Re: Professional or Not (was Database Design)

Comments in-line.

ctcgag_at_hotmail.com wrote:

> Daniel Morgan <damorgan_at_x.washington.edu> wrote:
>

>>ctcgag_at_hotmail.com wrote:
>>
>>
>>>What stops them from continuing to practice urology? Do goons from
>>>the ABU show up and break their knees?
>>>
>>>Xho
>>
>>No hospital will let them into a surgical theatre. No company will
>>provide them with malpractice insurance. No colleague will refer
>>patients to them for fear of legal problems as well as the fact that
>>their practice too would suffer. And, most importantly, no insurance
>>company will pay their bill if they bill for those ICD9s and CPTs that
>>correspond with urology.
>>
>>Could they perform the procedures? Oh course. But they'd best to working
>>for an international aide organization, in a third-world country, and
>>donating their time.

Agreed.

> And they do not have an analog in IT.

I disagree. There was a time when the same could have been said for any profession. The American Board of Urology came into existence in 1935, The American Board of Otolaryngology in 1924. Our situation is no different from what existed in medicine in 1910 to 1923.

> Thus, it doesn't seem likely any way of implementing such a situation in IT
> will be available soon.

Agreed. It will only come into being when the patients, or customers, perceive a value finding competent practitioners.

   IT is not practised in centralized centers which
> can bar access to the uninitiated, (despite Larry's attempts), it is not
> predominately paid for by insurance oligarchs which act at least as much as
> buyers' agents as as insurance. The only avenue that does seem open for
> such control in IT is malpractice/liability insurance. Perhaps those
> insurance companies could refuse to cover companies (or cover at much
> higher premiums) which hire unapproved IT staff. I don't know how much
> effect that would have, but it would be one avenue for influence.
>
> Xho

The mechanism I forsee is one in which large corporations such as General Motors, Exxon, Deutsche Telecom, Mitsubishi, etc. realize that they are flushing billions of dollars of their money on IT projects and that off-shoring to third-world countries cuts down the speed at which the money is wasted but doesn't really get them what they need.

-- 
Daniel Morgan
http://www.outreach.washington.edu/ext/certificates/oad/oad_crs.asp
http://www.outreach.washington.edu/ext/certificates/aoa/aoa_crs.asp
damorgan_at_x.washington.edu
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