Physicians Practice - January 2008 - (Page 12) LETTERS “If you want to fix the healthcare system, the first thing needed is to actually have a system, instead of our vast, expensive, competitive non-system that puts profits before patients.” FIRST THINGS FIRST HEALTH FOR ALL? I have to admit that I haven’t yet seen Michael Moore’s latest creation, “Sicko” (Politics and Your Practice, September 2007), but I wonder what you believe to be the problem with the U.S. Postal Service and public education? I regularly use the Postal Service to send packages to my public school-educated son, who is a pre-med student at a top-tier college. His public high school education was wonderful and the mail reliably and affordably keeps us in communication. Are they perfect? No, but elitist privatized education and package delivery don’t automatically provide better service, nor reduce costs, and certainly don’t expand access. The Postal Service and public education were among the first and most important institutions developed in the U.S. during its infancy because together they form one of the major foundations of a democratic society: an educated populace with the ability to communicate freely. I see no reason why the health of the public is not equally important, and could not be handled better by some kind of nationalized system than the mess created by the forprofit and privatized healthcare “system” we are currently afflicted with. At the very least the public systems are available to all. If you want to fix the healthcare system, the first thing needed is to actually have a system, instead of our vast, expensive, competitive non-system that puts profits before patients. Six- and seven-figure “bonuses” to the CEOs of major healthcare corporations, insurance companies with record profits while denying coverage to patients, and pharmaceutical companies with advertising budgets the size of Third World countries’ GDPs point to the lack of restraint and control that the free market is able to exert. I also would like to know why you feel that “similar schemes (for providing universal healthcare) have failed in country after country around the globe.” What has failed? Their ability to provide basic and preventive healthcare for all of their citizens? No, they all do that; we don’t. Americans have to decide if we are willing to keep selling our children’s health and future to keep propping up an unjust, costly, and unsafe healthcare system that produces inferior health status and marginalizes more people every year. Or do we want to develop a healthcare system that provides benefits to all and improves health status at lower cost? That is what other countries with “failed systems” have done. In the absence of something approximating a coherent national plan, we are getting exactly what we have asked for, and probably deserve. —Lisa Grill Dodson, MD Portland, Ore. OUR MISSION Helping physicians manage their practices more efficiently, leading to improved patient care. P U B L I S H I N G S TA F F VICE PRESIDENT & GROUP PUBLISHER Ken Karpay kkarpay@physicianspractice.com GENERAL MANAGER Katherine Hermann khermann@physicianspractice.com EDITORIAL EXECUTIVE EDITOR Bob Keaveney bkeaveney@physicianspractice.com SENIOR EDITOR, PRACTICE MANAGEMENT Pamela L. Moore, PhD pmoore@physicianspractice.com MANAGING EDITOR Abigail Beckel abeckel@physicianspractice.com SENIOR EDITOR, PROJECTS Laurie Hyland Robertson lchrobertson@physicianspractice.com ASSOCIATE EDITOR Barbara A. 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Copyright © 2007 by CMP Healthcare Media LLC. Single copies $10; annual subscription $56. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publishers. Send address changes to: Physicians Practice, c/o CMPMedica, 330 Boston Post Road, Darien, CT 06820; or send by email to wdingle@cmp.com. PRAISING PROFESSIONALISM My physician wife Evi and I read your article (“Paging Dr. Hippocrates,” October 2007) with great enthusiasm. It is an outstanding article that should be read by medical students, physicians-in-training, physicians-inpractice, and all those who wish to 12 | PHYSICIANS PRACTICE | JANUARY 2008 WWW.PHYSICIANSPRACTICE.COM http://www.PhysiciansPractice.com http://WWW.PHYSICIANSPRACTICE.COM
Table of Contents Feed for the Digital Edition of Physicians Practice - January 2008 Physicians Practice - January 2008 Contents The Bigger Picture: Fixing Medicaid Letters Physicians Practice Pearls: You Can Teach an Old Dog New Tricks Noteworthy Cover Story: Fee Schedule Survey: 2007 Results Adding Ancillaries: Bucking the Practice Ask the Experts Idealab: 'How I Got Over My EMR Excuses' Technology: Don't Be Denied The Tech Doctor: Blessing or Curse? The Administrator's Desk: Learning From the Best Coding Career: To Partner, or Not? Management: Controlling Your Inventory Human Resources: How to Fire an Enployee Finance: Beyond Reimbursment - How to Fix Your Mix Classifieds Advertiser Index Physicians Practice - January 2008 Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page Cover1) Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page Cover2) Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page 1) Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page 2) Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page 3) Physicians Practice - January 2008 - Physicians Practice - January 2008 (Page 4) Physicians Practice - January 2008 - Contents (Page 5) Physicians Practice - January 2008 - Contents (Page 6) Physicians Practice - January 2008 - Contents (Page 7) Physicians Practice - January 2008 - Contents (Page 8) Physicians Practice - January 2008 - Contents (Page 9) Physicians Practice - January 2008 - The Bigger Picture: Fixing Medicaid (Page 10) Physicians Practice - January 2008 - The Bigger Picture: Fixing Medicaid (Page 11) Physicians Practice - January 2008 - Letters (Page 12) Physicians Practice - January 2008 - Letters (Page 13) Physicians Practice - January 2008 - Letters (Page 14) Physicians Practice - January 2008 - Letters (Page 15) Physicians Practice - January 2008 - Physicians Practice Pearls: You Can Teach an Old Dog New Tricks (Page 16) Physicians Practice - January 2008 - Physicians Practice Pearls: You Can Teach an Old Dog New Tricks (Page 17) Physicians Practice - January 2008 - Noteworthy (Page 18) Physicians Practice - January 2008 - Noteworthy (Page 19) Physicians Practice - January 2008 - Noteworthy (Page 20) Physicians Practice - January 2008 - Noteworthy (Page 21) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 22) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 23) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 24) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 25) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 26) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 27) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 28) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 29) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 30) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 31) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 32) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 33) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 34) Physicians Practice - January 2008 - Cover Story: Fee Schedule Survey: 2007 Results (Page 35) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 36) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 37) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 38) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 39) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 40) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 41) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 42) Physicians Practice - January 2008 - Adding Ancillaries: Bucking the Practice (Page 43) Physicians Practice - January 2008 - Ask the Experts (Page 44) Physicians Practice - January 2008 - Ask the Experts (Page 45) Physicians Practice - January 2008 - Ask the Experts (Page 46) Physicians Practice - January 2008 - Ask the Experts (Page 47) Physicians Practice - January 2008 - Ask the Experts (Page 48) Physicians Practice - January 2008 - Idealab: 'How I Got Over My EMR Excuses' (Page 49) Physicians Practice - January 2008 - Idealab: 'How I Got Over My EMR Excuses' (Page 50) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 51) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 52) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 53) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 54) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 55) Physicians Practice - January 2008 - Technology: Don't Be Denied (Page 56) Physicians Practice - January 2008 - The Tech Doctor: Blessing or Curse? (Page 57) Physicians Practice - January 2008 - The Tech Doctor: Blessing or Curse? (Page 58) Physicians Practice - January 2008 - The Administrator's Desk: Learning From the Best (Page 59) Physicians Practice - January 2008 - The Administrator's Desk: Learning From the Best (Page 60) Physicians Practice - January 2008 - Coding (Page 61) Physicians Practice - January 2008 - Coding (Page 62) Physicians Practice - January 2008 - Career: To Partner, or Not? (Page 63) Physicians Practice - January 2008 - Career: To Partner, or Not? (Page 64) Physicians Practice - January 2008 - Career: To Partner, or Not? (Page 65) Physicians Practice - January 2008 - Management: Controlling Your Inventory (Page 66) Physicians Practice - January 2008 - Management: Controlling Your Inventory (Page 67) Physicians Practice - January 2008 - Management: Controlling Your Inventory (Page 68) Physicians Practice - January 2008 - Human Resources: How to Fire an Enployee (Page 69) Physicians Practice - January 2008 - Human Resources: How to Fire an Enployee (Page 70) Physicians Practice - January 2008 - Human Resources: How to Fire an Enployee (Page 71) Physicians Practice - January 2008 - Human Resources: How to Fire an Enployee (Page 72) Physicians Practice - January 2008 - Finance: Beyond Reimbursment - How to Fix Your Mix (Page 73) Physicians Practice - January 2008 - Finance: Beyond Reimbursment - How to Fix Your Mix (Page 74) Physicians Practice - January 2008 - Finance: Beyond Reimbursment - How to Fix Your Mix (Page 75) Physicians Practice - January 2008 - Finance: Beyond Reimbursment - How to Fix Your Mix (Page 76) Physicians Practice - January 2008 - Classifieds (Page 77) Physicians Practice - January 2008 - Classifieds (Page 78) Physicians Practice - January 2008 - Classifieds (Page 79) Physicians Practice - January 2008 - Advertiser Index (Page 80) Physicians Practice - January 2008 - Advertiser Index (Page Cover3) Physicians Practice - January 2008 - Advertiser Index (Page Cover4)
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