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Archive for November, 2013

I’m Thankful for Family Medicine

November 29, 2013

I’m re-posting a piece I wrote 3 years ago. It still applies today. I realize I’ve griped a lot in my previous posts, though I don’t see myself as a nattering nabob of negativism. For problems to be fixed they first must be identified, and our healthcare system has lots of...
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New Cholesterol Guidelines — A Tale of Two Countries

November 18, 2013

The American Heart Association/American College of Cardiology just published new guidelines for screening and treating cholesterol. In some ways these guidelines are more like the British guidelines. Instead of setting up doctors and patients to fail by calling for certain cholesterol number targets as in the old U.S. guidelines (LDL level...
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Medicare Bigotry Against Primary Care

November 7, 2013

Yet another study has documented the obvious: that the Medicare fee schedule is heavily weighted to favor procedural services. Sinsky and Dugdale added to the previous documentation of this institutional bigotry by being sure to capture the other demands on physician time besides the procedure itself. This includes time spent talking...
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