November 23rd, 2009 by DrWes in Better Health Network, Health Policy, News, Opinion
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Should there be a premium added to physician compensation for on-call coverage after hours, or are Medicare rates enough?
This appears to be the central question between two competing hospitals in Longview, Texas where a $300,000 stipend was paid to a cardiology group by one hospital and not the other for cardiology on-call coverage.
Guess which one the doctors are promoting now? Read more »
*This blog post was originally published at Dr. Wes*
November 22nd, 2009 by DrRich in Announcements, Better Health Network
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DrRich urges his readers to consider entering Dr. Wes’ Healthcare Reform Photo Contest.
Dr. Wes, like DrRich himself, is an electrophysiologist, and is therefore a person of exquisite artistic taste. Even better, he’s married to Diane, who probably actually knows what she’s doing.
Your submission (which Dr. Wes fully expects you to torture and disfigure mercilessly with Photoshop, not unlike the actual healthcare reform bills) can espouse a point of view either for or against healthcare reform. The winner (after Wes and Diane cull out all the completely inappropriate and disgusting submissions, and choose the five or six finalists), will be determined by a reader poll. So while it may defy the odds, it is not outside the realm of possibility that a pro-reform photo can win – especially since the pro-reform photos are less likely to be excluded for offensive subject matter.
Best of all, the winner gets an iPod touch, with which you can listen to DrRich’s podcasts.
The rules, deadlines, etc. can be found at Dr. Wes’ blog.
*This blog post was originally published at The Covert Rationing Blog*
November 10th, 2009 by DrWes in Better Health Network, True Stories
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“Doc, I’ve got good news and bad news.”
“What’s that?”
“Well, I’ve lost six more pounds!”
“Wonderful! What’s the bad news?”
“Well, you know that new-fangled drug you gave me that works so well for my atrial fibrillation?”
“Yes.”
“We’ll, I’m part of that AARP Medicare Advantage Part D drug plan, and I just got the “partial” approved drug list for 2010 in the mail. My drug’s not on the list, so I called and found the drug’s been moved from a Tier II drug to a Tier III drug. That means it will cost me twice what I paid for it this year. That’s gonna be tough, doc. I can’t afford it.
But I also read that if you call this ‘800’ number and speak to them, they’ll allow me to obtain an exemption to keep the drug on Tier II for next year.” Read more »
*This blog post was originally published at Dr. Wes*
November 4th, 2009 by DrRich in Better Health Network, Health Policy, Opinion
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As a class of human beings, cardiologists do not enjoy subtlety or nuance. Indeed, the reason most of them chose to specialize in cardiology, as opposed to specializing in some other organ system, is that the heart is the most unsubtle organ in the body. Unlike, say, the liver or the kidneys or even the brain (which, after all, just sit there), the heart does something quite obvious, and furthermore it does it 50 – 100 times per minute (so that even a physician with a very short attention span is likely to notice).
So perhaps it is not surprising that cardiologists seem to have entirely failed to mark certain emerging – and quite subtle – currents in the “preventive health” movement, and accordingly, continue to unabashedly seek more and more “preventive tools,” whatever the cost, with all the sensitivity and social awareness of the cousin who obliviously shows up at the funeral of the family priest wearing a pro-choice lapel pin. Read more »
*This blog post was originally published at The Covert Rationing Blog*
November 4th, 2009 by Happy Hospitalist in Better Health Network, True Stories
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When a patient comes in with an infection related diagnoses, efforts are often undertaken to keep that pathogen from spreading to other patient rooms. In British hospitals they’ve banned ties and long sleeves. At Happy’s hospital we place a dedicated stethoscope in the patient’s room which is then shared by all health care workers caring for the patient. And that stethoscope shall remain forever in that patient’s room.
At Happy’s hospital, the dedicated stethoscopes look like they were made in a Chinese toy factory. Read more »
*This blog post was originally published at A Happy Hospitalist*
