Hacker News new | ask | show | jobs
by singleshot_ 614 days ago
More or less, if you enter a hospital, you need a medical case manager. The case manager should be an equal or superior specialty to the treating physician. The case manager should have a medical power of attorney to make decisions concerning your care (not so much to make decisions, but to be allowed into the decision making process to advise you, and then to regulate the execution of the treating physician).

In short if your doctor is not employed by you, you should be taking precautions accordingly.

This is an absolutely daft situation, but it is where we find ourselves.
1 comments
notafanofrcm 614 days ago
The last case manager I dealt with (Raymond Rupert) ended up getting banned from practicing medicine.[1] To this day, he still operates and is expanding his case management consultancy service. He even claims Google Canada as a client.[2]

His MO is selling people on his "exclusive network" of service providers and getting people not to trust normal doctors. He then comes up with a bunch of fake services to bill people for. He also really likes to prey on kids, because parents don't want to see their children suffer and will pay money if the kid says he's helping. Especially those that are wealthy or have trust funds.

The last straw was overprescribing benzodiazepines (incredibly addictive) to people with addiction issues.

He has good SEO, is incredibly litigious (why I'm posting this from a burner), and makes you feel good about your decisions. Most case managers do that. The service they sell is not better healthcare, but making you feel like you're getting good healthcare. Case managers sell you the idea that medicine is a giant conspiracy to bilk you out of your money. Then you accept paying the case manager a bunch of money, because at least *he's on your side*.

Generally, the doctors I see practice medicine because they want to help people, not out of a desire to make a ton of money. Sometimes their sales and social skills aren't very good because of that. OP wouldn't have had a better health outcome from a case manager in his blog post; just someone charging thousands of dollars for needless consults.

[1] https://doctors.cpso.on.ca/DoctorDetails/R-Rupert/0020809-25...

[2] https://www.cieps.com/Faculty%20bios/bio%20-%20rupert.htm

link