Sure, the malpractice system is broken. And there are lots of suboptimal doctors out there.
I have told some what the correct diagnosis is and they have ignored me. Some are too busy to take phone calls from me. Institutions have refused to order tests that I’ve requested.
On the other hand, I have been lectured about the necessity for “cover your ass” medicine. I could not practice it if I wanted to. Nobody would pay for it. In my specialty, I am always told to look for ways to cut costs while some patients cry to me they cannot afford their medicine. We do our best. Read more on Capping Malpractice Damage Awards…
Wait a second here. President Obama did not “mandate” compulsory birth control. As the headline plainly states, this is a mandate for insurance coverage for birth control.
Nobody is going to drag a young — or older — woman kicking and screaming into a gynecologist’s office and force her to take pills or injections or put anything into another orifice.
People are complaining that the President did not consult with people like Catholic religious groups. The Republicans especially do not like this. This is not surprising as they do not seem to like anything President Obama does — include breathe.
The Republicans — well, their opposition is supported by the part of the nation that seems to have chosen to “stupid up” its politics –left and right, liberal and conservative, yes and no. Read more on Contraception and Birth Control…
Why would a pharmaceutical manufacturer want to change a drug from prescription to over the counter (OTC)?
Well, one thing I’ve learned in my lifetime is – When the Question is “WHY?” then the answer is “MONEY.”
Oh, sure – in our economically-ignorant country, many people think – “Whee! I can buy any drug I want without spending money on a doctor’s appointment and without having to get a prescription! ”
These people are prime candidates for the Darwin Awards.
Yes, believe it or not, the “RX to OTC Switch” can actually HURT patients.
Drug patents expire relatively quickly, competitors are waiting at the gates with generic equivalents, and when a drug becomes OTC, there is a chance that insurance does not cover it.
This makes insurance companies and government programs (Medicare, Medicaid/Medi-Cal, etc.) very happy. They are so strapped for cash that even paying for a cheaper generic is a strain on the budget. When this kind of money is involved, you can bet that lobbyists are pressuring the government to ease their restrictions so that drugs once considered risky enough to warrant a prescription so that not just anybody can have access will be available to anyone who can walk into a drug store or click on a shopping cart on the web.
Patients will have to pay for OTC meds in cash money and doctors usually do not bother prescribing an equivalent drug. If they do not already know of an equivalent, they will probably — and generally do — just tell a patient to go buy it over the counter.
A patient who cannot afford the drug will go off it.
OK – so what’s the big deal if a cold medicine, allergy remedy or hair-restoring pill is no longer a prescription drug?
One of my Frequently Asked Questions is “why do you hate prescription drugs so much?”
And the answer is, I DON’T. Not at all. I have used, and will continue to use, prescription drugs whenever they are the best treatment for an individual.
What I DO hate is the way they are mis-used, and the way some companies push their drugs for inappropriate purposes, or in dosages that are harmful when they could be helpful in (usually lower) doses. Read more on A Remarkable Medicine And Its Champion…
THE PLACE: Medical school, France
THE TIME: 1975
I have survived the “concours,” a competitive examination that I would compare to an intellectual equivalent of “American Gladiators” and through human dissection, the anatomical study of a human who previously walked the Earth.
Now our class is now going to start doing medicine with real, live people.
The excitement is great on our first day of an immense multispecialty class that will take the year, called “Semiologie.” The best English equivalent I can think of is “diagnostic signs.” We each receive notebooks and documents throughout the year that are signed off on by professorial-level clinical teachers who are doctors and have practices.
“Innovative Health Care Programs?”
This seems to be the era of backwards-definitions. “No Child Left Behind” means a diminished budget and fewer programs for child education. “Compassionate Conservatism” means cutting programs for the unemployed, the medical indigent and the hungry. “Strategic Defense” means a full-speed-ahead attack.
The “Innovative Programs” article talks about are mostly supplied by The Greenfield group, where improved medical care is provided if people fork in some cash to get it. Also “Harvard Vanguard,” who loves to be the first to do things.
Since there is nothing but Harvard hospitals on the reality TV show Boston Med, I wonder if the Harvard Public relations people have descended to some all-invasive biological state, to infiltrate all media, and to try to get us to believe that they do things medically and surgically that are more advanced than other providers. Read more on Walls and Barriers To Providing Health Care…
I’m often asked for my opinion of and reaction to our new healthcare reform.
My immediate reaction is to correct the concept that this legislation has anything to do with healthcare. It is more properly insurance reform.
I stopped accepting insurance payments in 1996. In the intervening years, I’ve successfully operated a cash-only practice and in the past few years have been drawn into coaching other doctors in how to operate such a practice and consulting with people who are tired of insurance tyranny.
The term bandied about in the recent debates about healthcare reform is “access.”
The talking heads — both media and governmental — claimed a large number of people were uninsured. I recall numbers in the range of 40 million, and I’ve heard such numbers debunked.
Read more on Access Is A Null And Void Concept…
I am now far less involved with these folks. Not that I do not venerate them and respect their struggle. Rather, the condition of being a person requiring transgendering is so mainstream, that plenty of types of medical insurance pay for this.