Physicians need to speak with a unified voice

Many ask of our profession, “Are you knight or knave?”

The supposition, that there exists a dichotomy of options for the current physician, is a false one.  Likely we are a little bit of both, and many shades in between.  The maddening belief that the future of our healthcare system depends on this delineation is preposterous.  I would more aptly characterize us as pawns.

The time for change has come.

After patiently listening to my rants and raves, my readers are starting to wonder if I have any solutions for the problems I so frequently call to attention.  I have many thoughts, and a few suggestions for a path forward.

Change, I fear, will only lead to debacle if left in the hands of politicians, economists, and administrators.  Our current state of misery stems from such loss of control.  We didn’t enter this profession to care for the economy of a nation, we would much rather focus on the well being of each and every one of it’s members.  Yet along with our brother and sister care providers, we are the primary driver and product of the system.  Without us, the health of this nation falls to it’s knees.

Whether knight, knave, or pawn, no soldier would enter battle without a strong suit of armor.  Yes, my fellow physicians, it’s time we banded together to protect ourselves from the fall out of this massive system makeover.  This in no way changes our commitment to our patients.

As conscientious physicians actively engaged in the care of our community, I see no way forward other then the rejection of the following economically wasteful and time consuming entities:

  • ICD-10
  • CPT
  • coding and compliance
  • meaningful use
  • face to face evaluations

By abolishing the above policies, billions of dollars of waste could be cleansed from the system.  Make billing easy and straight forward.  Each visit could be either low, moderate, or high complexity.  Submission should be in a centralized, simplified, form that should not require lavish amounts of time or billing professionals.  How much would medicare save if it didn’t have to process so many million complex claims?

A universal electronic medical record that houses clinical notes, labs, and radiology is all that’s necessary.  The bells and whistles add very little.  Don’t make physicians slaves to big data by ensnaring them in an overly complex reporting system.

HIPAA is too complicated and costly, and needs to be converted to common sense privacy laws that aren’t so dangerous and prohibitive.

I could go on, but these are a few common sense suggestions that would help the system greatly without detracting from clinical care.

Unfortunately, unless physicians learn how to use a unified voice, the likelihood for substantial change is minimal.

Jordan Grumet is an internal medicine physician and founder, CrisisMD.  He blogs at In My Humble Opinion.

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  • lord acton


  • NewMexicoRam

    You forgot malpractice reform.

  • drgh

    It is frustrating how there is no association representing physicians. The AMA is more part of the problem than a real solution.

  • buzzkillerjsmith

    You’re living in a dream world. Give up and embrace the pain.

  • Bob

    Buckle up for debacle Doc.
    What Washington forgot are the Physicians, Nurses, NP’s, PA’s are in short supply and haven’t looked at how their demographics differ from other professions. Many even believe most chose this profession as a “calling” and economics had no bearing on choice! Before all of these are trained and effective they are 30 and spend 30 years before they are “settled w/ families”, debt free and able to slow down and retire to get a few years of enjoyment. So the bulk of our most capable and experienced medical professionals are “Boomers”. And they all are independent contractors, so to speak, making them not very cohesive, and those “boomers” will “go with the flow” knowing they can work less and make the same, while those new to the professions refuse to work more than 40 hours/wk, making supplies even less. This doesn’t mention more than half are women who tend to take many years off to have and raise families of their own and tend to retire earlier.
    Having a “big cloud computer in the sky” that can and will be hacked and records lost in cyberspace causing everyone’s records to be lost or destroyed is already happening? I’d rather record and carry mine with me as I did in the service, thank you.
    So the adding of 30 or 40 million with scant medical histories or access, as aging population grows 4 million each year in “boomers” and a good number of these are retiring medical personnel is somehow going to make us all give and get better outcomes quicker and less expensively is pure folly.
    Nobody can herd physicians, nurses, nurse practitioners, physicians assistants and other medical personnel and none of these can work effectively on their own, so placing a carrot in front of non-physicians trying to make the case to patients that their all equal will just cause rancor and make matters worse.
    So buckle up to triage ObamaCare!

  • suger

    Physicians don’t know how to organize themselves and when given the opportunity, fail to do so. You can’t fault the AMA, your state or county medical society for not doing enough or representing you when you don’t belong.

  • ZDoggMD


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