Maria hosts this latest effort from the "literary" medbloggers. I particularly enjoyed Dr. Charles' contribution.

That’s gratitude

Look at what Delta Air Lines sent a doctor who rounded on three patients mid-flight.

One reason is that there is little desire to perform autopsies on the elderly, or as Dr. Crippen says, "Do you really want to chop-up granny?"

Mr. Studdert has received a fair share of bashing on this blog, so I read with great interest his Senate testimony supporting health courts, in conjunction with Common Good.

He addresses the skewed portrayal of his famous study:

Some outlets ran headlines like, "Most malpractice claims are legitimate, study says." Others announced, "Study asserts many medical malpractice suits groundless." The American Medical Association's response began, ...

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Nearly two-thirds of Americans support health courts.

Family physicians are starting to staff ERs.

We've got a long way to go before useful price information is available.

Part of a draconian cost-cutting measure:

Thousands of doctors could face a "career black hole" under a shake-up of NHS training posts, medics say.

About 21,000 junior doctors will be competing for 9,500 training posts in England next year.

Why you’re fat

A look at the top 10 reasons.

It all starts with liability reform:

To begin with, we must fix the broken medical liability system that drives doctors out of emergency room practice, increases costs, and contributes to wait times. Some opportunistic trial lawyers, quite simply, have converted our litigation system into a lottery that damages medical care for almost everyone. We should also build more community health centers to provide free or inexpensive care for the uninsured, ...

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Here's the controversy:

The British Medical Association conference overwhelmingly opposed moves by the government to take health care into the high street.

Doctors said the sale and promotion of tobacco, alcohol and junk food would undermine the health services on offer.

The defense wants to interview the runaway jury:

Since the trial, Womble has filed a flurry of motions, attacking the verdict in a variety of ways. Some are conventional: He is asking Circuit Judge Debra S. Nelson to order a new trial, alleging, among other things, that Davis gave misleading testimony and that her attorney made an improper closing argument.

He is also asking Nelson to reduce the judgment ...

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More on being a cyberchondriac:

The young woman waiting to be examined by Dr. Minerva Santos in her Yorktown office was crying hysterically. "What is it?" Santos asked her. "What's the matter?"

The woman told Santos that she had been up all night, sure that her abdominal pain was pancreatic cancer.

How did she reach that awful conclusion?

A consultation with Dr. Google.

An examination by ...

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The same problem can be said here in the US:

I am convinced a major cause of this sorry situation is the fact that family physicians have been virtually excluded from patient care in teaching hospitals with the result that medical students, interns and residents are seldom exposed to family doctors and are increasingly unaware of their very existence.

Most patients in hospital do not see their own doctors ...

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Apparently, they're having staffing issues:

"I think it would be very foolish not to continue at this point because I think the market is there - it's just a matter of meeting the supply and demand. We will just continue towards the dream we had in the beginning because it was a correct dream.

A commenter sees physician assistants as the way to go:

The way to go is to be a PA (physician's assistant). You get all the cool medical work and none of the responsibility. You make a very nice salary and after the Dr. who you work under pays all the malpractice insurance, you're making just about as much as he is.
(via This Makes Me Sick)

Another example of how the NEJM kowtows to the lawyers.

In most cases, NPs are salaried and not tied to productivity. Thus, they are free to spend hours per visit. If their compensation structure changes to a productivity model, the rushed visits will start to increase.

We'll find out soon enough if this is the case.

Some say it widens the disparity between the haves and have-nots:

As some of the Washington area's hospitals expand at record levels and add amenities, others don't have that luxury. They are buckling under the burden of caring for the uninsured, raising concerns about widening disparities in health-care facilities.

In Prince George's, more than half of the residents with health insurance go outside the county for care, many to ...

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