I think the one of the only times I think it valid to fire a patient is if they are abusive to tye doctor and/or staff, otherwise, the doctor should treat the patient. All of us don’t follow doctor’s advise about one thing or another, not perfectly compliant with medication, a little overweight, waited to get the mamogram, the doctor should treat the patient for his ailments, and suggest a better health regimen, and that’s it.
That doctor better be pretty damn perfect in his own life and health, to be not treating a patient who needs his help. You know, all those sayings, people in glass houses, treat others as you want to be treated. If the doctors own mother in podunk is fired by the one doctor in her town because she continues to eat mcdonald’s french fries, is that ok?
I don’t think the doctor’s are trying to persuade a patient to do the right think when they fire a patient, I think they just don’t want to deal with the patient or feel the patient is a legal liability.
I was “fired” when I had a disagreement over a bill. I was in contact with the doctor’s billing department right away when I received the bill, the woman was not being helpful, I wanted to speak to the doctor who treated me, they never let me, and before 60 days ever competed they sent me a certified letter firing me and sent me to collections! The letter stated they would only treat me in an emergency situation and within two weeks I would need to find a nother doctor. Well, I am never one to formally complain or sue, by I wrote a letter to better business bureau, my insurance, and the state. If anythin just to make them have to take the time to respond, I also paid their fucking bill. My letter contained even a copy of my credit score. The insinuation I was a bad debtor made me angry beyond belief. In the end the office manager wrote a response that I should have come to her. I wrote back I had no idea she existed, that I asked the person in billing to let me speak to the doctor or someone else, and she never took it above her head.
Another time a doctor told me she didn’t think she could help me anymore with a certain condition. It was ok how she handled it, although it surprised me. I think it was more of an honest account of how we disagreed about my treatement, and better I seek another doctor. That does not bother me. They were not throwing me out, but I think the doctor was maybe frustrated, and also being honest. I continue to see her for other things, but not the particular condition we did not see eye to eye on.
I think in the US doctors feel more and more empowered to refuse patients, because here they are businessmen, and in some cases businessmen first.