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Re: MrLong post# 31509

Tuesday, 05/18/2010 10:53:28 PM

Tuesday, May 18, 2010 10:53:28 PM

Post# of 105534
I think it is important to understand the mission of AAP. The organization is designed to be a support to practicing Pediatricians who are commonly struggling keep their heads above water in private practice. They are some of the lowest paid doctors in the medical hierarchy. In my state, they boosted the Medicaid rates to primary care physicians at the expense of pediatric subspecialists but that's another story.

As a nurse administrator in pediatric/neonatal field for many years, I have to say with confidence that Pediatricians are some of the most ethical professionals within the medical field PERIOD. As a matter of fact, they often don't fit into the medical milieux(how do you spell that dang word anyway?) because they lack business sense. Their advice is highly regarded by new parents and often they hang on every word. Pediatricians take this high regard thing very seriously. They don't do well with the "rock star" role, as many physicians do. So the combination of ethical principles and high respect from new parents makes them hesitant to recommend a practice which is not well established by multiple research findings. In short, they are very conservative as a group.
The AAP does their best to create position statements so that they have back up when their enthusiastic patients seek their support for new ideas and practices (we've all heard of the no vacccine ideas which are rampant. Check out the AAP position statements there). They are so unlike the OB crowd who will recommend a practice to their delivering patients as long as they get a cut of the profit. Difference there too is their exposture to litigation. I'd probably look to make a buck if I paid upwards of $150K per year malpractice insurance to stay in practice. Pediatricians not sued often so malpractice insurance rates quite low. Check out the AAP website and you will see what they're all about and recognize the cordblood thing is part of a bigger picture (is all)
http://www.aap.org/
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