Medicare

Opting out of Medicare

DrRich looks at how feasible that would be.

The fact that many physicians are piss-poor at business and have learned to bend over and keep taking it during medical school and residency places doctors at a disadvantage during any difficult negotiation. We need to toughen up as a profession.

NEJM: Devolving into a political rag?

More fire for Jacob Hacker’s “Medicare-for-all” propaganda piece in last week’s NEJM:

Dr. Hacker’s only criticism of Sicko, it seems, is that it doesn’t offer the solution he prefers, “Medicare for all”. While praising Medicare Hacker has this to say about private insurance: “Insurers erect obstacles to care, hassle patients and doctors”¦.” It’s safe to say Dr. Hacker doesn’t take care of Medicare patients. If he did he’d be …

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Hedge fund managers vs doctors

Who wins the salary competition and why:

. . . society perceived that the pricing mechanism for doctors’ services was broken. That is, if the free market set the price, many citizens would not be able to afford to pay. And society believes implicitly that health care should be widely available to citizens. (That doesn’t mean everybody. 40 million Americans are not covered by health insurance but many of them …

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Michael Moore’s Sicko

One stunt is detailed in the NY Post. Get ready for some single-payer love in his upcoming film:

Filmmaker Michael Moore’s production company took ailing Ground Zero responders to Cuba in a stunt aimed at showing that the U.S. health-care system is inferior to Fidel Castro’s socialized medicine, according to several sources with knowledge of the trip . . .

. . . But the sick sojourn, …

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Why doctors order unnecessary tests

I’m happy that this study is getting some play in the media. Essentially, many of the “routine” tests done on a physical are not recommended (the whole concept of a “routine physical” is controversial – but that’s for another discussion). Merenstein concludes:

# 37 percent of checkups included a urinalysis.

# 9 percent of checkups included an electrocardiogram.

# 8 percent of checkups included an …

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