Comments on: Burst appendix, single-payer style http://www.kevinmd.com/blog/2007/10/burst-appendix-single-payer-style.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/10/burst-appendix-single-payer-style.html#comment-81180 Anonymous Sun, 21 Oct 2007 12:01:00 +0000 http://clients.emmense.com/kevinmd/2007/10/burst-appendix-single-payer-style.html#comment-81180 That reminds me of the story of David Rosenbaum the NYT journalist who was mugged in his Washington DC neighborhood and ended up being taken across town to a very busy far away ER where they thought he was a drunk, ignored signs of his head wound and he died. Had he gone to the hospital in his neighborhood he might still have died from his beating, but he probably wouldn't have laid around in the hallway for hours. <br/><br/>The ambulance getting lost probably wasn't the sole cause of this complication, he needed a local surgeon, but it does point out that a system is only as good as the weakest link. That reminds me of the story of David Rosenbaum the NYT journalist who was mugged in his Washington DC neighborhood and ended up being taken across town to a very busy far away ER where they thought he was a drunk, ignored signs of his head wound and he died. Had he gone to the hospital in his neighborhood he might still have died from his beating, but he probably wouldn’t have laid around in the hallway for hours.

The ambulance getting lost probably wasn’t the sole cause of this complication, he needed a local surgeon, but it does point out that a system is only as good as the weakest link.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/10/burst-appendix-single-payer-style.html#comment-81177 Anonymous Sun, 21 Oct 2007 03:38:00 +0000 http://clients.emmense.com/kevinmd/2007/10/burst-appendix-single-payer-style.html#comment-81177 Aylmer, where the patient was, is a stone's throw from Ottawa. They couldn't find a surgeon in a city that size? So they had to ship all the way to Montreal? Aylmer, where the patient was, is a stone’s throw from Ottawa. They couldn’t find a surgeon in a city that size? So they had to ship all the way to Montreal?

]]> By: The Happy Hospitalisthttp://www.kevinmd.com/blog/2007/10/burst-appendix-single-payer-style.html#comment-81163 The Happy Hospitalist Sat, 20 Oct 2007 21:02:00 +0000 http://clients.emmense.com/kevinmd/2007/10/burst-appendix-single-payer-style.html#comment-81163 Throw in the looming 10% medicare cut and I have first hand knowledge of physicians in my community, primary care doctors, who currently don't accept new medicare patients, and who are on the verge of dropping out all together.<br/><br/>You want to talk about an access problem, we are already here. I HOPE the medicare cuts go through. Only then will the massive efflux come to fruition. Everything for free is collapsing on its own weight. There must be a national priority to save primary care and the access crises already here. For those who say it doesn't exist, consider yourself lucky. It's coming soon to a neighborhood near you.<br/><br/>http://thehappyhospitalist.blogspot.com/ Throw in the looming 10% medicare cut and I have first hand knowledge of physicians in my community, primary care doctors, who currently don’t accept new medicare patients, and who are on the verge of dropping out all together.

You want to talk about an access problem, we are already here. I HOPE the medicare cuts go through. Only then will the massive efflux come to fruition. Everything for free is collapsing on its own weight. There must be a national priority to save primary care and the access crises already here. For those who say it doesn’t exist, consider yourself lucky. It’s coming soon to a neighborhood near you.

http://thehappyhospitalist.blogspot.com/

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/10/burst-appendix-single-payer-style.html#comment-81160 Anonymous Sat, 20 Oct 2007 18:56:00 +0000 http://clients.emmense.com/kevinmd/2007/10/burst-appendix-single-payer-style.html#comment-81160 While it is easy and proper to criticize the endless horror show of Canadian "healthcare," the United States is about 5-10 years away from this very same type of systemic malpractice.<br/><br/>Our own single payer system (ERISA, Medicare, Medicaid, plus the corrupt courts) are far along in the annihilation of emergency medicine. Trauma and emergent care is in free-fall decline in real time.<br/><br/>Ed Sodaro MD While it is easy and proper to criticize the endless horror show of Canadian “healthcare,” the United States is about 5-10 years away from this very same type of systemic malpractice.

Our own single payer system (ERISA, Medicare, Medicaid, plus the corrupt courts) are far along in the annihilation of emergency medicine. Trauma and emergent care is in free-fall decline in real time.

Ed Sodaro MD

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