Most industrialized nations have long supported the idea that access to health care is a fundamental right, and have built centrally planned systems to accomplish that goal. The result has been universal coverage that delivers excellent-quality outcomes at lower costs than the United States. In some countries, such as England and Canada, the government controls both financing and certain aspects of health care delivery, while in others, including Australia, Sweden, and ...

Read more...

With all the changes happening in health care and the increasing weight of federal mandates and requirements, it’s easy to view the Centers for Medicare & Medicaid Services (CMS) as the big, bad enemy. After all, if they just left all physicians and health care institutions on their own, everything would be OK, wouldn’t it? It’s an occasional line of thinking I’ve heard from many esteemed colleagues and also appears to be ...

Read more...

I am forced to attend one of these mandatory continuing medical education (CME) events. My malpractice insurance provider has a deal with the state medical association. To get lower rates, I have to be a member of the association and every 2 or 3 years attend a risk management training session. I make it on time, despite the traffic. As I walk into the lobby of this rather nice building, looking for ...

Read more...

United Healthcare announced that it plans on exiting most of the Obamacare insurance plans by 2017. Not their traditional commercial insurance plans or Medicare supplements, but specifically the insurance plans offered through the state exchanges of Obamacare. Didn’t President Obama tell Americans that if they liked their insurance plan, they would be able to keep it under Obamacare? Actually he did, at least 36 times. So what happened? In ...

Read more...

As physicians, we are charged with extending empathy to our patients. In addition to a professional responsibility, empathy is also a mechanism for improving patient care and professional satisfaction. It has been associated with better patient satisfaction, clinical outcomes, fewer medical errors and lawsuits, as well as provider happiness. However, while physicians can be expected to pursue the ideal of empathy towards individual patients, that of empathizing with populations is ...

Read more...

I was saddened to hear that one of my favorite libertarians, the wonderful journalist John Stossel, has taken ill. True to form, however, he's taking it in stride (he nonchalantly quipped, "seems I have lung cancer"), and I want to take this opportunity to wish him very well indeed. I enjoy his reporting and writing, and have learned a great deal from Mr. Stossel over the years. But that doesn't mean he's always ...

Read more...

The changes to health care -- not just in policy, regulation, and payment but also the tectonic shifts in how we define, evaluate, report and are paid for care -- can make us all feel like we’re on a runaway train. Alongside the runaway train are the significant improvement opportunities in health care we must somehow address -- less variance, improved patient engagement, coordination of care, adherence to evidence, waste reduction ...

Read more...

Having been a nurse for over 18 years, I have endured a few Nurses Week. At first, I was lured into the charm of my first Nurses Week bag. I had finally arrived: My first official nurse's bag. I had arrived and for a full week, the folks at the hospital seemed to actually appreciate what we did for our patients. After a few mugs, key chains, beach towels and ...

Read more...

american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. “I said, ‘Somebody should do something about that.’  Then I realized I am somebody.” - Lily Tomlin Each day, family, work and extracurricular activities all compete for our attention. They are positive aspects of our lives but can be overwhelming at times.  When legislative or regulatory ...

Read more...

For decades and decades we have been counting the number of doctors in America. For decades and decades we have been coming up short compared to other developed nations, and some less developed ones as well. A poorly educated person may be tempted to suggest that we should “make” more doctors. After all, there is hardly a shortage of young people willing and able to undergo the rigors ...

Read more...

Most Popular