Dear friends and colleagues,
I am very proud and humbled by the actions of the AMA House of Delegates in June of 2018, in voting me to be a trustee of the AMA, entrusting me to make decisions that affect health care and our profession. I intend to honor that vote by diligently keeping abreast of any and all developments that affect the practice of medicine and the health care system our patients depend on. I will devote this website to posting my opinions on selected health care issues, and post links to interesting articles that I feel may be of great interest to physicians and the public. The purpose is to educate on the issues of the day and to promote a dialog on these issues that affect our practice and the health care of our patients. Preserving health care delivery and the practice environment are challenging in the current times. We need to work together to make our health care perform to the best of its ability for the sake of our patients, and the lessen the huge strain on our health care professionals that lead to burnout in so many of our colleagues.
We must confront these important issues which affect the practice of medicine:
Insurance, Practice, and Burnout issues
Maintaining a practice in the current environment is a monumental burden on physicians, leading to burnout or worse. Already, it is untenable in many locations for new physicians to set up an independent practice due to over-regulation, abusive insurance contracts, and Medicare rules. Insurance companies exert unjust control over our profession with prior authorization being particularly bothersome. More On Insurance
The cost of a medical education is a national embarrassment and a career burden on young physicians. These high costs lead to years of debt on physicians’ income, limiting their ability to set up practices or innovate, or in some cases choosing their preferred specialty. Medicare cutbacks on residency slots lead to limited supply of trained physicians.
More On ABIM/MOC
Our patients cannot afford their medications, which is a leading cause of noncompliance and poor clinical outcomes. Numerous studies have shown that the high price of even generic medications leads some patients to skip doses or discontinue altogether. Big Pharma needs to be held accountable, especially for the indefensible and absurd rising generic drug prices. New patented medications should of course give a healthy rate of return to encourage innovation, but the current trend is not to charge a reasonable rate of return, but rather to charge absurdly high prices straining our health care system. The prohibition on Medicare negotiation is the most urgent priority that needs to be fixed in Washington. More On Prescriptions