E: Your problem is arm feel funny?<br>
P: No, my problem is my chest! It's really painful, I can hardly breathe!<br>
E: You can hardly breathe and your left arm is feel funny?<br>
P: yes<br>
E: I like this conversation! Do you like this can hardly breathe and your left arm is feel funny?<br>
E: Hello?</htmltext>
<tokenext>Eliza : Hi , I 'm Dr. Eliza. How can I help you today ?
Patient : Hi , I have a pain in the left of my chest .
It 's quite bad .
E : I 'm sorry to hear that have a pain in the left side of YOUR chest is not feeling well .
P : Yeah... Uhh , do you know what it could be ?
It 's getting worse .
E : I understand .
P : You understand what ?
My left arm is starting to feel funny .
E : Your problem is arm feel funny ?
P : No , my problem is my chest !
It 's really painful , I can hardly breathe !
E : You can hardly breathe and your left arm is feel funny ?
P : yes E : I like this conversation !
Do you like this can hardly breathe and your left arm is feel funny ?
E : Hello ?</tokentext>
<sentencetext>Eliza: Hi, I'm Dr. Eliza. How can I help you today?
Patient: Hi, I have a pain in the left of my chest.
It's quite bad.
E: I'm sorry to hear that have a pain in the left side of YOUR chest is not feeling well.
P: Yeah... Uhh, do you know what it could be?
It's getting worse.
E: I understand.
P: You understand what?
My left arm is starting to feel funny.
E: Your problem is arm feel funny?
P: No, my problem is my chest!
It's really painful, I can hardly breathe!
E: You can hardly breathe and your left arm is feel funny?
P: yes
E: I like this conversation!
Do you like this can hardly breathe and your left arm is feel funny?
E: Hello?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436700</id>
	<title>Awesome</title>
	<author>CODiNE</author>
	<datestamp>1268317800000</datestamp>
	<modclass>Funny</modclass>
	<modscore>3</modscore>
	<htmltext><p>Hypocondriacs of the world REJOICE!!</p></htmltext>
<tokenext>Hypocondriacs of the world REJOICE !
!</tokentext>
<sentencetext>Hypocondriacs of the world REJOICE!
!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31440006</id>
	<title>Re:Dr Eliza</title>
	<author>hodet</author>
	<datestamp>1268330880000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>More likely....if  you are having chest pain press 1 now.  If you have a sucking chest wound press 2 now.</htmltext>
<tokenext>More likely....if you are having chest pain press 1 now .
If you have a sucking chest wound press 2 now .</tokentext>
<sentencetext>More likely....if  you are having chest pain press 1 now.
If you have a sucking chest wound press 2 now.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436724</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31440342</id>
	<title>Just another way to increase profits</title>
	<author>Thaelon</author>
	<datestamp>1268332200000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p>How is this any better than a phone call?</p><p>The doctor still can't palpate anythying, nor even make a good visual examination since the quality is likely too poor to be of any use.</p><p>Answer?  It's cheaper for the insurance company than a real doctor visit, and so saves them money, and you get inferior care for it, while they get increased profits.</p><p>Don't let them spin this as something good for you, it's just another way to reduce costs (and this time, care quality too).</p></htmltext>
<tokenext>How is this any better than a phone call ? The doctor still ca n't palpate anythying , nor even make a good visual examination since the quality is likely too poor to be of any use.Answer ?
It 's cheaper for the insurance company than a real doctor visit , and so saves them money , and you get inferior care for it , while they get increased profits.Do n't let them spin this as something good for you , it 's just another way to reduce costs ( and this time , care quality too ) .</tokentext>
<sentencetext>How is this any better than a phone call?The doctor still can't palpate anythying, nor even make a good visual examination since the quality is likely too poor to be of any use.Answer?
It's cheaper for the insurance company than a real doctor visit, and so saves them money, and you get inferior care for it, while they get increased profits.Don't let them spin this as something good for you, it's just another way to reduce costs (and this time, care quality too).</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31447692</id>
	<title>Offshoring is the docs faults</title>
	<author>WindBourne</author>
	<datestamp>1268318640000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>To keep their prices high, the AMA has prevented new med schools from being done. The last one was back in the 70's. So, part of the reason why docs get paid so much is that there is not enough of them. What is needed is for feds and states to say enough of this, come up with another standards groups, and start developing new med schools. I have written several congressmen and have suggested adding a med school at Colo State. Then have cut rate med school there, HOWEVER, the docs would only work in Colorado and would only do General lines (general practice, Peds, Ob/Gyn, Gen. Surgery, etc).  Ideally, set up a state malpractice insurance for these docs, in which patients that use them would have to go through a different approach for suing. Finally, they would accept a different line of pay since they would not have the high med schools costs (i.e. pay up front, rather than down the road).<br> <br>
Now, insurances want to make cuts so they will outsource the docs, but not their expensive management. What a racket.</htmltext>
<tokenext>To keep their prices high , the AMA has prevented new med schools from being done .
The last one was back in the 70 's .
So , part of the reason why docs get paid so much is that there is not enough of them .
What is needed is for feds and states to say enough of this , come up with another standards groups , and start developing new med schools .
I have written several congressmen and have suggested adding a med school at Colo State .
Then have cut rate med school there , HOWEVER , the docs would only work in Colorado and would only do General lines ( general practice , Peds , Ob/Gyn , Gen. Surgery , etc ) .
Ideally , set up a state malpractice insurance for these docs , in which patients that use them would have to go through a different approach for suing .
Finally , they would accept a different line of pay since they would not have the high med schools costs ( i.e .
pay up front , rather than down the road ) .
Now , insurances want to make cuts so they will outsource the docs , but not their expensive management .
What a racket .</tokentext>
<sentencetext>To keep their prices high, the AMA has prevented new med schools from being done.
The last one was back in the 70's.
So, part of the reason why docs get paid so much is that there is not enough of them.
What is needed is for feds and states to say enough of this, come up with another standards groups, and start developing new med schools.
I have written several congressmen and have suggested adding a med school at Colo State.
Then have cut rate med school there, HOWEVER, the docs would only work in Colorado and would only do General lines (general practice, Peds, Ob/Gyn, Gen. Surgery, etc).
Ideally, set up a state malpractice insurance for these docs, in which patients that use them would have to go through a different approach for suing.
Finally, they would accept a different line of pay since they would not have the high med schools costs (i.e.
pay up front, rather than down the road).
Now, insurances want to make cuts so they will outsource the docs, but not their expensive management.
What a racket.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31441924</id>
	<title>Doctors don't even listen in person</title>
	<author>Flentil</author>
	<datestamp>1268338440000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Many doctors I've gone to only listen to about half of what I say, so I have to repeat myself repeatedly to get the points across.  Moving doctors to a chat room is a pretty silly idea.  Anything a doctor can tell you in a chat room you can already find on WebMD or by googling.</htmltext>
<tokenext>Many doctors I 've gone to only listen to about half of what I say , so I have to repeat myself repeatedly to get the points across .
Moving doctors to a chat room is a pretty silly idea .
Anything a doctor can tell you in a chat room you can already find on WebMD or by googling .</tokentext>
<sentencetext>Many doctors I've gone to only listen to about half of what I say, so I have to repeat myself repeatedly to get the points across.
Moving doctors to a chat room is a pretty silly idea.
Anything a doctor can tell you in a chat room you can already find on WebMD or by googling.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31447332</id>
	<title>Can I pay the doc in WoW Gold?</title>
	<author>sfled</author>
	<datestamp>1268315760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Seems fair. Virtual money for a virtual visit...</p></htmltext>
<tokenext>Seems fair .
Virtual money for a virtual visit.. .</tokentext>
<sentencetext>Seems fair.
Virtual money for a virtual visit...</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437052</id>
	<title>Only cool if no/lower copay</title>
	<author>karcirate</author>
	<datestamp>1268320680000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>The only way I would consider something like this is if it was sans copay.  Otherwise, any situation where it would be useful will be replaced by me just calling my doctor.  Shockingly,you can actually call an upstanding doc for a quick question without going through the insurance co at all.  And for any issues I wouldn't feel comfortable resolving over the phone, I am going in to the office anyway - the internet be damned.

</p><p>Though after this program is in effect, I wouldn't be surprised if doctors refuse to take regular calls, only "paid" calls.</p></htmltext>
<tokenext>The only way I would consider something like this is if it was sans copay .
Otherwise , any situation where it would be useful will be replaced by me just calling my doctor .
Shockingly,you can actually call an upstanding doc for a quick question without going through the insurance co at all .
And for any issues I would n't feel comfortable resolving over the phone , I am going in to the office anyway - the internet be damned .
Though after this program is in effect , I would n't be surprised if doctors refuse to take regular calls , only " paid " calls .</tokentext>
<sentencetext>The only way I would consider something like this is if it was sans copay.
Otherwise, any situation where it would be useful will be replaced by me just calling my doctor.
Shockingly,you can actually call an upstanding doc for a quick question without going through the insurance co at all.
And for any issues I wouldn't feel comfortable resolving over the phone, I am going in to the office anyway - the internet be damned.
Though after this program is in effect, I wouldn't be surprised if doctors refuse to take regular calls, only "paid" calls.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436588</id>
	<title>Can you?</title>
	<author>Anonymous</author>
	<datestamp>1268316900000</datestamp>
	<modclass>Funny</modclass>
	<modscore>1</modscore>
	<htmltext><p>pay your virtual bill with virtual money from MMO's</p></htmltext>
<tokenext>pay your virtual bill with virtual money from MMO 's</tokentext>
<sentencetext>pay your virtual bill with virtual money from MMO's</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436516</id>
	<title>Is the insurance fee virtual too?</title>
	<author>Anonymous</author>
	<datestamp>1268316120000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>1</modscore>
	<htmltext><p>I thought not.</p></htmltext>
<tokenext>I thought not .</tokentext>
<sentencetext>I thought not.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31440108</id>
	<title>Re:Dr Eliza</title>
	<author>jason.sweet</author>
	<datestamp>1268331360000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Dr Eliza?  That looks more like "Steve" from HP's customer support chat.</htmltext>
<tokenext>Dr Eliza ?
That looks more like " Steve " from HP 's customer support chat .</tokentext>
<sentencetext>Dr Eliza?
That looks more like "Steve" from HP's customer support chat.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436724</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436520</id>
	<title>Don't mix it up with Chat Roulette...</title>
	<author>Dr\_Barnowl</author>
	<datestamp>1268316120000</datestamp>
	<modclass>Funny</modclass>
	<modscore>4</modscore>
	<htmltext><p>"Please present the affected body part to your webcam."</p></htmltext>
<tokenext>" Please present the affected body part to your webcam .
"</tokentext>
<sentencetext>"Please present the affected body part to your webcam.
"</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436548</id>
	<title>Conflict of interest</title>
	<author>Anonymous</author>
	<datestamp>1268316420000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>2</modscore>
	<htmltext><p>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.</p><p>Even if you trust in them not to be simply bought off, their jobs may depend on how much their instructions cost. Dr Caring who believes suspect lumps should be biopsyed every time just to make sure they aren't cancerous is unlikely to have as long a term with the company as Dr Casual who tells the patients to just wait two weeks and see if it goes away on it's own.</p></htmltext>
<tokenext>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.Even if you trust in them not to be simply bought off , their jobs may depend on how much their instructions cost .
Dr Caring who believes suspect lumps should be biopsyed every time just to make sure they are n't cancerous is unlikely to have as long a term with the company as Dr Casual who tells the patients to just wait two weeks and see if it goes away on it 's own .</tokentext>
<sentencetext>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.Even if you trust in them not to be simply bought off, their jobs may depend on how much their instructions cost.
Dr Caring who believes suspect lumps should be biopsyed every time just to make sure they aren't cancerous is unlikely to have as long a term with the company as Dr Casual who tells the patients to just wait two weeks and see if it goes away on it's own.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437186</id>
	<title>Re:Coming next:</title>
	<author>Steauengeglase</author>
	<datestamp>1268321640000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>4</modscore>
	<htmltext><p>Good Lord, why should be it cheaper? There is equipment to be paid for and technicians to make sure the equipment is operational; probably some extra coverage for "e-Malpractice". Of course you won't actually get to see a doctor, just another over-worked nurse practitioner; only now they'll have to sit in a cube for 9 hours a day.</p><p>Turn-over will begin to go up in that area as the whole thing turns into "medical help desk". I couldn't imagine the horror of getting pestered for 9 hours a day by octogenarians and hypochondriacs about every pimple and scratch on their body. Not that it matters, the practice bills by both the call and the minute, there are 40 people in que and your sup is complaining about your response times. You pray each day that your practice will get bought out by one of the big boy managed health organizations, because they actually put into your 401k, unlike these organ grinders.</p></htmltext>
<tokenext>Good Lord , why should be it cheaper ?
There is equipment to be paid for and technicians to make sure the equipment is operational ; probably some extra coverage for " e-Malpractice " .
Of course you wo n't actually get to see a doctor , just another over-worked nurse practitioner ; only now they 'll have to sit in a cube for 9 hours a day.Turn-over will begin to go up in that area as the whole thing turns into " medical help desk " .
I could n't imagine the horror of getting pestered for 9 hours a day by octogenarians and hypochondriacs about every pimple and scratch on their body .
Not that it matters , the practice bills by both the call and the minute , there are 40 people in que and your sup is complaining about your response times .
You pray each day that your practice will get bought out by one of the big boy managed health organizations , because they actually put into your 401k , unlike these organ grinders .</tokentext>
<sentencetext>Good Lord, why should be it cheaper?
There is equipment to be paid for and technicians to make sure the equipment is operational; probably some extra coverage for "e-Malpractice".
Of course you won't actually get to see a doctor, just another over-worked nurse practitioner; only now they'll have to sit in a cube for 9 hours a day.Turn-over will begin to go up in that area as the whole thing turns into "medical help desk".
I couldn't imagine the horror of getting pestered for 9 hours a day by octogenarians and hypochondriacs about every pimple and scratch on their body.
Not that it matters, the practice bills by both the call and the minute, there are 40 people in que and your sup is complaining about your response times.
You pray each day that your practice will get bought out by one of the big boy managed health organizations, because they actually put into your 401k, unlike these organ grinders.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436786</id>
	<title>Re:Coming next:</title>
	<author>Stenchwarrior</author>
	<datestamp>1268318520000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I'd go to an Indian doctor any day, even virtually. I go to one now and I tell myself every time: The only thing missing is a chat session so I can understand the bastard.</htmltext>
<tokenext>I 'd go to an Indian doctor any day , even virtually .
I go to one now and I tell myself every time : The only thing missing is a chat session so I can understand the bastard .</tokentext>
<sentencetext>I'd go to an Indian doctor any day, even virtually.
I go to one now and I tell myself every time: The only thing missing is a chat session so I can understand the bastard.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31444112</id>
	<title>Re:Just wait until they outsource it...</title>
	<author>TheSync</author>
	<datestamp>1268301540000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><i>The danger for misdiagnosis is huge</i></p><p>My experience is that plenty of full-fledged doctors misdiagnosis all the time as well.</p><p>Research has shown that expert systems are better than the average doctor at diagnosis.</p></htmltext>
<tokenext>The danger for misdiagnosis is hugeMy experience is that plenty of full-fledged doctors misdiagnosis all the time as well.Research has shown that expert systems are better than the average doctor at diagnosis .</tokentext>
<sentencetext>The danger for misdiagnosis is hugeMy experience is that plenty of full-fledged doctors misdiagnosis all the time as well.Research has shown that expert systems are better than the average doctor at diagnosis.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436574</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436626</id>
	<title>all well and good...</title>
	<author>Anonymous</author>
	<datestamp>1268317140000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>2</modscore>
	<htmltext><p>but also a waste of time in a lot of cases.  Case in point, my in-laws, who go to the doctor if they stub their toes.</p><p>I'm only slightly exaggerating, any little thing and off they go.  It's unreal.  If they knew about this, I'm sure they'd have a lot more "afflictions" to get "treated" by these doctors.</p><p>Sad.</p></htmltext>
<tokenext>but also a waste of time in a lot of cases .
Case in point , my in-laws , who go to the doctor if they stub their toes.I 'm only slightly exaggerating , any little thing and off they go .
It 's unreal .
If they knew about this , I 'm sure they 'd have a lot more " afflictions " to get " treated " by these doctors.Sad .</tokentext>
<sentencetext>but also a waste of time in a lot of cases.
Case in point, my in-laws, who go to the doctor if they stub their toes.I'm only slightly exaggerating, any little thing and off they go.
It's unreal.
If they knew about this, I'm sure they'd have a lot more "afflictions" to get "treated" by these doctors.Sad.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436742</id>
	<title>Re:Coming next:</title>
	<author>Jackie\_Chan\_Fan</author>
	<datestamp>1268318220000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Also:</p><p>Rate increases.</p><p>NY Blue Cross Blue Shield for personal insurance plan cost: $1,150 a month.</p></htmltext>
<tokenext>Also : Rate increases.NY Blue Cross Blue Shield for personal insurance plan cost : $ 1,150 a month .</tokentext>
<sentencetext>Also:Rate increases.NY Blue Cross Blue Shield for personal insurance plan cost: $1,150 a month.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436510</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31444228</id>
	<title>Re:Conflict of interest</title>
	<author>TheSync</author>
	<datestamp>1268301840000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><i>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.</i></p><p>Of course, one could argue that health insurance companies compete with one another to provide the best service, or else they may lose contracts with employers (which I have seen happen).</p><p>The problem is that the person choosing your health insurance (in the USA) is not you, but your employer's HR staff, due to WWII-era tax rules.</p></htmltext>
<tokenext>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.Of course , one could argue that health insurance companies compete with one another to provide the best service , or else they may lose contracts with employers ( which I have seen happen ) .The problem is that the person choosing your health insurance ( in the USA ) is not you , but your employer 's HR staff , due to WWII-era tax rules .</tokentext>
<sentencetext>First-contact doctors working directly for the insurance company sounds like a bit of a conflict of interest.Of course, one could argue that health insurance companies compete with one another to provide the best service, or else they may lose contracts with employers (which I have seen happen).The problem is that the person choosing your health insurance (in the USA) is not you, but your employer's HR staff, due to WWII-era tax rules.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436548</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31437510</id>
	<title>Re:Just wait until they outsource it...</title>
	<author>GerryHattrick</author>
	<datestamp>1268323500000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Used the English 'NHS Direct' system 3 times (at night, for children and elderlies).  Thorough script, reassuring qualified nurse, triage between 'take aspirin', 'see doc tomorrow', 'request night visit', and even 'emergency ambulance now' (they get your location first).  And of course whichever the option, everything is free here.  Rumour says it's been massively more popular than expected - Surprise!  It's certainly one of my quickdial numbers.</htmltext>
<tokenext>Used the English 'NHS Direct ' system 3 times ( at night , for children and elderlies ) .
Thorough script , reassuring qualified nurse , triage between 'take aspirin ' , 'see doc tomorrow ' , 'request night visit ' , and even 'emergency ambulance now ' ( they get your location first ) .
And of course whichever the option , everything is free here .
Rumour says it 's been massively more popular than expected - Surprise !
It 's certainly one of my quickdial numbers .</tokentext>
<sentencetext>Used the English 'NHS Direct' system 3 times (at night, for children and elderlies).
Thorough script, reassuring qualified nurse, triage between 'take aspirin', 'see doc tomorrow', 'request night visit', and even 'emergency ambulance now' (they get your location first).
And of course whichever the option, everything is free here.
Rumour says it's been massively more popular than expected - Surprise!
It's certainly one of my quickdial numbers.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436574</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31439934</id>
	<title>Re:Just wait until they outsource it...</title>
	<author>RDW</author>
	<datestamp>1268330580000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Our local GP (family doctor) practice in the UK offers phone consultations (where appropriate) quite routinely, which seems perfectly sensible and sometimes preferable (or even safer). This week the doctor decided that a family member who happens to be in an immunocompromised state due to their treatment needed to come in for a followup face-to-face consultation at the surgery. All very well, except that another patient in the (small) waiting room was a chickenpox-infected child thoughtfully brought along by its parent. Chickenpox, of course, is highly contagious and potentially very serious if your immune system is not 100\%. Thankfully the staff found somewhere else to put the child, but even a brief exposure like this is something best avoided.</p></htmltext>
<tokenext>Our local GP ( family doctor ) practice in the UK offers phone consultations ( where appropriate ) quite routinely , which seems perfectly sensible and sometimes preferable ( or even safer ) .
This week the doctor decided that a family member who happens to be in an immunocompromised state due to their treatment needed to come in for a followup face-to-face consultation at the surgery .
All very well , except that another patient in the ( small ) waiting room was a chickenpox-infected child thoughtfully brought along by its parent .
Chickenpox , of course , is highly contagious and potentially very serious if your immune system is not 100 \ % .
Thankfully the staff found somewhere else to put the child , but even a brief exposure like this is something best avoided .</tokentext>
<sentencetext>Our local GP (family doctor) practice in the UK offers phone consultations (where appropriate) quite routinely, which seems perfectly sensible and sometimes preferable (or even safer).
This week the doctor decided that a family member who happens to be in an immunocompromised state due to their treatment needed to come in for a followup face-to-face consultation at the surgery.
All very well, except that another patient in the (small) waiting room was a chickenpox-infected child thoughtfully brought along by its parent.
Chickenpox, of course, is highly contagious and potentially very serious if your immune system is not 100\%.
Thankfully the staff found somewhere else to put the child, but even a brief exposure like this is something best avoided.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment10_03_11_0315240.31436574</parent>
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