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Archive for the ‘Health Care Policy’ Category

Photographs Courtesy of Renee Rendler-Kaplan I love American ingenuity. There is always somebody ready to capitalize on somebody else’s misery. First, thanks for the many kind words from people who had no idea about the “hamster on a wheel” life of a primary care doctor. I discussed how difficult primary care doctors (internists, pediatricians, family [...]

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Photograph Courtesy of Bob Cuthill Tomorrow is payday and that is difficult in the life of a primary care physician (I’m not trying to get you to feel sorry for me, just trying to explain the realities of being a primary care doctor in 2010).  Can’t make payroll tomorrow.  This has become a frequent occurrence over [...]

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Photograph of Stethoscope Courtesy of Neil Kad Wow, Busy Monday, with lots of sick people from the weekend needing to be seen.  Patient with hip fracture in the hospital and healthy girl newborn–both doing well!  Reminds me how exhausting it is to listen and really try to help twenty two to twenty five patients a [...]

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  I can sum up the biggest problem with the health care system in one word: bureaucracy.  The regulations that doctors have to memorize, in addition to plain old medicine (which in my experience is complex enough!) looks like the indecipherable ingredients on the back of a processed food bag: CPT/ICD codes, HIPPA compliance, Red [...]

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Here are some thoughts by primary care internists and pediatricians.  Individual physician names have been removed (except NEJM article author) Fixing primary care is critical to health care reform but will require simultaneously fixing several problems, including those related to remuneration, the work environment, and medical education.1 The most critical of these issues is remuneration. [...]

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I am moderating a Town Hall Meeting on Healthcare on June 14, 2009.  Lots of opinions, lots of controversy.   We all know the health care system is broken, and too costly.  We just don’t have the perfect solution. Many studies show that improving access to primary care will prevent many serious illnesses such as heart [...]

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