April 5th, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion
Tags: AMA, American Medical Association, Average Physician's Income, CBO, Congressional Budget Office, Doctor Fix, General Medicine, Healthcare Insurance Industry, Healthcare Policy, Healthcare Reform Bill, medicaid, Medicare Reimbursement, Organized Medicine, President Obama, Primary Care, SGR, Sustainable Growth Rate
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By Stanley Feld MD, FACP, MACE
Physicians in practice work hard and have little time for political and legal trickery. They assume their leadership will look out for their interests while they take care of patients.
The problem is that physicians do not have effective leadership, explaining the difficulties practicing physicians have every day with the healthcare insurance industry, hospital administrators, the government and the threat of liability. Most physicians are caring professionals who are not looking to rip off anyone. Physicians do expect reasonable compensation commensurate with their training, level of expertise and level of responsibility.
I recently presented a physician income survey to a group of corporate executives. The executives were astonished by the level of physician income relative to their level of responsibility.
The unanimous reaction of these corporate executives was the average physician’s income was that of a low mid-level manager. It is true some practice specialties earn more but the average income of practicing physicians is not commensurate with their knowledge and responsibility. Read more »
*This blog post was originally published at Repairing the Healthcare System*
April 5th, 2010 by BobDoherty in Better Health Network, Health Policy, Opinion
Tags: ACP, Aging, American College Of Physicians, CBO, Congressional Budget Office, General Medicine, Geriatrics, Health Reform Law, Healthcare Coverage, Healthcare Legislation, Healthcare Policy, Healthcare reform, Medicare, Medicare Cuts, Medicare Part A, Medicare Part D, Medicare Patients, Out-Of-Pocket Costs, Preventive Services, Primary Care, Seniors, SGR, Sustainable Growth Rate
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You may have noticed, uncharacteristically for me, that I haven’t posted a blog in week. I thought it would be better to allow the readers to post their own reflections, and you did — with comments ranging for unabashed pride to skepticism to disdain for the law and the American College of Physician’s (ACP’s) role in bringing in about.
I respect the principled arguments made by those who believe that the legislation gives the government too much control or those who fear that it will add to the deficit and public debt, even though the Congressional Budget Office (CBO) says otherwise. But there is one claim made by some of the critics that sticks in my craw, which is that the legislation will result in “massive cuts” to Medicare. Here are the facts. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
April 5th, 2010 by KevinMD in Better Health Network, Health Policy, News, Opinion
Tags: Deficit Reduction, Doc Fix, General Medicine, Health System, Healthcare Consumers, Healthcare Costs, Healthcare Policy, Healthcare reform, Medical Services, Medicare, Newsweek, Patient Responsibility, Primary Care, Sharon Begley, Unnecessary Medical Care
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One of the points of contention in healthcare reform is whether it will do enough to control costs. Forget about the Congressional Budget Office’s optimistic outlook, as it discounts the Medicare “doc fix,” which, when factored in, will erase any supposed deficit reduction.
Reform doesn’t do very much to change the underlying structure of our health system, which continues to pay more for quantity of medical services, rather than shift the focus to value and quality.
Sharon Begley, writing in Newsweek, offers some sensible suggestions on what we can do control costs. Better incorporating the best clinical evidence into their medical decisions would help. She cites the continued, and possibly unnecessary, use of back surgery, knee surgery, vertebroplasties, and angioplasties, despite mounting evidence that they’re being overused. Read more »
*This blog post was originally published at KevinMD.com*
April 5th, 2010 by Toni Brayer, M.D. in Announcements, Better Health Network, Health Policy, News, Opinion
Tags: 100000 Lives Campaign, Aging, Centers For Medicare And Medicaid Services, CMS, Dr. Don Berwick, Healthcare Law, Healthcare Legislation, Healthcare Policy, Healthcare reform, IHI, Institute For Healthcare Improvement, medicaid, Medicare, Pediatrics, Seniors
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President Obama likes to shake things up. He has named Dr. Donald Berwick to head the Medicare and Medicaid Agency known as the Centers for Medicare and Medicaid Services (CMS). This is a huge government agency with a budget of over $800 BILLION a year. That is more than most countries in the world have. Dr. Berwick would be a major force in implementing the new health laws and changing Medicare to be more efficient and cost effective.
The average person probably doesn’t know who Dr. Don Berwick is, but he is a big name in the healthcare industry. A pediatrician by training, he is the president of the Institute for Healthcare Improvement (IHI) and is a national leader on quality and patient safety. By telling stories that people can relate to, he is a transformational leader for reducing hospital errors and reducing variability in care. Read more »
*This blog post was originally published at EverythingHealth*
April 4th, 2010 by Bongi in Better Health Network, Health Policy, News, Opinion, True Stories
Tags: Ambulance, Emergency Medicine, Emergency Services, Mamelodi, Paramedics, Police Escort, Pretoria, South Africa, War
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This isn’t really my story, but in a sense it belongs to all South Africans. It’s our shame and may be part of our downfall.
We are a people at war. We war against ourselves and we war against peace. Each fights for himself and bugger the rest. But who heals the fallen? It seems in South Africa that quite soon it may be no one.
Recently a story made the news. It was shocking, but it actually gives an inclination of how morally decayed South African society has become. An ambulance was despatched to some informal settlement after a household fire burned a child. The caretakers of the child brought the child to an intersection that the ambulance would actually be able to find. quite soon the paramedics were hard at work stabilising the screaming child. At about this stage, two armed thugs turned up. They threatened the child’s caretakers with their lives and forced them to flee. Then, while the child continued to scream in pain, they raped the female paramedic. They were not caught. Read more »
*This blog post was originally published at other things amanzi*
