tag:blogger.com,1999:blog-6076839327674215825.post7122787277400455078..comments2024-03-17T03:15:43.631-04:00Comments on Medinnovation And Health Reform: Innovation-Driven Health Care, the Patient as the Centeor of the Universe, Copernicus, Patient-Centered Care, and MeRichard L. Reece, MDhttp://www.blogger.com/profile/03446550629857699574noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-6076839327674215825.post-38040841487893359342013-03-12T18:57:31.552-04:002013-03-12T18:57:31.552-04:00valium for sale no prescription valium 5mg in - bu...<a href="http://cardiffmiller.com/pubs/buyvalium/#41687" rel="nofollow">valium for sale no prescription</a> valium 5mg in - buy valium uk 2012Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-36624628590591011492011-11-03T15:12:33.062-04:002011-11-03T15:12:33.062-04:00I fully match with whatever thing you've prese...I fully match with whatever thing you've presented.www.tapicerias.nom.eshttp://www.tapicerias.nom.esnoreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-9123128175786855232007-04-17T14:59:00.000-04:002007-04-17T14:59:00.000-04:00To paraphrase Copernicus "Finally we shall place t...To paraphrase Copernicus "Finally we shall place the patient at the Center of the health care system. All this is suggested by the systematic procession of events, and the wellness that could be possible, if only we face the facts, as they say, “with both eyes open.”<BR/><BR/>The patient is most interested in health care quality. Only the patient can do something about changing the lack of emphasis on quality in health care today. Look at the procession of events: high insurance premiums, poor outcomes, lack of access to care because of cost, unhappy doctors, and a system on the brink of collapse. The powerful insurance-medical-pharma complex controls health care with other priorities. They must be refocused back to quality not as a department, but as a mission.<BR/><BR/>The health insurer is not focused on quality. Insurers pay nothing for quality. Their customer is the employer. Insurers are interested in having more money at the end of the year from premiums than they paid out in claims. They concentrate on cutting their costs one CPT code at a time. The Evaluation and Management codes are how diagnoses are made accurately. By cutting those, you cut quality by definition. As a insurance VP told me once, "We pay you doctor to see the patients, if you want to practice quality medicine, do it on your own time." <BR/><BR/>Hospital administrators are not focused on quality. The hospital is interested in the bottom line. Their goal is competing for more paying patients than the next institution. They expand and become the largest employer in many communities. As long as they are not making any more mistakes than the hospital down the street, they are doing fine. Hospitals enable the healthcare mentality of covering up errors and mistakes because of physician fear of malpractice. They collude with insurers by making hospital bills unintelligible to prevent insurance transparency. <BR/><BR/>Pharmaceutical companies are not interested in quality. They are interested in shareholder reports and quality only as a department that controls liability. They provide lifesaving drugs at the highest price the market will bear to increase share price. Health care quality has no relationship to the price/earnings ratio. When pharmaceutical prices fall, they exit the market like they did vaccines in the last decade. Recently only two European drug makers supplied all our influenza vaccines. Pharma markets high dollar drugs to physicians with attractive young women as sales people bringing lunch with free pens. Do a Google search on “drug rep”. The recent move into high priced cancer therapies reasons cancer patients cannot sue and will pay any price. Why are there no drugs or even any drug trials for ALS?<BR/><BR/>Doctors are interested in quality, but have been totally dominated in the last 15 years by third party monopolies. While being protected from lawsuits by ERISA, insurers refuse to bargain with physicians about anything. When physicians complain about quality, insurers initiate anti-trust actions against them. Insurers tell physicians what quality of drugs to prescribe and what tests to do and what procedures to order. The 70% of physicians who say they will retire as soon as possible site the lack of ability to practice quality medicine as a reason. This contrasts doctors who formerly enjoyed practicing quality medicine into their 80s. <BR/><BR/>The present system simply does not work because quality of care is not a system property. A health care crisis like Avian flu could collapse the American health care system to the level of a third world country in weeks. The innovation in medicine in America should be equating health insurance to auto insurance. This would sundown laws allowing deductibility of health care costs for employers. Health insurance premiums should be deductible only to individuals who write out the check themselves. If the patient were at the center of health care costs and benefits, then insurers would be more interested in value for the health care dollar. In such a transparent system, patients could decide if their insurance company was worth the price. If insurers continue to buy mink-lined toilet seat covers for their CEOs’s yachts, then patients might decide that they would get better value for their health care dollar from a one-payer system.Unknownhttps://www.blogger.com/profile/00167713893855726364noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-67441239274182548512007-04-12T08:53:00.000-04:002007-04-12T08:53:00.000-04:00In this blog of mine, I note a glaring error. Dr....In this blog of mine, I note a glaring error. Dr. Berwick's first name is Donald, not Daniel. My apologies.Richard L. Reece, MDhttps://www.blogger.com/profile/03446550629857699574noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-15150565042325899592007-04-12T08:30:00.000-04:002007-04-12T08:30:00.000-04:00I would like Val and other bloggers out there to c...I would like Val and other bloggers out there to continue to comment. Blogging is nothing more than electronic conversation. I invite comments, even if they come from Little Ophan Annie, or whether they they arrive by blog, phone, or cyberspace. <BR/><BR/>Richard L. Reece, ND<BR/>860-395-1501<BR/>rreece1500@aol.comRichard L. Reece, MDhttps://www.blogger.com/profile/03446550629857699574noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-87285352100904287242007-04-11T13:04:00.000-04:002007-04-11T13:04:00.000-04:00Excellent post, Dr. Reece. I like Annie's take on...Excellent post, Dr. Reece. I like Annie's take on this: <BR/><BR/>"The sun will come out tomorrow... bet your bottom dollar that tomorrow, there'll be sun..."<BR/><BR/>I'm doing my part to let the sun shine in! :)Dr. Valhttps://www.blogger.com/profile/10481032355977889911noreply@blogger.com