Archive for the ‘physicians & medical quality’ Category

EMTALA’s perverse incentives

Thursday, August 26th, 2010

"911Doc" at DocsOntheWeb describes the harms of EMTALA: If you are unfamiliar with EMTALA or our take on it you can read about it here, but to be brief, EMTALA is an unfunded federal mandate passed in 1986, which, de facto, has made it a crime to tell anyone 'no' ...

Health care innovation: good and bad

Tuesday, August 17th, 2010

John Goodman of the National Center for Policy Analysis has an excellent column abut health care innovation. He summarizes: Wherever there is third-party payment [insurance, a health plan, Medicare, Medicaid], the goal of innovation is to produce more products that qualify for reimbursement, even if the effects on patient ...

The American Medical Association as part of America’s ruling class

Monday, August 2nd, 2010

In "America's Ruling Class" published in the American Spectator, Angelo M. Codevilla writes: To the extent party leaders do not have to worry about voters, they can choose privileged interlocutors, representing those in society whom they find most amenable. In America ever more since the 1930s -- elsewhere in the world ...

Pay your doctor cash, get better treatment

Friday, July 30th, 2010

Jay Parkinson, M.D. writes: If we really want to find out how to damn near perfectly manage any medical problem as efficiently and cost-effectively as possible, we should be studying how doctors manage the medical problems of the cash-paying doctors they see in their own ...

“Medical homes”: good idea, or politicized boondoggle?

Tuesday, June 29th, 2010

David Hogberg at Investor's Business Daily has written a nice critique of the so-called "medical homes" pushed by ObamaCare (HR 3590).  A "medical home" sounds comforting, but if politicians are forcing you, or nudging you, into one with legislation, then you should be wary. A few excerpts from the article, ...

ObamaCare: Insurers Need Permission to Survive; Citizens, to Live

Wednesday, May 19th, 2010

This is the provocative title of Dr. Paul Hsieh's recent article in Pajamas Media. It begins: Suppose our government declared that everyone had the “right” to a nice steak dinner. The government would require restaurants to sell $50 steak dinners to all comers. But to keep ...

Massachusetts’ bills propose to enslave doctors

Tuesday, May 4th, 2010

Either provide medical treatment to people at prices we set, or lose your license to practice medicine in Massachusetts.  Both bills in question are Senate Bill 2170 and House Bill 4452 contain such language. Both the House Billand Senate Bill contain the following: Every health care provider licensed in the commonwealth ...

Health information technology: benefits and problems

Wednesday, April 14th, 2010

For those interested in Colorado politics ( Colorado HB 1330) and medical privacy, check out this summary of a recent study by published by the National Center for Policy Analysis. Although many proponents discuss the perceived benefits of health information technology (HIT), missing from the debate is an honest ...

The Deadly Tax on Medical Innovation

Monday, April 12th, 2010

From Paul Hsieh in Pajamas Media: [A] government that penalizes innovation could dramatically slow the pace of medical progress, leading to millions of preventable deaths. And this may be one of the worst long-range consequences of the recently passed ObamaCare health legislation. One of the many new taxes imposed by ...

“Health care” bill threatens your health care

Wednesday, March 31st, 2010

Paul Hsieh, MD describes how "bundled payments" give doctors perverse incentives misaligned with your best interest: One planned cost-cutting measure will be a new system of “bundled payments” where hospitals and physicians receive a fixed fee to take care of Medicare patients’ conditions (e.g., a stroke ...