Jacob Reider thinks many doctors don't have the time.

Dr. RW summarizes some discussion on UpToDate and their Microsoft-like approach to medical information dominance.

He offers a free-market based solution:

Mr. Giuliani said that a "socialist" model would bankrupt the government.

"That is where Hillary Clinton, Barack Obama and John Edwards are taking you," he said. "You have got to see the trap. Otherwise we are in for a disaster. We are in for Canadian health care, French health care, British health care." . . .

. . . In proposing ...


Generally people who think doctor's are paid too much aren't really grounded in reality:

How do academic and think tank critics, generally far removed from the clinical frontlines, know what's a fair income for American doctors? They seldom provide details or a thoughtful analysis based on life in America. Do they factor in the cost of living and housing is much greater in the U.S, the relentless 3% annual ...


Why Panda Bear won't go into surgery:

It's part of their culture to treat each other disrespectfully during training. Whether this is necessary to train a surgeon cannot be known. It's just the way the system has evolved and it seems to be structured to keep residents perpetually tired and irritated at everyone and everything.

A study looks at whether religious physicians provide more charity care:

Physicians who described themselves as religious were only slightly more likely to have done charity care compared to all those surveyed (31 vs. 25%). What is even more surprising is that physicians who described themselves as atheist or agnostic were slightly more likely to have done charity care than those who described themselves as religious (35 vs. 31%).

A lot of the reasons seem to deal with narcotics.

A Q&A with a seizure specialist.

Well, the best and the brightest will no longer be inclined to enter medicine. Is that really what society wants?

Physicians are demanding access to private care options in Canada:

Canada's doctors want to be able to work simultaneously in both the public and private systems, a flexibility that critics say could lead to queue-jumping and further depletion of public health care.

It's also a proposal that puts the medical community on a collision course with Prime Minister Stephen Harper, who argues that physicians would have an incentive to ...


The concept of paired donation. (via Freakonomics)

The recently freed doctor gives a harrowing account of the ordeal:

The Palestinian doctor who was held in Libyan custody along with five Bulgarian nurses on charges they infected hundreds of children with HIV, has described in detail how they were tortured during their eight-year ordeal. Ashraf Alhajouj, 38, said he was beaten, held in cages with police dogs and given electric shocks, including to his private parts. He said ...


"Pay by the hour is the most difficult method to game," says Half Sigma. Makes sense, but without any productivity incentive, appointment shortages may become more dire as the longer visits will fill more physician schedules.

Apparently children of single dads make less well-child visits.

What to watch out for.

More drug detailing tactics:

"It's my job to figure out what a physician's price is. For some it's dinner at the finest restaurants, for others it's enough convincing data to let them prescribe confidently and for others it's my attention and friendship... but at the most basic level, everything is for sale and everything is an exchange," stated former Eli Lilly drug rep Shahram Ahari.

A USA Today op-ed:

I tell you these facts because of the knee-jerk reaction I hear that we should take measures to prevent the entry of foreign-born physicians. This would be a disaster for American health care, and it would not make us safer. We need to increase physician immigration and increase the supply of U.S. medical school graduates. Otherwise, we'll face a future of rationed health care.

Hidden in the debate over expanding the SCHIP is the fact that the impending Medicare fee cuts will also be abated:

The bill's main Medicare proposals include replacing the impending 2008 and 2009 physician fee cuts (projected to be 10 percent and 5 percent, respectively) with a 0.5 percent update for both years.

The AMA comes out in support of the dropped charges:

"The AMA continues to be very concerned about criminalizing decisions about patient care, especially those made during the chaotic aftermath of a disaster, when medical personnel and supplies are severely compromised."

An "opt-out" clause wasn't enough to satisfy these pharmacists:

Pharmacists have sued Washington state over a new regulation that requires them to sell emergency contraception, also known as the "morning-after pill."

In a lawsuit filed in federal court Wednesday, a pharmacy owner and two pharmacists say the rule that took effect Thursday violates their civil rights by forcing them into choosing between "their livelihoods and their deeply held ...


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