Doug Farrago

How Drug Companies Block Generics

Did you ever wonder why generic drugs never seem to come out or are still expensive?  Well, I discussed some collusion and price fixing before here.  Now the FDA is “making public a list of 52 brand-name medicines that generic-drug companies have had trouble getting samples of, due to restrictions from the manufacturers. Generic companies…

Narco by Stephen Vaughn MD, Ph.D

I came across a story today, shocking and all too common.  Some individual in Texas has apparently been running a medical billing racket.  If it’s true, he hurt lots of people. A task force investigating his guy announced Monday that “he was being indicted in a fraud case involving $240 million in claims that were…

A Little Hysteria Never Hurts Anyone by Pat Conrad MD

An Indianapolis woman died last week from necrotizing fasciitis, a truly sad story.  Following a vacation to Florida, she noticed a sore on her buttock.  Two visits to her primary doctor for antibiotics and heating recommendation, then to the hospital when it worsened.  Between news accounts and some pretty sloppy journalism, it’s tough to tell…

More Universal Magic by Pat Conrad MD

Last year Forbes had an article suggesting that the fix for our health care mess is pricing transparency:  “‘Single-Payer’ Healthcare Isn’t Necessary — But Single Pricing Is.”  The author’s point is that our entire debate premise is wrong, because our entire tiered system leads to price obfuscation, and downright opacity. Okay, I’ll bite.  How do…

Hey, AAFP, Why Can’t You Hear Us? Get Rid of the MOC!

In typical administrative fashion, the AAFP President Elect, John Cullin, MD, tried to calm its members down about the MOC (maintenance of certification) issue.  You can read it all here but it is all political speak.   Let me break down the salient points with my opinion in parenthesis: This is an extremely complex topic…

Regulatory Requirements Drive Dissatisfaction

The title of this piece is called “Regulatory Requirements Drive Dissatisfaction With EHR” and the first thing I thought to myself was “really”?  Isn’t that obvious by now?  Doesn’t everyone know this?  It’s like stating that “water found to be wet” or “pregnant women more likely to give birth than non pregnant women”. Regulatory requirements…

Have I Ever Told You How Much I Hate CVS Caremark?

I hate CVS Caremark.  I hate them to their core.  Just like their evil twin, Express Scripts, they are only in business to scam patients, drive doctors crazy, and get rich.  I just had to spend time doing a prior authorization for generic ambien.  GENERIC!!  Was it a new Rx? No, the guy has been…

Politics in the Waiting Room by Steve Mussey MD

This is a totally true story! A specialty clinic we use has a television in their waiting room.  For several months, it was set to conservative station Fox News.  Finally a patient complained about the conservative slant and the receptionist let the patient change the channel.  The patient picked MSNBC, which lasted for several days.…