Right the “First” Time by Pat Conrad MD

A sentence like “For the 11th consecutive year, the family doctor was the most highly recruited doctor” should get the primary care types feeling a little better about themselves, right?  Of course the cynic might note that the quickest way to fix a shortage is to increase pay, the relative paucity which of being the best explanation as to why there is a shortage in the first place.  Sure the academics, medical extortion groups (AMA, AAFP, et al), and government overlords will all cluck about the increased need for primary care to keep costs do-, I mean to provide better “quality”, the increased population with ACA coverage, and they will all tuck their chins and ceiling gaze when someone points out the poor cash-to-hassle ratio in primary care.  You can’t spell “quality” without “EHR.”

But before FP’s feel too much love, they need to read the article headline:  Nurse Practitioner Demand Eclipses Doctors As States Lift Hurdles.”  Oh, so that’s’ how to fix the shortage.  The problem isn’t really a primary care doctor shortage, “as momentum builds behind legislation to eliminate hurdles for patients who need primary care.”  The American Association of Nurse Practitioners president thinks this is a great idea, as I’m sure would the American Association of Clinical Pharmacist Assistants president when its flu vaccine time.

Take a moment to run to the bar for a stiff belt, or to the bathroom for some Phenergan before this next paragraph:  “What’s more, the shift away from fee-for-service medicine to value-based care and population health incorporates more nurse practitioners and physician assistants to work with doctors in a team-based approach. Insurers are rewarding medical care providers for getting healthcare done right the first time rather than basing pay on volume of care delivered.”

Value-based…population health…team-based approach…the author should get a cookie for incorporating all the right buzz-terms so efficiently.

Thank goodness that finally, at last, someone will be there to get health care right “the first time.”

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]nticmedicine.com 

  2 comments for “Right the “First” Time by Pat Conrad MD

  1. Delta
    July 5, 2017 at 7:43 pm

    Well, she’s not bad looking, at least.

  2. SimonSays
    July 5, 2017 at 12:51 pm

    The ad came from Alberta Canada.

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