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  • Medical malpractice- The myth

    Having investigated and resolved thousands of complex med mal claims since 1985, I see things differently. Please keep in mind that I defend the doctors when they are defensible and pay when it is clear that they goofed. I consider myself a democrat but I am old enough to be a republican. Frist and Clintons approach to curtailing the # of medical ...
    Posted to Medical Examiner by jymbo53 on May 12, 2008
  • Re: Adherence to prescriptions

    This was one of the best summaries of the issue I have ever read. I would add that pharmaceutical companies are key to solving the problem. I know of a drug used to treat MS, which has adherence rates of 95%, because of the patient support program launched by its manufacturer. Because the drug costs $20,000/year, they can afford to provide ''gold ...
    Posted to Medical Examiner by jeanlalonde on March 22, 2008
  • Overworked and underpaid?

    As much as the public thinks doctors are highly compensated, year after year reimbursement rates decline while there is a growing shortage of primary care (and many subspecialty) physicians in a large number of markets. Also, paperwork and other regulatory requirements keep increasing. A larger number of patients therefore exists for each doc, ...
    Posted to Medical Examiner by tigger-ibby on March 21, 2008
  • treatment or diagnosis: Both miss the point

    The author of this article falls victim to the type of fault that he seeks to illustrate. He spends paragraph after paragraph telling us about what he percieves as the problem, while devoting precious little time to discussing the solution. Even in the comments that I have read on this article so far, few have focused on how to fix the problems ...
    Posted to Medical Examiner by MedManagerWa on March 14, 2008
  • diagnosis vs treatment

    Generally, doctors' formal education in school & residency is to sharpen skills of diagnosis. Then, all too often, the education regarding treatment is cleverly administered by the BigPharma. Read excellent, related articles, “Guess Who’s Educating Your Doctor?” by Tara Parker-Pope, and “Is the niacin-toxicity fear overblown?” and ...
    Posted to Medical Examiner by mitchg on March 13, 2008
  • Re: This is a hit job on primary care physicians

    case42tlc:It seemed to me that this article was more of an indictment of the medical education system than an attack on individual PCP's. Your post comes off as more than a little thin-skinned.. Precisely. as pointed out to me a few years back (by a pcp who went on to various chief of medicine jobs) medical education today is still using the old ...
    Posted to Medical Examiner by gzuckier on March 13, 2008