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Who’s Paying For Healthcare Reform? You Are

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If you read nothing else this morning, please read Margaret Polaneczky, MD’s (aka “TBTAM”) excellent post that vividly summarizes our current health care reform efforts underway while offering insights as to what real reform should look like:

Real reform won’t happen until the American people take their seat at the head of the table and invite doctors, ethicists and healthcare experts (not industry lobbyists) to bring their best knowledge about what interventions are most important, most effective and most cost efficient. Then we can sort out our priorities (you can call it rationing if you want) and create a budget.

Only then we can begin to negotiate with third parties (insurers, Big Pharma, etc) to sell us what we need at the best price. That’s called competition, and it’s what American capitalism is all about, right?

The problem is, the American healthcare consumer (and I include myself here) still thinks someone else is footing the bill. Who that someone is, I don’t know. Maybe the rich. Maybe our employers. Maybe the Federal Government.

What we have yet to get is that there is no “someone else”. The deep pockets are our own pockets, and they are empty. Our tax dollars. Our pensions. Our companies going bankrupt from paying employee health care costs.

Until the American people get it that it is our responsibility to get our spending in line, and until our representatives have the guts to turn away the industry lobbyists and represent their constituents instead of their campaign bankrollers, we will continue to have uncontrolled health care spending.

… and that’s just part of it. Read the whole thing.

*This blog post was originally published at Dr. Wes*

Nurse Kim At Blog World Expo

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meandhughFirst day of the general BlogWorld sessions and as usual, I came away with renewed energy, a plethora of ideas and a dramatically decreased bank account! No, not on gambling – I hit the Barnes & Noble on-site kiosk.

God, I love books!

But the highlight of the day? I met my Blogfather! Meet Hugh Hewitt, talk show host extraordinaire! I think if you did a “paternity” test on every blog online today,  75% of them would be related, in some way, to Hugh’s influence.

Blog World CEO Rick Calvert was interviewed by Hugh, and he mentioned the medblogger track! Read more »

*This blog post was originally published at Emergiblog*

Pouring on the Pounds: NYC’s New Anti-Obesity Campaign

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The city of New York is at it again…they were the first to ban trans fat and lead the fight for restaurant labeling of calories on menus. Now they have an ad campaign that is grossing some people out. Read more »

This post, Pouring on the Pounds: NYC’s New Anti-Obesity Campaign, was originally published on Healthine.com by Brian Westphal.

New Nurses Interview A Seasoned One

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I felt like an antique this weekend thanks to some medical students on my unit. Why do students seem to get younger every year, and please don’t place the blame on my chronological age. I refuse to believe that I’m getting older. I forget how we got onto the subject, but somehow I told a group of medical interns that I graduated from a three-year diploma nursing program.

One of the interns innocently asked me, “What’s that?” I felt so old when he asked me that question that I expected a museum curator to come out of the woodwork and cordon me off with a velvet rope. I answered his question. They were fascinated that they were actually talking to an “old time nurse.” They had more questions:

Question: “How did you keep you nurses cap on?” Read more »

*This blog post was originally published at Nurse Ratched's Place*

Threat Of Medical Malpractice Is The Only Force Opposing Healthcare Rationing

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DrRich’s conviction that covert rationing is the engine that drives many (if not most) of the bizarre behaviors we see in the American healthcare system leads him to take positions on certain contentious issues that do not endear him to either his progressive or his conservative friends.

One of these issues is malpractice liability reform.

DrRich wrote about this some time ago (here and here), and as a result managed to alienate more than a few of his readers, especially the ones who are doctors. So if he were smart, DrRich would leave it alone. (After all, a lot of readers have long since forgotten precisely why they do not like DrRich, and merely harbor toward him a vague sense of unease and distrust. This, DrRich finds, he can live with.)

But a couple of things prompt DrRich to take up this topic once again.  Read more »

*This blog post was originally published at The Covert Rationing Blog*

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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