Originally published in HCPLive.com by Jeff Brown, MD A quick look at a newspaper will tell any doc just how important physician leadership has become, and increasingly so, in having a say in our economic futures. But our titular leaders are in a historically weak system complicated by being only one group of voices struggling to be heard in the rush to deal with national health care reform. There are many docs ...

Read more...

What can physicians do to make American a better place to live, die, afford, and receive care? What can we do to bring about practical reform? What can we contribute? These may seem odd questions, After all, we deliver care. Care goes through us. But Medicare, Medicaid, and private third parties are big players. They dictate terms of engagement and payment. But the answers lie at the core of the physicians’ ...

Read more...

Did President Obama say enough in last night's State of the Union address to improve the perilous state of health care reform? I discuss what needs to be done to help reform's prospects in a piece from the New York Times' Room for Debate blog:

A recent Gallup poll noted that 73 percent of patients trusted their doctor’s opinion on health ...

Read more...

I must admit I’m a little weary of the entire debate on health-care reform. But something still haunts me. And that something is accountability. Of course, over the almost twenty years that I have borne the title ‘MD,’ I’ve learned a few things about accountability. I understand that, almost without fail, the buck stops with me. The nursing home director knows the elderly lady wasn’t seriously hurt in that fall, but ...

Read more...

Originally published in MedPage Today by Emily P. Walker, MedPage Today Washington Correspondent President Barack Obama's State of the Union speech Wednesday night will likely focus on job creation and the economy and not -- as many Democrats once hoped -- on congratulations for the passage of healthcare reform. In the week following the election of Republican Scott Brown to the U.S. ...

Read more...

One, develop a plan that the presently privately insured Americans, estimated at 200 million, pay more in premiums, and to just make sure you succeed, immediately starting raising taxes by $400 billion over the next decade. Two, alienate those over 65, the most dependable voting bloc, by promising to cut Medicare by $500 billion over the next ten years with the false promise, which you know you cannot ...

Read more...

Medicare, the government insurance company for everyone over age 65 (and for the disabled) pays fees to primary care physicians that guarantee bankruptcy. Additionally, 70% of hospitals in the United States lose money on Medicare patients. That's right, for every patient over age 65, it costs the hospital more to deliver care than the government reimburses. That is why Mayo Clinic has said it will not accept Medicare payments for primary ...

Read more...

I’m an ideological pragmatist. I believe in what works and what suits the temperament of American people, rather than what is politically correct or what passes some moral litmus test. Whatever reform measure passes, it will be a public-private mix and will superimpose more government regulations on our private system. It will have uneven effects. It will cost more than the status quo. And it will expose the reality, that when ...

Read more...

In case you haven't heard, in a stunning result in yesterday's special election in Massachusetts, Republican Scott Brown won the Senate seat previously occupied by the late Edward Kennedy. Needless to say, pundits are going crazy analyzing the results, and its implications on health reform. I'll leave the political commentary to them, but I'll comment on what this means for health reform's future. In essence, what turned into a 95% likelihood ...

Read more...

Do generalist doctors refer to specialists too much? Jeffrey Parks, otherwise known as the Buckeye Surgeon, has written numerous times on the issue, and his feeling is, yes, they do. And he's right. There are many physicians, along with mid-level providers like nurse practitioners and physician assistants, that refer to a spectrum specialists for routine conditions, especially in the hospital setting. Dr. Parks asks, "shall we continue with the status quo ...

Read more...

Most Popular

Join 147,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 148,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.
close-image