Physicians

Health Care and the Broader Economic Crisis

On The Health Care Blog

I used to worry that the economic turmoil resulting from health care's relentless cost explosion would cascade into all other economic sectors. Now it appears that the credit crisis could push health care over the edge. The silver lining is that a sudden spike in the pressure on health care organizations could facilitate a transition to the meaningful reforms that are necessary to resolve the crisis.

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A Hat Tip To Dr. Benjamin Spock

Dr. Benjamin Spock was one of the most influential physicians of the 20th Century, not only in how babies were cared for, but later, in his prominent opposition to the US' war in Viet Nam.

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An Open Response To HHS Secretary Michael Leavitt

Under the Bush Administration, HHS officials keep telling us how they support health care pricing and performance transparency. But in withholding Medicare physician data from public scrutiny - they have followed the AMA's advice that doctors have a right to privacy - they demonstrate that their interest in transparency is selective.

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Cognitive Dissonance and HHS' Position on Medicare Physician Data

Just as it launches a new program aimed at allowing local organization access to physician profiling information, HHS has blocked access to that same information by a national consumer group.

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Leveraging the Doctor As A Trusted Authority

Doctors have the stature and authority to create tremendous good through public policy. Why don't they use these assets?

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Bad Medicine: How The AMA Undermined Primary Care In America

Unknown to most of us, over the last several years a proprietary AMA subsidiary, the RVS Update Committee, has been the sole advisor to CMS on physician reimbursement. Dominated by representatives of medical specialty societies, their consistent advice has resulted in much higher reimbursements for specialists at the expense of primary care and, more importantly, the American people. Their actions are directly attributable to the explosion of health care costs in America and to the crisis.

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Why Consumers' Checkbook v HHS Is A Sideshow

The battles over transparency information will ultimately be swept away and remembered as anachronisms, as the overwhelming pressure for data that can drive decisions wins out.

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The Explosion of Large Physician Practices

Market economics will drive physicians into larger and larger practices that can afford the infrastructure needed to perform in the changed marketplace.

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The Cognitive Dissonance of Conflicted Care

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Financial conflict is rampant throughout health care, and most experts agree that as much as half of care and cost is waste. Even so, many practitioners live quite comfortably with the idea that they do good work even while they make decisions that accrue more to their benefit than to that of their patients. We won't begin to solve the crisis until we make pricing and performance transparent, so we can identify what's appropriate and what isn't.

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