Nov 29, 2018
There have been two compelling articles in the “New York Times” over the past few weeks focused on healthcare. The first article dated Tuesday, October 30, 2018, is entitled “A Sense of Alarm as Rural Hospitals Keep Closing”1 and the second article dated November 14, 2018, entitled “When Hospitals Merge to Save Money, Patients Often Pay More”2. These two articles are really bookends of the same set of issues emerging in our healthcare delivery system. "Since 2010, nearly 90 rural hospitals have shut their doors. By one estimate, hundreds of other rural hospitals are at risk of doing so." 1 In many communities...
Read MoreFiled Under: changes in healthcare, doctor shortages, Health Management, healthcare quality, Insider, medical access, pros and cons of concierge medicine, Traveling
Aug 30, 2018
If you remember the time when physicians made house calls it was a period in American healthcare where the relationship between doctor and patient was both medical and economic. During the era of house-calls you received your services directly from your doctor and you paid for those services directly to your doctor. Along came the presidency of Lyndon B. Johnson and his “Great Society”. This aspirational vision began the disconnect on payments for physician services t patient and doctor. In this new emerging aspirational society, everyone was going to have comparable healthcare and both the government and private insurance would be...
Read MoreFiled Under: changes in healthcare, concierge healthcare, concierge medicine, great society, Insider, lyndon by johnson, pros and cons of concierge medicine, why don't doctors do housecalls