February 15th, 2010 by Paul Auerbach, M.D. in Better Health Network, Health Tips, True Stories
Tags: Elete Electrolyte, Emergency Medicine, EMS, Equipment, First Responder, Haiti, Kershaw Carbiner Cutting Tool, SteriPEN, Surgery, Titanium Shears, Trauma
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Prior to departing for my assignment in Haiti for International Medical Corps, I didn’t have much time to pack, so wasn’t able to bring everything I might need. However, I was able to carry a few items that proved quite useful. First and foremost was a new EMS-type trauma shears. Scott Forman, MD of Adroit Innovation, LLC has created a very functional titanium shears in which one finger loop has been replaced by a carabiner, so the shears can easily hang from a belt or other loop. I used them all the time to cut tape, change dressings, slice through wire, and other assorted tasks. I just purchased one for each member of the Stanford team. Read more »
This post, A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti, was originally published on
Healthine.com by Paul Auerbach, M.D..
February 15th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy
Tags: Deductions, Emergency Medicine, Income Tax, Primary Care, Tax, Uncompensated Care, Underinsured, uninsured
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As we wrestle with political factions and mull over assorted ideas for reforming health-care in America, one simple solution bears discussion. Of course, we notoriously hate simple solutions. The modern American solution to simple solutions is to develop layers of complexity and inefficiency. I can only assume that in government, as in hospital administrations, this has to do with creating jobs. To the extent that it keeps nefarious, clever individuals off the street and occupies them in what passes for gainful employment, I applaud the effort. But it seldom solves problems, and typically creates them.
Nevertheless, I digress. My painfully simple solution is this. Allow every health-care provider to deduct, from their federal income tax, the care they provide for free to uninsured patients. It can be the Medicare value of the care; possibly even the Medicaid value. But in the end, a financially savvy doctor, dentist, therapist or any other health professional will end up paying no income tax. Read more »
*This blog post was originally published at edwinleap.com*
February 15th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
Tags: Budget, COURAGE, FDA, Internal Medicine, Primary Care, Stents
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ACP Internist continues its look at subjects important to internal medicine. Today, we follow the money.
Evidence-based medicine
The U.S. could save one-third of the $15 billion spent on stents annually if all doctors followed COURAGE trial conclusions and used generic drugs first, and stents only if pain persists. William Boden, FACP, headed that trial, and now says that reimbursement drives clinical practice. Dartmouth’s Elliott Fisher, MD, says this “perverse incentive” doesn’t improve health care. (Wall Street Journal, CNN)
Physician reimbursement reform
Following the Food and Drug Administration’s record-breaking budget allocation, seven former agency commissioners and interest groups are still saying it’s not enough to make up for years of underfunding. Even regulated industries want more funding to boost the public perception of product safety. (ACP Internist, Los Angeles Times)

*This blog post was originally published at ACP Internist*
February 15th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
Tags: Deval Patrick, Government, Health Insurance, Hospitals, MA, Martha Coakley, Massachusetts, Politics, Price Controls
1 Comment »

Massachusetts Governor Deval Patrick announced this week he has had enough of rising health care costs.
So he is proposing a novel solution: make them illegal.
Well, it’s not fair to call this idea “novel.” Governments have tried price controls for 40 centuries. And even though they don’t work, they keep trying. The explanation isn’t complicated. It’s an easy way for a politician to seem to do something about rising prices. In this case, it won’t do much about the underlying problem, but it is a terrific way for a governor to look like a man of action. Read more »
*This blog post was originally published at See First Blog*
February 15th, 2010 by DrWes in Better Health Network, Health Policy, Opinion
Tags: Billing, Coding, Doctor, EHR, Electronic Medical Records, EMR, Hospitals, Patient Care, Physicians, Technology
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It’s an age-old problem, made more complicated by our new era of electronic medical records: optimizing collections in a time of unprecedented price pressures on our health care complex. With the economic downturn and declining government payments for services, everyone in health care is feeling the pinch.
It is no secret that work not billed will ultimately be work not paid. Hospitals and practice managers, adept at business principles, know this. Deep down inside, doctors know this, too. Historically, doctors dictated when they billed their patients, even if it meant waiting over a week to do so. If a doctor was to take a vacation, some of those billings could wait until his return.
Not so any longer. Read more »
*This blog post was originally published at Dr. Wes*