Compliance and the Doctor

It is a well known fact that patients often don’t fill their prescriptions or even take the medicine if they do fill them. That is what makes it so insane to “grade” doctors depending on their patients’ cholesterol, blood pressure, blood sugar average, etc.  In a study involving patients who had a recent heart attack, only half of them took the statin, beta blocker and aspirin recommended.  Even better, the medications were given to the pateints for……FREE!!!!!!!  Maybe this is a problem with communication?  I doubt it as this was a study and they have more time to explain things and educate the participants.  Maybe this is a cultural issue?  Who knows but to give “quality” grades to doctors that depend on patients’ compliance is like basing teachers’ pay on the tests scores that their students achieve.  Who is crazy enough to do that?

We are heading towards “No Patient Left Behind” which will fail miserably.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  6 comments for “Compliance and the Doctor

  1. Ann Helms MD
    December 7, 2011 at 8:00 am

    The program is predicated on the idea that mortality is an avoidable side effect of poor health management. Next they will be basing our quality measures on how long our patients live. Immortality is the ultimate quality!

    • Doug Farrago
      December 7, 2011 at 10:05 am

      I love it. Brilliant.

  2. Regnad Kcin
    December 7, 2011 at 7:23 am

    “No Patient Left Behind”! That is sooo great! I love it! I predict a draft, so all those selfish doctors (and others who drop out of the system) will be compelled to “serve the people” at the fedgov’s direction. Oh, wait…we’re getting there!

  3. mamadoc
    December 4, 2011 at 5:25 pm

    What this will likely bring is an even bigger access problem (like the 17% Medicare cut won’t cause a big one already) as noncompliant patients get shown the door.

  4. Frank J. Rubino MD
    November 30, 2011 at 8:11 pm

    YEP !

  5. Frank J. Rubino MD
    November 30, 2011 at 8:10 pm


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