Hey, Dude, Where’s My Operating Room?

I love to point out how bad the government is when they try to run healthcare. In this article Six CEOs and No Operating Room: The Impossible Job of Fixing the Indian Health Service you will see that the absolute mess they create:

That is despite extensive efforts at renovation and hundreds of thousands of dollars paid for surgeons who couldn’t do their jobs because they had no place to operate. The hospital can’t deliver babies or do colonoscopies.

But wait, there’s more:

  • Jerry Dale, an owner of Medical Air Rescue Co., said his company often flies at least three or four patients a week from Rosebud to regional hospitals. Each trip costs more than $8,000, he said.
  • Rosebud and some of the 23 other hospitals in the IHS system suffer from systemic problems, including leadership turnover, staffing shortages and facility breakdowns. There have been few signs of an overhaul under Adm. Weahkee, whose style is described as conciliatory by people who have worked with him.
  • Earlier this year, an investigation by the Journal and the PBS series Frontline showed IHS officials had long suspected that a pediatrician, Stanley Patrick Weber, was a pedophile. Mr. Weber had been transferred from one facility to another after coming under investigation. He has been convicted of abusing six boys in two states, and is appealing.
  • The U.S. hospital regulator returned in July 2018 to find the emergency room had again run afoul of federal rules. Among other errors, an intoxicated 12-year-old girl had attempted suicide while left unattended by hospital staff despite a previous effort to take her own life.

This is one article but a lot of work went into investigate the Indian Health System. Who out there has worked for them? What are your thoughts?

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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] 

  2 comments for “Hey, Dude, Where’s My Operating Room?

  1. Celia E MD
    February 10, 2020 at 2:45 pm

    I worked part time for the VA in Denver I believe in 2015. During the entire 9 month period there were no surgeries there because the sterilizer was broken. Every single surgical case was transfers by ambulance to Rose Hospital next door. I have no idea how long that went on because it was in effect when I started and stopped

    • Douglas Farrago MD
      February 11, 2020 at 9:52 am


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