April 2nd, 2010 by DrRob in Better Health Network, Health Policy, Humor, Opinion
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Name: “21” (% to be cut from Medicare)
Protagonist: Dr. Rob and a cast of thousands of physicians (Kiefer Sutherland wouldn’t work for such small payment.)
Villain: Evil SGR (Sustainable Growth Rate) conspiracy to cut Medicare by 21% across the board.
Victim: The elderly population depending on Medicare for payment of their medical care.
Plot: A follow-up to the popular drama “Lost” where members of congress were stranded in Washington D.C. with the task of reforming healthcare without any contact or communication from doctors and patients. This new drama “21″ tells the tragic tale of an industry under siege and a population facing possible disaster.
Already stretched to the limit by the paltry reimbursement from Medicare for primary care office visits, Dr. Rob and his band of physicians is hit by the evil conspiracy of SGR, a secret society whose goal is to harm the elderly people in the country by driving away all people willing to give them care. The congress, tired out from haggling over the healthcare reform bill, allows evil SGR to exert its power in the name of “fiscal responsibility.” Read more »
*This blog post was originally published at Musings of a Distractible Mind*
April 1st, 2010 by Richard Cooper, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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Readers interested in the relationships between poverty and healthcare will want to read several new postings on the Web.
One is an article about my Rhoades Lecture at the Wayne County Medical Society in Detroit, “Poverty and Healthcare in America.” It is posted on the World Socialist Web Site.
Second is by James Marks, MD, MPH, Vice President of the Robert Wood Johnson Foundation, entitled “The Poor Feel Poorly.” It is posted on the Huffington Post site.
Third is “Health and Healthcare in America’s Poorest City,” a tragic and dramatic portrayal of America’s failures to its own in Detroit, also on the World Socialist Web Site.
Finally, here is a link to a collection of papers on social inequalities in health by the McArthur Network on SES and Health, published by the New York Academy of Medicine under the title, “Biology of Disadvantage.”
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
March 31st, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays
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Is healthcare a right or a privilege? Depending on how you view this determines how you feel about the recent healthcare reform which was signed by President Obama. As a doctor, I firmly believe that having healthcare is a right.
As a nation, we agree that individuals should be accountable for their actions. People often argue that those who are reckless with their bodies by ingesting chemicals via cigarettes or drug use and who subsequently develop cancers shouldn’t be subsidized by others’ insurance premiums as the latter group works hard at staying healthy by exercising, maintaining a healthy weight, and eating generous portions of fruits and vegetables. Some how it isn’t fair. Unfortunately, life and good health aren’t quite that easy or predictable. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
March 31st, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy, Health Tips, Opinion, Primary Care Wednesdays
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In the practice of medicine, as in any human endeavor, we encounter a wide variety of human beings. While thinking about this recently, in light of the passage of the healthcare reform act, I realized something startling that supporters of the bill may not realize: There are some patients that nobody wants to see.
This uncomfortable truth exists irrespective of the presence or absence of insurance. Sometimes physicians are accused of dismissing or avoiding certain patients on the basis of their finances alone. While that problem exists (and I have seen it), a great many of the patients who can’t find (or keep) a doctor simply aren’t much fun to be around, much less to treat. Read more »
*This blog post was originally published at edwinleap.com*
March 31st, 2010 by RyanDuBosar in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
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Congress controls the nation’s purse strings. It can tell the Executive Branch how to spend money. It can regulate all commerce, and by the way, to Congress everything is “commerce.”
Congressional legislation can incent economic behavior–pay for this, but not for that–but it can’t change personal decisions. A case in point is Dr. Robert Cantor, ACP Member, of Boca Raton, Fla., who says he authorizes the tests that his patients demand. His opinion? “I do the damn test.”
He says there’s little incentive not to order tests and little in healthcare reform to make him and others change their habits. More likely is the idea that, once new medical technology is invented, it will find a use.
Another article compiles a wide spectrum of ideas on how to reduce healthcare spending. Tort reform was one, sure, but many doctors focused on changing patient behavior first.
*This blog post was originally published at ACP Internist*
Name: “21” (% to be cut from Medicare)
