4 disturbing trends in health care – Praveen Suthrum | KevinMD | Aug 2018
I agree with the author that health care is changing dramatically and not necessarily in a good direction. This article points out some fundamental issues that must be addressed before any “progress” can be made.
It’s easy to get excited about technological advances such as nanobots that swim in blood to deliver drugs or 3-D printers that print human tissues. However, in our enthusiasm to find the next fix, we are failing to notice the ground slipping underneath the health care industry.
Here are four trends that are changing health care but on the surface are too unsexy for us to care about. Continue reading
Authorities’ Use of Big Data May Harm—or Help—Your Chances of Investigation – By Efrem M. Grail – September 12, 2018
A former prosecutor and current defense lawyer shares strategies to help protect your practice.
This is what it has come to: lawyers are advising doctors how to practice medicine without ending up in jail.
As pain practitioners well know, two recent developments – one federal, one state – have combined to increase the risk of providers being investigated for prescribing opioids for their patients. Continue reading
Are doctors cutting back on opioids too much and too quickly? – Healthy Debate – Author: Paul Taylor – Date: March 27, 2018
I suffer from a rare and very painful genetic disorder.
For a decade, my family physician has prescribed opioid drugs to me to ease the pain. But he recently retired and I had to find another doctor.
Well, any pain patient knows what’s coming next. There are very few doctors taking new pain patients and continuing their opioid therapy, no matter how well it has worked or for how long. Continue reading
There you see how medical practice has been taken over by business, bureaucrats, and administrators whose job function it is to keep the dollars flowing in. Doctors who actually practice medicine are just a “cost center”.
Corporate Practice of Medicine – an example of its prohibition from the Medical Board of California – 2015
The following is to provide guidance to physicians on the prohibition against the corporate practice of medicine. A presentation on the corporate practice of medicine, including frequently asked questions and common concerns, was provided at the Medical Board of California’s Quarterly Board meeting on January 29, 2015.
The Medical Practice Act, Business and Professions Code section 2052, provides:
“Any person who practices or attempts to practice, or who holds himself or herself out as practicing…[medicine] without having at the time of so doing a valid, unrevoked, or unsuspended certificate…is guilty of a public offense.” Continue reading
AMA Delegates Back Physician Freedom in Opioid Prescribing – by Joyce Frieden, News Editor, MedPage Today November 13, 2018
In the fall of 2015 the anti-opioid advocacy group, PROP, prodded the CDC to formulate the notorious Opioid Prescribing Guideline using PROP’s literature as a blueprint. Already provoking a great deal of alarmed protest, the guideline was officially released in the spring of 2016.
Since then, insurers, hospitals, pharmacies, and even doctors themselves have chosen to interpret the guideline as a “rule of law”, applicable to all patients taking opioids for any reason at any time. The result has been three excruciating years of pain patient suffering and suicide as pain relief is withheld.
Only now is the AMA finally speaking out against these crude and inappropriate restrictions. Continue reading
Detecting the Liar – By Lynn Webster, M.D. – September 2018
According to Scientific American Mind, lying “is among the most sophisticated accomplishments of the human mind.”
It requires cognitive skills that children are not born with and must acquire. Our ability to lie seems to improve until we reach young adulthood, and then it levels off. Once we reach about age 45, our ability to lie declines.
Discerning the difference between truth and lies seems to be even more challenging than telling a lie. Continue reading
Does Your Doctor Trust You? – Sept 2018 – Source Newsroom: California State University (CSU)
Building a good relationship with your doctor—especially if you suffer from a painful chronic condition—is critical for getting the best treatment possible.
At the same time, clear, open communication with your medical team about how you’re feeling is essential, too.
This is all well and good, but absolutely impossible in the short visits dictated by the profit incentive of medical care these days. Continue reading
Time for Pain Practitioners to Take Back Pain Prescribing – By Jodi Godfrey, MS, RD – at PAINWeek, Sept 2017
Presentations by Stephen J. Ziegler, PhD, JD, Kevin L. Zacharoff, MD, and Michael Schatman, PhD
“with what may be viewed as opioid McCarthyism—our fears are being exploited in the media and by the government with some individuals being blacklisted, just as occurred 70 years ago.
“We have government investigations of prescribers and a marginalization of pain,” Dr. Ziegler said, “to the point that the trend toward undertreating post-surgical pain is now manifesting as chronic pain.”
Pain practitioners are essentially operating under a fear of sanction. Continue reading
Place opioid blame where it belongs – Aug 2018 – by Marcelo Hochman, M.D. and William Simpson, M.D.
Here are two more doctors speaking out about the opioid witch hunt:
Contrary to the narrative that the current death-by-overdose crisis is the result of doctors overprescribing opioids to our patients in pain are the facts.
There is no correlation between the number of prescriptions written and a state’s death rate by opioid overdose.
This is abundantly clear using the CDC’s own data, as demonstrated by Red Lawhern last month. His findings back up exactly what these doctors are saying. (Some Inconvenient Truths About Opioid-War) Continue reading