Prayer for The Day

Each morning when I arise the first thing I do is go to my home page to read the "prayer for the day".  I do this no matter what urgent thing of the day is happening....be it a crisis bill to be paid, a sick wife, child, patient or something else deemed to be the most important item of the day by someone else. Having accomplished this, I can move on to the rest of the day with renewed energy and faith to carry on.

Quote of the day:
When you look at yourself from a universal standpoint, something inside always reminds or informs you that there are bigger and better things to worry about. - Albert Einstein

There used to be a time when one thing was fairly certain,  your doctor and his caring manner and most of the time the ability to support you through whatever it was you were going through, emotionally, physically and otherwise. And these were during times when things were much more uncertain. The government, nor the payors are our problem.  To these folks it is always about the bottom line, not your  health or welfare. They will manipulate the system to  make their books balance and/or have a budget item that the OMB can justify.  Not only are we fighting a "war on terror" and a "war on  drugs" as well as a "war on illegal immigration".  During a Presidential election year is a very bad time to make a long standing decision about our health  care system. Believe it or not, those in decision making roles know bupkas about healthcare.

This is why it is critical for all physicians to become active in setting policy and aggressively as individual advocates for our  patients.

The Health Care Blog, written by Matthew Holt, describes several issues that are current.  He quotes Bob Laszewski in his BLOG about the SGR and the 18 month hold of fee reductions, only to rear it's head in 2010 with a 21% fee cut. Sounds like poker to me...."double or nothing".

As Bob describes it is the SYSTEM, not the fees and this is an issue only physicians can work out....this cannot be a 'divide and conquer' issue for  us. Without going into great detail here check out my links.

Passing of Michael Debakey M.D.

Quote of the day:
The beginning of knowledge is the discovery of something we do not understand. - Frank Herbert

Dr. Michael Debakey, a true pioneer of cardiac surgery, statesman, innovator and teacher passed away yesterday.

His memories and stories will linger amongst his students.

Michael Debakey records of accomplishments, honors, and humility stand alone.

The world has lost a great human being.

Special Trains for Special People

Quote of the day:
Everyone is as God has made him, and oftentimes a great deal worse. - Miguel de Cervantes

Today on California Healthline, the following information:

Prison Health Receiver Moves Ahead on Plans for Three New Facilities

On Thursday, the court-appointed receiver for California's prison health care system signed construction design documents to commit the state to spending $2.5 billion on three new health care facilities for inmates with chronic medical and mental health conditions, the Ventura County Star reports.
J. Clark Kelso was appointed by Federal District Court Judge Thelton Henderson to bring the state's prison health care system up to constitutional standards after a class action lawsuit found that state officials failed to improve conditions at the facilities.
Kelso said he filed notices under the California Environmental Quality Act to evaluate the construction projects at two planned facilities in San Diego and Stockton. He said he has not yet filed notices for a third site, potentially in Camarillo.
Each of the three health care facilities will contain 1,500 inmates.

Now I am not against adequate health care for incarcerated patients, and adequate facilities for prisoners. I imagine these prisoners might qualify as part of the 'underinsured'  It is interesting that the state may be willing to spend 2.5 billion dollars in capital alone to build the new hospitals. Factor in cost overuns and the eventual operating expenses, new salaries and it will probably run into more billions of dollars for tax payors.

This comes at a time when our Governor terminator is attempting to cut billions of dollars of insurance coverage for poor or uninsured citizens of the state.  We live in a egalitarian society...where health care for prisoners overides healthcare for children, and people who cannot afford health insurance for one reason or another.  I think I will go out and rob a bank.......three squares a day, health insurance and a nice bed....I may even get some tatoos.  And besides I can dance!

Compensation Packages for CEOs

I found that one of my posts here did not appear. Must have something to do with the 4th of July.  Or perhaps it is much like our disappearing reimbursements.  This week we are facing the lastest 'crisis' contrived by our inadequate incompetent legislators and administrators.  They never seem to be in sync.

It now appears that many physicians have announced they will not be accepting new medicare patients as of July 1st. This is the annual battle of the SGR formula. If you don't know what that is, I am sure you can google it. That would be a better learning experience than my giving the answers away here.

The lastest evaluation of CEOs reimbursement packages  for Payors revealed the following

 

When: 2007
How: Based on analysis of compensation of top executives of S&P 500 companies. Median total compensation was $8.8 million for executives overall, and $9.1 for CEOs of six publicly traded health plan CEOs.

Where: Everywhere there is concern among stockholders that compensation may have no relationship to performance. So far in 2007, publicly traded HMO stocks are up about 15%, from a mean of 53 to a mean of 61.

Who: Total compensation is said “not to be out of line by Wall Street standards,” and included the following health plan CEOs.
• H. Edward Hanway, Chair and CEO, Cigna, $25,839,777
• Ron Williams, Chair and CEO, Aetna, $23,045,834
• Dale B. Wolf, CEO, Coventry Health Care, $14,889,823
• Stephen Hemsley, $13,164,529
• Mike B. McCallister, President and CEO, Humana, $10,312,557
• Angela F. Braly, President and CEO, Wellpoint, $9,094,771
• Jay M. Gellert, PRESIDENT AND ceo, Health Net, $3,686,230

 

The WSJ states that these figures are not out of line when compared to other industries.  So medical and hospital care is just another industry.  Personally I cannot compare a pencil pusher that sits at meetings, gives speeches and worries more about his companies profit figures and equate it with a surgeon's worth, or a primary care provider's abilities to care for patients.

Next time you want your hernia repaired or your cataract removed, or your heart defibrillated....make an appointment to see the payor's CEO.....(don't trip over the golden parachute on your way in.

Physician Signatores of the Declaration of Independence

Quote of the day:
Character is what you have left when you've lost everything you can lose. - Evan Esar

The 4th of July seems a good time to reflect upon our liberties and also to reflect upon what physician's contributed as well

Matthew Thornton practiced for years in rural New Hampshire. When he went to Philadelphia for the Continental Congress, he had himself innoculated against smallpox and wrote of the ensuing ordeal. His satire described a Dr. Cash (”we saw no more of him, till I paid his bill of 18 dollars”); Dr. Critical Observer (”told me he would critically observe every stage … came once in two or three days, and stayed about a minute”); and Dr. Experience (”a merchant, who had the Small Pox, visited us every day, and gave a much truer account of the Small Pox, than all the doctors.”)

Josiah Bartlett was a practicing physician who became governor of New Hampshire and was one of the framers of the Constitution. But the practice of medicine remained important to him. In 1793, two years before he died, he wrote a letter to the New Hampshire state medical society (which he helped charter) expressing his hope that the group would crack down on quackery by “discouraging ignorant & bold pretenders from practizing [sic] an Art which they have no knowledge.”

Lyman Hall worked as a minister until, for reasons unknown to history, he was charged with “immoral conduct” and dismissed. He became a doctor, left his native Connecticut and ultimately landed in Georgia, where things seemed to improve for him — in 1783, he became governor of the state.

Oliver Wolcott was the son of a Connecticut governor who trained as a physician and may have practiced briefly, but spent most of his life in public office. For a while, he held the appealing sounding title of “high sheriff” in Litchfield County.

from the WSJ  July 3, 2008

That's My Opinion

Quote of the day:
Look for the ridiculous in everything and you will find it. - Jules Renard

 

It's the 4th of July, so I am kicking back, firing up the barbecue, putting on the sun block and writing today's episode.

It is only early July and my wonderful spouse just told me she has heard enough about the Presidential candidates. I guess that means no more newspapers, FOX news, MSNBC, CNN, etc etc. I will take those off my FAVs on the cable remote.

We live right by a national cemetery and there will be a procession of cars, and flags.  Living here it does not take a special day to remember how our country was won, and how it has been maintained.  Yes, we are guilty of many atrocities, stealing lands and lives from native Americans as our country expanded westward. Liberals will be quick to point that out, but they forget their ability to speak out has been bought with the blood of their fellow Americans.  I can see both sides of this argument, however when compared to the rest of the world I leave the final judgment open.

At one time I was a liberal, some new things and some changes are for the better, and some things are better left alone. The liberal establishment has left the tracks.  Conservatives too, have left the tracks.  Both sides seem to be missing the point.

I digress here (too many beers, I suppose).

We may examine and compare our health system to other countries reflecting on statistics which must be placed in the framework of our culture and history.

I do not believe important decisions regarding our health system should be made during an election year. We don't need medical decisions influenced by black and white  yes's or no's. Health care is too important to mix it in with liberal vs. conservative issues, national defense, the price of oil, mortgage crises., gay marriage, tax cuts and/or tax increases.   Politicians will be pandering to their constituents to become elected. Do you really want a politician making your  healthcare decisions?

 

I leave you with this:  Happy Fourth of July

Stars and Stripes Forever

We got their Attention

Quote of the day:
Finance is the art of passing money from hand to hand until it finally disappears. - Robert W. Sarnoff

Congress knew in advance that GWB would intervene prior to the new session of congress, by executive order.  GWB ordered that the 10% medicare fee reductions be suspended.  HHS Secretary Mike Leavitt also took administrative action to place a hold on changes as well.

"WASHINGTON (AP) - The Bush administration said Monday it is freezing a scheduled 10 percent fee cut for doctors who treat Medicare patients, giving Congress time to act to prevent the cuts when lawmakers return from a July 4 recess.

Physicians have been running ads hinting that as a result of the cuts, patients may find doctors less willing to treat them. The administration's delay in implementing the cuts spares lawmakers from having to use the recess to explain to seniors why they didn't do the job before leaving town.

Kevin Schweers, a spokesman for the Department of Health and Human Services, said Monday the Centers for Medicare and Medicaid Services will hold doctors' Medicare claims for services delivered on or after July 1. Claims for services received on before June 30 will be processed as usual, he said.

Congress, not willing to face millions of angry seniors at the polls in November, will almost certainly act quickly when it returns to Washington the week of July 7 to prevent the cuts in payments for some 600,000 doctors who treat Medicare patients. The cuts were scheduled because of a formula that requires fee cuts when spending exceeds established goals.

HHS Secretary Mike Leavitt had promised Friday that his agency "will take all steps available to the department under the law to minimize the impact on providers and beneficiaries." On Monday, the department used its administrative tools to delay implementing the scheduled 10.6 percent cuts."

 

It seems that outrage expressed byAARP and the projections by physicians that this could be a near final blow to the economiic survival of providers, both large and small.

It seems an opportune time for physicians to group together other high priority items for the upcoming new congressional session.

Personal Health Records and the Markle Foundation

Quote of the day:
Nothing is as simple as we hope it will be. - Jim Horning

 

Today I need to get down to more serious issues. I inject humor from time to time to maintain equilibrium.  I have had some commentary that my mind is "blown".  That may or may not be true......Nevertheless, here we go.

Medinnovation has a very comprehensive analysis of what and where medicine has gone and will go further, if the current entrenched medical power complex starts thinking out of the box.

Personal Health Records have been promoted in the past couple of years as a means of maintaining personal and family medical history for future provider visits.  The issue of privacy and confidentiality are probably a bigger issue here than in institutional settings.  Some people will want the personal security of using a hand carried  memory stick in one form another to carry in to their doctor's office. 

Others will want to rely on one they have available from their employer. 

HIPAA rules  may or may not apply to these PHRs.  The Markle Foundation has developed a 'Common Framework for Networked Personal Health Information', and how it would apply to a PHR, and a comprehensive view of their vision is at Connecting Consumers.

This is a good thing provided it is enforceable. A number of large organizations are endorsing it, and they can be found in the 'Common Framework'

However Matthew Holt   makes some cautionary remarks about this whole area of regulation as to how it applies to PHRs.

"There is, though, one tricky problem regarding disclosure of health information, and that is of course the impact it has on your wealth. So I asked the tricky question. They have AHIP, Aetna and BCBS Association (and Dossia) on their list of endorsers. They also have a separate policy about Discrimination and Compelled Disclosures (PDF is here). But as I asked, given that insurers (and some employers) already do discriminate based on health history, and thereby greatly impact people's wealth and their own of course, what’s the point in them saying that they won’t go fishing in the PHR. The answer is in the policy document (and to be fair it’s all they can say.)"

Well, my head is beginning to hurt, again.

Don't Stop Thinking about Tomorrow

Or never look back!!

Quote of the day:
The only paradise is paradise lost. - Marcel Proust

 

HMOs and where it all began..

Encore Presentation

Due to multiple requests (1) I am re-posting "Pirates of The Carribean" which was up two weeks ago.

How many cars can the express pull?

 

Some executives at California health insurance providers paid themselves handsomely while their companies were raking in more than $4.3 billion in profits in the last year.

(As reported by the San Francisco Chronicle)

In addition, HMOs spent $6 billion on administrative costs, which include hefty CEO salaries, according to a report by the California Medical Association, which said the money could have gone toward driving down premiums or better protecting the insured.

The annual report, which draws on expenditures reported to the state Department of Managed Health Care, will be released Tuesday.

It found that annual salaries topped $1 million for chief executive officers at providers like Aetna, Inc., CIGNA Corp., Health Net, Inc., UnitedHealth Group and WellPoint Health Networks, Inc.

The medical association is sponsoring a bill to require health plans to spend at least 85 percent of their annual income from the insured on health care.

"This report really underscores what we have been saying all along, which is there's massive waste in the insurance industry," said Sen. Sheila Kuehl, D-Santa Monica, who authored the bill.

"Californians are literally going into bankruptcy because of rising insurance premiums and having their benefits gutted simultaneously," she said.

The report found that if the bill were already in place, nearly $1.1 billion dollars would have gone back to providing health care.

Of major providers, Indianapolis-based Anthem Blue Cross' 4.1 million members see the smallest proportion of their premiums returned, with 79 percent of revenue used toward medical care.

"One of the worst ratios is Anthem Blue Cross," said CMA President Richard Frankenstein. "They sent more than $1 billion back to Indiana last year and I don't think that's where Californians want to see their premium dollars go."

Anthem Blue Cross said in a statement that as a for-profit business, it also pays more taxes than the nonprofit HMOs included in the study, which accounts for some of the difference in administrative costs.

"Anthem Blue Cross continually strives to reduce its administrative costs while also delivering innovative products to its members," the statement said.

The report highlighted four major providers who already put more than 90 percent of revenue directly toward medical care: L.A. Care Health Plan (97.1 percent), CIGNA HealthCare of California (94.3 percent), Inland Empire Health Plan (93.1 percent) and Kaiser Foundation Health Plan (90.6 percent).

"We're a not-for-profit so there aren't any shareholders who get dividends or bonuses, so any net revenue is invested right back into facilities, services, and keeping our rates affordable," Kaiser spokeswoman Kathleen McKenna said.

 

Bla bla bla. 

Junk Science and Carbon Footprints

Quote of the day:
He is one of those people who would be enormously improved by death. - Saki

Quote of the day:
I have come to believe that the whole world is an enigma, a harmless enigma that is made terrible by our own mad attempt to interpret it as though it had an underlying truth. - Umberto Eco

 

Today's early morning ruminations took me to FOX news where I was greeted by another analysis of how many tons of CO2 I produced this morning when taking my shower. It's been extremely hot here the past week, not cooling down at night. I follow Al Gore's example of being carbon "neutral" by cranking my thermostat down to 65 degrees each night to get a head start on what comes later in the day, 114 degrees.  Supposedly our A/C when maxed out will offset 40 degrees, brining it down to 74 degrees during the afternoon.  (we have a son who does  not sweat due to cystic fibrosis)

Well, I digress.   Have you figured out how much your hospital produces in carbon dioxide, or your medical building? How about those ambulances and EMTs running around in those supersize fire-engines? They always seem to come in pairs.  How about a hybrid fire engine, or more realistically smaller vehicles for the initial scout vehicles??

It seems Al Gore increased his 'footprint' by 10% last year following his "nobel prize'.  This despite the fact that he exchanged his incandescent lights for 'fluorescent' eco-green friendly lights.

How about a 'hybrid personal jet' Maybe one that runs on water?? I have such a deal for you......

Al Gore should be stripped of his Nobel Prize, and his Oscar for his movie, "An Inconvenient Truth".  Inconvenience does not seem to hinder 'Big Al" from his noxious C O 2  emissons.  The people who awarded him this prize are brain dead....

Several questions remain, that haunt me each night

1. Is a carbon footprint unique....can it identify the polluter?

2. Is Al Gore missing a chromosome?

3. Is there a relationship between DNA matching and CO2 content of your body?

4. How much carbon offsets do I need to buy if I bill 66984 to remove a cataract (phacoemulsifer and operating microscope.

5. Is Al Gore missing a chromosome?

6. Is Al Gore the missing link?

7. How much CO2 would be saved if.........................

8. Is Al Gore missing a chromosome??

These things give me a headache.

Have  a great and blessed day!!!!!

Oh, I almost forgot...........what will HIT add to the carbon footprint and will HHS or CMS reimburse me for the carbon credits I must buy....are they tax deductible or will I get a tax credit.???

Medal of Freedom

Today's express is upbeat. President GWB awarded the Presidental Medial of Freedom to 2 physicians.

The Medal of Freedom was established by President Truman in 1945 to recognize civilians for their efforts during World War II. The award was reinstated by President Kennedy in 1963 to honor distinguished service. It is given to those deemed to have made remarkable contributions to the security or national interests of the United States, world peace, culture, or other private or public endeavors.

_Dr. Benjamin S. Carson Sr.: In 1987, he performed the world's first successful operation separating twins joined at the back of the head. He is director of pediatric neurosurgery at Johns Hopkins Children's Center in Baltimore. Bush talked about Carson's mother, who raised Carson and another son alone. "Every week the boys would have to check out library books and write reports on them," Bush said. "She would hand them back with check marks as though she had reviewed them, never letting on that she couldn't read."

Dr. Anthony S. Fauci: An adviser to the government on global AIDS issues, he is the director of the National Institute of Allergy and Infectious Diseases. Bush said that Fauci still quotes what he learned from Jesuit teaching - "Precision of thought. Economy of expression." And the president quipped, "And now you know why he never ran for public office."

Both of these men come from the strength of our country, from families' who valued and prioritized education.

Many physicians lead largely unrecognized lives, except for the patients and families for whom they have cared. The thousands of physicians, radiologists, pathologists,anesthesiologists, who contribute much and without whose expertise clinicians would be back in the 19th century.   They receive little public recognition but are the lifeblood of medical care.

The gains we attain becoming MDs go far beyond our technical skills and clinical education.  Many physicians often feel they are unsuited for other vocations, however our pre medical, medical and post graduate training endow us with analytic abilities, a true comprehension of human abilities and disabilities.

We have become bogged down and enslaved to a system that suppresses originality, encourages following along blindly according to edicts of preferred practice patterns, which will never replace clinical judgment and acumen.  In fact some of the regimented patterns increase cost and waste medical resources.

It is like this also with continuing medical education which has spawned an expensive medical education-industrial complex upon which big Pharma intrudes.  More governmental intrusion and a system not unlike "No Child Left Behind".  NCLB.  I coin a new phrase  " No physician Left Behind NPLB, not to be confused with NPDB.