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Is A Nurse Practitioner A “Doctor?”

Nurse practitioners are demanding a wider scope of practice and even to be called “doctor” if they have a doctorate. And 28 states are considering giving them what they want, to which physician societies object.

Health policy analyst Jack Needleman (a Ph.D., so he gets to be called doctor, too), says the quality of care is the same. (He’s also an honorary fellow of the American Academy of Nursing.) AMA president-elect and internist Cecil B. Wilson, M.D., a Master of the American College of Physicians, (who is definitely called doctor) says the primary care shortage is a call for more physicians, not for fewer. Read more »

*This blog post was originally published at ACP Internist*

Who’s Really Overcrowding The ER?

If you think the overcrowding in emergency rooms across the country is because of the uninsured, think again.

A new study in the Annals of Emergency Medicine reports that of patients who are frequent users (over 4 times a year) of emergency departments (ED), the uninsured represent only 15 percent of those frequent users.

Also, the frequent ED users were more likely than occasional users to have visited a primary care physician in the previous year.

They also found that most patients who frequently use the ED have health insurance and the majority of users (60 percent) were white. These findings contradict the widely held assumption that frequent users are minorities or illegal immigrants without insurance. Read more »

*This blog post was originally published at EverythingHealth*

Health Information Online: Will It “Phase Out” Doctors?

More and more patients are on the Internet researching health information, and for the most part this is a good thing. But are doctors in danger of being “phased out” by Google and other search engines?

Read more about it here: Health information online won’t make doctors obsolete.

*This blog post was originally published at KevinMD.com*

What Would It Take For You To Give Up Tobacco?

I was shopping the other day for Sam’s Club food (frozen blueberries 4 pounds for $7.50). As we checked out, I scanned the price of cigarettes behind the counter. Marlboro cigarettes were selling for just under $50 a carton. At one pack per day, that’s $150 a month. For a year, that works out to $1,800.

I once calculated how much a four-pack-a-day family could have had in the bank had they not smoked for fifty years and instead invested that money at standard returns. Six million dollars they’d have to enjoy in retirement. That’s amazing. Six million dollars. And we wouldn’t be talking about a bankrupt entitlement system. Read more »

*This blog post was originally published at The Happy Hospitalist*

Massachusetts: A Foreshadow For Healthcare Reform?

Paul Levy, President and CEO of Beth Israel Deaconess Medical Center in Boston, suggests we watch Massachusetts for what might be coming with healthcare reform:

Things are playing out just as one might predict in the Massachusetts small business and individual insurance market. The Insurance Commissioner turned down proposed rate increases, the state’s insurers appealed to the courts, and now they can’t write policies.

Perhaps more concerning is what Dennis Byron, a commenter on Mr. Levy’s blog, says about insurance exchanges:

I care because I am one of those who has been cancelled by my insurer (Fallon), solely, I believe, because I am an individual, have been told to go to the exchange, but the exchange does not work. This is a perfect example of why you don’t want the guys that run the registry running your healthcare.

If nothing else, this exposes the risks inherent to mandating unproven policy initiatives on a national scale that have yet to be even worked out in a single state.

*Sigh*

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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