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Physician voices
Perhaps the time has arrived to view the clinical practice of medicine differently. The practitioners are now broadly identified either as primary care providers or specialists. Specialty care is more easily defined, but whether such care is used appropriately is…
Perhaps the time has arrived to view the clinical practice of medicine differently. The practitioners are now broadly identified either as primary care providers or specialists. Specialty care is more easily defined, but whether such care is used appropriately is another question.
Primary care now includes pediatrics, internal medicine, and family practice with an increasing number of physician extenders, nurse practitioners, and physician assistants. Primary care has transitioned into something quite …
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Why we need a new medical specialty to fix corporate medicine
Physician voices
Could it be that it is not market forces that have distorted medicine but actually the fault of those who should have been integral to the evolution of the health care system, physicians? The industry has evolved based on circumstances.…
Could it be that it is not market forces that have distorted medicine but actually the fault of those who should have been integral to the evolution of the health care system, physicians? The industry has evolved based on circumstances. Government intrusion with unregulated bureaucracies and the poison of politics can now be described as the monopsony that is basic to the present market distortions. When pricing is arbitrary based …
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Health care market distortion: How government intrusion hurts medicine
Health policy
Single-payer health care is generally defended with "heart-wrenching" virtue signaling divorced from any cost, economic, or financial reality. The idea that any scarce service or commodity is a right and therefore should be free is fanciful, but impossible. With an…
Single-payer health care is generally defended with “heart-wrenching” virtue signaling divorced from any cost, economic, or financial reality. The idea that any scarce service or commodity is a right and therefore should be free is fanciful, but impossible. With an indebtedness of $38 trillion and growing, adding greater than $40 trillion as estimated for the cost of “Medicare for All” would absolutely drive the country into insolvency. Even without …
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Single-payer health care vs. market-based solutions: an economic reality check
Physician voices
Can there actually be a medical profession with physicians as only employees in an industrialized corporate or socialized system with a union representing their collective interests? Does it matter, and should it matter? Are there still alternatives? Asking another party,…
Can there actually be a medical profession with physicians as only employees in an industrialized corporate or socialized system with a union representing their collective interests? Does it matter, and should it matter? Are there still alternatives?
Asking another party, specifically the government, to solve major predicaments consuming the profession is not a plan. Worse, it is a clear sign of dependency and weakness. There is no other entity that can …
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Is physician unionization the answer to a broken health care system?
Physician voices
It is remarkable that treatises, white papers, editorials, and articles on the cost of health care are consistent with ignoring the essence of care, and they are lacking in physician commentary. Insurance is not health care, and there can be…
It is remarkable that treatises, white papers, editorials, and articles on the cost of health care are consistent with ignoring the essence of care, and they are lacking in physician commentary. Insurance is not health care, and there can be no health care without doctors. Simply stated, in the end after all the intermediaries have claimed their pound of flesh for myriad services that most often provide little to no …
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The devaluation of physicians in health care
Physician voices
Doctor, if you have recently had occasion to be granted a visit with upper hospital management in the plush executive suite, most surely it was you who stood out quite conspicuously. Being greeted, hopefully politely, by one of the administrative…
Doctor, if you have recently had occasion to be granted a visit with upper hospital management in the plush executive suite, most surely it was you who stood out quite conspicuously. Being greeted, hopefully politely, by one of the administrative secretaries, you were asked to be seated and wait along with others—consultants, lower-level management, salesmen, business associates, insurance executives, and maybe even golf buddies. Notable was that you, the physician, …
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How hospitals are quietly taking control of physicians
Health policy
Before a discussion of entitlements and welfare programs is started, a primer on the fiscal situation of the country seems appropriate. Service on the national debt is now second only to Social Security as a government expenditure. The debt is…
Before a discussion of entitlements and welfare programs is started, a primer on the fiscal situation of the country seems appropriate. Service on the national debt is now second only to Social Security as a government expenditure. The debt is now about $36 trillion. Government revenues are 18 percent of GDP. Spending is 25 percent of GDP. Seventy-six percent of spending has been mandatory, leaving 24 percent as discretionary. The …
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The hidden cost of health care: How rising debt threatens your access to care
Physician voices
It is presently fair to ask the question, do doctors participate in our society as individuals being free? If this is no longer the case, why and what are the consequences? If a doctor is employed, he answers to an…
It is presently fair to ask the question, do doctors participate in our society as individuals being free? If this is no longer the case, why and what are the consequences? If a doctor is employed, he answers to an employer. If there is participation with Medicaid and Medicare, the rules must be followed. These are rules, mandates, and regulations created by the administrative state, politicians, and faceless bureaucrats. If …
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How doctors lost their freedom and what it means for health care today
Physician voices
There was an article published recently addressing the shortage of pediatricians. Though the article focused on this specific shortage, it actually raised many additional questions regarding the physician workforce in general. It is difficult to disagree that continuing to decrease…
There was an article published recently addressing the shortage of pediatricians. Though the article focused on this specific shortage, it actually raised many additional questions regarding the physician workforce in general. It is difficult to disagree that continuing to decrease reimbursement, increasing maddening payment schemes, and increasing regulatory requirements to pediatricians and physicians in general will have predictable results. There will be physician shortages, and patient access will be compromised.
Hospitals …
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Pediatrician shortage reveals deeper health care crisis impacting all physicians
Physician voices
There are difficult issues confronting physicians generally, regardless of whether they are primary care physicians or specialists or employed or in private practice. The list is long and growing as more and more requirements, costs, mandates, and regulations are being…
There are difficult issues confronting physicians generally, regardless of whether they are primary care physicians or specialists or employed or in private practice. The list is long and growing as more and more requirements, costs, mandates, and regulations are being inflicted in an environment of decreasing compensation. All of these lend to the rapidly lost freedom and autonomy for a medical profession where these are foundational.
It seems clear that the …
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Why physicians are losing autonomy
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