I’ve always been a fan of the Pulitzer-prize winning author Anna Quindlen, and last week I ran across the text from an address she gave to a roomful of doctors and medical students at the Association of American Medical Colleges in November. (Note: the full text will only be available through this link until January 31, 2014.)
Switching doctors will become more common
My family is one of those that has lost our current insurance plan. And in researching new plans, I’ve found that individual market plans, both on and off the health care exchange, have significantly smaller provider networks.
Our current doctors and hospitals are not “in network” for any of the new plans, so we will have to change.
I understand why the insurance companies … read on
…because health care is still sick
So the political brouhaha is over in Washington, DC (for now) and Obamacare can continue it’s rollout unchecked–except by the federal exchange’s own technical ineptitude.
But eventually the online marketplaces will be functioning as they are supposed to, and all Americans–regardless of their economic or health situations–will be able to buy affordable health insurance and have access to the best care possible.
Or … read on
…or mistakes I wish I hadn’t made
We are entering a new era in health insurance coverage and paying for health care. Kind of.
More people will have an opportunity to buy insurance through the new exchanges. However, we will also be expected to pay much more towards our care through considerably higher deductibles and co-pays.
And I suspect this is a trend that will spread to more and more … read on
Medicine’s code of silence
Working in the operating room, I quickly learned who were the best—and the worst—surgeons. The best had skill and good judgement, and I would enthusiastically refer my family and friends, if needed.
And the worst? … read on
This morning I read a post by a pediatric intensive care (PICU) doctor who admitted too many CT scans are still being given to children, despite recent evidence that radiation exposure from the scans carries a not insignificant future risk of cancer.
I posted about the results of this study a couple of months ago: Children are more “radiosensitive” than adults; … read on
One of my best friends is a physician, and we have an agreement: if either of us needs to go into the hospital for surgery, the other will be there to make sure everything is done right.
Hospitals are scary places, even for–especially for–health care professionals.
Dr. Laura Nathanson’s husband died as a result of incorrect diagnosis and delayed treatment due to poor communication … read on
As someone who advocates for less medical care, I’m always thrilled to see physicians and others in the health care industry step forward to protest over-testing, over-screening, over-diagnosing, over-treating and over-charging.
Here are some of my favorite health care blog posts and news articles from the last week.
Dr. Lamberts is embracing the newest trend in primary care: the direct-pay model. He does not … read on
Shining a light on the physician-Big Pharma relationship
One of the little-known laws buried in the Affordable Care Act (ACA) is the Physician Payments Sunshine Act, which takes effect today.
I understand the impetus of this law, but I am less sure of its positive effect.
The Sunshine Act (the drafters no doubt had a mental image of exposing something slimy to the light) seeks to illuminate the financial … read on
I recently read two books that provoked my thoughts. The first was Twelve Patients: Life and Death at Bellevue Hospital by Dr. Eric Manheimer, the medical director of what is probably the largest public hospital in America.
Located in New York City, Bellevue sees patients from all demographics—incarcerated, homeless, undocumented, uninsured, mentally ill, addicted—and treats the worst trauma cases in the city.
Dr. Manheimer sees it all, … read on