February 17th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
Tags: Benefits Professionals, Costs, Employer, Finance, Health Insurance, Large Employers
No Comments »
“I’m from Massachusetts,” I told the audience. “So depending on how you feel about reform, I will say either ’sorry,’ or ‘you’re welcome.”
The audience, made up of large employers and benefits professionals seemed to like this. But it was clear that they were pleased that the health care reform legislation is Congress is pretty well dead now.
Now, if it’s true that health care costs are rising (they are) and this heavily impacts employers (it does) why would the death of a bill meant to address this problem make those people happy?
I’ve written before that part of the problem with the reform bills in Congress is the huge divide between what benefits professionals know about the real world of health care and the things that get “policy wonks” excited. And so a big reason why these bills never really had widespread support among professional benefits people was because they never made a whole lot of sense to them. Read more »
*This blog post was originally published at See First Blog*
February 16th, 2010 by KevinMD in Better Health Network, Opinion
Tags: Anesthesiology, Brigham And Womens, Hospitals, Paid Speaking Engagements, Pharma, Pharmaceuticals, Physicians, Speakers Bureau, Speaking Gigs
1 Comment »
Doctors have been coming under increasing scrutiny for their relationships with pharmaceutical companies.
Many hospitals and medical schools have outright banned any involvement of their physician staff with drug companies. This isn’t a contentious issue most of the time.
But a recent case at Boston’s Brigham and Women’s Hospital raised some eyebrows. Apparently, an asthma specialist was so dependent on drug company money, that he chose to quit the hospital instead. According to the Boston Globe, “Out of thousands of US doctors hired by drug-maker GlaxoSmithKline to talk about its products, [this physician] was the highest paid during a three-month period last year, the company recently disclosed: He made $99,375 for giving 40 talks to other physicians last April, May, and June, almost one every other day.” Read more »
*This blog post was originally published at KevinMD.com*
February 16th, 2010 by DrRich in Better Health Network, Health Policy, Opinion
Tags: Cash Only, Concierge Care, Concierge Medicine, Direct Pay, Ethics, Family Medicine, Internal Medicine, Medical Ethics, Pay-As-You-Go, Primary Care, Retainer Practices
1 Comment »
In his past few posts, DrRich has offered a substantive criticism of the new code of medical ethics which has now been formally adopted by over 120 physicians’ organizations across the globe. (See here, here and here.) Fundamentally, the New Ethics abrogates the physician’s classic obligation to always place the welfare of their individual patients first, by adding to it a new and competing ethical obligation (called Social Justice), which requires doctors to work toward “the fair distribution of healthcare resources.”
The New Ethics was explicitly born of the frustration felt by physicians as a result of the multitude of coercions the payers have thought up to force them to place the needs of the payers (the proxy for “society”), ahead of the needs of their patients. Thanks to the New Ethics, doctors can now bend to this coercion without violating their ethical standards. Read more »
*This blog post was originally published at The Covert Rationing Blog*
February 16th, 2010 by DavidHarlow in Better Health Network, Health Policy, Opinion
Tags: Apology, Compensation, Law Suit, Malpractice Payout, Malpractice Reform, Medical Apology Policy, Preventive Law, Root Cause Analysis, Settlement
2 Comments »
An often overlooked tool in health care providers’ struggle with the malpractice crisis is the medical apology. Two thirds of the states provide some form of protection for the medical apology (i.e., a simple apology is not admissible in court as an admission of culpability), and settlements reached post-apology are almost invariably lower than they would be otherwise. (In the current environment, articles on medical apologies are popping up everywhere … even in the NY Times business section.)
It is important to note that an effective apology policy does not stop with the simple apology — I’m sorry that this happened to you — but must include a commitment to conduct a root cause analysis, to communicate the results to the patient and/or patient’s family, to implement systems improvements based on the results of the root cause analysis, and to offer a specific apology once the analysis is complete, and an offer of monetary compensation if the provider or its systems were at fault. Of course, it’s easier to describe these steps than to actually carry them out. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
February 16th, 2010 by DaveMunger in Better Health Network, Health Policy, Opinion
Tags: AIDS, Costs, healthcare, HIV, Infectious Disease, Media Coverage, medicaid, Medicare, NFL, Stigma
No Comments »
Last November, the National Football League devoted the entire month to breast cancer awareness. Players like Reggie Bush wore pink gloves, armbands, even shoes, to promote efforts to fight the disease.
There were some heartwarming moments. Players brought their mothers, grandmothers, and other women who’d battled breast cancer to the games, all of them wearing attractive pink game-day jerseys. Announcers told their own stories of “courageous” battles against the disease waged by friends and family members.
It’s powerful and inspiring, these overpaid hulks of manhood showing they’re secure enough in their masculinity to don feminine-ish garb to support their sisters and mothers.
But try to imagine the NFL — or any sports league — launching a similar campaign to fight HIV and AIDS. Which player would trot out a brother, sister, or father who’s HIV positive? Which television announcer would proudly point to the afflicted and speak of their “inspirational” battle with HIV?
In an NPR interview last week, Theresa Skipper talked about why she concealed her HIV diagnosis for 19 years: Read more »
*This blog post was originally published at The Daily Monthly*
The audience, made up of large employers and benefits professionals seemed to like this. But it was clear that they were pleased that the health care reform legislation is Congress is pretty well dead now.
