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Craig M. Wax is a family physician.

The healing patient-physician analog relationship is in critical condition

Craig M. Wax, DO
Tech
November 7, 2019

In the history of medical care, medical records served one purpose and two masters: to record diagnosis and treatment for physicians to refer to and for patients to use to transfer care when they desired. The medical record was a simple 3 x 5 or ledger card in the 1950s. The patient paid directly for care at the time of service. Usually, the physician had a nurse and a spouse …

Read more…

The healing patient-physician analog relationship is in critical condition

Eliminating the 6 degrees of patient-physician separation

Craig M. Wax, DO
Policy
August 22, 2016

The federal government has been trying to control the health of citizens for nearly a century, increasingly separating patients and their physicians.

WWII wage controls firmly established health insurance as an employee “benefit” in lieu of salary.  This gave the employer power to choose coverage based on its needs, not the employee’s: the first degree of separation.

Since WWII, government has imposed a multitude of programs that add degrees of separation: Medicare, …

Read more…

Eliminating the 6 degrees of patient-physician separation

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  • Most Popular

  • Past Week

    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Oral Wegovy sounds easy, but the reality is more complicated [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical expert testimony vs. advocacy in the courtroom

      Howard Smith, MD | Physician
  • Past 6 Months

    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • The cost of time constraints in primary care: Why doctors feel rushed

      Ann Lebeck, MD | Physician
    • Why we need a new medical specialty to fix corporate medicine

      Allan Dobzyniak, MD | Physician
  • Recent Posts

    • Medical expert testimony vs. advocacy in the courtroom

      Howard Smith, MD | Physician
    • 25 of 32 years of life expectancy came from this

      Richard A. Lawhern, PhD | Education
    • The family caregiving truth nobody wants to admit

      Barbara Sparacino, MD | Conditions
    • AI medical misinformation fooled every major chatbot

      P. Dileep Kumar, MD, MBA | Tech
    • Leaving clinical practice for medical advocacy and purpose

      Ronald L. Lindsay, MD | Physician
    • Evaluating the credibility of major medical journals today

      Laurel A. Coons, PhD | Policy

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