It's no secret that the financial burden is weighing heavily on the minds of medical students and residents:

Kaufman said that physician pay, while good compared with other professions, varies by regions. He recently saw a job posting in the Midwest that would double his salary. Medical students with hundreds of thousands of dollars of debt gravitate toward places like that in order to survive. The physician climate in ...


It has been removed from the bill, for now. This ridiculous idea has been hashed out in a previous post.

Finding a doctor that accepts Medicare is getting increasingly difficult - a situation that will only worsen:

"One of the main culprits is the 'overpromise/underfund' dilemma of offering public health-care programs such as Medicaid (for the poor and disabled) and Medicare (for people 65 and over) without sufficient funding, then standing back as demand skyrockets."

As with most things in life, it gets down to dollars. Operating a physician ...


Scott Gottlieb wonders whether her treatment would have been as aggressive:

While recent trends in cancer survival cannot be ascribed to the new drugs alone, it is undeniable that more effective, less toxic medicines are having real impact.

Yet these improvements are not being realized around the world. Europe should be sharing in the progress against cancer, but large bureaucracies have been erected to contain costs, by slowing ...


The WSJ reports the findings of this once-promising drug from the ACC meetings:

This morning the curtain was pulled back on study results the company had hoped would support its eventual approval. The experimental drug raised patients' good cholesterol by 61% when taken with Lipitor, compared with those taking Lipitor alone. But that increase in good cholesterol didn't halt or reverse narrowing of arteries, a disappointment that casts doubt ...


Dr. Wes says that as doctors practice more at satellite offices, patients are increasingly being seen by their colleagues.

Of course, the concept of interchangeable doctors is already in full force with the hospitalist movement.

Maria with some observations from the recent Washington State Psychiatric Association meeting. Like most medical meetings, the reliance on drug money is needed to run the show.

Old inhalers will be banned in 2008, there is lots of behind-the-scenes action in the pharmacy as people switch to HFAs.

Combine it with a name-brand drug and resell it, aka the Caduet approach.


Surgeon Sid Schwab starts the first of a series of posts on gallbladder surgery.

Pitt Med did one. Now another The Office parody from medical students at UPenn:

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ER waiting

The Boston Globe writes the obvious story saying that ER waits are getting longer:

But the doctors said in interviews that progress has been uneven and more hospitals are spending millions of dollars to expand their emergency rooms as a possible solution.
A band-aid solution. The money would better be spent strengthening primary care instead. Better access to primary care will cut down on ER overuse.

(via Kill Them With Kindness)

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(via Celebrity Cosmetic Surgery)

Doctors who deny

Are doctors who work for health insurance administration breaking the Hippocratic Oath?

Many of these health plan doctors, whose job it is to reject claims, end up being paid to violate the Hippocratic oath they took when they graduated from medical school "“ to "first, do no harm." The American Medical Association's position on physicians' behavior outside the exam room is very clear: "Physicians in administrative and other nonclinical ...


Poor reimbursement and high cost are reasons why:

Teri Perryman, a doctor in Kerrville, Tex., is not only avoiding Gardasil and RotaTeq, but also not offering the new meningitis vaccine, flu shots or new expensive combination products like one that combines the chickenpox vaccine with the measles-mumps-rubella vaccine, according to her husband, Kevin Perryman, who helps manage the practice.

Other doctors are asking patients to pay upfront or, in ...


I heard an ad on the radio touting this study. Looks like they are trying to get patients on their side after UnitedHealth's ridiculous decision to exclusively go with LabCorp and fining physicians who stay with Quest.

What affects ER visitation patterns? Trench Doc looks further.

Physicians are looking for more protection under a Good Samaritan law:

M-Power Ministries and the nonprofit Alabama Association of Free Clinics are asking the state to help. Specifically, they want the Legislature to add retired doctors to the list of professionals protected by the 2000 Good Samaritan law. They also want the state to look for ways to provide liability coverage to retired but uninsured doctors.

Ryan ...


A neurologist loses a verdict in a back surgery case. He was in the OR for less than 10 minutes, and didn't even operate on the patient. He got caught in the crossfire of a shotgun lawsuit. An unfortunate outcome, but the wrong doctor was targeted.

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