November 17th, 2009 by KevinMD in Better Health Network, Health Policy
Tags: Cost, Finance, Healthcare reform, Internal Medicine, Pediatrics, Physical Exam, Primary Care, Technology
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By Rahul Parikh, MD
There is plenty to criticize in our bungling trek toward health reform. Leaders on the right, left and at 1600 Pennsylvania Avenue have sidestepped the crucial conversation of controlling the cost of care, in favor of partisan rhetoric about “death panels” and “rationing care.” Worse, the entire focus of reform has centered on spending billions of dollars on technology solutions that will only make marginal changes in the cost and quality of care Americans get.
I want to refocus the debate on what matters most: relationships. Let’s reinvest in the sitting down with, listening to, empathizing with and touching patients. Read more »
*This blog post was originally published at KevinMD.com*
November 16th, 2009 by DrRob in Better Health Network, Humor, Opinion
Tags: Annoy, Doctor Patient Relationship, Interaction, Voicemail, Waiting Room
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Someone suggested I was being mean or making fun of patients in my previous post. Those of you who read this blog regularly (aside from needing serious psychiatric evaluation) are aware that I am quite sympathetic of my patients’ position in this relationship. Mine is a position of power, while they are coming to me with an admission of weakness. There is no doubt that I would rather sit in the doctor’s chair than that of the patient – and that’s not just because my chair has wheels on it.
My intent in writing this blog is to show the doctor/patient interaction through the eyes of a physician – a perspective most people don’t get very often. Even though I have lots to be thankful for in my profession, I still have things that regularly annoy me. For me to voice that annoyance in a light manner is meant to both educate people of my perspective, and entertain those who share it.
Enough of that. Now it’s time to move on to the strategies we physicians use to get back at patients for their shenanigans. You may not realize it, but we have a special class in medical school dedicated solely to the ways to annoy and embarrass our patients. It’s an art, really. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
November 16th, 2009 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
Tags: Congress, Healthcare reform, Insurance Companies, Self-Insured, Small Businesses
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Health care reformers say they want to improve the quality and affordability of health care.
It sounds good. But it’s not like there’s no one out there trying to do that. Employers of all sizes have been working on this problem for a long time, and they’ve come up with a great many interesting successes and failures.
So what’s the problem?
Well, it seems like reformers in Congress are completely uninterested in these things. Read more »
*This blog post was originally published at See First Blog*
November 16th, 2009 by DrWes in Better Health Network, Health Policy
Tags: Costs, Demonstration Projects, Duplicate, Duplication, Duplicative, Finance, Funding, Healthcare reform, HR 3962, Projects, Services, Waste
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I don’t mind health reform. In fact, I believe we need it. But when reform bills fund projects that already exist, or fund special projects for other non-health care professionals, like lawyers, I have to wonder what Congress is doing.
The recently passed House bill (H.R. 3962 pdf) contains a multitude of grants and “demonstration projects.” I wasn’t sure what some of these grants were meant to support, so I looked them up. I was surprised to find that many of the grants duplicate programs or departments already in place. While this list is by no means comprehensive, I thought I would provide a few comments on a few of these grants shown in italics): Read more »
*This blog post was originally published at Dr. Wes*
November 15th, 2009 by DrRich in Better Health Network, Health Policy, Opinion
Tags: Founding Fathers, Healthcare reform, HR 3200, HR 3962, Madison
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DrRich has not read the healthcare reform bill (HR 3962) passed by the US House of Representatives late Saturday night, and he does not plan to. He spent far too much time this summer wading through the prior version of the bill (HR 3200), only to conclude that it did not say anything in particular, but rather, was intentionally vague on most key points. The new bill, being nearly twice the length of HR 3200, must necessarily be twice as vague.
So that anyone hoping for DrRich’s analysis of the new bill won’t go away disappointed, he offers here an observation on the new bill, which, he asserts, you can take to the bank.
The observation originates from James Madison, the primary architect of the US Constitution (and ironically, a founder of the Democratic Party). It is an observation DrRich quoted this past summer in reference to HR 3200. It holds doubly well here:
“It will be of little avail to the people, that the laws are made by men of their own choice, if the laws be so voluminous that they cannot be read, or so incoherent that they cannot be understood…” – The Federalist #62 Read more »
*This blog post was originally published at The Covert Rationing Blog*
