Managing Managed Care

Our inequitable, inefficient, oftentimes uncaring health care "system," revealed. -- Jeffrey G. Kaplan, M.D., M.S.

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Who's the Keeper of the Commons?

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What is our social responsibility? Who's ruining health care? Learn from a professor of biology: herders, not out of greed, but out of practical necessity graze more cattle than the finite, common land can support, ruining it for everyone. This exploitation is analogous to what happens when incentives are not aligned in health care: payers, practitioners and patients are doing what they feel they must without accountability for equity in access, cost-effectiveness, benefit or cost-utility.

Reducing Dx Errors

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It's vital to address safety concerns in primary care, especially that which comes from diagnostic errors (i.e., missed, delayed, or incorrect diagnoses). Diagnostic errors are unfortunately all too frequent and they are the largest contributor to "ambulatory malpractice claims (40% in some studies)"; they "cost approximately $300 000 per claim on average."   

Healthcare Reform in the U.S.

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The United States is the only wealthy, industrialized country that does not ensure that all of its citizens have healthcare coverage. Insuring America's Health: Principles and Recommendations, Institute of Medicine at the National Academies of Science, January 14, 2004, last accessed Tuesday, February 2, 2010

If/When Reform Fails to Reform

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The editorial, "If Reform Fails," says the status quo of health care reform is immoral, impractical and unsustainable. What did we expect when the House approved "Health Overhaul, Sending Landmark Bill to Obama"?  Nothing!

Battling Cancer Beyond Everything

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It is crazy to deny terminal patients access to possibly life-saving drugs for fear of offending the Statistics gods! Whether for-profit or not, insurance companies and the pharmaceutical industries are weighing in on experimental therapies; we have to be sure that reasonable  interventions are given a reasonable chance, and that reasonable costs can be factored in. Quoting my wife who is a two-time cancer survivor and advocate:

Getting More Value from Visits

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Be careful! 'What you sow, is what you reap.' A health plan's primary responsibility is ?? (should be the patients they insure).  But, they have policies that "restrain prescription medication spending by shifting costs toward patients. It is unknown how these policies have affected children with chronic illness."  Here's research that proves that cost control may not be about managing care--worse, it can adversely affect your health.

Med School Doesn't Teach This

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What new docs need to know and never learned in medical or osteopathic school Harvard Medical School's Top Health Headlines of 2015 as reported in HEALTHbeat, on Twitter, and in their blog. (To read any of these articles or patient education pieces, please go to their website: and/or get a free subscription by registering there.)   Top 5 HEALTHbeat articles How stretching keeps your joints moving Exercise: An effective prescription for joint pain

Yoga Therapy Prevents or Helps Treat Orthopedic Conditions

Bone fide alternative medicine approaches to common orthopedic problems. [Note: no controls] Regardless.... Loren Fishman, MD of Manhattan Physical Medicine and Rehabilitation is a personal friend and a Physiatrist, par excellence. Brody, Jane E. "Ancient Moves for Orthopedic Problems." Published, NY Times; August 1, 2011 Jane E. Brody, "12 Minutes of Yoga for Bone Health." NY Times, 12/21/15 [Dr. Lauren Fishman: in essence, yoga adherents seem to have less or no fractures.]