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If Doctors Ran Their Practice Like The Airlines

Physicians could make so much more money if we could charge like the airline industry does. Starting with appointments, there would be a surcharge for the most popular times. Last minute appointments...

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How to Get Rich – A Guide for Pharmaceutical Companies

The Changling Ming Dynasty Tomb of the Yongle Emperor – copyright 2012 Daniel Ginsberg Photography Thanks to Congress, Medicare is not allowed to negotiate for the cost of medications. The bill was...

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Patient Satisfaction / Physician Dissatisfaction

Have you received a survey after you visit your doctor? You may be surprised to learn that how you rate them may affect their pay, their mental health, and even possibly your health. Surveys, as...

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Medicare Payment Formula Finally Changed – Win or Loss?

Congress passed a  law in 1977 linking Medicare payments for physician services to growth in the economy.  Because it failed to take into account inflation and other factors, Congress has had to act...

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A High Tech Call Schedule

Typical of many physicians, I have to take turns being on call. This mostly involves taking calls in the evening, at night, and on weekends for my patients, or those in my call group. I belong in a...

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Making the Affordable Care Act Individual Mandate Work

The Supreme Court has ruled that most of the Affordable Care Act, aka Obamacare, is constitutional. In order to provide affordable care to all, insurance companies need the healthy to pay premiums,...

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Trump the Bureaucracy

About 6 weeks ago I referred a patient of mine with a knee problem to an orthopedic surgeon in my group. He ended up seeing someone else in the same group about 3 1/2 weeks later, and the doctor...

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As If I Have Nothing Better To Do

Ask most primary care physicians and they will probably tell you they waste a lot of time getting medications approved for their patients. I just dealt with this for one of my patients. He had been on...

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Wasting Resources – A Day in the Life of Yours Truly

I’ve written before about some of the things that waste physicians time, and how trying to be a good steward of resources can be frustrating. As the saying goes, no good deed goes unpunished. So here...

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More COVID-19 Coronavirus Thoughts

Christian IV’s crown in Rosenborg Castle in Copenhagen, Denmark. Social distancing is strange when it hits home. The last time we had kids and grandkids over for dinner, about a month ago, we tended to...

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