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Latest Posts

Cartoon: Why A Patient’s Time May Be More Valuable Than Her Physician’s

A 3-Point Solution To Long Waits At The Doctor’s Office

I have an easy solution to a vexing problem in today’s healthcare crisis. A problem so widespread that it’s worth hundreds of words in the Wall Street Journal: Long wait times at the doctor’s office.

But first, before I give my simple, pragmatic, master-of-the-obvious solution, let me say something truthful: I try. I try really hard — to run on time, that is.

I’ve been there myself — a patient in a gown, in a cold room with only big pharma-sponsored propaganda on the walls to stare at.

At the risk of a sounding like a…blogger, let it be said that practicing quality medicine in the current luxury of technology is much more complicated than it used to be. Such complexity devours our most precious treasure: Time with the patient. Read more »

*This blog post was originally published at Dr John M*

Wait Times For Medical Care: How The US Actually Measures Up

Yesterday, I borrowed liberally from Dr. Seuss’ “Oh, the Places You Will Go” to describe the “weirdish, wild space” – The Waiting Place – in which we now find health reform.

This got me thinking about The Waiting Place in a different context: the time it takes to get an appointment with a physician. Anyone one of us who has had to wait weeks, or even months, for an appointment would agree that The Waiting Place is, as Dr. Seuss described it, a “most useless place” to be.

Critics of the pending health reform bills, like Conservatives for Patient Rights argue that they will lead to longer wait times for appointments. Their argument being that “government-run” health care, as exists in Canada or the United Kingdom, has been demonstrated to result in long waits for medical appointments.

I would dispute the premise that the reforms being considered by Congress are akin to the systems in place in Canada or the United Kingdom. Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

The Japanese Healthcare System: Same Crisis, Different Country

Japan is completely different from the United States.  But it’s exactly the same.

I’m talking about health care, of course.

Japan is a country of about 130 million people, and one of the richest countries on Earth.  They enjoy a system of universal health care coverage, and some of the best doctors in the world.  But there are problems.

The country is is straining under the twin burdens of an aging population and rising health care costs.  At some point in the next two decades, retirees will outnumber active workers.   Medical expenses per person have almost doubled since the 1990s and continue to rise.   In a country with little immigration and low birth rates, it’s a bad combination. Read more »

*This blog post was originally published at See First Blog*

Why It Takes Time To Get Pain Medicine In The ER



Three days.

Out of pain medication and vomiting so you wouldn’t keep it down, anyway.


Emergency department.


You’re in luck -  no one in triage!

A bed opens up, the nurse takes you straight to a room.

Gown, blanket.


Two minutes later you send your cousin out to ask how long it will be until you get your pain med.

Excuse me? Read more »

*This blog post was originally published at Emergiblog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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