Resource-based Relative Value Scale (RBRVS) was supposed to reduce some of the disparities in pay and encourage primary care; it has done the opposite--rewarding the more expensive care, particularly the procedures while short-changing the 'cognitive' services To quote Brian Klepper,"Medicare’s payment system, which is the basis for most commercial payment as well, favors specialists in two ways.
Raymond V. Gilmartin, the former Chairman, President and Chief Executive Officer of Merck & Co., Inc. (1994-2005) in a speech January 19, 2000 gave commentary about the Pharmaceutical and Medicine Manufacturing (PMM) industry. While the original reference ar Merck.com has been pulled, the following is faithful to his statements.
Is U.S. Healthcare More About Money Than a Calling to Help Others?
"Now, maybe I have a simplistic mind, but frankly I don't understand why health care and insurance companies keep appearing in the same sentences." (Fisher, W. Truthout 10/25/09) Here’s the bureaucratic process at its “best”
Prophylactic antimicrobial treatment is not routinely indicated Abstract
Our health care system is particularly inefficient and, for some, inaccessible. As for the quality of care, by any measure it is variable at best. Why is it so hard to fix? Why do we pale in relation to most of the industrialized world?
Some experts and the FDA say that a test that finds ovarian cancer early is "premature and it has not been proved to work."
The modus operandi in managing care is that 'one cannot manage what one does not measure and the obverse, one cannot measure what one does not manage.' Consider the final equalizer in health care method comparisons—outcomes….who's measuring? Who's managing?
Insomnia, an extreme case discussion of the inability to fall and stay asleep; Gabapentin seems to help. (It is a drug ordinarily used in the treatment of epilepsy, and neuropathic pain.)AbstractInsomnia is prevalent in pediatrics, particularly in those with neurodevelopmental disorders. Gabapentin has shown promise in treating insomnia in adults. The purpose of our study was to review our experience with using gabapentin to treat insomnia in children.
Eczema is, briefly, the "itch that rashes." It is also called "Atopic Dermatitis," and it has other names as well. Online eczema support & information community -- http://www.talkhealthpartnership.com/talkeczema/ Thank you very much doctor My son slept true the night for the first time in a long time; the cream* works wonders Joel * Unfortunately, this was a short course steroid cream, mid-potency