Don’t let them destroy the passion of why you became a doctor.

Dr. Craviotto on The Purity of Medical Learning, Contentment and Satisfaction:

Words could never adequately explain my passion or love for our medical profession and what I do. What we do.

I absolutely loved my medical school experience. Don’t get me wrong: It was damn hard, grueling and challenging. But I loved the commitment, passion, dedication and energy of my medical school fellow students. We bonded together. We endured. We persevered. We learned. Anatomy. Physiology. Pathology. Clinical rotations. On call. Tired, spent and challenged. But I loved it. I gave up my 20’s and 30’s but oh what I gained. To see all of my medical students and residents passionately learn, tirelessly apply themselves, dedicate their lives to their patients and learn the art of medicine, the skills of doctoring through the lows, the highs and yes the tears well that is the stuff that bonds us together. They can never take that from me or you or us.

What we have is eternal. A passion to heal, a desire to learn, a humility that is born out of striving to heal another human being but occasionally failing. Patients will always die, complications ensue and disease destroys the human body. But we press on always optimistic, always looking for a cure, committed to our patients and striving to do our best for our patients.

They can never take that away from us. You are all my heroes. I love you for your ideals and your dedication. Here is the challenge. Don’t let them destroy the passion of why you became a doctor. That’s my prayer for our medical profession. Bless you all.

Dan Craviotto

Ayn Rand’s speech against socialized medicine in 1963; 100% relevance today.

https://ari.aynrand.org/issues/government-and-business/health-care/How-not-to-fight-socialized-medicine

How to return healthcare to real healing

“Osteopathic family physicians have always had patient centered medical home practices. We don’t need insurance or government bodies to certify us for money. We also shouldn’t be forced to sell patient and physician private data for money. we shouldn’t be forced to work for hospital systems due to complicated cronyism federal law. DPC Direct primary care changes 70 years of insurance and government lies and deceit back to the privileged individual patient-physician relationship.” Craig M. Wax DO

ICD 10: anticipated and unanticipated consequences of government mandate

ICD 10: anticipated an unanticipated consequences of government mandate

Craig M. Wax DO

October 1, 2015 ICD 10 was mandated by the US federal government department of health and human services (HHS). Their stated goal was to improve data collection and research but the consequences, both anticipated and unanticipated, are becoming clear. 

Even before day one of implementation, it has been costly in time, money, and work that needed to be redone. Laboratories and other testing facilities call constantly for new codes in ICD 10 before they will do testing on patients, even though the codes are for billing, insurance, and government bureaucracy purposes only. Patients are being turned away from labs and radiology facilities. 

Patient history and examination time is now squandered due to electronic health records EHR and chasing new ICD 10 codes. Insurance companies have required “referrals” since about 2000. Originally, referrals meant when a doctor recommends another doctor or facility and gave them an RX script to use that service. Initially, referrals become a paperwork game where a form was filled out for insurance to recognize the service. The insurance companies even said that the referral wasn’t even a guarantee of payment, so what was it for? Since, it has become an electronic online process with an Internet company owned by insurance companies called Navinet. Now, our staffs have to enter all the referring information and diagnosis codes in order for the insurance process to even begin or the patient be scheduled for the test at all. Now with ICD 10, the systems are not recognizing the codes and not allowing these insurance mandated processes that waste our time to even carry to completion so a patient can get the study they need.

Due to all these exogenous process mandates, patient care suffers. Less patient physician contact time is possible in the exam rooms. Physicians, and their staff, are designated data gatherers for insurance and government whims. Time and money are wasted by all parties that are gathering the mandated data. The data will be aggregated by government and pirated, patients extorted, and data lost, with no party responsible except for the physicians who entered it. Patients get frustrated because care is denied due to insurance not reimbursing for procedures due to flawed, complicated processes mandated by the insurance industry. All individual patients’ and physicians’ privacy, security, and care is lost. 

This is yet another government, and their industrial cronies, scheme to command the data and make money for themselves, while patients go without care and physicians suffer the unanticipated consequences. The medical community and its physicians must stop abiding by all the nonsense and get back to patient care with direct primary care; putting the patient first and responsible for their care. 

Best wishes for good health,

Craig M. Wax, DO

Family Physician

Host of Your Health Matters

Rowan Radio 89.7 WGLS FM

http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS

Twitter @drcraigwax 

AAPSonline.org submits amicus brief to US Court to protect privacy of patient medical records.

Following the information that AAPS submitted an amicus brief to the United States Court of Appeals fifth circuit to block the federal government from accessing and releasing unauthorized patient medical records, independent physicians for patient independence sent the following email to the American Medical Association and the American Osteopathic Association today:
Perhaps the American Medical Association and The American Osteopathic Association can also take the lead on filing an amicus brief to restore the sacrosanct patient privacy of their medical records. Currently the government is gathering and freely sharing data without regard for individual patient privacy. Last month, the government agency that performs security checks was breached of 21 million government employees records. Need I say more?

Buyer’s remorse for H.R. 2 – MACRA, SGR “Fix”

Dr. Chip writes in:

The two lines in the entire argument made in this article“The repeal of the SGR is the carrot; the far-reaching payment reforms that the legislation facilitates are the stick,” is the basis of the discussion we wanted to initiate nearly 4 years ago both at the house of delegates and in discussion through our own Publications in “Saving Private Osteopathic Medicine.” All our journals refused to publish our position for an invitation to have a discussion in a public forum AND NOT BEHIND CLOSED DOORS. Promises were made and never kept. Tyranny reins under circumstances like these. Continue reading

Dr. Paul Kempen gives view on negative effects of MOC

moc-diploma

The “business of medicine summit” in October 2013 in Philadelphia will bring discussion on the matters of Maintenance of Certification, and possibly of licensure (MOL from the Federation of State Medical Boards). I have been personally and intensely involved in the battle of private physicians to expose the fallacy that this improves patient care in Ohio and nationally. An open discussion including open debate on this matter requires at least ONE opposing view presentation at such a meeting and the agenda does not include this important component.

I would be honored to attend, present and actively debate in open forum with any of the ABMS/ABIM leaders, who continue to press this MOC program as “optional”, although the ABMS has actively lobbied congress to pass discriminatory legislation, which will effectively result in mandatory MOC participation to maintain hospital, employee, Medicare and multiple private health insurance participation. With over $336 Million in documented revenues (cumulative IRS 990 documents) from MOC in 2011, the ABMS is an industry monopoly utilizing regulatory capture to transform Board certification from a singular training outcome evaluation documenting attainment of consultant status, into an entry level document allowing participation in their corporate brand of “certification for profit”, repeatedly documented as unwanted by physicians and without a shred of outcome based science to validate any improvement in anything except ABMS corporate income. Alone the simple fact that the ABMS programs are only relevant in the USA and excellence in healthcare is widely available for less throughout Europe, attests to the fallacy of this monopolistic brand of purchased credentials-which is effectively mere “medical guilds” for those who chose to join and to promote exclusion of those how have not joined- as 1/4 of all practicing US physicians have never become board certified! I hope Medical Economics will support an open debate on these important matters in this Medical Economics sponsored meeting.

Sincerely,

Paul M Kempen, MD, PhD