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Prizes for All

Healthcare and education parallel each other in so many ways.  The No Student Left Behind fad caused almost as many problems as our metrics crap did.  Both didn’t work.  Both were unproven.  The other parallel is the ludicrous cost. We all know that insurance and hospital bills shouldn’t have gone up as much as it did.  I…

The Common Enemy

In a recent Bloomberg article it stated that “prices of the top 20 most-prescribed brand-name drugs in Medicare rose on average 12 percent every year for the last five years, or 10 times the rate of inflation”.  I am sure everyone who reads this wishes their salary would increase that much. It just never seems to…

Alarming? Sobering? Why?

I have written over and over about the “cavalry” that is pretending to come and save us physicians from burnout.  My point has always been that we need to be leery of anyone coming to help, especially when they took part in, benefitted from, or profited in those things that caused the problems in the…

Loose MIPS Sink…Physicians

Here’s some recent news about quality measures: The American College of Physicians, responding to provider concerns about current performance measurement policies, published an analysisof the Merit-based Incentive Payment System in the New England Journal of Medicine and found the majority of measures for ambulatory internal medicine are not valid by the ACP’s own criteria. Of…

Different Car, Same Driver by Pat Conrad MD

Years ago at a medical school reunion, a graduate from an earlier year stood up to proudly proclaim how much he was donating to the school, to set the example for the rest of us.  The moment someone starts doing ostentatious good is the moment I mistrust and dislike him. So enter former Rep. Patrick…

Quote of the Week: Anne Sweeney

“Define success on your own terms, achieve it by your own rules, and build a life you’re proud to live.” Anne Sweeney, former president of Disney Channel (Want to be reminded of some of our controversial, entertaining and motivational articles?  No one else is giving you the inside scoop to what is really going on in…

Ridiculous Study of the Week: Smoking is Bad For You

A new study in Circulation called Cigarette Smoking and Incident Heart Failure: Insights From the Jackson Heart Study  was highlighted in Family Practice News because “cigarette smoking is an important risk factor for heart failure in blacks, according to results of an investigation of patients in the Jackson Heart Study.” So, wait, smoking is bad for any race?…

The Only Funny Man Left in Medicine

Please have a listen to my podcast with ZDoggMD (Zubin Damania).  In this episode I talk with him about his history as a doctor (yes, he still sees patients) as well as our common interests: humor, side gigs, laughing, the Big Lebowski, etc. ZDoggMD talks about picking his alias name and it somehow involved me! He does mention the…