Maybe Florida can learn something:

Texas today is licensing an average of 400 more doctors per year than before reform. The Texas Medical Board expects a record 4,100 new applications for physician licenses this year -- 38 percent more than last year, which was the previous record!

The number of medical specialists is growing rapidly. Since reform, Texas has gained 146 obstetricians, 127 orthopaedic surgeons and ...

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Sounds great in theory, but it seems that many of the suggestions requires a fundamental change in reimbursement philosophy to be instituted.

. . . or why medical students shun primary care:

While a family practice doctor often works long days and endures crammed waiting rooms for $155,000 a year, dermatologists average $197,000 -- and many don't work even five days a week.

Dermatologists, who treat diseases of the skin, hair and nails, also tend to draw more insured patients who can afford to pay for their care. As a result, ...

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Fat doctors under fire

The headline speaks for itself.

Seems like the suggested solution is a continued low threshold for ordering tests:

While researchers acknowledged that most claims involved several factors, they said major ones included mistakes by doctors: failure to order appropriate diagnostic tests . . .

. . . Doctors not involved with the study said the findings highlight the fact that physicians - and patients - need to err on the side of caution when ...

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The bizarre medical mystery of a 12-year old girl who literally is stuck as a 9-month old baby:

For 12 years the family has changed her nappies, rocked her to sleep and taken turns to give her cuddles. On school days, she is carried gently into a yellow bus and taken to a special school for handicapped children. Her condition has no name and doctors are unaware of any other ...

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Going the extra mile:

When leukemia patient Brandon Meyer asked his doctor for permission to go skydiving, he was surprised by the response.

"I jokingly said that he could go when he got through his more intensive chemotherapy, but only if he brought me," said Dr. Steve Ambrusko, a hematology/oncology fellow at Children's Hospital of Pittsburgh. "Lo and behold, he called me on that."

Sad but true. With so many patients on multiple-drug regimens, some medications will be more important than others.

A responsible narcotic-using pain patient writes:

I no longer go to emergency rooms for help with any pain. They might fix my broken bone but then ask, "How many hospitals do you go to to try to get extra drugs?" One ER doctor told me to "go home and play your little drug games."
Problem is, for every responsible narcotic user, you have another hundred who play the drug ...

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And thus another example of letting health costs run rampant:

The rise in cancer-drug prices is a microcosm of broader trends pushing up health care costs nationally. Despite decades of efforts by governments and insurers to restrain costs, patients continue to want the newest "” and most expensive "” drugs and medical devices. And doctors and the health care industry have little reason to keep costs in check, because ...

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Again, problems can be traced down to the reimbursement system:

Dr. Frieden and others argue that doctors cannot or will not take the time to take all the steps required by New York law to test their patients. "They have a huge number of things that they're supposed to cover," he said, while pressure from insurers to see more patients means that "they're scrunching down to seven or eight ...

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Dr. Centor sums it up:

Many physicians thus avoid email communication as another cost of time. The excuses against email communication are actually quite lame. There are secure methods for patient communication. Most insurers do not pay for email. Physician avoidance is mostly about money.

If we do not address the financial inequities among physician activities, then we cannot take advantage of technology to improve care. Our reimbursement ...

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Sid Schwab talks from a surgeon's perspective:

In a nutshell, it comes down to this: when there's a lump you can feel, diagnostic imaging (Xrays, ultrasound, etc.) is a waste of time and money. OK, that's a bit over the top: you get needed information about the rest of the breast, and the other side, which will come into play at some point. But getting a bunch of studies ...

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Dr. Charles talks about his lucky patient.

Update:
Link fixed.

So much for that threat to doctors - they didn't even last a year in Portland, OR:

Rite Aid Corp.'s first experiment offering health clinics inside its stores ended when the clinic operator decided it could not turn a profit.

Take Care Health Systems told Rite Aid that it would close its last seven health clinics on Friday, less than a year after opening 10 of them in Rite ...

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Another "ER is too busy, I had to wait" story. Maybe if more of these get published, something can be done about it.

At least they acknowledge a shortage as well as reimbursement issues. More than can be said Stateside.

. . . try Baghdad.

Another jury sending a message. The incident involves giving Glipizide, a diabetes medicine. Noted in the case, was the Oxycontin-addicted pharmacist who stole 86,000 pills over an eight-year period.

Occurring daily at an ER near you. The main reason why health care costs are skyrocketing.

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