Common Good and the Harvard School of Public Health, who have been advocating for the creation of special health courts, will be webcasting their upcoming event, Health Courts and Administrative Compensation: Opportunities for Safety Enhancement.

Key elements of the health court model include: trained judges, court-appointed neutral expert witnesses, schedules for non-economic damages, reliance on evidence-based practice guidelines, and strong ...

Read more...

According to Money Magazine, it's bargaining:

According to a 2005 Harris Interactive poll, about two-thirds of adults who negotiated for lower prices with a hospital or dentist succeeded, as did three out of five adults who bargained with their doctor.
I'm sure many physicians would like to spend non-reimbursed time bargaining down their already reimbursement-reduced visits.

Almost never, to the relief of Big Pharma:

Tarn and her team taped 185 outpatient appointments with a total of 44 doctors in 1999, at which 243 new drugs were prescribed. Patients asked their physician about the cost of the medications or concerns they had about insurance coverage at just 2% of these encounters, the team reports in the American Journal of Managed Care.
(via a reader tip)



The 8,000 calorie Quadruple Bypass Burger. (via FARK.com)

I came across this letter a urologist writes to a politician, who criticized doctors for accepting drug-sponsored lunches:

Your quote makes reference to the influence they have on us to use their drugs. Are you so naive to believe that a turkey wrap or a piece of dried out chicken parmesan will make us use a drug which we do not feel will be beneficial to our patients? Why ...

Read more...

I'm not sure she realizes that it's because of the lawyers that forces doctors to (over) perform defensive objective testing and not rely so much on the clinical exam.

Pharma reforms in France

Tough reform laws are having a chilling effect on Big Pharma. Too bad it's not happening Stateside anytime soon. (via a reader tip)

Of course, only in Canada where the threat of multi-million dollar rewards is significantly less:

"I think it did (put him at risk), in retrospect," Hussain said Thursday. "And also I think he got sicker in those few hours."

Hussain said he knew the patient had a bad infection, but did not have the intensive care support staff required to properly drain the infection from the patient's body at ...

Read more...

Or was this a form of retaliation against the doctor, who fired the patient's daughter from his practice?

The alternative would be to do a "social admit" for disposition purposes, which would overload an already full system, further driving up costs. It would make more sense if the hospitals were given financial support for this, rather than fighting off potential lawsuits.

Maybe they should have thought of this before they broke ground.

More are going into therapy, and now, prescription medication for depression and anxiety for children is increase in frequency:

Although the number of children suffering from depression remains relatively low, experts claim the rate has dramatically increased in recent years.

According to research by the National Institute for Health and Clinical Excellence, as many as 40,000 children and adolescents were prescribed anti-depressants in 2003.

Kaiser’s EHR debacle

A whistle-blower exposes the unbelievable corruption and waste going on with Kaiser's EHR implementation. Shameful. More at HIStalk.

Chris Rangel recounts a story where telling a patient that she can return to work disappoints a family:

Oh, ummm. It was only after I left the room that I realized my mistake. Usually patients and their families want to be reassured that their lives WON'T be adversely affected by a new or chronic illness. My bad.

But to receive Social Security disability benefits patients with diabetes need to ...

Read more...

Pharma Marketing Blog takes a look at how some drug advertising using Google Adwords is in violation of FDA rules:

What the ad doesn't tell you -- and what the FDA requires all drug ads that mention the brand name and the indication or benefits to tell you -- is the major side effects. Or at least provide a direct link to a brief summary of the product labeling ...

Read more...

In for contraceptive advice, out with a prescription to ward off demons:

A doctor told a patient seeking contraception advice to go and see an exorcist, it was claimed today.

Dr Joyce Pratt, who works at several London family planning clinics, allegedly told the woman she "had something awful inside her" and was under a black magic spell.

The GP, from Birmingham, is said to have ordered ...

Read more...

In this case, an insurer's delay in reimbursement leads to a patient being unable to receive his pain medication:

Managers of local physicians' groups say billing disputes with insurance companies are common enough to have become accepted as part of doing business in the health care industry.

However, when it does happen, the patient often is the loser, such as cases like Whiley's, in which the patient doesn't get ...

Read more...

I guess things like evidence and FDA approval don't mean much to this population:

One-third have tried dietary supplements of unproven benefit "” pills and powders that promise to burn fat, boost metabolism or melt pounds without the sweaty hard work of exercise or the discipline and deprivation of diets, the survey found.

Doctors say there is no safe way to lose more than a pound or two ...

Read more...

Sounds in the OR

Surgeon Sid Schawb writes eloquently at one of my favorite blogs. Today, he writes about silence in the OR, in contrast to the current iPod generation of surgeons.

Political activism going too far - leading to irate patients. Politics and patients should be mutually exclusive:

I am irate and disappointed in some of the doctors in the Edwardsville area. With my statement from my doctor, whom I respect, was a letter from two other doctors urging me to vote for Republican judges. The reason given was to reform the judicial system. They blame the present system for ...

Read more...

Most Popular