David Catron and David Hogberg take on Ezra Klein's incessant liberal health care claims.

SoloDoc on the extremes primary care docs have to go these days.

Money quote:

In my former job as a staff physician, I calculated that my actual pay rate worked out to about $56/hour if you counted my actual hours worked. While that sounds pretty good, it makes me wonder why anyone would want to subject themselves to at least 7 years of postgraduate studies, amass mounds of ...

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PointofLaw.com with a roundup of reactions.

Lectures are now taped at Harvard Medical School, prompting professors to break into song and dance during their lectures. Everyone wants to be an entertainer:

Now that lectures are videotaped, Harvard medical professors seem to be hamming it up for the camera, using song and dance to entice students to watch and learn.

Earlier this month, Shiv Pillai tried genres as diverse as the ode, the mantra, ...

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Physicians are resorting the desperate measures in the fight against malpractice premiums:

If you want to see Ridgewood gynecologist Ruth J. Schulze, you'll have to sign a contract promising never to sue her for malpractice.

The veteran physician and a dozen other gynecologists in New Jersey require the contracts as a condition of treatment.

Schulze sees it as the only way to control the rising malpractice premiums that ...

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Many of the latest gaming machines are significantly more powerful for graphics-intensive applications like medical imaging. So, it's no surprise that the processor behind the PS3 is powering some of the latest medical imaging technology.

Better find out what your search engine reputation is, as patients already know:

If people realized that that college alumni newsletter was now also being produced in an online version, they might think twice before contributing to it. I googled my psychiatrist and up popped a link to the college alumni newsletter entry with my shrink's name, his wife's name and profession, and their children's names and ages.

On ...

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First, a cholecystectomy via the vagina, now surgeons are looking at the other end:

Transgastric surgery, or natural orifice translumenal endosurgery (NOTES), as it is officially known, involves passing flexible surgical tools and a camera in through the patient's mouth to reach the abdominal cavity via an incision made in the stomach lining. Once the operation is over, the surgeon draws any removed tissue back out through the patient's ...

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Flea Googles the plaintiff's lawyer in his upcoming trial and this is what he found.

Aging

Atul Gawande on aging and the fate of the elderly:

Despite a rapidly growing elderly population, the number of certified geriatricians fell by a third between 1998 and 2004. Applications to training programs in adult primary-care medicine are plummeting, while fields like plastic surgery and radiology receive applications in record numbers. Partly, this has to do with money"”incomes in geriatrics and adult primary care are among the lowest in medicine. ...

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Not mandating people to buy insurance was their mortal downfall:

And while some people have benefited from the subsidized insurance, which provides unusually comprehensive coverage, others have found it too expensive. And premiums have increased, not become more affordable, because some of those who signed up needed significant medical care, and there are not enough enrollees, especially healthy people unlikely to use many benefits.

More ways for lawyers to make money?

The flashpoint is a proposal that would allow family members of someone who has died to seek damages specifically for "grief, sorrow and mental anguish" "” in addition to other economic and noneconomic damages "” in any wrongful death lawsuit. The bill goes to the state Senate this week; it passed the House on Friday with nearly all Democrats in support and all ...

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How inappropriate reimbursement is affecting Vermont:

For years, Medicaid's rates haven't covered the cost of the care (not the prices, but the actual cost of providing care) provided to Vermont's Medicaid beneficiaries. Recently, Medicaid rates to most providers have been cut dramatically or have not included even inflationary increases.

The consequences of these chronic underpayments are being seen today -- higher premium prices, not enough doctors and dentists, and ...

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Healthcare workers are not returning at the same pace as the residents:

Residents are returning to New Orleans faster than healthcare workers. The shortage of doctors "” on top of fewer and overcrowded hospitals, lost or destroyed medical records, and delays in everything from getting an appointment to lab test results "” has contributed to a sense that medical care here is still not recovering.

This sounds promising:

. . . some very good efforts (honestly) have been made by ratemds.com and vimo and even Yelp. The problem is that these ratings are typically based upon a single instance of a person who purposely decides to go find their doc info and then rate THAT physician"¦ once. They rarely, if ever, go back and update their rating or follow-up experience.

Well, we're going ...

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Medical wikis

AMNews with an article today:

As more medical wikis launch, experts say the creators will need to break away from the traditional wiki model to ensure that the information accessed is accurate. That is what many medical wikis are doing, which makes adding content slower but allows time for fact-checking.
Isn't that defeating the purpose?

David Rothman also has more on this article.

Written from an ER perspective, some of these tips come in handy when you're also calling specialists from the medicine floor.

Pain management suffers a setback when physician William Hurwitz was convicted. John Tierney looks at the verdict:

I can't blame the jurors for being confused, because that's the norm in trials of pain-management doctors. The standard prosecution strategy is to charge the doctor on so many counts and introduce so much evidence that the jurors assume something criminal must have happened. Their natural impulse, after listening to ...

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Only shown in Canada, I saw this TV spot a few times last week when I was in Toronto. It was a gibberish ad that didn't make sense at the time. Now, the NY Times with an explanation:

Pfizer, the world's largest drug company, offers an answer in a new campaign for Viagra, so far shown only in Canada. The ads feature middle-aged men and women talking ...

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Yes, according to a survey, to the tune of $19,000 annually.

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