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The 1%…..in Healthcare

Here are some interesting facts that those outside the medical industry might not know.  It appeared in a recent USA Today article.   One percent of Americans accounted for 22% of health care costs in 2009, according to a federal report released Wednesday.  Want more?  Five percent accounted for 50% of health care costs.   They…

No Choice by Pat Conrad MD

Let me stipulate from the outset that this is not a criticism of Medical Economics magazine, a well-presented and generally upbeat publication.  I like the mag, and enjoy browsing through it as a way to keep an eye on the current industry trends, beyond whatever lies, threats, and prevarications lately dispensed by HHS and the…

Colonoscopy Controversy Continued

I blogged and did an Authentic Medicine Moment Video on the subject of insurance companies not paying for screening colonoscopies if a polyp is removed. Hit the link to review.  I received this email from an insurance manager who allowed me to share it with you.  My response follows but I would love your thoughts on…

Top Ten Reasons Your Laptop is…. (sent in by a reader and for mature audiences)

EMR, uhhg. Like most non-medical “advances” in medicine in the past decades(HMO’s, cost-limiting formularies, etc.), it has improved the lives of someone other than physicians. The clerical staff no longer play find-the-chart, billing can e-file claims, my transcriptionists took the early retirement we subsidized at $.14/line for the last 10 years, and triage can track…

Army’s Surgeon General Not a Doctor

Lt. Gen. Patricia Horoho is the first woman and first nonphysician to become the Army’s surgeon general.   Lt. Gen. Horoho is a nurse.  I know this is a controversial topic and will get some people pissed (on both sides) but it seems to me that we need to start doing a better job defining certain…

Year of the Test Scandal

An article in the USA Today recently discussed the epidemic of test tampering by teachers.  In fact, they are calling 2011 the year of the Test Scandal.  What does this have to do with medicine, you ask?  Actually, a lot.  The No Child Left Behind Law parallels the Pay-for-Performance concept in healthcare; they are just…

Too Much Healthcare?

Here is a great article from an ER doc.   His name is Thomas Doyle MD and he has a book coming out called “Suck It Up, America: The Tough Choices Needed for Real Health-Care Reform”.   I highly recommend you read the linked piece but he hits a lot of great points.  Here is a quick…

Methadon’t

Did you know that men on methadone treatment for drug addiction were more than twice as likely to be involved in traffic accidents?  To be fair, the study did not determine whether the people involved in the accidents were using alcohol or other drugs.   I am sure the methadone users would never “use” other drugs…