A February 13
Craigslist ad is recruiting hotel doctors.
If you read
this blog, you know that I keep track of new arrivals and offer to work for
them. They often take me up on it because it’s not easy to find a doctor on the
spur of the moment.
A few hours
after my response, the phone rang. The caller introduced himself, adding that
he knew me, admired me, and was certain that I was a perfect hire.
He operated a
concierge hotel doctor service in big cities, he explained. Clients
were busy businessmen who absolutely could not interrupt work to be
sick. His doctors made sure this happened through aggressive treatment and
powerful drugs, perhaps more powerful than a doctor would use in an office. He
asked what injectables I carried and suggested others. His doctors sutured
lacerations, drained boils, administered IV fluids and breathing treatments,
incised hemorrhoids – whatever a guest need to keep going.
The charge was
$3250.
“They pay
that?” I asked.
“Just about
everyone,” he responded. “Because there’s NO OUT-OF-POCKET EXPENSE!” (I write
in caps because his voice grew loud). “We deal mostly with foreign businessmen.
They have travel insurance that pays whatever we bill, so I promise they’ll
have NO OUT-OF-POCKET EXPENSE, and no one has complained.”
This was
probably true. Aware of the rapacious American medical system, foreign insurers
may be inured to spectacular bills.
When I asked
about American guests, he segued seamlessly into another monologue. American
insurers are less generous, but his service was vastly superior, effective,
convenient, and cheaper than the five or ten thousand dollars charged at an
emergency room. Hearing this, many paid and express gratitude afterward.
Unlike the
previous harangue, this was not true, but I encounter it on web sites and
publicity from competing hotel doctors. It puts me in a bad mood.
“So you’re not
screwing the guests, you’re screwing the insurance companies.”
“Why shouldn’t
I? They screw us!” he exclaimed, adding that many of his doctors are forced to
work for him to make ends meet because of piddling insurance reimbursement.
Surgeons who once made $1500 for repairing a hernia are now getting $1000.
This did not
improve my mood although I share his low opinion of American health insurers.
Foreign insurers give me little trouble, but I’m not billing them $3250.
“You’re
selling yourself short,” he exclaimed after learning what I charge. I responded
that I have no complaints about my income.
“You do
realize you’re running a business,” he added on hearing that I don’t charge for
phone calls. That’s probably true, but I’ve noticed that every doctor who announces
that medicine is a business is an asshole.
He is not the
first entrepreneur to discover that sick hotel guests, trapped in a strange
city, are an easy mark and that foreign insurers are even easier. You can read
about another on my September 3 post.
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