Category Archives: Articles

Maryland Experiments With Capping Hospital Spending

The Centers for Medicare and Medicaid recently offered a waiver to Maryland in order to try to pursue their hospital payment model as a possible scenario for the rest of the nation.  It is based upon their current model which … Continue reading

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Doctor-Patient Relationship Breakdown Leads to Physician Dissatisfaction

The following statistics are from the 2013 Physician Outlook and Practice Trends, a report published by Jackson Healthcare. Physician discontent appears to be creating a void in the healthcare field. Physicians are preparing to leave medicine early either through retirement … Continue reading

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How The Supreme Court Doomed PPACA To Failure

In this excerpt from Regulation: The Cato Review of Business and GovernmentThomas Lambert of the Cato Institute perfectly sums up why we have such expensive healthcare in the United States.  When third party payers (Medicare and Insurance companies) pay for … Continue reading

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ACO’s vs. HMO’s and the coming failure of ‘Accountable Care’

The ACO (Accountable Care Organization) concept is the already failed model of the HMO (Health Maintenance Organization)- same pig, different lipstick.  If this gets sold nationally the public really doesn’t understand economics. You don’t meet a rising demand in consumption … Continue reading

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We Didn’t Mean Us!

In this weekend’s January 19-20, 2013 Wall Street Journal page A3 is a piece titled “Health Law Pinches Colleges”.  This article poignantly demonstrates the law of unforeseen consequences.  It further vindicates my prior warnings that America can’t afford the Patient … Continue reading

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How Should Doctors Respond to Medicare Pay Cuts?

Are we ready to deal with the outcome of a 26+% Medicare payment cut to doctors?  This most recent article indicates we are heading for this cut again after the New Year. http://www.medpagetoday.com/Washington-Watch/Washington-Watch/36644  Internal Medicine of Southwest Florida is under water … Continue reading

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What is an Internist?

Speaking to patients as well as personal friends, I have become aware that many people do not understand what an Internal Medicine physician is or does. We are the broadest specialty that diagnoses and manages adult health problems. Surgery is … Continue reading

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