202-456-1414

"Some of you may recognized this telephone number", states Congressman Tom Price MD R-                         . "It' the White  House"

Here is what he is asking us to do:

1. CALL THE WHITE HOUSE ON MONDAY! The President is meeting with a hand
picked group of docs who agree with him. He needs to hear from doctors in
the community who disagree with him.  CALL ON MONDAY TO: 

202-456-1414

2. Encourage your Physician Colleagues to do the same. Forward this email to:
your medical associations, post the phone number of doctor dining room, bulletin boards and talk to your colleagues in the corridor.

3. ENCOURAGE YOUR PATIENTS TO CALL THE WHITE HOUSE TO SAY “NO TO MANDATES, RATIONING, and THE PUBLIC OPTION”.

 

Here is what POLITICO has to say

 

An interesting point of view.  Socialize Property Insurance, but not Health Insurance.

 

Matthew Holt of The Health Care Blog makes this point in a recent post.

Docs 4 Patient Care

The rest of the story.....October 1 has come and gone. The group had another successful day barnstorming the capitol building. Hal, Scott and Todd as well as many other members of Docs4Patient Care started  their own filibuster and nearly shut down several senator's and other congressional offices.  I spoke with Senator Joe Lieberman's office and they too were being 'lobbied' by our group as well as many other individual physicians.

The alliance of providers and patient advocacy is a powerful platform for patients and physicians.

Docs4PATIENTCARE.ORG 

The Accelerator, or What's new in HIT

Advancing consumer-centric
health care by driving integration
of technology and the consumer experience across a network of
new and established technology companies and health care
organizations.

Quite a mouthful, what is this all about?

Health 2.0 Accelerator

Big words, bigger hopes, or just more smoke and mirrors?

Perhaps fueled by Stimulus funds.....

Free HICO scores online !!

What do credit card blogs have to do with health insurance? Read on at  Credit card forum (the blog)

Perhaps one of the new regulations in health reform will be a HICO score that parallels your FICO score.  Or perhaps we need a 'truth in health insurance "  law that parallels the 'truth in lending " law.

Check your HICO score monthly , clean up your health  !

Sick people, need not apply!

Million Med March October 1, 2009

Docs 4

PATIENT CARE

Ok everyone, we are on the eve of our second big trip to Washington.

It will never be perfect, but as good as it was for everyone last time, I expect that this one will be even better, because we learned a lot from last time and we'll be a bit more organized, I hope.

Enclosed are suggested talking points. Remember, they are SUGGESTED talking points. You can add your own to the list if you think that there is something missing. Please don't ask us to redo this with your point that we left out. 20 doctors can come up with 21 different talking point lists. This list encompasses 95% of the things that we all seem to agree about.

We have some appointments set up. The Congressmen and Senators know about us and word has gotten around about the last trip and this one. The appointments are a bit more scarce this time as a result. Nonetheless, we will go to their offices and try to get in to see them or their chief of staff or their healthcare team.

I have a list of people coming who emailed me. I do not want to put people's names on a mass mailing to confirm that you are coming. So, I'm going to ask anyone coming to just shoot a 1 line email to me today to confirm that we have you on our list. The reason for this, is because we've divided the docs that we have into 4 lobbying groups and we want to make sure that we have you. If you would prefer to be on your own (not advised), then don't bother replying.

All docs will meet in the plaza in front of the Capitol steps at 9:00AM and we will break into groups. There is one exception, the organizers of the Million med March have a 9:00 meeting and I will send a separate email to them about meeting earlier.

We will meet with Congressmen and Senators until about 11:15 and then head over to John MArshall PArk for the Million Med Rally and March.

We will then meet with Congressmen again after the march.

The weather forecast looks good for Thursday- high of 70, and clear.

REMEMBER THAT EVERYONE SHOULD COME WEARING SCRUBS AND WHITE COATS. THIS IS FOR REAL!!. It makes for an impressive show, and that is why we are all taking the time off from our lives to come to Washington. I'm looking forward to seeing all of you there.

Hal

Hal Scherz MD

President, Docs 4 Patient Care

www.docs4patientcare.org

Letter to Congressmen and Senators:

TALKING POINTS FOR CONGRESSIONAL LOBBYING

1. There is no need to rush a bill through just to satisfy a political promise. Healthcare reform needs to be thought out and done carefully. There is only one chance to do this correctly.

2. The problem with healthcare isn’t the care. It is the best care in the world. The quality of US healthcare and the outcomes are being unfairly attacked so that the system can be changed.

3. There are solutions that have been offered to address problems in a targeted fashion that Congress and the White House are not listening to.

4. Access to health insurance is a problem for 15-20 million US citizens. This can be addressed immediately with insurance vouchers and tax credits utilizing the current private insurers.

5. Cost of healthcare insurance is high and needs to come down. This can be done by promoting competition. First by repealing the antitrust exemption that insurance companies operate under (McCarron- Fergusson Act) and by relaxing restrictions on internet sales of healthcare insurance across state lines.

6. Eliminate pre-existing conditions by expanding risk pools and establishing high risk pools.

7. Allow people to purchase their own insurance and receive the same tax breaks as employers. This will uncouple insurance from the workplace and make it portable.

8. Push for Health Savings Accounts to make people better consumers of healthcare resources, which would drive costs down. Other ways to drive costs down would be to have doctors and hospitals post fees so that patients could shop. Eliminate antitrust regulations, Stark regulations, and many other government regulations on doctors which actually drive healthcare costs up.

9. Medical Liability Reform- specialty boards to decide on the merits of cases before they go to trial. Caps on awards, loser pays for frivolous lawsuits.

10. No government run or sponsored health insurance program (public option, coops, insurance exchange, triggers, mandates)

11. No government oversight board determining medical decisions

12. The AMA does not represent the majority of practicing US doctors- only 17% belong to the AMA and most of these are retired, practice academic medicine, are in administration, or are residents and students

13. Our #1 priority is the health and well being of our patients- your constituents (when talking to elected officials)

Million Med March

 

 Put this on your schedule:  October 1, 2009 in Washington, D.C.

An Interview with Hal Scherz, MD a Pediatric Urologist. Hal Scherz practices in Atlanta, Georgia..

Hal has taken the bold step of forming a grass roots organization to link individual physicians and groups with patient advocacy groups to visit congressional representatives (U.S. Sentate, and House of Representatives) during the Health Reform debate and afterward.

The organization is ‘DOCS4PATIENTCARE.ORG ‘. The organization also goes by the same name.

Health Train: Hal, tell me about docs4patientcare .

Dr. Scherz: I decided to form a group that would go to Washington DC for the   "White Coats to Congress Rally "   during the initial march in early September 2009. It was an amazing experience to see so many physicians motivated and willing to take a day from their busy schedule to attend the event.

Health Train: What did you experience at the ‘march’?

Dr Scherz: Several things,

1. We individual physicians have gained an audible voice in the debate and decision making process.

2. Physicians are now willing to participate in grassroots activities outside the cloak of organized medicine.

3. Many physicians do not feel that the AMA or other specialty organizations represent them adequately.

4. The power of individuals is greater than the power collectively of our organizations.

5. Patient advocacy groups and individuals have a greater effect when united in this common goal of insuring that the doctor patient relationship is maintained and strengthened.

6. The people we met in D.C were not political activists, nor radicals. They are ordinary Americans with a passionate message about health reform and the dangers of governmental control and/or intervention in the health process.

Health Train: Where do you go from here?

Dr Scherz:

Our most immediate goal is to gather another group to travel to Washington DC for the ‘Million Med March”. On October 10, 2009.

Health Train: What groups are you affiliated with?

None. We are independent and have no political allegiances or agenda other than making the individual physician’s voices heard.

Health Train: Where are your Chapters?

Dr Scherz: Atlanta, Chicago, Dallas, Indiana, Phoenix, Baltimore, New York

Health Train: How do I join?, Is this a PAC?

Dr Scherz: No, it is not a PAC. You can go to our website: www.docs4patientcare.org to register. We are not a PAC. We merely encourage individuals and empower their activities.

Health Train: When is the next “Event”?

The next ‘Event”   The Million Med March"  will take place on October 10,2009 in Washington, DC. Details will be posted on the website, www.docs4patientcare.org

Health Train: Can I form my own chapter in my area?

Dr Scherz: Yes ,by all means, we are encouraging joining local chapters or forming your own chapter

Healht Train: Do you want to add anything else?

Dr. Scherz: We are an organization searching for passionate and articulate physicians to go to Washington D.C. and possibly have the opportunity to speak on a national forum regarding pending health reform legislation.

Health Train:   Thank you Dr Scherz....we'll see you in Washington on the  1st  of October.

For more information go to  www.docs4patientcare.org

He's Back

 

Most of us realize that our government in D.C. has been out of control for over a decade (perhaps much longer).

According to this interview with Pete Stark, Congressman from California it makes sense that the more debt the government has, the wealthier the country is.

 

  I am not certain of the rationale of this statement but perhaps it alludes to the ability of our government to borrow money reflects upon our income, ability and willingness to make payments on that debt.  In October 2008 we came to an abrupt ending to that rhetoric.  The past 12 months are a witness to the failure of that economic model .  We shall call that "Pete Stark Economics".  Perhaps in 30 years or so Mr. Stark will be the Nobel Prize winner in Economics.  However I am not holding my breath,

More 'free' Things..

Health IT continues to be in the limelight of health reform. And there is a great deal of scrambling to obtain a share of the stimulus IT funding passed by congress this year.

Two cardiologists from Johns Hopkins University , David Meyerson and Sammy Zakira elaborate in the Washington Post a typical frustrating encounter for the majority of physicians who are confronted by a seriously ill patient and an unobtainable coherent medical history. Both of these physicians attend patients at the VA Hospitals in Baltimore, MD.

They write, "Most currently available electronic medical record software is unwieldy and difficult to quickly access, and there is still no vehicle for the timely exchange of critical medical data between providers and facilities." The cardiologists note that the federal stimulus package included about $50 billion for health IT, but they argue that "it will be difficult and costly to construct new systems ensuring interoperability of all current hospital software."

This does not address the issues of outpatient clinical care, which have a far greater number of clinical encounters.

The VA system has been using VISTA as their EMR. They advocate for the adoption of the VA VISTA system as the backbone for EMR in the United States. They also suggest that any other EMRs be interoperable with the VA system. Both of these suggestions enjoy considerable merit for several reasons.

1. It is a proven stable platform

2. It has been used by many or most physicians during training.

3. It is ‘free’. This is not entirely accurate. The program itself is free of charge, but does require some expertise in tweaking it for the underlying operating system. The operating system is somewhat arcane and no longer in popular demand.

4. There is a pool of IT specialists familiar with the system that can be ‘tapped’ for implementing the system and training it’s users.

5. The suggestion that other systems be interoperable with VISTA is a good one. The standard is there….and it works! This eliminates the controversy about which standard will be adopted. There are several competing certification organizations in play at this time. This will cause delays and perhaps avoid further confusion should several different regional standards emerge.

6. VISTA is scalable.

7. The taxpayers have already invested considerable ‘billions of dollars’ in this system.

The negatives are:

1. VISTA is not well designed for independent practitioners, or small group practices.

2. It bears the perhaps unwarranted ‘stigma’ of being a government computer system, with real and/or imagined prejudices against such a system. Such as the Post Office.

3. It is an ‘older system’ designed more than 15 years ago, with multiple ‘patches’.

The Uninsured Patient

One of the greatest frustrations for any physician in the U.S. is the "uninsured patient".  Coming face to face with one of the 'forgotten' patients can ruin an entire day of work. Knowing how to help a patient and being totally powerless to do so ranks right up there with an announced audit from the IRS and/or a letter from a plaintiff's attorney that you are about to get your a-- sued.

In fact what has evolved in most practice offices is a highly refined  filtering mechanism to keep these patients away from you, the physician.  This vicious and exclusionary process developed without any forethought as a means to insure the financial survival of our present health system.  It flies in the face of what  physicians are really all about....caring for people.

In order to see a physician you must be a 'card carrying" patient or have a wad of cash (which is rapidly evolving into a wad of plastic bits and bytes, or a wheelbarrow)  At any rate the 'plastic card' now carries more power that one could have ever imagined.

At one time it did not matter, doctors and hospitals could and did give away millions of dollars of care because they  were compensated fairly and sufficiently.  Even if ph ysicians gave away their services (which is a small percentage of total health care costs) the patient could not access lab work, imaging services, nor have access to medications.

THE MILLION MED MARCH

 

JOIN THE MARCH!!!

 

 

"I'm tired, mad as hell, and just not going to take it anymore," says Richard Chudacoff, MD, a gynecologist from Las Vegas. "I am going to Washington, DC. At noon, on Thursday, October 1, 2009, I will be on the Mall with a few other physicians."

How many times have YOU thought or even muttered this under your breath??

"We simply decided that we will not work that day and perhaps the day before and maybe even the day afterward," says Dr. Chudacoff. "Perhaps we will show the country that physicians are worth more than a $5 copay; that physicians are more important than a mid-level healthcare worker; and that our profession is needed, our services are required, and our practice is a calling to be respected, not a trade that is to be negotiated to the lowest bidder.

A letter posted by Dr. Chudacoff on www.obgyn.net in June has been spreading like wildfire across the Internet, finding its way to personal blogs, discussion groups, and professional forums.

On July 10, an MPC contributor and one of the supporters of the Million Med March launched a Website, www.millionmedmarch.com, to build support for the October event.

 

A  TOWNHALL MEETING IN FREMONT CALIFORNIA WITH DEMOCRAT, PETE STARK .

 

Some images from the March of September 10th,2009,AND THERE WILL BE ANOTHER GATHERING ON OCTOBER 1, 2009.

 

 

Don't forget...be there on October 1, 2009

Join the March:

The Medicare Value Index

Sen. Amy Klobuchar, D-Minn., has advanced this proposal as part of her Medicare Payment Improvement Act, and it is now at the center of the Senate's discussion on how to craft health care reform.

The value index would penalize Medicare providers that spend above the national average and reward providers that spend below the national average with more funding. The idea is to raise the quality of health care and encourage efficiency, but in reality it will undercut those with the greatest health care needs, namely the poor and minorities.

By failing to consider major factors driving regional spending differences, the value index is not what proponents make it out to be. Consider this: The average monthly rent in San Mateo is $1,658 while it's $873 in Minneapolis. Salaries for medical support staff are considerably higher in California than in Midwestern states. None of that is reflected in the value index's calculation. So absent any other factors, the proposal would direct more funding to places with a lower cost of doing business, which has nothing to do with the quality or efficiency of medical treatment.

A version of the value index is part of the health care reform plan unveiled Wednesday by Sen. Max Baucus, D-Mont. (The House's health care reform bill, HR 3200, would commission a study on Medicare's spending differences and consider what to do about them at a later date.)

(these studies have been done, and are already available from previous medicare data)

OBAMA LIES??

 

A few simple solutions:  Are we up to it?

 

From the California Health Care Foundation: Another simple solution.

Gubernatorial Candidate Campbell Offers Health Plan for California

OBAMA   LIES??     or perhaps to put it more gently, HE DOESN'T KNOW WHAT HE IS TALKING ABOUT.

Recently in MedPolitics,     EvanMadianosMD    -discuses's the producers of health care.

The largest problem in our health cares system is....the uninsured. 

Physicians when they come across uninsured patients feel great angst that they cannot order tests, or do appropriate indicated procedures for a patient.  This perhaps is the greatest stress of today's medicine.  This is the reason many physicians chose to work for the VA, Military System,,, or large prepaid groups such As Kaiser Permanente, the patients are pre screened already and there is no doubt for the physicians that they will be able to provide quality care.

Lumping our present health system into the  supposed evils of capitalism, greed and avarice does a great disservice to all physicians and hospitals.  We have been thrown into an atmosphere of rhetoric not by our actions but the misappropriation of slick  phrases and comparisons to the advantages of 'socialized medicine in a 'new world order' of utopia.

  Few in the arena of proponents of health care reform elaborate on the evils of that system.  There is no reason our system should 'ration' health care.....physicians certainly don't do that unless they are economically coerced to do so.....at the expense of their very financial survival.

 

Dr  EvanMadianosMD  goes on further,

"In Ayn Rand's timeless novel Atlas Shrugged, the mysterious hero John Galt is a symbol of the man whose productive energy is withdrawn from the world in protest against living as the despised pawn of the state. But Ayn Rand was aware that the disappearance of the men of talent did not always happen as a deliberate act of protest; it is often just the natural outcome of any system that punishes hard work, ambition, and independent thought, discouraging and demoralizing men with those life-giving qualities. This is what some people have started referring to as "going Galt."

If we accept such a system in the medical profession, we could find ourselves paging Dr. Galt—and getting no answer. "

 

del.icio.us Tags: Medpolitics,healthtrain express,Ayn Rand,John Galt,Atlas Shrugged,Tom Campbell

It's True, It's True

I wanted to thank all of you who attended the recent 'golden llama awards ceremony, attended by  Representative Paul Ryan, Joe Wilson (you lie,  you lie)

Vice president Joe Biden, ex VP Dick Cheney,and numerous honored guests.

I also have it from an undisclosed source who prefers to remain anonymous  since (he,(she) is not authorized to make a statement) that Michelle Obama was lurking under one of the tables hoping that her husband would  receive a Llama.

Mr. Obama, however was making the rounds of

CNN, MSNBC, ABC,  Foxnews, NPR,  CBS,  CW, CNBC,  SciFi, The Discovery Channel, The History Channel, and his most important appearance on "Dirty Jobs".

I should also recognize Borat and Bruno

who could not attend due to other prior commitments. Borat and Bruno have made great contributions(not) to American Healthcare (not), as well.

Health Train is honored to accept the award on behalf of Thomas the Train

and will offer free transportation to the Llamas on their way to

the awardees. (please check in 2 hours early for security screening)

It is truly an honor to receive this highly coveted award at this time  in my life.

It will occupy the last remaining space on my office wall,

in lieu of any board recertification certificates.

I shall honor and treasure this award, and will submit it on my next log of CME credits....(How many CME credits do I get for it?)