Begging for Quality

This just in:

“Physicians have until Dec. 31 to participate in the 2017 Merit-based Incentive Payment System, and can do so by collecting just one quality measure on one patient. Compliance would avoid a 4% negative payment adjustment to Medicare Part B claims in 2019.”

How pathetic is that?  One measure on one patient?  Yeah, we are really improving medicine with this garbage.  The program is so broken that they are now begging docs just to do one more thing and, yet, physicians aren’t doing it. It’s like doctors are just too stuffed and couldn’t even handle one more wafer…..because they can’t!!!

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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] 

  4 comments for “Begging for Quality

  1. LJSlossMD
    December 19, 2017 at 3:55 pm


    Even crap is becoming degraded; where will it end? Perhaps at the F&#^ it Event Horizon?

  2. Stephen O'
    December 19, 2017 at 1:12 pm

    A cynical observer of the future suggests that the most important skill to be learned in college, for persons of both genders and all sexual proclivities, is development of one’s own techniques and skills in the provision of spirited oral pleasure to gentlemen. Such as skill may even be more useful than touch-typing.

    Whether or not one stimulates one’s own desires as well is quite beside the point. Aptitude for such mechanical skills will be vitally important in the Merit-Based Information Systems of the future. Inability to perform because of personal quirks is not an option. The world is divided into those who can provide on command, and those who cannot.

    If you are skilled at both practical arts, you are ready for the film and business industry. Perhaps that workshop can be integrated into the first year Anatomy classes in medical school. It certainly will be more useful than learning intubation or the emergency tracheotomy or such nonsense.

    There seems to be an outburst of actual humanism in many occupations, where human beings are entirely disgusted and sick of being treated like objects, today’s #metoo movement. It seems to be directed towards dignity, individuality and respect. Beware – such movement have changed societies irrevocably. But also such movements have dried up or have been suborned.

    Which way do we choose?

  3. Martha Clark
    December 19, 2017 at 10:09 am

    Come on Doc, ‘it’s just a wafer thin mint!’.

    How much more will they have you try and swallow before the end of the year? And just think, next year it’ll even be worse!

  4. Perry
    December 19, 2017 at 6:57 am
    Please sir, I want some more…

Comments are closed.