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What’s the Best Day to Die?
ByadminAmong people receiving hospice care, the last few days of life can be intense, with progression of pain or breathing problems or other symptoms of their terminal illnesses. For those who die on Sundays, that means they are less likely to see doctors or nurses in the last days of life:
The Good and, Too Often, the Bad of Primary Care in the U.S.
ByadminShutterstock Death by a thousand bureaucratic demands. That’s how many American physicians currently describe their jobs, with work days that often don’t end until long after their kids go to sleep, when they finally finish documenting their clinical interactions. You see, government regulators and insurance company bureaucrats have been imposing a growing number of quality measurements on…
Have Reimbursement Rules Taken the Joy Out of Being A Physician?
ByadminShe came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, but the interaction still ended up reducing his salary. You see, that patient’s only medical…
Inappropriate Medicare Incentives Lead to Unnecessary Subspecialty Procedures
ByadminSometimes people flat out need cameras shoved down into their stomachs. A long history of reflux disease, for example, could prompt a gastroenterologist to perform an “upper endoscopy”—to run a thin tube down the patient’s throat in order to view their esophagus and stomach and look for signs of serious illness. Medicare has correctly decided…
So Many Medicare Plans That People Want to Stay Put!
ByadminRepublicans and Democrats agree that Medicare is in trouble – that if its costs keep rising faster than inflation, we will face insurmountable federal budget deficits. They also agree that the problem can be fixed. But that is where their agreement comes to an end, and where the Democrats hold a psychological advantage over Republicans……
Experts Split On Whether Breast, Lung, And Prostate Cancer Screening Saves Lives
Byadmin2Mammograms for breast cancer; the PSA blood test for prostate cancer; CT scans for lung cancer; and things like stool blood tests and colonoscopies for colon cancer. Each of these screening tests is designed to find cancers, or precancers, before they become symptomatic, the goal of early detection being to enable clinicians to eradicate growths…

