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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: some good points

    Actually, that data does not seem to be reliable. According to Canadian statistics of actual payments made to physicians by the single payer (Medicare), the Canadians do much better then the polling source listed would indicate. According to 2004 data ( http://dsp-psd.pwgsc.gc.ca/Collection/H118-4-2004E.pdf - go to data tables, table 1-1), ...
    Posted to Moneybox by cmhmd on May 1, 2008

  • Plastic Surgery down?

    God knows it is THE place that families can cut back or at least delay. From where I sit (advertising for 1500 to 2000 plastic and cosmetic surgeons) business is booming right along. The article would be a better read if the reporter had some actual sources or statistics showing a decline in spending and procedures. In fact, the professional ...
    Posted to Human Nature by Charles downey on April 10, 2008

  • Blame doctors for laziness?

    I have to disagree with this article. I work in a medical office and the doctor I work for takes great care in making sure his patients understand their conditions and medications. He never denies patients time if they have additional questions. As a rule we limit the amount of refills patients can have on any long term medication so that we ...
    Posted to Medical Examiner by Jen24 on April 2, 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

  • Re: treatment or diagnosis: Both miss the point

    CJM3:You want prevention? By all means, I agree that it would be a better thing than to treat catastrophic conditions. But don't tell physicians that they should be reimbursed based on their ability to prevent an outcome that is almost exclusively outside of their control. Instead, a far more powerful motivation will be to CHARGE PATIENTS who do ...
    Posted to Medical Examiner by MedManagerWa on March 17, 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

  • Re: outdated

    bobbywg: ''However, the sheer abundance crowds out an important—in fact, the only—skill that matters in treating a patient: how to critically appraise published clinical trials. Few doctors ever read them.'' I don't know how far removed from medical school you are, but as a current medical student, I can say this comment is absolutely ...
    Posted to Medical Examiner by MarylandMD on March 12, 2008

  • Re: Dr. Problems article

    I'm primarily (and happily) familiar with the Canadian system in which nurses aren't quite considered part of the ''room service'', but I agree with NurseDarla - nurses are severely underrated as medical professionals. I know someone who is an ER nurse. She is exceptionally intelligent, highly competent, a quick and critical thinker, and ...
    Posted to Medical Examiner by Peripheral Vision on March 12, 2008
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