Physicians are upset about the trivialization of cosmetic surgery:

The British Association of Aesthetic Plastic Surgeons (BAAPS) accused Europa International of "plumbing new depths".

It said the company was using marketing gimmicks to attract customers to surgery abroad.

But John Babbage, co-founder of the Prague-based company, said there was no difference between somebody winning surgery, and paying for it.


The offer of a cosmetic ...

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Maybe this will rein in some of the out-of-control hired guns.

This is their second article on medical blogs (first one is here). Impressive how the medical blogosphere has grown since then.

Apparently 10 percent of referrals are men - but for more practical reasons:

"Now, more men are asking for a more rounded, firmly-shaped rear end."

Two years ago, two percent of people asking plastic surgeons about buttock augmentation were male. Now, 10 percent of inquiries are from men. The reason?

"Men are more practicable," Dr. Mendieta says. "Many of these guys have a flat rear which does not ...

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Given the current practice environment, is this any surprise?

Low reimbursement rates and loss of autonomy were the top two reasons for poor morale.

Bureaucratic red tape, patient overload, loss of respect and the medical liability environment were among the other reasons physicians cited.

Those work problems caused fatigue in 77% of physicians, emotional burnout in 67% and marital/family discord or depression in about one in three ...

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ER physician shortages in Canada are leaving hospitals to consider staffing them with nurse practitioners and paramedics.

A suggestion that polypharmacy be managed by clinical pharmacists, leaving physicians to concentrate on diagnosing.

Sensitive parents are putting up a stink:

Jasmine is one of 139 students at the school who came home last week with a height and weight screening referral letter. Though similar letters went to nearly half of the school's 295 students, Jasmine's mother, Vicki Elliott, said she is unhappy because the letters not only single out easily rattled youngsters for being "fat," it's none of the school's business.

Hey, long waiting times can be good for something:

I was in Edmonton, Alberta last October speaking to a Canadian journalists' association. The mostly lefty journalists there to a person agreed that there are enormously long waits for basic services in Canada. That didn't stop the journalists from supporting the socialized system. One told me that the year long waits"¦was proof of how efficient the Canadian system ...

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Four physicians debate in another Medscape roundtable.

James Kim's father writes about how privacy laws delayed the search for his son. With HIPAA sometimes impeding the request for medical information, can HIPAA-related deaths be far behind? (via Overlawyered)

A major problem in EHRs is that many of the programmers have no idea of how things are done in a clinic or hospital. Applause for an intuitive interface from someone who actually works in a medical setting.

retired doc on the FTC's anti-trust ruling against physicians who band together negotiate with third-party players:

As long as the "negotiation" between third party payers and individual doctors is of the type "here is our offer (based on CMS Medicare numbers),take it or leave it" we have de-facto price controls. Price controls tend to have four consequences: increased demand, decreased supply, poorer quality,and the emergence of a black market. ...

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Apparently it's easy to find cash-for-organ donors:

Umer Maqbool calmly laid out his demands "” as he sold parts of his OWN body.

The waiter revealed: "I'm ready to sell my kidney, a section of liver and maybe after three months do the cornea in my eye.

"I'm ready to do it today. I want £100,000 for all three."

Umer, 24, spelled out the conditions at an ...

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Relevant in this era of anonymous doctor-rating websites. However, according to this article, there's very little feasible recourse for the physician.

Update:
A "difficult patient's" take:

If physicians see Rate MDs as a tool to use in their favor, it can be their friend. The odds are slim that the negative remarks are coming primarily from disgruntled drug seekers. Honestly, think of the average "drug seeker""”do you ...

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Philip K. Howard, of Common Good, writes an opinion piece, published in the WSJ:

Any sick person who gets sicker can drag a doctor through years of litigation -- an average of five years to resolve a claim. A jury can render a verdict that bears no relation to accepted medical standards or, indeed, the results of prior cases. It is not that most juries are unwise: Overall, according ...

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Tuition loan forgiveness would be a start.

And the transition has not gone smoothly.

Why their plan to negotiate for lower drug prices will fail:

Democrats want the government to negotiate lower drug prices for Medicare beneficiaries, but insist that the government should not decide which drugs are covered.

Many economists and health policy experts see this as a paradox. The only way to get big savings and discounts, they say, is to steer patients to certain preferred drugs.

Not my words, but from Tom Campbell deputy minister of health in the province of Ontario:

[O]ur system could be much better. It lags behind the best international standards in waiting times and availability of new technology and drugs. Our medical staff are overworked and stressed. We seem to lurch from crisis to crisis with constant government attempts at micromanagement, punctuated with cutbacks and bailouts.

It is time for ...

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