The following op-ed was published on March 22nd, 2010 in CNN.com.
With health reform passing the House, a comprehensive overhaul of our health care system draws another step closer.
Coverage will expand to cover nearly 95 percent of legal U.S. residents. With a recent study showing that patients without health insurance have a shorter life span, coupled with the number of uninsured approaching 50 million in 2010, that is perhaps the biggest reason to cheer.
But with a critical shortage of primary care providers, these newly insured patients may have nowhere to turn for medical care. Massachusetts, the only state that offers universal coverage, suffers from some of the worst primary care wait times in the country despite having the highest concentration of doctors nationwide.
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Health reform tries to help, mostly by modestly increasing both Medicaid and Medicare payments to primary care clinicians. But it’s not nearly enough to convince medical students, already grappling with crippling school debt, who continue to gravitate toward lucrative specialty practice.
And what about the current primary care work force, where, according to a study in the Annals of Internal Medicine, more than a quarter of doctors reported being burnt out and 30 percent indicated they would leave the field within five years? Health reform gives few solutions to alleviate the bureaucratic obstacles and time pressures that frustrate doctors and impede their relationship with patients.
Finally, the mere $50 million allotted to medical malpractice reform doesn’t help patients hurt by medical mistakes, who are trapped in a dysfunctional system where one in six receives no financial compensation, the average case takes five years to resolve, and 54 cents of every awarded dollar go to pay legal fees. These individuals deserve an improved liability system that more fairly expedites compensation and helps doctors reduce errors and improve patient safety.
Although it’s worth celebrating that the United States is close to joining the rest of the industrialized world in providing near-universal health coverage, the health reform conversation must continue — both to improve the plight of injured patients and to ensure that the millions of newly insured have access to quality primary care.
Kevin Pho, MD, is a practicing, board-certified internal medicine physician and the founder and editor of KevinMD, which he built from scratch in 2004 to give clinicians and patients a place to be heard. Over two decades, it has become one of the most recognizable physician-led publications in health care, drawing more than 7 million annual page views and over 500,000 followers across social media. He still sees patients in primary care in Nashua, New Hampshire, the practice he says keeps the platform honest.
He is the host of The Podcast by KevinMD, a daily, 15-minute show that has surpassed 2,000 episodes and 2.6 million IAB-certified downloads, featuring physicians, patients, caregivers, founders, and health care leaders in conversation about what they actually see and do. He is also a national media commentator and the coauthor of Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices.
An acclaimed keynote speaker, Kevin speaks nationwide to clinicians and non-clinicians on health care, digital media, physician leadership, and burnout. His signature keynote, “Connect and be heard: Make a difference in health care with social media,” traces his social media journey since 2004 and inspires audiences to strengthen the doctor-patient relationship, make their voices heard in health reform, and turn the tide against clinician burnout. He is the founder of Physician Speaking by KevinMD, a physician-run speakers bureau, and is available for speaking opportunities.
Kevin earned his medical degree from Boston University School of Medicine and completed his internal medicine residency at Boston University Medical Center. The New York Times called KevinMD “a highly-coveted publishing place for doctors and patients,” and Forbes called it a “must-read health blog.” He is an inductee of the Healthcare Internet Hall of Fame, a recipient of the American Medical Writers Association McGovern Award, and a New Hampshire Magazine Top Doctor.
