The 2014 TDI Report says:

Interestingly, while injured employees were allowed to select their own treating doctors prior to the passage of HB 7,


a significant percentage of injured employees reported (in this and in previous studies in Texas) that they selected a doctor recommended to them by their employer or insurance carrier.

Page 31.

No kidding. They still work there. You think they are going to buck the ‘recommendation’ of a good employer or insurance carrier, especially when they (with a little help from the Legislature) have gone to all the trouble of setting up a network?

How does this square with:

The most frequent types of complaints raised by injured employees included complaints about access to care and quality of care provided by network health care providers.

Page 114.


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Guess when the patient arrived at the network office the network doctor didn’t realize that the employer had recommended them. Otherwise I am sure they would have been on their best bedside manners.

I previously said here that if the Texas WC Act is found unconstitutional lack of doctor choice will play a role. The hubris of the employer and the network physician will as well.

Loss of physician stature? Look no further: As Pellegrino and Relman (1999) have written, “[t]oo often, ethical goals have been commingled with protection of self-interest, privilege, and prerogative.

Yet, effacement of self-interest is the distinguishing feature of a true profession that sets it apart from other occupations”.