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Show TheSalt Lake Tribune UTAH LIVING Sunday, May7, 2000 atht F46 Doctorin Any City, USA Dear Doc: The lady with all the answers does not have an answer to this one. I hope those ofyou who are more savvy than I on this ty, arrogantand self-important.” You then printed a letter from a physician whosaid lot of the problems in medicine todayare the result of managed-care organizations. You asked your readers to respond. lam physician whois looking forward to getting outofthis profession.It bothers me when I prescribe medicines that I know and trust,only to be told by the HMO that I have to use something subject will come to my rescue. problem should be warned that From Durham,N.C.: Many people complain about long waits in doctors’offices, but they don’t bother me.If I’m stuck an extra 30 minutes, I realize the doctoris taking care of someoneelse's concerns. Sometimes there is an unavoidable emergency at the hospital. I certainly wouldn't want a doctor to rush through my surgery just to be on time for someoneelse’s office appointment. New Orleans:I recently had major surgery. WhenI looked at mybill, I realized mostofthe cost camefrom the hospital, not the physician. There were fees for the room,the anesthesiologist, the ra- they will reap what they sow. — diologist, the phone and so on. integrity and makes mefeel ity. guilty. Since the adventof managed cheaper. The HMO review staff inspects every chart, looking for a reason to discharge the patient earlier than I would recommend. There is no diagnosis code for “frail, elderly andlonely.”If 1 care, I have seen my income drop wantsuch a patientto stay an ex- mystaffraise. Those who think managed care is the answerto the tra day or two, I have to make up something to satisfy the insurance company. This compromises my by half, butI still have to pay malpractice premiums that could support a family of four. It pains me to see the HMOs making millions while I can barely afford to give Whydo people insist on blaming the physician for these costs? Bedford, ind.: I work in a doctor’soffice, and it is getting harder every day to be civil. People are. unbelievably rude. They demand to beeen even wetell them the doctor has a full schedule. tf we manage to squeeze them in, they in ifthey haveto wait. Patients wake the doctor at 3 a.m. because a sore throat they have had for three days is suddenly an emergency. One idiot woke me up at hometo ask ifhe could schedule an appointmentfor the next Bangor, Maine: I am a seniorin high school and plan to become a doctor. All I have ever wanted to do is help people. I know I'll never be rich. If1 am lucky,I will be able to pay offmy studentloans by the time Iam 50. Lafayette, La.: When I needed Dear Va.: Bless you. You've cho- sen the right profession. Blacksburg, Va.: 1 tending medical schont ix eda Believe me,this was not an easy decision. The educational requirements are rigorous, and the application and interview pro- spite this, I still want to be a doctor. I care deeply aboutserving humanity and wantto use myabilities to help those who need care. There is no THEY NEED YOUR HELP There are people in the community who need your help. They may be contacted by calling the Volunteer Center, Community Services Council, 887-1254, or visiting www.volunteerinsaltlake.org. Many. of the volunteer opportunities are accessible to people with disabilities. Photographer: Needed to photograph volunteers at work for Salt Lake County Aging Services. Youth Services: Help with annual fun run and“on advisory board for service organization. te “Booked” Program: Tutors needed to help inmates prepare for the GED. Services: People over 55 needed ot environmental work,tutoring, coordi- ting existing volunteer programs, disas- ee“relief and food-pantry help. ARC Utah: Assist individuals to develop self-advocacy plan, cesie public about ceeneeds and issi Conventions“& Visitors Bureau: eran questions. Family Literacy Project: ain hands-on experience in helping chil- a andadults learn to read. American Provide ad- ministrative support, computer support andassistance with mailings; coordinators and committee members also needed. American Diabetes 3 A va riety of opportunities available. International: Help with letter writing to foreign and local governments, contribute newspaper editorials andparticiin in demonstrations. Utah State Library: The blind, visually aienexvlunrs paired and need a, to assist ee tacks a cassette, repairing cassette and record players as wellas inspecting books as they are mailed. The Salva : Help straighten merchandise, sweep and stock shelves at Drive mothers to and from appointments and answerphonecalls from birth mothers, are eee ea and on weekends. Foundation:Perform a oenr noes activities such as being a foster friend,tutor or mentor parent orproviding reliefcare for a child with speae cultural, religious, educational or med- ical needs. 's Medical Center: Spanish-speaking volunteers are needed to Talon tochildren and Pein the library. Guild: Donated violins redefor the guild to providefree lessons 10 disadvantaged yotmu Butte Garden: Opportunities available working as a naturalist, horticulturist, tour guide, station host, hy the greenhouse easi et ‘ the Visually Impaired: Walk wit dog. Promontory Correctional Facility: Help develop a brary and assist with art and mele is classes; book donations accepted. Court Appointed Advocates: dergarten chi : Every Saturday from 10 a.m. to 2 p.m. volunteers are needed to help with trail maintenance, 8.125% mustbe atleast 21years old. CEPY 1 MORTGAGE Starting rates of 3.95% Call For Details s& Lowest Interest rate & closing costs teed!!! 801-261-4848 www.discountmortg.com arr 7.67% 87/2" 30YRFIXED s3iix 77/s* \5YRFIXED sh é& Professional, Personalized Service i FHA & VARates also available @ Please Call, Compare, and Save! Raa JUMBO AE SALT LAKE 273-3318 3760 HIGHLANDDRIVE #500) PARKCITY 649-7898 9080 JEREMY RANCH RD. 273-3300 ST\ Nd You’d be amazed what you can getwith our manufactured homeloan. More room,for instance. . home for your money. {Let us makea fan outof you.} See, while somelenders can charge as much as 8% ofthe loan amount in lenderfees, we make sure more money goes into your new home.In fact, we even offer zero-fee options.* Which makes becoming a home-ownereasier than you ever imagined. Almostas easy as getting tised to all that extra space. Te HOME LOANS PURCHASE/REFINANCE REMODEL AD CREDIT EQUITY LOANS 100% CONSTRUCTION LOANS MOBILE HOMES 3 9%, 0 6I TYnARM 8.97 APR. “WE HELP PEOPLE FINANCE HOMES” SERVING UTAH SINCE 1988 8 European Classics Elegance You Can Afford 1981 EAST MURRAY-HOLLADAY ROAD SALT LAKE CITY, UTAH (801) 278-1099 — 1 (800) 771-2181 2236 South 1300 East * SLC + 474-0774 (Off 1-80 at 1300 Eastin the Sugar House Shopko Center) RATES SUBJECT TO CHANGE WITHOUT NOTICE Article provided to NAC bythe Salt Lake Board of Realtors Adjustable rate mortgages offer buyers an alternative ARM with an initial adjustment period offive years and stays in the house for only four years, there will not be any adjustments on the loan. The buyer enjoys the advantage of the lower initial rate without ever having to experience possible rate increases. As a tule, the greater the amount ofinterest rate risk carried by the HomeFront home buyer seekThe 7 ing a loan, the Therecentrise in interest rates has caused homebuyers to take a closer look at adjustable rate mortgages, or ARMs. A key advantage to an ARM loan is that it usually has a lower initial interest rate than a_ fixed-rate loan, allowing a buyer to qualify either with a lower income or for a larger loan. In exchange for the lowerrate, the home buyer must bear a greater amount of interest rate risk. That's because here at Washington Mutual webelieve in getting you more Be *& APARTMENTS %& OFFICE/WAREHOUSE * STORAGE *CONSTRUCTION LINES * SINGLE USE BUILDINGS 225-9757 | UTAH COUNTY Garden Furniture Preview and Residential Mortgages inal waiting to receive a Seeing Eye Work with abused or neglected children; By Spencer Greer An ARM is a loan whose interestrate is adjusted according to movements in rates in the financial markets. An index rate plus a margin determinetherate and the rate adjustments. Suppose the currentindexrate is 6 percent and the margin is 2 percent. The interest rate used for calculating an ARM rate wouldbe 8 percent, whichis the sum ofthe two. The index rate is usually some common measure of interest rates available regularly in the newspaper and on the Internet. * There are many different ofARMs.Some maintain a fixed rate for up to 10 years before a any adjustments. Others may adjust the rate only one year or even one month efter closing. Most ARMs havecaps or upper limits on how much the interest rate can increase in any adjustment period and/or over the life of the loan, The caps may be different at different times in the life of the loan. For instance, an jower the initial interest rate will be. For instance, an ARM that adjusts after one year and then every year thereafter is likely to carry a lower initial rate than an not adjust until the end of the fifth year. The home buyer with the loan that does not adjust for five years is receiving greater interest rate security and pays for such security in the form of a higher initial rate. ARMs can save a home buyer money should interest rates decline. With a fixed rate mortpase, the only way to benefit m a drop in interest rates is to tefinance the loan, which is expensive. With an ARM, a drop in mortgage rates might lower monthly payments without the need to refinance. A home buyer can get an idea about the possible volatility of an ARM bylooking at a table showing the movements of the index over the previous’ 10 years. Be advised that interest rate for five years may then Mutual Washi ofthe loan. Many ARMsinclude initial discounts. The discount may allow a buyer to qualify for a loan more easily, but it also may result in a sizeable increase in the monthly payments at the first one or second adjustment periods. With a discounted ARM, find out how the payments might change even if interest rates stay constant. For many people, buying a lifetime. If you are shopping for a new home, an adjustable rate mortgage could be an important financing option worth considering. Depending on your circumanda an ARM could save you money and make your home more affordable. Lenders are offering manydifferent types of ARMs. As a result, it is easy to get confused. Adjustable rate mortgages are not for everyone, so do your homework and ask questions. What may sound attractive in the short term could cost you a lot ofmoney in the future. To learn more about ARMs and other types of mortgages, you maycall Fannie Mae’s Consumer Resource Center toll-free at 1-800-732-6643. Information is also available on the Internet from a few different sources. 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