April 27th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor, Opinion
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Our relatively new electronic medical record (EMR) product has prompts and clicks for everything imaginable. One of them, which we can use during the physical exam, is the long list of “constitutional” findings that we perceive on generally looking over the patient.
They include things like: Obviously ill, comfortable, uncomfortable, pale, well-nourished, well-hydrated, well-dressed, alert, chronically ill, contracted, emaciated — and so on.
But these descriptors don’t always cut it. I mean, people are both amazing and annoying, so why not add a few more to the list? Read more »
*This blog post was originally published at edwinleap.com*
April 26th, 2010 by BobDoherty in Better Health Network, Health Policy, Opinion, Research
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This blog was written from Toronto, Ontario, where ACP’s elected Board of Governors met to provide direction on the policies to be advocated by the organization.
One issue raised by many of the governors is the enormous economic pressure on smaller internal medicine practices, and what the ACP might be able to do about it. Today, most physicians work in private practices of ten or fewer. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
April 26th, 2010 by DrWes in Better Health Network, Health Policy, Opinion
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With the new healthcare reform bill signed into law, the fate of physician-owned hospitals was sealed:
The bill Congress passed in March includes a ban on new physician-owned hospitals and freezes those already in business at their present size. Doctors hold a one-third interest in Avera Heart, which opened in 2001, so the bill President Obama signed would prevent that facility from ever growing.
The law change, in effect, leaves expansion of treatment of cardiovascular disease open for Sanford to dominate locally in coming years — if in fact that field of medicine grows. Avera Heart says such growth is not a given, because people are living healthier and have less need for emergency care. (Argus Leader)
While it’s easy to point to the potential conflict of interest inherent to physician-owned medical facilities, it’s not so easy to demonstrate that non-physician-owned hospitals don’t have similar conflicts with generating profits. After all, continuing to build large $78 million expansions requires hospitals of any kind to achieve a return on their investment in order to continue operations. Read more »
*This blog post was originally published at Dr. Wes*
April 26th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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Partisan rancor was one of the signatures of the recent healthcare reform debate. Can middle ground actually be sought? That’s a question that Eric Segall asks in a recent AOL News op-ed. As is the case in Washington, both sides are to blame. Read more »
*This blog post was originally published at KevinMD.com*
April 26th, 2010 by Shadowfax in Better Health Network, Health Policy, Opinion
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In the annals of “Things You Probably Wish You Hadn’t Said,” Sue Lowden, the Republican candidate to replace Nevada Senator Harry Reid, suggested last week that bartering for medical care was a workable substitute for the Affordable Care Act, which she is campaigning to repeal.
Surprisingly, after being called out and roundly mocked for the suggestion, she doubled down on the idea:
“You know, before we all started having healthcare, in the olden days, our grandparents, they would bring a chicken to the doctor. They would say, ‘I’ll paint your house.'” Read more »
*This blog post was originally published at Movin' Meat*
