Contrarians and Innovation

Dr. Wax writes the editors of Managed Care Magazine:

Dear editors,

I am writing with feedback on your managed-care publication with reference specifically to August 2014 on, “contrarians.” It is high time that you published and the insurance industry considered ideas other than their own dogma grown out of the last 70 years of health insurance created by hospitals. Your editorial board has no DOs and appears to have no private practice physicians at all.

Perhaps it’s time you considered some freemarket solutions to all the problems that exist in healthcare delivery today. “Insurance,” in healthcare has become something quite different than the definition of insurance. It has become a redistribution program that mandates healthcare prepayment at exorbitant rates with much built-in profit for large stockholders. Insurance was meant to be and inexpensive “peace of mind” for large expenditures on “rainy days.” Not only state governments, but now the Fed with the unaffordable care act have gotten involved and is micro managing all parties to death, including patients.

It is time for an insurance innovator to produce a true low cost, high deductible plan (HDP), that reimburses a percentage of charges, as opposed to regulating care through pre-certifications, prior authorizations, and other liability risking techniques. Health savings accounts (HSA) give patients the opportunity to shop for care and entities the opportunity to compete for business to excellence and price. There is also a role for direct primary care (DPC) where the patient pays the physician either per incident or monthly retainer basis that the physician sense based on his costs of practice. Competition here also produces excellence and best cost that can be charged only by each patient with their individual value system. 

HDP + HSA + DPC = independent healthcare individual healthfreedom.

My Comments on Affirming Lifelong Learning and Opposing MOC in Iowa

The Practical C-L Psychiatrist

cropped-dr-jim-amos-md.jpgThe Iowa Medical Society (IMS) new Policy Forum will meet on September 25, 2014 to discuss a half-dozen pivotal issues including my Policy Request Statement (PRS) 14-02: Support of Lifelong Learning and Opposition to Mandatory Maintenance of Certification (MOC). Below are my comments on the IMS LinkedIn site. I’ve already submitted written comments required by rule, and they’re very similar.

What makes this issue very important to me was brought home by an article on MOC in the most recent issue of the Academy of Psychosomatic Medicine Newsletter. I’m a member of the APM and justly proud of how this growing organization (now over a 1,000 members strong) has met the challenge of helping its members meet the demanding MOC requirements.

The author of the article “Changes in the Recertification Process,” Bob Boland, MD, FAPM, notes the recent flexibility in the MOC process according to the American Board of…

View original post 855 more words

I don’t get it?

Dr. Horvitz writes ACOFP President Carol Henwood, D.O.:

I just read your email blast of August 19, 2014 promoting another ACOFP course, this time in patient centered medical homes, PCMH. It’s funny how patients are sort of mentioned, but it seems the real intent is third party payments, following third party rules and physicians paying for another course and taking time away from patient care.

I don’t get it?

“Creating team-based care improves efficiencies and decreases waste, which is exactly what payors like”
…..
I thought our mission as physicians was to help patients and keep their needs first and foremost.

I don’t get it?

Continue reading

We heal, they all kill, it’s as simple as that.

Dr. Gina Reghetti looks at the consequences of the continued undermining of the patient-physician relationship:

Yes, they make me so sick. They are killing our profession faster than we can move to prevent it. Obama has really hurt the nation and he continues to bring on total destruction. Corporates controlling everything in medicine, running us all over.

Just as they are doing to the general public with all of their sugary poisonous foods that they sell to public and brainwash public on. People in USA are the sickest people chronically in the world, other countries the people get sick and die, here they are kept alive until their estates are drained, and they have nothing left, then life-lines are cut.

Continue reading

AOA House acknowledges urgency of combating medical student depression

Gina Reghetti, DO writes:

If the AOA really cared about their medical students then they would assist and join doctors with our fight to Impeach Obama, and rid forever his ACA! That’s why the students are depressed Dr. Wax, because they devote their lives to learning medicine but will reap no rewards; most probably won’t be permitted to be doctors without large fees to maintain their licenses and large fees to jump through the “controllers” so-called non-sense, non-scientific agendas, to become corporately owned. Sure, who wouldn’t be depressed. I’m depressed! All doctors are down because they are being so severely restricted to do what they all do best; practice medicine. What’s next? Are the “Controllers” going to claim that we should no longer be in private independent practice because we might suffer from depression? Are they trying to connect mental health stability issues with the practice of medicine as the government has done to our American Veterans that were awarded with their disabilities for PTSD, Post Traumatic Stress Disorder, then told that now they no longer are permitted to own guns? Really, since when does the AOA care about the doctors’ welfare? Since I have been in practice I don’t recall the AOA or any other medical organization taking concern about the health of us doctors. They all just use us and abuse us. Tired of their politically corrupt agendas and their war against doctors.

aoa-suicide

expose this corporate regulatory capture of medicine for the business it is

Dr. Paul Kempen replies to report that ABMS held if’s “first 2-day Forum on Organizational Quality Improvements, a poster session outlined 27 examples of successful quality improvement initiatives, such as a program to reduce adverse drug events and another to educate pregnant women with congenital heart disease.” 

As the ABMS has no oversight and the production of these “practice improvement modules occurs to facilitate and finance ABMS corporate programs, it is important to realize this unregulated industry is using patients (and physicians) as guinea pigs without their knowledge, informed consent or IRB approval. This referenced study illustrates the problem, turning a QI program into a MOC product, with retrospective IRB deferral to enable publication. The Medical Journals, being infiltrated by ABMS personnel will approve such studies facilitating their profits-studies in no way scientifically based or producing results.

Continue reading

Enough is Enough: AOA and IOM vs. Osteopathic Education

AOA quote:

The A​merican Osteopathic Association (AOA), the national professional membership organization for the nation’s more than 104,000 osteopathic physicians (DOs) and osteopathic medical students, applauds members of the Institute of Medicine’s Committee on the Governance and Financing of Graduate Medical Education (GME) for their work on the comprehensive report, Graduate Medical Education That Meets The Nation’s Health Needs. Specific acknowledgment goes out to Barbara Ross-Lee, DO, Vice President for Health Science and Medical Affairs, New York Institute of Technology, for representing the osteopathic medical profession.

Let me get this straight, the woman (Barbara Ross-Lee, DO) that single handedly took apart three osteopathic institutions and removed nearly all of the Osteopathic components of education that made them osteopathic at all including the faculty and the curriculum is being applauded for her leadership and representation of the Osteopathic community at the IOM? Regardless of the accolades, laurels and academic achievement she may have achieved, she does not represent me or Osteopathy in any way that has real meaning.

Continue reading