Health Care Health Care Reform

Let us care for our patients…

“Ouch! That really hurts!”

“You win, please stop torquing my arm behind my back. “Uncle…I said, Uncle!!”

Yes, the threshold has been reached. We docs no longer need a tennis court or a Mercedes, our kids are fine in public schools, and we will happily buy our own damn pens.

But, please, just give us some modicum of autonomy. Throw us a measly scrap and let us take care of our patients as we see best.

Like Dr. Saul Greenfield so beautifully said today in the WSJ.

The paragraph that stood out the most for me is as follows:

Physician autonomy is a major defense against those who comfortably sit in remote offices and make calculations based on concerns other than an individual patient’s welfare. Uniformity of practice is a nonsensical goal that fails to allow for differing expression of disease states.

Really, it isn’t hyperbole to surmise that the overwhelming majority of doctors would decide, if faced with a choice between less compensation and less autonomy, to choose less compensation.

As a teen, my Dad told me the best part of being a doctor would be the autonomy.  He was right, and that’s what hurts the most these days.


3 replies on “Let us care for our patients…”

What is the medical term for the condition that leads otherwise thoughtful, intelligent doctors — motivated more by a desire to help patients avoid, defeat or manage disease than by a desire to get rich — to nonetheless vote for a presidential candidate and sitting congressman who declared their overarching intention to impose bureaucratic, centralized control over the entire medical profession, including the installation of a "health czar" to be drawn from any number of proponents of socialized medicine, with the disregard for physician autonomy that that necessarily entails? Where is my DSM IV when I need it?

Medical term…I don't know? Bamboozled, perhaps? Dreamer-esque? Are those dx's. Maybe they are one of the 300,000 ICD-9 codes?

Just a note, we (big pharma) are not allowed to provide pens to providers anymore. Gone are the junkets to exotic places, lavish meals, etc.

As a 25 year pharma veteran, I give thanks to pharma's self regulation which put an end to these practices.

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