Recent debate has asked whether health care was a right or entitlement. Emergiblog joins the fray:

Health care is not a right. Health care is a need, like water or food. And like water or food, it isn't free.

Everybody should have health coverage, and each individual should have the opportunity to choose the health care they want from the provider they want.

Every individual ...

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. . . in a livevideo that is.

New Blogger

I was forced to change to the New Blogger tonight against my will.

Please let me know if there are any changes or issues with the blog.

Can P4P be manipulated?

Of course it can - and expect this to happen routinely once P4P is instituted:

A diagnosis which was not really the primary medical issue suddenly becomes number one because of dollars, and a lack of documentation rather than lack of care ends up being construed as a lack in quality. In response to this, hospitals are placing an enormous effort on documentation ("buffing the chart"). Not necessarily a ...

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A 22-year old requests a prostitute and a controversy is touched off:

Nick Wallis, 22, who suffers from Duchenne Muscular Dystrophy, persuaded staff at Douglas House, in Oxford, that he should be allowed to experience sex before he died, even if it meant paying a prostitute.

The case posed a major moral dilemma for Sister Frances Dominica, the founder of Douglas House, and its ethics committee.


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A lawyer argues that the DEA has too much time on their hands:

In the fictional world of the hit show "24," federal law enforcement agencies are pouring every last resource into the search for a nuclear terrorist in Los Angeles.

In the real world, federal agents apparently have so much free time that they can dress up in bulletproof vests and masks in order to raid clinics ...

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Take a look at the Medicare reimbursement system, and you'll see a potentially dark future if the government is able to negotiate drug prices:

As senators weigh the merits of such an approach, they should keep in mind that the Medicare physician payment system"”a combination of administrative pricing and price controls"”is a mess. It should serve as a warning. Administrative pricing for more than 7,000 physicians' services has failed ...

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This ambulance driver says no.

An AIDS patient takes medical marijuana to treat appetite suppression. He's not happy with the recent raids on clinics.

Good to see the NHS has its priorities straight:

While cancer and Alzheimer's patients are denied life-prolonging treatments on the NHS, the National Institute for Health and Clinical Excellence (NICE) revealed a plan to offer junkies prizes for staying clean.

A case where a patient died due to multiple handoffs. retired doc criticizes the trend:

We seem to be replacing personal physician responsibility with "systems".

What lessons are being implicitly taught to the house staff? The procedure doc seems to have no post procedure responsibility but is content to delegate care to a NP. In that environment how surprised could you be to learn the intern ...

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Congratulations on the excellent blogs that were mentioned.

A $1 million prize for proving homeopathy's efficacy remains unclaimed:

So what about the fact that some homeopathic patients get better? Part of the effect comes from the ritual of consultation with a practitioner who treats the patient like a person rather than a body part on an assembly line. And just taking anything can help; the placebo effect is real. In gold-standard, double-blind studies, placebos presented as possible ...

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Welcome to the HMO world

Dr. Crippen frets about the upcoming prior approval process in the NHS:

This is about preventing you from getting hospital care. It is saying that your GP is no longer allowed to arrange for you to see a specialist without "prior permission" from the "PCT Exceptions Panel". And who will sit on this panel? It will be all the usual suspects. All those plausible mediocrities who pop up on these ...

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Perverse results of changing the qualifying BMI from 35 to 45:

Obese people are gorging themselves in order to qualify for stomach-stapling surgery on the NHS.

Overweight patients are being forced to pile on the pounds after trusts raised the level of obesity they must reach to get the treatment, a patients' association claimed yesterday . . .

. . . Yesterday one man who has ...

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Guess how much this visit is reimbursed, in this scenario of newly-diagnosed breast cancer:

That's where my office gets involved. Five or ten faxed pages arrive on my assistant's desk. She calls the Gynecologist's office to request additional material, including copies of the mammogram report, the patient's contact information and insurance data-if the patient is insured.

As it happens, like more than 60% of the women I ...

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Surgeon-blogger Bard-Parker speculates.

Caffeinated donuts

I'm glad this molecular scientist put his energy into this important discovery:

That's what Doctor Robert Bohannon, a Durham, North Carolina, molecular scientist, has come up with. Bohannon says he's developed a way to add caffeine to baked goods, without the bitter taste of caffeine. Each piece of pastry is the equivalent of about two cups of coffee.

Amazing.

KipEsquire:

A key premise in any call for socialized medicine is that physicians (and nurses and dentists and physical therapists and orderlies and equipment technicians and pharmacists and ...) will continue to do what they do now, as much as they do it now (and where they do it now and as well as they do it now and for as long as they do it now and ...) despite ...

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