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]

Affordable Care Act Murkier or Better?

The Obama administration said that it now will allow each state to specify the benefits provided by insurers.  In other words, the federal government will not define a single uniform set of “essential health benefits”.    This is summarized quite well in this NYT article but I will give you the high points here.  Both supporters and critics…

Dr. Berwick and Quality

Here is an interview with the former head of the CMS, Dr. Don Berwick.   He  is the guru of quality. He seems like a nice man.  He is a great interviewee and is very intelligent. Much of what he says is right. Unfortunately, some or all of that  is only good in theory. Quality…

The AMA and the ICD-10

Finally, the AMA did something right!  They have adopted a resolution to try and stop of the implementation of ICD-10, which would be used in place of the current ICD-9.  For those that don’t know, doctors bill for services using CPT codes but use the ICD codes to record patient diagnoses.  The idiots in charge…

Too Old To Screen

There are 37 million people in the United States are 65 and older and the  U.S. Preventive Services Task Force recommends against routine screening for breast, colorectal, and prostate cancer at age 75 and beyond, and advises against cervical cancer testing after 65.  But the screenings still occur.   A study published in the Dec. 12/26 issue…

Organized Weakness by Pat Conrad MD

Putting “ACO” into the search window yielded at least one (probable) pornographic reference, which is a likely harbinger of the very near future.  Fast on the heals (sic) of the widespread customer satisfactions garnered by H.M.O.’s in the 1990’s, the Obama Care law bearing down on us seeks to replicate these successes.  An Accountable Care Organization is…