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What Discourages Doctors

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October 26, 2014

A colleague sent me a copy of this post. I think it’s satire, but I actually can’t tell for sure. It’s a story where a doctor waiting outside a hospital administrator’s office, finds a consultant’s trade magazine that tells them how they can control doctors. The comments on the original blog are fascinating too...
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Low Trust in American Doctors

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October 20, 2014

The U.S. healthcare system has another measure of how poorly it compares to other countries. An editorial in the New England Journal of Medicine compares polls from developed countries on two measures: “All things considered, doctors in your country can be trusted” and “Satisfaction with the treatment you received when you last visited a...
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When Do You Want to Die?

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September 28, 2014

There was a fascinating article in The Atlantic written by one of America’s leading bioethicists, Ezekiel Emanuel, who is the brother of Rahm Emanuel, who left the Obama administration to become the mayor of Chicago. The article is entitled Why I Hope to Die at 75. Dr. Emanuel starts by debunking some of the...
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Two More Examples of Nutty Healthcare Prices

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September 23, 2014

If anyone thinks ACOs or other ACA concoctions have impacted the cost of healthcare, here are two examples of how the status quo has not changed. First, comes an article from the New York Times. I told the story of a man who had neck surgery http://www.nytimes.com/2014/09/21/us/drive-by-doctoring-surprise-medical-bills.html?_r=0.  When he got his bills, he received...
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Gloom and Doom in U.S. Workers

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September 7, 2014

A recent report from Rutgers University entitled “Unhappy, Worried, and Pessimistic: Americans in the Aftermath of the Great Recession” found that 70% of respondents described the typical American worker as not secure in their jobs and 68% of workers are highly stressed. A quote from the study is, “The typical American worker lives in...
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A Glimpse of a Bleak Future for Primary Care Access

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August 17, 2014

First, we are all so thankful that our family physician colleague Kent Brantly seems to be recovering from his Ebola infection. When his family left Liberia, they had to leave all of their possessions behind, which should have been burned by now. If you would like to donate to help him rebuild his personal...
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A Colleague with Ebola

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July 28, 2014

I must pause a week in my continued quest to highlight waste and excess in the American healthcare system to focus on a more pressing issue. Dr. Kent Brantly graduated from the JPS Family Medicine Residency Program 2 years ago after also completing our global/maternity care fellowship. He is the young man who contracted...
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CMS Billing Rules & Family Medicine – Incentives to Over-Treat

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July 22, 2014

I’ll make this one very short. The same realities apply in the CMS documentation, coding, and billing rules that incentivize over-treating as they do for over-testing. If I see a patient with a cough, I don’t prescribe antibiotics, and I give the long speech explaining why they don’t need antibiotics, and I reassure the...
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CMS Billing Rules Subjugate Family Medicine – Incentives to Over-Test

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July 14, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. This specific issue is a detail that actually wasn’t mentioned often...
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CMS Billing Rules Subjugate Family Medicine – Payment for Complexity and Time

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July 6, 2014

I’m continuing my series on the reasons there are so few family physicians in the U.S. and why the Center for Medicare and Medicaid Services (CMS) is a root cause of this deficit. My conclusions are based on recent research on the topic. If you hired an accountant to do your taxes and after...
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