He writes:

The training programs of physician's assistants (PAs) and nurse practitioners (NPs) dispense with much of the medical school minutia filled intense basic science courses and provide more direct practical clinical training in less than half the time it takes to train most MDs.
Although there is something disturbing about doctors who do not know where the prostate gland is.

It's supposed to be announced next week. Screenshots here. (via Google Blogoscoped)

Also, Google Health vs Kosmix vs WebMD.

As you may know, Anthem Blue Cross and Blue Shield in Ohio is blending 99213 and 99214 codes into a single rate. This is a chilling trend that must be stopped.

As physicians adopt EHRs, documentation and patient care is going to improve - necessitating a proper reimbursement rate. Use of EHRs should be rewarded, not penalized:

"Before my EHR, I wrote on a piece of paper," ...


"Plaintiffs' lawyers love it when physicians point fingers at each other. They can just sit back and watch the doctors destroy each other."

Another benefit of a "laborist":

Besides improving patient care, a laborist can lower a hospital's malpractice liability and insurance premiums, says Louis Weinstein, ob/gyn department chair at Thomas Jefferson University Hospital in Philadelphia.

"If a laborist prevents one lawsuit every five years, he's paid for himself," says Weinstein, who's promoted the use of these specialists.

That's one way to get the point across. (via Orac)

According to this new study (sponsored by mid-wives). Of course, many men will be ok with this.

Which is precisely what happened to Kaiser in the kidney transplant scandal:

Kaiser Permanente's speedy rollout of a vast new kidney transplant program in 2004 overwhelmed regulators with paperwork, putting organs out of reach for hundreds of patients, a newspaper reported yesterday.

She is currently hospitalized with a stroke. I wish her a speedy recovery. (via GruntDoc)

Bad luck:

"My consultant said that I had more chance of winning the lottery than getting breast cancer.

"I just wish I had bought a ticket."
(via The Cancer Blog)

Pharmaceuticals are using old tricks to boost sales:

Coupons, money-back guarantees, rebates and other supermarket-friendly promotions offering '10 percent off,' 'free trial offers' or 'buy six prescriptions, get one free' are now standard marketing tools for many top-selling prescription drugs.

A researcher says that the Fusarium infections are unlikely to come from the Bausch and Lomb contact lens solution.

Google Health

Rumored to be coming next week.

It's because real diagnosis and treatment takes time, something that is not valued here, where volume takes precedence:

What the report has not considered are some of the most obvious differences:

* We die the soonest and are the sickest of First World countries.
* We spend far more per capital on health care than our peer nations.
* But, aha, much of that expenditure ...


If you want more people to go into primary care, you have to increase salary. Nothing is a stronger incentive for medical students.

The lawyers blamed the suicide on the insurance company for not settling the case.

The debate comes on the heels of the 63-year old who received IVF.

New Hampshire is one step closer to being the first state to keep physician prescribing data away from drug reps:

Lawmakers took a big step Thursday toward making New Hampshire the first state to prevent pharmaceutical companies from obtaining information on which drugs doctors are prescribing.

The state Senate voted 22-0 in favor of legislation sponsored by Rep. Cindy Rosenwald, D-Nashua, who was moved to act by complaints from ...


For being featured in the ACP Observer.

More on David Blaine's stunt. (via kottke.org)