Pre-paid health care

Has paying for health care taking tips from the cellphone industry? The WSJ examines the concept of pre-paid care, a sort of poor man's concierge model:

For a monthly fee of $83 per individual or $125 for a family, the clinic provides unlimited primary and urgent care. Those who enroll in the prepaid plan get office visits, lab work, X-rays and as many generic drugs as the clinic ...


Joshua Schwimmer was there at a recent gathering, and provides some tidbits from Daniel Palestrant.

The 6-hour guaiac course

More bureaucratic idiocy pervading hospitals today.

The pharynx

Dr. Rob's excellent physical exam series continues.

SWOTing medicine

And the analysis doesn't look good.

An MRSA primer

With MRSA being in the news lately, here's a nice back-to-basics guide.

Here's a case of the infection up-close. (via Graham)

Dr. RW on the media hype surrounding MRSA.

Don't they have bigger fish to fry?

Hospital beds and MGH

Once you're admitted, the fight for a hospital bed only begins. This often leads to hours of waiting in an ER bay. The Boston Globe went behind the scenes at Massachusetts General Hospital to find out why.

The annual physical

More press on whether it's really needed. There is no data that backs up its efficacy, but a visit simply to focus on preventive tests is certainly helpful.

Squeezing in routine screenings during acute visits, or visits for other reasons, is not realistic.

Head lice

Mmmm . . . nits. With picture goodness.

Hand dystonia

A plastic surgeon gives a lesson in neurology.

Using his surgical skills to fix a cake, averting certain disaster.

Calling out the quacks

Ads for quackery are starting to use some scientific-sounding terms. To help tame the spread of this misinformation, all it takes is a simple phone call. (via Schwitzer)

Quality measures

Are they dumbing down clinical medicine?

. . . one hazard of adopting core measures is that the achievement of minimum standards trumps the pursuit of excellence.

ER follow-up

I certainly get my share in the clinic. #1 Dinosaur stresses the importance of this concept.

Microsoft's Bill Gates recently prescribes more technology as a cure to our ailing health system. Others have parroted his sentiments.

It all goes to show how little they know about what really goes behind the scenes in medicine. When non-physicians try to fix health care, their efforts are doomed from the start.

Tough, sad day

A young boy from his burns. Chris Coppola continues his must-read blogging from Iraq.

Time from diagnosis of appendicitis to surgery: almost 1 1/2 days. Health care horror in Canada.

Newsflash: The majority believe health care is a right, and that someone else should pay for it.

I wonder when he actually stopped operating. (via Dr. Wes)

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