It is composed of a selection of many of her chosen healthcare bloggers. Val publishes blog entries of many contributors in her network daily. Val published my December 19th entry. It generated the following comment.
“Comment: I am surprised that a diabetes doctor let his politics permeate his opinion of the AHRQ? We know that over 50% of the time patients don't receive the standard of care and I would be interested to know what the numbers are like in his practice? If he had given any research or documentation to his claims (the CBO for example predicts 130 billion dollar drop in the deficit) so he lost all credibility in his first few sentences. Does his practice have better outcomes than the standard of care? Is he worried that he will lose income for practicing medicine that makes huge profits but doesn't increase lifespan or other measurable outcomes? This blog seems to be a little bit behind the times. Quality matters and is here to stay. Guys you not only lost the election but large employers and other purchasers know that what we have been paying for doesn't work.”
The commenter would do well to follow my blog at http://stanleyfeldmdmace.typepad.com/. He might learn something about what is necessary and effective to repair a broken healthcare system.
Patients need to be taught how to be responsible for their own care.
I am an Independent voter. I am apolitical and have never been affiliated with either Party. I voted for President Obama. I thought it was going to be a good thing when he promised to fundamentally reform America’s way of doing things following the wishes of powerful vested interest as opposed to the vested interests of the people. He has been a catastrophe.
I am a retired Clinical Endocrinologist. I have no economic vested interest in the financial aspects of the practice of medicine. I do have a vested interest in keeping medical practice a highly regarded profession and maintaining the patient physician relationship.
I oppose medical care becoming a commodity.
The secondary stakeholders (the healthcare insurance industry, big pharma, and the hospital systems and big government) have taken over healthcare. They have made medical care a commodity.
President Obama has played right into the hands of these vested interests in order to increase the scope of government. The devil is always in the details.
He should study some of the defects in the clinical research studies the Task Force has chosen.
Our medical care system needs flexible standards of care that are disseminated to the medical community in an educational fashion and not in a punitive and disruptive way. Evidence medicine is ever changing and these changes need to be integrated in a physicians work flow in an education way. The Breast Cancer guidelines have been implemented already by California
Primary care physicians’ and all cognitive subspecialists’ intellectual property is undervalued and underpaid. Cognitive intellectual property provides the most valuable element of medical care. It is embedded in the patient physician relationship.
The details in President Obama’s healthcare reform plan will undervalue cognitive services even further through punitive mechanisms. It could increase its value through educational mechanisms.