June 28th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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I have not a single thing I want to write about today. I am weary of the obvious topic: the “passage” of the 6-month extension on the SGR, but do feel I need to comment.
I am tired of this. I am tired of being jerked around by congress. I am tired of congress hitting the 6-month snooze button and somehow feeling that they are doing something good. This is procrastination, not a solution. Reassurances that something will be done are starting to be irrelevant. The problem is becoming the frustration, anger, and exhaustion that congress is thrusting upon doctors and patients, not the pay cut itself. The idea of no longer having to deal with the passive-aggressive tactics of congress is becoming increasingly appealing –- and if it’s this way for me, I’m sure it’s the same for PCPs across the country. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
June 21st, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Opinion
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In a last-minute shocker, the Senate voted Thursday against postponing a scheduled 21-percent cut in Medicare reimbursement to physicians and other healthcare providers. Sixty senators were needed to end filibuster debate and stop the cuts under Senate rules. Fifty six voted in favor, while 40 opposed. There was no Republican support. (And, of course, no support from Senator Lieberman, who is a Republican in disguise.)
Another consequence of the vote is that tens of thousands of Americans who have exhausted their jobless benefits would not be eligible for more. In addition, new taxes on wealthy investment managers would not be imposed, along with an increase in liability taxes on oil companies, leading Democrats to contend that Republicans were protecting Wall Street and the oil industry, according to the New York Times.
“We’re not going to give up,” said Senator Harry Reid, the Nevada Democrat and majority leader. “We know the American people only have us to depend on.” Read more »
*This blog post was originally published at EverythingHealth*
June 21st, 2010 by RyanDuBosar in Better Health Network, Health Policy, Humor, News, Opinion
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Leading members of the Senate Finance Committee came to an agreement Thursday night on a six-month “doc fix,” paving the way for physicians to be reimbursed a little more for seeing Medicare patients instead of a lot less. (This is now separate from the rest of the legislative package it had been part of, which is still under debate.)
Sen. Majority Leader Harry Reid warned that without passage, there’d be “havoc in America.” But the American Medical Association (AMA) continued its attack on anything less than a permanent solution. The AMA compared it to fiddling while Rome burns. What tune are members of Congress playing?
A) Stayin’ Alive by the Bee Gees
B) Doctor, Doctor! by the Thompson Twins
C) Time to Get Ill by the Beastie Boys
(The Hill, Politico, American Medical Association)
*This blog post was originally published at ACP Internist*
June 2nd, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion
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The American Medical Association will launch a multi-million-dollar ad campaign tomorrow to heighten pressure on Congress for a doc-fix bill. The American College of Physicians (ACP) reacted by calling for doctors to contact their member of Congress directly to let their voices be heard. Robert Centor, FACP, called for doctors to protest as well. (American Medical Association, American College of Physicians, DB’s Rants)
Meanwhile, a Florida medical society predicts a crisis in that senior-laden state. The society cited but did not name eight primary care doctors who’ve stopped accepting Medicare patients this year, and 12 cardiologists who left private practice for employment elsewhere because of already reduced payments. Unbelievably, business columnist Steven Pearlstein sorted through the issues around the doc fix, and concluded that it’s the docs that need fixing for paying themselves generous salaries. (Naples News, The Washington Post) Read more »
*This blog post was originally published at ACP Internist*
April 26th, 2010 by BobDoherty in Better Health Network, Health Policy, Opinion, Research
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This blog was written from Toronto, Ontario, where ACP’s elected Board of Governors met to provide direction on the policies to be advocated by the organization.
One issue raised by many of the governors is the enormous economic pressure on smaller internal medicine practices, and what the ACP might be able to do about it. Today, most physicians work in private practices of ten or fewer. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*