January 11th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
Tags: 20% less, CMS, Costs, Finance, Internal Medicine, Mayo Clinic, Medicare, Primary Care, Reimbursement
2 Comments »
Medicare, the government insurance company for everyone over age 65 (and for the disabled), pays fees to primary care physicians that guarantee bankruptcy. Additionally, 70% of hospitals in the United States lose money on Medicare patients. That’s right … for every patient over age 65, it costs the hospital more to deliver care than the government reimburses. That is why Mayo Clinic has said it will not accept Medicare payments for primary care physician visits at its Arizona facility. Mayo gets it. Nationwide, physicians are paid 20% less from Medicare than from private payers. If you are not paid a sustainable amount, you can’t make it up in volume. It just doesn’t pencil out. Read more »
*This blog post was originally published at ACP Internist*
January 11th, 2010 by DrWes in Better Health Network, Health Policy, Opinion
Tags: AMA, C-SPAN, Cardiology, Denial, Healthcare reform, Internal Medicine, Passivity, Physicians, Physicians Respond, Politics, Televised, Transparency
1 Comment »
With the turn of the calendar to the new decade, the reality of health care reform has set in for doctors and patients. Already cuts to physician salaries and patient access to care are becoming starkly apparent to those of us on the front lines of health care.
I wonder why doctors have been so ineffectual relative to the other special interests “at the table,” in the health care debate? One would think that those with the knowledge base and skill to manage their patients would be the ultimate power brokers in the efforts of health care reform. Yet here we are, watching the commoditization of our profession at the hands of lawyers and politicians in Washington, eager to avoid being perceived as the spoiler. Read more »
*This blog post was originally published at Dr. Wes*
January 10th, 2010 by Stanley Feld, M.D. in Better Health Network, News, Opinion
Tags: Ann Cooper, Bear Creek Elementary School, Big Agriculture, Childhood Obesity, Colorado, Diabetes, Endocrinology, food, Healthy, Inc., organic, Pediatrics, Renegade Lunch Lady, School Lunch Program, Weight Loss
1 Comment »
Cecelia and I just finished watching the movie Food Inc. It is a movie worth watching.
I was upset seeing the abuse of our food chain by big food corporations. There is little respect for America’s food safety.
America’s obesity epidemic is caused, in part, by the food industry’s ability to produce cheap food. Fifty years ago, when I was at Columbia College, the solution to America’s impending food shortage was debated. The predication was the nation was going to face a food shortage in the next 50 years. Read more »
*This blog post was originally published at Repairing the Healthcare System*
January 9th, 2010 by Peggy Polaneczky, M.D. in Better Health Network, Opinion
Tags: Bisphosphonates, Bone Density, Calcium, Fracture Risk Assessment, FRAX, Internal Medicine, Obstetrics And Gynecology, Orthopedics, Osteopenia, Osteoporosis, Pharmaceuticals, Preventing Fractures, Primary Care, Vitamin D, WHO
1 Comment »
This post is in response to Jane Brody’s recent NY Times article on the FRAX fracture risk calculator. FRAX is a clinical decision tool devised by the World Health Organization that allows physicians to account for the myriad of risk factors, including bone density, to determine a patient’s risk for osteoporotic fracture.
Now about 20 years into the practice of medicine, I have evolved from what they call an “early adopter” of new drugs, through a time of cautious use of new drugs, to what I am now – highly skeptical of most new medications and suspicious of Big Pharma, medical thought leaders and anyone else trying to “educate” me about a disease. I am also disappointed in my medical societies for failing to cut the ties between themselves and industry, but hopeful that we are slowly but finally starting to emerge from of an era of industry-dominated health care and into a time of patient-centered medicine. Read more »
*This blog post was originally published at The Blog that Ate Manhattan*
January 7th, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion
Tags: Against, American Opinion, Healthcare reform, Obamacare, Polls, Public
4 Comments »
It is easy to introduce bias into poll results and surveys. Most people are cynical about polling results
However, when every one of the major polling services’ come up with the same answer, one must believe the results represent unified public opinion. The Democrats in the House of Representative, the Democrats in the Senate and President Obama are ignoring the fact that the American public is against President Obama’s healthcare reform plan.
There is no question that America needs healthcare reform. It does not need President Obama’s version of healthcare reform as I have discussed in the past. Most importantly President Obama’s healthcare reform system will not work. It ignores the basic problems and defects in the present healthcare system. Read more »
*This blog post was originally published at Repairing the Healthcare System*
Medicare, the government insurance company for everyone over age 65 (and for the disabled), pays fees to primary care physicians that guarantee bankruptcy. Additionally, 70% of hospitals in the United States lose money on Medicare patients. That’s right … for every patient over age 65, it costs the hospital more to deliver care than the government reimburses. That is why Mayo Clinic has said it will not accept Medicare payments for primary care physician visits at its Arizona facility. Mayo gets it. Nationwide, physicians are paid 20% less from Medicare than from private payers. If you are not paid a sustainable amount, you can’t make it up in volume. It just doesn’t pencil out. Read more »
