Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Say no to bureaucrats and yes to direct care

Josh Umbehr, MD
Physician
May 17, 2014
Share
Tweet
Share

shutterstock_95318875

Yes, it really is time to revoke the health care mandates issued by bureaucrats who are not in the profession of actual healing.

Daniel F. Craviotto Jr. writes in the Wall Street Journal, “In my 23 years as a practicing physician, I’ve learned that the only thing that matters is the doctor-patient relationship.”

Craviotto, Jr. is a doctor who embodies the fight of direct care. How we interact and treat our patients truly is the practice of medicine. There’s a problem with the rising cost of health care. (For starters, Oregon spent over $1,000 per subscriber on just a website to sign up for coverage that might not even provide a doctor.)

And there’s a larger problem when the individual physician in the trenches doesn’t have a voice in the debate. Bureaucrats are telling doctors what they can and can’t do.

And that needs to stop.

As a group, the nearly 880,000 licensed physicians in the U.S. are, for the most part, well-intentioned. Does anyone endure the gauntlet that is a residency program — 10+ years of training — to do anything except their best work?

Yes, the demands on physicians are great, and many of our families pay a huge price for our unwavering commitment. But shouldn’t our nation take great shame in knowing fee-for-service docs tack on 2+ hours of transcription every working day just to get paid, maybe, for the work they’ve already done?

How can bureaucracy, split between so many non-practitioners, own up to the cleavage of time that it brings upon the very people working to keep our nation healthy?

When do we say damn the mandates and requirements from bureaucrats who are not in the healing profession?

How do we stand up and say we aren’t going to take it any more?

For starters, we say yes to direct care.

We say, stop, every time a doctor joins the movement, every time a doctor pledges to make that transition (and makes a plan to help their patients through it).

We say it every time a patient says, “Give me affordable primary care.”

We say, stop, when we cut the red tape: Offer affordable services for cash, make insurance something that’s only used in real emergencies, and render EMR regulation and meaningful use incentives null and void.

ADVERTISEMENT

The Centers for Medicare & Medicaid Services do say that fee-for-service docs have to use an EMR or they’ll be penalized with lower reimbursements in the future. Some meaningful use criteria from Medicare tell physicians what they need to include in the electronic health record or they won’t be subsidized the cost of converting to the electronic system and we will be penalized with lower reimbursements.

Meanwhile, keep in mind: EMR vendors are raking in the dough and saving us nothing.

Meanwhile, across the country, fee-for-service doctors waste precious time filling in unnecessary electronic record fields just to satisfy a regulatory measure.

Is that the best use of time for a highly-trained individual?

Physicians are tired — tired of the mandates, tired of outside interference, tired of anything that unnecessarily interferes with the way they practice medicine.

And as we know, physicians top the list of professions with the highest suicide rates.

Yes, we’re irrational humans. But we’re doctors, too. So let’s be scientific — saying that EMR machines are literally making doctors kill themselves is a stretch. But, if we have the data that says, “We work in a profession where suicide is common, and we promulgate activities that are totally meaningless, i.e. hours of transcription that could be spent with loved ones,” how is this ethical?

No other profession would put up with this kind of scrutiny and coercion from outside forces.

The legal profession wouldn’t.

Labor unions wouldn’t.

So why should we?

Josh Umbehr is founder, Atlas.md.

Image credit: Shutterstock.com

Prev

Before treating physical pain, address the emotional one

May 17, 2014 Kevin 0
…
Next

Medical students: Hold each other accountable for your relationships

May 17, 2014 Kevin 1
…

Tagged as: Primary Care

Post navigation

< Previous Post
Before treating physical pain, address the emotional one
Next Post >
Medical students: Hold each other accountable for your relationships

ADVERTISEMENT

More by Josh Umbehr, MD

  • Gain time by slowing down with your patients

    Josh Umbehr, MD
  • Direct primary care: Being different is the biggest asset of all

    Josh Umbehr, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Obesity is a disease: Does that change the way doctors practice?

    Josh Umbehr, MD

More in Physician

  • Physician emotional fatigue: When burnout becomes a blind spot

    Tomi Mitchell, MD
  • Why doctors struggle with setting boundaries

    Diane W. Shannon, MD, MPH
  • Why tennis is like medicine for doctors

    Fara Bellows, MD
  • The erosion of evidence-based medicine: a doctor’s warning

    Corinne Sundar Rao, MD
  • Rethinking opioid prescribing policies

    Kayvan Haddadan, MD
  • A lesson in empathy from a young patient

    Dr. Arshad Ashraf
  • Most Popular

  • Past Week

    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • Autism prevalence surveillance: a reckoning, not a crisis

      Ronald L. Lindsay, MD | Conditions
    • Why food perfectionism harms parents

      Wendy Schofer, MD | Conditions
    • Developmental-behavioral pediatrics: the lost identity

      Ronald L. Lindsay, MD | Conditions
    • A husband’s story of end-of-life care at home

      Ron Louie, MD | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Developmental-behavioral pediatrics: the lost identity

      Ronald L. Lindsay, MD | Conditions
    • The haunting trauma of nursing

      Debbie Moore-Black, RN | Conditions
    • Physician emotional fatigue: When burnout becomes a blind spot

      Tomi Mitchell, MD | Physician
    • Why psychologist training takes years

      Peggy A. Rothbaum, PhD | Conditions
    • Why the doctor-patient relationship is nearly dead [PODCAST]

      The Podcast by KevinMD | Podcast
    • Patient modesty in health care matters

      Misty Roberts | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 211 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • Autism prevalence surveillance: a reckoning, not a crisis

      Ronald L. Lindsay, MD | Conditions
    • Why food perfectionism harms parents

      Wendy Schofer, MD | Conditions
    • Developmental-behavioral pediatrics: the lost identity

      Ronald L. Lindsay, MD | Conditions
    • A husband’s story of end-of-life care at home

      Ron Louie, MD | Physician
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Silicon Valley’s primary care doctor shortage

      George F. Smith, MD | Physician
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Developmental-behavioral pediatrics: the lost identity

      Ronald L. Lindsay, MD | Conditions
    • The haunting trauma of nursing

      Debbie Moore-Black, RN | Conditions
    • Physician emotional fatigue: When burnout becomes a blind spot

      Tomi Mitchell, MD | Physician
    • Why psychologist training takes years

      Peggy A. Rothbaum, PhD | Conditions
    • Why the doctor-patient relationship is nearly dead [PODCAST]

      The Podcast by KevinMD | Podcast
    • Patient modesty in health care matters

      Misty Roberts | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Say no to bureaucrats and yes to direct care
211 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...