The primary care shortage will only worsen. Are insurers listening?

"The reason there's a real threat of a shortage of primary care physicians is that they are paid much less than other physicians," says Ann S. O'Malley MD, MPH, a senior researcher the Center for Studying Health System Change. "Their incomes are lower than surgeons and other specialists, and a lot of what primary care physicians do ...


Some ads actually cause more youths to smoke. What sets the effective ones apart?

"Anti-smoking ads have the greatest impact on smoking attitudes and behavior when adolescents think that their peers are listening to those messages," Paek said. "And that makes sense because people are more likely to listen to what their close peers say rather than what the media says."

Reforms from an unlikely source is helping improve its image:

Another change applies to lawyers from outside Madison County who want to file cases there because they have heard about big verdicts. Those lawyers now face a lengthy and cumbersome registration process to justify why suits are filed in Madison County.

Also, every medical malpractice lawsuit filed in Madison County now faces mandatory mediation before lawyers can try filing ...


The woman's daughter had a hysterectomy due to cervical cancer, so she offered to carry her daughter's twins.

Families coming to the US for medical care may stay here for extended periods of time. Not being allowed to work, their funds may not last the duration of treatment.

It's hitting upstate New York hard:

While newly licensed doctors flock to New York City, Long Island and Westchester County, where there is already a glut, far fewer choose to practice in the vast upstate region. For instance, during the years the study was conducted, Essex County in the Adirondacks lost 22 percent of its doctors, while there was a 19 percent increase in Nassau County, on Long Island.

Animal care

Medical services for pets is poised to become the next big moneymaker:

Think of how many sectors of the healthcare business world will pile on to Rover or Whiskers. Before, Whiskers was the family feline who might get an occasional feline distemper shot. Now Whiskers is a potential gold mine for a whole new multi-faceted revenue stream! And who ever dreamed of this same potential for the family ferret? ...


A wife is accused of killing her husband with the paralytic rocuronium. GruntDoc comments.

From blog to print

Some bloggers are making into print. Dr. Crippen wonders if they are "sanitizing" their prior blog posts:

What are bloggers up to?

"Tell it all" until the book deal appears and then sanitise it retrospectively? With Tom Reynolds what you see is what you get. He did not "“ to my knowledge "“ retrospectively re-edit Random Acts after his book appeared.

Laceration repair

Scalpel shares some of his laceration-repairing techniques.

Interesting observation by Street Anatomy.

It's less than $80,000:

Reed said the biggest burden of the business of being a doctor falls on single practitioners. He said the median income nationally for an internist is $160,000, but the sole practitioner is making less than half that because of business costs.

The Well-Timed Period takes exception with a recent NY Times op-ed on the subject.

Think tanks come up with their ideas.

The NHS is considering a program to entice drug addicts to stay clean.

There are some strange recertification shenanigans going on. Dr. RW and retired doc speculate.

Those with eating disorders:

"Because it's been approved by the FDA, people think it's safe. But if patients are already at a healthy weight and are using Alli as part of their eating disorder, then it is not safe. It can make an eating disorder even worse because it magnifies symptoms these patients already have."

A bariatric surgeon takes on malpractice on his own terms:

"To be perfectly blunt, I don't believe that it's my responsibility to make my patients rich if there should be an adverse occurrence," Fallang said. "My responsibility is to take the best medical care of them that I know how."

"No one can do surgery with zero complications, it's just not physically possible," he said. "Medical malpractice lawsuits, 95 ...


Cutbacks in Medicaid and Medicare reimbursement fees are amongst the reasons why two much-needed hospitals in DC may close.

Hospital overcrowding leads this man to spend 4 days in the shower room:

A B.C. man suffering from a serious back injury says he spent four days in a damp, dirty shower stall because of overcrowding at Kelowna General Hospital.

On Tuesday, 39-year-old Travis Lowe was rushed by ambulance to hospital with "brutal" back pain. After waiting in the emergency ward for several hours, he was given a bed, but ...


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