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Are Health Insurers Killing The Goose That Laid Its Golden Egg?

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Ann Braly, WellPoint’s CEO, launched a new offensive to protect the vested interests of the healthcare insurance industry now that Obamacare seems to be dead.

The healthcare insurance offensive began with her op-ed article in the Wall Street journal on February 7, 2010. Readers will have a deeper understanding of the offensive if they follow the underlined historical links in this article.

It will destroy President Obama’s credibility, the practice of medicine, patient access to care and increase the number of uninsured. It will bankrupt the country if her offensive is successful.

The healthcare insurance industry is killing the goose that laid its golden egg.
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*This blog post was originally published at Repairing the Healthcare System*

A Health Insurance Coding Error Exasperates Patient

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I believe this is what's holding them back from making progress with our bills.Yesterday, the mail arrived.  There were catalogs for clothes (mmmm, can’t wait until May!), letters from friends, the crappy bills that keep arriving even though we didn’t forward them to our new address, and oh yeah, that one bill from my mail order pharmacy.

For a thousand dollars.

Dated January 30, 2009.

So, being the rational and patient woman that I always am, I ripped up the envelope it came in, cursing under my breath like my temperamental buddy, Yosemite Sam.  Punctuated each tear of the paper with “fricka-frakin’ insurance bill dagnabit …”

And then I called the mail order pharmacy company.

“Thank you for calling Byram Health Care.  Your call is important to us.” Read more »

*This blog post was originally published at Six Until Me.*

One Doctor’s ER Game Face

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I’m going to make a button to wear at work. t’ll say “I’m really only a dick at work”.

I’ve written before about my ‘game face‘ and how it’s not me, not really.  It’s a Business Me, and it’s how I get through life at work.

(Is that a cop-out? Do I do it because it makes me more efficient, a better doctor, smoother, faster, or do I do it because it builds a bit of a wall between me and my real self and lets me get through the day without getting emotionally attached to every patient and their family?) Read more »

*This blog post was originally published at GruntDoc*

Finding Work-Life Balance In Medicine

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Paging Dr. Mortis, Dr. Rigor Mortis!

Paging Dr. Mortis, Dr. Rigor Mortis!

This is a sample section from a new book I’m writing on the transition from residency to practice.

When you die:

A) The house of medicine will collapse, and only recover by remembering your compassion and sacrifice.

B) Patients and staff will wail in sack-cloth and ashes

C) Someone may name a procedure or drug in your honor

D) People will walk over your dead body, take your vacant day-shifts and go through your pockets for change.

The answer is D. Although I’m using some hyperbole, the point is that when you die, some people will be sad; your loved ones will miss you. But life will go on. The hospital will not close, and the sick will not stop being sick. So conduct your life with this in mind. Medicine, for all it’s wonder and value, must not be a rock on which you wreck yourself. Let it enhance, not overwhelm, your life. Read more »

*This blog post was originally published at edwinleap.com*

Gross Male Physician Humor

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It’s 2:00 am in the emergency room.  That’s when the real doctor humor stories comes out to play.  By now  I’ve sent two patients home from the ER, one of which I spent 90 minutes discussing why chronic abdominal pain management needed to involve an outpatient supratentorial component and why coming into the hospital would be a highly disappointing experience.   By now I’ve also  admitted two patients to observation status, one of which is a guy with uncontrolled diabetes who remembered me from a year prior and thanked me for telling him nobody else was going to live his life for him and he needed to take responsibility for his poor actions in life.  By now I’ve also brought two patients in for full  hospital admission, one of which was placed immediately on end of life cares for end stage COPD, the other of which who’s son got the wrath of my smoking lecture.

Once the work was done, the doctor humor came out to play.   Read more »

*This blog post was originally published at Happy Hospitalist*

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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

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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

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