Who can do something about this?
Hello:I grew up with a family doctor. His name was Dr. Neil F. McNeil. He practiced in Santa Monica. Other than my mother, Dr. McNeil knew me better than anyone, even my friends. In fact, in several key ways, he knew me better than my mother. I cherished him. The moment I walked into his office, the healing process began. So much of the healing process is belief that you are going to get well, once you finally admit you have a problem. This is the process I was taught. It is a process that I know works.
During college, I left home and did not have a family doctor. It did not matter so much, of course, because when you are in college, you are immortal. For the most part, I handled the odd virus on my own, but when I did have to seek a doctor, I did not get the same feeling when I walked in their door. I realized it took time to build that sort of trust. Then, when I was a senior, I got seriously ill. In about three weeks, I grew a lump in my neck almost the size of a golf ball. I went to the college nurse, who took one look and led me by the hand to a doctor on call, who told me he was going to recommend some specialists that I should call immediately.
I did not do that. I went home. I saw my doctor. I went to the specialist he recommended. The lump was removed and it was benign. Turns out it was Cat Scratch Fever.
But there were several days of real stress before I went home to my family doctor.
I've had a family doctor ever since. We had a wonderful pediatrician for our twins in Mill Valley, who was recommended by our family doctor Arnold Wershky.
When we moved to Inverness nine years ago, we knew no one and had no clue about health care in West Marin. We continued to drive to Mill Valley to see our doctor. This is not a casual drive and was tremendously inconvenient and costly, with the rising price of gasoline. Still, we'd do it in order to have that peace of mind and that healing feeling.
Over time, however, we needed to make the geographic switch and lucky for us, one name kept popping up when speaking with the locals. Dr. Margaret Bourne. My wife Karen went first and told me I should see her as well.
She's been our doctor since. Just like Dr. McNeil, she knows me better than anyone except my wife. I trust her implicitly. You cannot put a price on that kind of trust. It is the foundation for a productive life. She knows us, our children, our issues. Her treatment of me is proactive, not reactive. Do you understand the difference that makes?
I have wept in her office over issues that have scared me. I am tearing up right now just thinking about how critical those moments have been for my healing. I have revealed things in my family I have not told some of my best friends. I am no longer a god fearing man, but I recognize Dr. Bourne as not only my family doctor, she is a person in whom I place my faith.
And now, she is leaving. Not because she wants to. She's leaving because she has to. She cannot afford to keep that office open.
This is so wrong.
I'm 50 years old. Our children are moving away. Karen and I have a lot of years left, but having watched my parents through those years, I know they are high maintenance, in terms of our physical and mental well being. We should not be entering these years without our family doctor. We are scared about the medical care in our future. This is a bad feeling.
We need someone to help. Who can help? We don't want to drive 20-30 miles. We don't want to go to an clinic for ongoing issues and meet with different doctors every time. We want what we've had. We want what most every other civilized country in the world has...Peace of mind about their health care.
Who can do something about this?
Sincerely,
Jeffrey Hickey
Inverness
Someday this system will turn around for doctors and patients ...
Dear Dr. Bourne,
I wanted to express my regret and sadness at the news that you are
leaving West Marin Medical Center. I’ve only been with the practice for
a couple of years, but it has been a wonderful experience having you as
my doctor. Until I came to your practice, I had been a lifelong member
of Kaiser and experienced healthcare as a dreary, impersonal and often
infuriating necessity. Not only was the Kaiser experience depressing,
but it became very expensive: I was self-employed for many years and
unable to get the corporate rate for healthcare and watched with
apprehension as Kaiser went from being the working-man’s cheap
healthcare to being nearly unaffordable. When I was hired as a ‘permy’
at my current job and got a paid healthcare benefit, I decided to leave
Kaiser and get a ‘real’ doctor for the first time in my life. That
‘real’ doctor was you. You restored my faith in the medical profession
with your thoughtful and caring approach.
Needless to say, I totally understand your reasons for leaving primary
care medicine. When I first went to West Marin Medical Center, I thought
it was almost too good to be true: a small-town practice with competent
caring staff who actually knew their patients and spent time with them
to provide good healthcare. I couldn’t believe such a place actually
existed in the American health-care-for-profit world. And I guess it has
turned out to be too good to be true – but thank you for trying.
I wish you all the best and hope that someday this system will turn
around for doctors and patients so that great doctors like you can
provide our care again.
Sincerely,
Deborah Gouailhardou
It is unfortunate that our healthcare system is broken ...
Dr. Bourne,
When I moved to Olema was astonished that I could continue to ride my
bicycle to the doctor and that the care was so outstanding. Although I
don't frequent the doctor if I can help it, I do try to maintain my
health and both you and Cheryl Higgins have been outstanding care
givers. You, your office and staff will be missed. I remember asking you
how you came to practice medicine in Pt. Reyes when I first visited your
office and have retold your story many times. The story of going by the
office when you were a child on vacation in the area and having the
desire to practice medicine in the country when you became a doctor. It
is unfortunate that our healthcare system is broken and that it has
caused you to have to leave our community.
Nearly every person that I talk with in West Marin has good things to
say about you and your compassion and professionalism. I really had no
idea that you had 4000 patients nor that you were having a difficult
time making ends meet. I plan to attend the community meeting on the
15th to learn more about our options and I hope that some answers can be
found and that you can take the lessons learned in your experience and
work to mend the broken system that exists.
Best of luck to you in the future and if there is ever a chance to be in
your care again, I will gladly take it.
Amanda
Amanda Eichstaedt
Bear Valley Inn
PO Box 58
Olema, CA 94950
*****
Your decision to leave ...
My Mom has kept me updated on what's going on with you, Kaiser, and your practice. I don't really understand it all, but given what I do comprehend, it seems very reasonable for you to be making the choices that you are, though I'm sure it hasn't been easy.
I just wanted to let you know myself (even though my Mom already did it on my behalf) that you have been a wonderful and nurturing doctor. You've made it possible for me to "suspend" the dark reality of our health-care system for a time, at least in my own life.
Thank you for everything. You will be missed. I wish you luck in
whatever is to come,
*****
It is our turn to fight the good fight
Hi Dear Molly, I write this response with tears and sadness ,.I had
no idea that my feelings ran so deep. As a practicing Chiropractor I
understand the quandary that faces both the provider, and the recipient of health care. Certain inalienable rights have been stolen from people in a system that has been taken over by selfish powerful interests. You have pro-
vided us your patients, with a model that restores sanity, skill, and
compassionate humane medical service to us which is priceless. I do
not pretend to know how to solve this plague.
What I do know that your fight has become my dedication to reach out
and join others to stand up to power. I am willing to join in creating a healthy oppositional voice to the threat that confronts us. Please know that I am willing to do whatever it takes to win back what is just. If it takes a village to raise a child, the same principle can be used to heal a system that has lost its way. It is our turn to fight the good fight. Please know that many of us in the four thousand strong can achieve what a strong vocal minority has created in the past.
With deep admiration, for what you stand for. Blessings and courage,
Stan Weisenberg, Devi Weisenberg
*****
Many of Dr. Bourne's patients are elderly ...
WEST MARIN MEDICAL CENTER
Our rural village may be about to lose our doctor because of the medical crisis our nation is experiencing. I am convinced our experience is being repeated all across the country. Dr. Margaret "Molly" Bourne is closing her practice as of January 1. She is not the only one in our village depending on underfunded and delayed Medicare and HMO insurance payments. Our chiropractor and pharmacist are also experiencing this.
Many of Dr. Bourne's patients are elderly and most are not at all wealthy. we have been here many years and have seen our modest rural village became a tourist destination. We can't afford to stay and can't afford to leave. One of the factors that has helped us survive in our homes and community was the Medical Center. Even those of us lucky enough to belong to Kaiser have been grateful for Doctor Molly. The clinic takes Kaiser patients, but how can they absorb her huge practice? The trip over the hill to Terra Linda is difficult and expensive. The costs to Kaiser and other services are going to grow as a result.
This sounds whiney, but the economic impact is real. I hope that a solution will be found which will be beneficial to all.
I have just read other responses and would like to respond to Richard Kirschman's. I would like to see some kind of umbrella organization such as he proposes, that could bargain for medications and supplies for the varied elements of the West Marin medical field...like a coop. Kaiser did a study of a health coop in Uganda, how about one here?
I also echo the praise for Dr. Bourne and her entire staff. They are sensitive and attentive.
Fondly,.
Doris Allen, Point Reyes Station
*****