<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: Can you separate the businessman from the doctor?</title> <atom:link href="http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html</link> <description></description> <lastBuildDate>Wed, 15 Feb 2012 00:14:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Pithy</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107993</link> <dc:creator>Pithy</dc:creator> <pubDate>Sat, 18 Jul 2009 03:12:30 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107993</guid> <description>&quot;A fanatic is someone who redoubles his efforts long after he has forgotten his aim.&quot;</description> <content:encoded><![CDATA[<p>&#8220;A fanatic is someone who redoubles his efforts long after he has forgotten his aim.&#8221;</p> ]]></content:encoded> </item> <item><title>By: Matt</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107782</link> <dc:creator>Matt</dc:creator> <pubDate>Thu, 16 Jul 2009 15:13:04 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107782</guid> <description>The funny thing is these should be boom times for the American physician.  The largest and wealthiest population bloc in our history is getting ready to need a lot of care.  If physicians had a different payment model that rewarded them for their time, recognized degrees of skill, etc. it would be a wonderful, wonderful time financially to be a doctor.Instead of revamping their payment model though, physicians and their lobbyists spend the majority of their political energy attacking lawyers and as the self congratulatory post (which you can&#039;t comment on) from the AMA a couple up indicates, rearranging the deck chairs on the sinking ship that is the last vestiges of free market healthcare in the US.</description> <content:encoded><![CDATA[<p>The funny thing is these should be boom times for the American physician.  The largest and wealthiest population bloc in our history is getting ready to need a lot of care.  If physicians had a different payment model that rewarded them for their time, recognized degrees of skill, etc. it would be a wonderful, wonderful time financially to be a doctor.</p><p>Instead of revamping their payment model though, physicians and their lobbyists spend the majority of their political energy attacking lawyers and as the self congratulatory post (which you can&#8217;t comment on) from the AMA a couple up indicates, rearranging the deck chairs on the sinking ship that is the last vestiges of free market healthcare in the US.</p> ]]></content:encoded> </item> <item><title>By: Pithy</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107771</link> <dc:creator>Pithy</dc:creator> <pubDate>Thu, 16 Jul 2009 07:26:11 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107771</guid> <description>Truly a very sad reality that cuts deep into the heart of the practice of medicine, in addition to bad news for patients.The money-seekers are everywhere, behind every bush. They masquerade as regular doctors, usually claiming that they just need to house, feed, and clothe their families. Yeah, right.Yet, once you dispense the money to them, they surreptitiously divert the spoils, spending it all on attorneys.The attorneys tell the doctors that they just need to house, feed, and clothe their families with all that money.Yet, once the doctor gives them the money, they go and spend it all on preferred shares of stock in medical insurance companies.The insurance company buys the hospital you work in, then the building that you live in. Now you can REALLY speak up at work about all those issues of quality and fairness that make your conscience cringe with shame.There&#039;s nothing like a free market to &quot;clean things up&quot;!</description> <content:encoded><![CDATA[<p>Truly a very sad reality that cuts deep into the heart of the practice of medicine, in addition to bad news for patients.</p><p>The money-seekers are everywhere, behind every bush. They masquerade as regular doctors, usually claiming that they just need to house, feed, and clothe their families. Yeah, right.</p><p>Yet, once you dispense the money to them, they surreptitiously divert the spoils, spending it all on attorneys.</p><p>The attorneys tell the doctors that they just need to house, feed, and clothe their families with all that money.</p><p>Yet, once the doctor gives them the money, they go and spend it all on preferred shares of stock in medical insurance companies.</p><p>The insurance company buys the hospital you work in, then the building that you live in. Now you can REALLY speak up at work about all those issues of quality and fairness that make your conscience cringe with shame.</p><p>There&#8217;s nothing like a free market to &#8220;clean things up&#8221;!</p> ]]></content:encoded> </item> <item><title>By: Web Media Daily &#8211; July 15, 2009</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107760</link> <dc:creator>Web Media Daily &#8211; July 15, 2009</dc:creator> <pubDate>Thu, 16 Jul 2009 01:12:20 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107760</guid> <description>[...] Can you separate the businessman from the doctor?&#8230;   Kevin, M.D. [...]</description> <content:encoded><![CDATA[<p>[...] Can you separate the businessman from the doctor?&#8230;   Kevin, M.D. [...]</p> ]]></content:encoded> </item> <item><title>By: skepticus</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107741</link> <dc:creator>skepticus</dc:creator> <pubDate>Thu, 16 Jul 2009 00:03:44 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107741</guid> <description>Kevin,And, I thought all those extra tests were ordered because of &quot;defensive medicine.&quot;Apparently, you only peddle that little lie when medmal reform is on he agenda.</description> <content:encoded><![CDATA[<p>Kevin,</p><p>And, I thought all those extra tests were ordered because of &#8220;defensive medicine.&#8221;</p><p>Apparently, you only peddle that little lie when medmal reform is on he agenda.</p> ]]></content:encoded> </item> <item><title>By: ninguem</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107707</link> <dc:creator>ninguem</dc:creator> <pubDate>Wed, 15 Jul 2009 22:11:39 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107707</guid> <description>Is there any medical situation on the planet where business decisions aren&#039;t considered. Come on.UK physicians are private. Same as Canada. They are their own business. There are medical services that are rationed in their system. The physicians rationing would be free to provide the services for free, I&#039;m sure. That would help to shorten their waiting times.Well, until they go bankrupt.Nevertheless, the decision to arguably undertreat in a system like the UK or Canada, where someone is put on a waiting list, is every bit as much of a business decision as a USA (Sandeep Jauhar) decision to arguably overtreat.</description> <content:encoded><![CDATA[<p>Is there any medical situation on the planet where business decisions aren&#8217;t considered. Come on.</p><p>UK physicians are private. Same as Canada. They are their own business. There are medical services that are rationed in their system. The physicians rationing would be free to provide the services for free, I&#8217;m sure. That would help to shorten their waiting times.</p><p>Well, until they go bankrupt.</p><p>Nevertheless, the decision to arguably undertreat in a system like the UK or Canada, where someone is put on a waiting list, is every bit as much of a business decision as a USA (Sandeep Jauhar) decision to arguably overtreat.</p> ]]></content:encoded> </item> <item><title>By: Doc99</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107683</link> <dc:creator>Doc99</dc:creator> <pubDate>Wed, 15 Jul 2009 19:39:16 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107683</guid> <description>There are forces at work that will drive many physicians out of medicine and most certainly dissuade many talented young people from careers in medicine.</description> <content:encoded><![CDATA[<p>There are forces at work that will drive many physicians out of medicine and most certainly dissuade many talented young people from careers in medicine.</p> ]]></content:encoded> </item> <item><title>By: K</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107679</link> <dc:creator>K</dc:creator> <pubDate>Wed, 15 Jul 2009 19:19:32 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107679</guid> <description>I don&#039;t trust doctors to do what&#039;s best for me.  How do I know if I really need that surgery or my doctor is trying to increase his bottom line?</description> <content:encoded><![CDATA[<p>I don&#8217;t trust doctors to do what&#8217;s best for me.  How do I know if I really need that surgery or my doctor is trying to increase his bottom line?</p> ]]></content:encoded> </item> <item><title>By: Ray</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107674</link> <dc:creator>Ray</dc:creator> <pubDate>Wed, 15 Jul 2009 18:34:37 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107674</guid> <description>Majority of physicians no matter where they work care about patients but private doctors have to be aware of business part as well. I think Private physicians generally are acutely aware of profit margins and they need to be savvy to improve their bottom line. I know private specialists who pick every single new referral even when they have coverage on weekend because they get better billing on new pts.If there is incentive for quality over quanity it will benefit everyone involved, though tough to measure  must be tried. Bundled payments may address some of this drawback.</description> <content:encoded><![CDATA[<p>Majority of physicians no matter where they work care about patients but private doctors have to be aware of business part as well. I think Private physicians generally are acutely aware of profit margins and they need to be savvy to improve their bottom line. I know private specialists who pick every single new referral even when they have coverage on weekend because they get better billing on new pts.If there is incentive for quality over quanity it will benefit everyone involved, though tough to measure  must be tried. Bundled payments may address some of this drawback.</p> ]]></content:encoded> </item> <item><title>By: Sherri Vance</title><link>http://www.kevinmd.com/blog/2009/07/can-you-separate-the-businessman-from-the-doctor.html#comment-107673</link> <dc:creator>Sherri Vance</dc:creator> <pubDate>Wed, 15 Jul 2009 18:29:23 +0000</pubDate> <guid isPermaLink="false">http://www.kevinmd.com/blog/?p=39185#comment-107673</guid> <description>I don&#039;t think this is true in all health systems. At Intermountain Healthcare (okay, they&#039;re my employer so I&#039;m biased), I see the health insurance arm and the health provider arm working together to lower costs and improve outcomes. Doctors, researchers, and health insurance representatives work together in clinical teams to implement goals in each area of medicine. And patient education is a big part of it (okay, I&#039;m a medical writer and that&#039;s my job, so I&#039;m doubly biased).</description> <content:encoded><![CDATA[<p>I don&#8217;t think this is true in all health systems. At Intermountain Healthcare (okay, they&#8217;re my employer so I&#8217;m biased), I see the health insurance arm and the health provider arm working together to lower costs and improve outcomes. Doctors, researchers, and health insurance representatives work together in clinical teams to implement goals in each area of medicine. And patient education is a big part of it (okay, I&#8217;m a medical writer and that&#8217;s my job, so I&#8217;m doubly biased).</p> ]]></content:encoded> </item> </channel> </rss>
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