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In response to:

The Schizophrenia of the AMA

Ebola100 Wrote: Jun 20, 2012 10:48 AM
Hal, It is certainly time for the AMA to step aside. The assumption that they represent Medicine is ludicrous. They are shamelessly used by the politicians and, what's more, allow themselves to be used. If they had any self respect they would admit their failure as an organization to protect physicians or patients and hand the reins to an organization who wants to fulfill that function. I have no doubt that they won't but they are collapsing under their own weight anyway.
In response to:

The Schizophrenia of the AMA

Ebola100 Wrote: Jun 20, 2012 10:39 AM
Then, when they postpone it again they get to crow about something they did for physicians. Something they never intended to do it the first place. Likewise, the AMA gets to crow about something they did by blocking the implementation.
In response to:

The Schizophrenia of the AMA

Ebola100 Wrote: Jun 20, 2012 10:37 AM
Kenneth, You are so very wrong. T Doctors may have a "vested interest" in supporting the position of the Federal government but the vast majority don't. Why? Because their ethical obligation is to the patient. So, if your statement is correct, doctors are acting against their own interests to protect the patients. Despite that fact, there are limits to what they can accept and still survive. If Medicare reduces payments by 25-30% there will be a mass exodus of physicians from the program. But, not to worry, the government knows this and has no intention of implementing these cuts. They keep the law for the sole purpose of threatening physicians every year with it.
In response to:

Romney Should Own the Healthcare Debate

Ebola100 Wrote: Jun 05, 2012 1:37 PM
Romney is the best choice we have and will certainly be more reasonable than our current President. He has some experience and business sense which may temper his liberal tendencies with practical policy recommendations.
I've been told that meta-analysis can be a useful tool but the methods must be scrupulously followed to have meaning. How would the average physician be able to evaluate the methods to see if they lead to a valid result? In addition who is to say that whatever result was obtained was interpreted to serve their objective?
Hal, This is a travesty, though I've been expecting this. The USPSTF is loathe to recommend any screening for much of anything. Why? Because screening may lead to an abnormal result which leads to more testing which leads to more money being spent. Oh, I forgot, it also leads to saved lives. They've backed off a tad on restricting women's screening (mammograms, PAP smears, etc) but men are ripe because we're not as well organized. Did they use the phrase that "something else will kill you before your prostate cancer"? Always describing it as a slow, indolent process with little cause for haste in diagnosis. This is utter BS. I know that I have seen aggressive prostate cancers kill people and it's not that uncommon to have an aggressive CA.
In response to:

There Will Never Be Another Mayo Clinic

Ebola100 Wrote: May 25, 2012 1:14 PM
Keep up the good fight Hal. You are always spot on in expressing the practicing physician's concerns for HCR and how it affects their patients.
In response to:

There Will Never Be Another Mayo Clinic

Ebola100 Wrote: May 24, 2012 5:06 PM
Some even want to give up the decisions on end of life care to the bean counters. If we do this, we are lost. We have to be comfortable discussing these issues with our patients and helping them come to decisions that reflect their wishes. It has been my experience that most patients and families will do the right thing when given all the facts. Medical decisions belong with the doctor, the patient, and the family and no one else. It's never too expensive to do the right thing. Never.
In response to:

There Will Never Be Another Mayo Clinic

Ebola100 Wrote: May 24, 2012 4:59 PM
We (medical professionals) are the only patient advocate left in the system. When the doctors are all owned by the hospitals and/or government who will dare advocate for the patient. Even worse is the brainwashing to which even doctors fall victim, especially the young and idealistic. We have bought into the model that says we MUST deny care to certain folks, i.e., the elderly, the obese, smokers cancer patients and others. They really believe that 90 y/o folks with dementia, who don't know their family or don't even respond are being resuscitated and kept on ventilators. In 35 yrs of practice I've never seen such an occurrence. While I have seen instances of inappropriate care it occurs rarely compared to all the good care that is given.
In response to:

The War Against Doctors

Ebola100 Wrote: May 17, 2012 12:03 AM
Everyone should read this commentary. Doctors are under attack and few are aware that the very fabric of health care is tearing.
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