May 17th, 2010 by Happy Hospitalist in Better Health Network, Health Policy, Opinion, True Stories
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The essence of the moral hazard experience through a nice neighborly conversation:
Neighbor: These allergies are killing me.
Happy: That’s terrible. I hope you feel better.
Neighbor: I tried Zyrtec but it wasn’t doing anything for me, so my doctor prescribed ‘x.’ (inaudible drug name )
Happy: Does it start with an ‘x?’ (The drugs name is Xyzal.)
Neighbor: Yes, it does.
Happy: Oh, that drug (Xyzal) is nothing more than Zyrtec, which the company slightly changed the formula of and now they get to sell it as a patented medication at 10 times the price for the next 10 years.
Neighbor: Oh, I didn’t know that. But you’re right. It was $110.
Happy: Did it help you with your allergies?
Neighbor: Nope.
Happy: I guess you just wasted $100.
Neighbor. I didn’t waste anything. My insurance company paid for it.
Happy: Actually, we all paid for it with higher premiums.
Neighbor: (Walks away.)
The doctor doesn’t care — he’s not paying for it. The patient doesn’t care — she’s not paying for it. But everyone complains that their insurance rates are out of control. It’s not insurance company profits that are making healthcare too expensive, it’s patients and doctors who don’t care.
Bundled care solves this problem because the doctor won’t prescribe a $110 medication and offer therapies with no proven benefit over less-expensive options.
*This blog post was originally published at The Happy Hospitalist*
May 7th, 2010 by Happy Hospitalist in Better Health Network, Humor, Opinion, True Stories
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Medical moonlighting. That’s what you’d better be thinking about as the healthcare finance reform trap continues its destined pursuit of bankrupting America.
The only possible outcome to all of this mess is the biggest man-made healthcare recession of all time that will make the current economic implosion look like a walk in the park.
What are some possible second jobs for doctors? Every week I get offers to respond to surveys and telephone conferences by private industry asking for my opinions on up-and-coming pharmaceuticals. Just the other day I was offered $500 for a 90-minute interview. (That reminds me, I had better call them back!)
Other second jobs for doctors? Read more »
*This blog post was originally published at The Happy Hospitalist*
May 2nd, 2010 by Happy Hospitalist in Better Health Network, Health Tips, Opinion, True Stories
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Kids are like dogs — you can train them until they’re too old to train. Then they’re going to do whatever they want.
The key to getting kids to exercise is to make it fun for them. But they aren’t going to exercise if it isn’t made a part of their normal routine. It’s up to adults to train them.
Mrs. Happy and I had the joyous opportunity of inviting our 10-year-old niece to her first-ever running event. She had never ever run in a race before. We did the two-mile race and she loved it. And amazingly, she finished without stopping — not even once.
Our nation is raising a nation of fat and lazy kids because we’re lazy adults. We drive everywhere. We sit at our desks. We get food on the run. We watch a lot of television. We surf the Net a bunch. And we have stopped moving. We have literally stopped moving. Read more »
*This blog post was originally published at The Happy Hospitalist*
April 30th, 2010 by Happy Hospitalist in Better Health Network, Humor, News, Opinion, True Stories
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So I’m listening to the radio [yesterday] when I hear a story about a woman who was called “fat” by a 24-year-old man at a party. What does she do?
The Omaha World Herald is reporting that she bit off more than she could chew by literally biting off his ear.
Police at a Lincoln, Nebraska hospital responded to a call in the emergency room at 3:25AM on April 28th when the unnamed, one-eared man claimed 21-year-old Anna Godfrey bit off his ear for calling her “fat” at a party. The ear chunk is missing in action. Read more »
*This blog post was originally published at The Happy Hospitalist*
April 25th, 2010 by Happy Hospitalist in Better Health Network, Humor, Opinion, True Stories
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Many people like to make a comparison between the airline industry and the medical industry when it comes to protocols.
Is there a maximum age restriction for commercial pilots in the United States? Yes, there is. In 2007, Congress raised the age of forced retirement for commercial pilots from 60 to 65 years old.
In light of that, should physicians be forced to retire after a certain age as well? Should we trust our health to the abilities of a physician who is 70, 75, 80 years or older? Read more »
*This blog post was originally published at The Happy Hospitalist*