Computerized Medicine is No Solution by Steve Vaughn MD

Everyone hears about the magnificent future of medicine. We can’t stop hearing about it. Dr. Watson and his colleagues in Big Digital Medicine promise precision and certainty where the human frailty of physicians (and physician equivalents) offers only superstition and confusion. We are told that the #3 killer of Americans is healthcare. That this is…

The Nonprofit Hospital

Check this NPR hit piece on nonprofit hospitals. Ouch.  It seems that even though they get extreme tax breaks to deal with lower income patients many of these hospitals want more. Now they are garnishing some of these patients’ wages. Let me come at this from many angles. First of all, the whole “nonprofit” designation…

Hail Mary Pass from the ABFM

I came home to a letter from the American Board of Family Medicine.  They have been threatening to pull my certification every month (I have not paid their extortion money this year) so I thought it was another “reminder”. Instead it was some bizarre and generic warning letter about professionalism.  I found the same letter…

$76,000? Nope.

When John McCain had his eye surgery that delayed the Senate vote on healthcare you just knew that it was going to be fodder for the critics.  Well, here it is: If John McCain were uninsured, his surgery could have cost $76,000 Not exactly. First of all, no one really knows what the cost of…

Country Roads by Pat Conrad MD

Well, I guess this is a different spin on it… The Senate is pretzeled into a fine mess, with Dems shrieking about the GOP slaughtering hundreds of thousands with Medicaid cuts, and wimpy Republicans believing them.  Last October, the Kaiser Family Foundation predicted that Medicaid spending GROWTH would decrease from spending 10.5% to 4.5%, an…

MIPS vs. MOOPS

This just in: A congressional agency, MedPAC, recently issued its June report highlighting the need to improve the Merit-based Incentive Payment System (MIPS) track part of the Quality Payment Program (QPP) by reducing administrative burden and increasing the importance of positive patient health outcomes. Here is the funny part.  Does anyone believe a plan using…