here is what is going on in Denver. Until now, surgery and treatment on the new Linac's (linear accelerators) had to be performed in the big hospitals because that's where the equipment was..most of the hospitals in Denver are now owned by the big health-care corporations..The cancer doctors, the specialists fought very hard to maintain their "private contractor" status, there bill was separate from the hospital..
In the hospital where I am being treated, management laid down the ultimatum to the specialists, including the radiation oncologists, come work for us as employees or lose access to the equipment you need to practice your profession....
Result. Many of the specialists are abandoning the hospitals and building their own "Treatment Centers" outside the hospital system. Most of these centers try to be "one stop shops" equipped to handle all but the most complex procedures..They make deals with the insurance companies and can undercut the hospitals while maintaining the income levels they have become accustomed to..That's their plan anyway...
The underlying question is this..The average Radiation Oncologist makes $500,000 a year...Many medical specialists feel this is an appropriate income range and they are fighting to maintain it..The people who are paying the bills are moving in the opposite direction, trying to reduce costs and make the practice of medicine more affordable..A major collision is underway..In Denver, this has resulted in twice as many Linac's as can be supported..Treatment centers advertise on the radio, put up bill-boards..Treating cancer is big, big, business..Hospitals are struggling as their highest profit services are being siphoned away from them..
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT NOW