The Physician Payment Sunshine Act is here: Are you ready?A guest column by the American Medical Association, exclusive to KevinMD.com. Information is a source of learning. But unless it is organized, processed and available to the right people in a format for decision making, it is a burden, not a benefit.  -Former ServiceMaster CEO C. William Pollard The new Physician Payment Sunshine Act (Sunshine Act) was created by Congress to ensure transparency in ...

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We are fortunate in our country to have the best medical technology in the world. Unfortunately, delivery of this technology, reflected in a worldwide healthcare ranking of 37th, is a disservice to the American people and must be rectified especially when Cuba is ranked 39th. As provisions of the Affordable Care Act are put in place, a daunting factor is the shortage of doctors who will be needed to provide this ...

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Health reform: China offers a cautionary tale Wang Li is a 48-year old farmer from Dalian, China. After a two-day trip to the major provincial hospital, he’s heading home to his village to die. Wang has lung cancer, and even with insurance, his surgery will cost him 20,000RMB—$3,000, which is twice his annual salary. The surgery would be curative, but it doesn’t matter. “I cannot burden my family,” he said. I am a Chinese-born, American ...

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Can Safeway lead the way in controlling health costs? There's been a lot of talk since the healthcare law passed about the success the supermarket chain Safeway has had in controlling costs by aggressively encouraging employees to participate in healthier lifestyles. There has been a lot of marketing and hype and publicity about their success, as well as the success of other employers in the market. But does such active engagement really ...

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“Physicians care more about their pocketbooks than taking care of patients.  They are self-interested and overpaid.  They want to control everything.  They don’t know what life is like in the real world of patients.” By now, I am sure that physician readers of this blog can feel their blood boiling, for good reason. Why would I, as the principal staff advocate for internal medicine physicians, put such  pernicious, unfair, inaccurate quotes ...

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Lawmakers shouldnt care about the personal hardships of doctors A response to Dear lawmakers: This is what it’s like to be a doctor today. With a family and financial background that eerily matches Dr. Moeller’s, please count me as one soon-to-be physician who does not share the notion that lawmakers should spend their time being overly concerned with the demands placed on physicians or physician compensation.  In fact, I find ...

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We have to stop comparing ourselves to the airline industry. Sitting on the lounge chair at the pool, I can't believe that just hours ago I was sludging the wintry streets of Chicago, rushing to the airport.  The kids clucked away happily in the back seat as the adults in front where more subdued.  As grownups do, we kept running through our mental checklists even though the ship had already sailed, we ...

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The movement for medical price transparency is happening Years ago, I hired a carpenter to build a deck in my backyard. He showed up with a pencil behind his ear, a spiral notebook, and a tape measure. I told him what I was looking for, and he made a few suggestions. After 15 minutes of measuring and taking notes, he handed me a piece of paper with how much it ...

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My NYT Room for Debate column: Should Kaiser Permanente be a national model? Kaiser Permanente is often hailed by health reformers as the model other health systems should replicate. While integrated health systems have the potential to improve patient care, they also encourage hospitals to buy up physician practices to build their own Kaiser Permanente.  This increases provider clout in the marketplace, which has been shown to actually raise healthcare prices for patients:

Despite ...

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It happened, of all times, when I was in the car driving the kids to violin practice.  My pager buzzed with a message from one of the medical floors.  I waited till the car was parked, and dutifully pecked the numbers on my cell phone. Hello doctor, we have your patient, can you please put admitting orders into EPIC? I, of course, like most doctors, wasn't sitting by my phone waiting at a computer terminal.  ...

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