Money-640x480 I’m a physician entrepreneur. In 1998, I opened my first clinic. My malpractice: $500 per year. Then I tried life as an employed physician. Hated it. So in 2005, I opened my ideal clinic. Best. Job. Ever. My malpractice: $1,230 per year. Want low premiums? Here’s how I did it. A quick tutorial. New malpractice policies mature over five years. So the first ...

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Mid-November, and Christmas music is already blaring from speakers camouflaged in silver holiday tinsel. Frank Sinatra’s croons reverberate throughout the barren expanse that is Somerset Mall at 8 a.m. “I’m dreaming of a white Christmas…” It’s raining outside. I begin to laugh and try to explain the apparent irony to my grandmother, but my attempt gets lost in translation. My Chinese is poor. Her English, poorer. ...

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shutterstock_174773759 If someone was sitting on a veranda somewhere in the Alpha Centauri system, reading about health care in America of planet Earth, one would most likely conclude that the family of viruses known as the common cold are destroying a health system already crippled by a glut of poorly educated physicians practicing their miserable craft on a slow-moving ...

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shutterstock_206417596 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the spring of 2009, I represented the American College of Physicians (ACP) at a meeting in Washington of health policy experts discussing payment reform. When I arrived at the cocktail reception the night before the meeting, a ...

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shutterstock_124029454 Jim almost convinced me.  The burning in his chest, after all, could have just been gastroesophageal reflux.  He assured me that the sensation was nothing new; that he got it from time to time after a large meal and took Tums.  I couldn't, however, ignore that it seemed to worsen with activity.  The pain was bothersome enough to drag him into my ...

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When a doctor makes a mistake, it’s rarely out of ignorance.  We usually have the knowledge we need. Instead, most medical mistakes happen because we’re tired, distracted, hurried, or indifferent -- or maybe some combination of those things. Since physicians rarely publicize their personal frazzled-and-frenzied, pooped-out or burned-out quotients, health care consumers shopping for a doctor often consider Board certification as a kind of Good Housekeeping seal of approval. The “board” ...

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shutterstock_239583778 A few months ago, the father of one of my best friends was diagnosed with cancer. He had to have surgery to remove the tumor. His father, being someone I’d known since childhood was like an uncle to me. After the surgery, I sat across from him in an otherwise empty hospital room on a sunny day in beautiful San Diego. It ...

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shutterstock_157734158 The drug test came back abnormal.  There was THC present.  I walked back to Mrs. Johnson and raised my eyebrows. "What's wrong?" she asked, not used to whatever kind of look I was giving her. "Uh, you forgot to mention to me that you smoke weed." She blushed and then smirked.  "Well, yes, I guess I forgot to put that down on the sheet.  I don't ...

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shutterstock_247572289 Years ago, I owned a lawn service. I ran the company. Actually, I was the company. The only worker. Then, a buddy of mine joined up. It became our summer gig for many years. We prided ourselves on quality. We were good at what we did. And, we were fast, too. Jump ahead a few years. OK, more than a few. I now work in ...

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shutterstock_154024799 Part of a series. I put down my blogging pen last fall to focus on two things. One was completing a new book: Fixing the Primary Care Crisis: Reclaiming the Patient-Doctor Relationship and Returning Healthcare Decisions to You and Your Doctor. The second was preparing to move to a retirement community. We live in a pleasant neighborhood with nice ...

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