A Libertarian ’ s Case Against Free Markets in Healthcare
By ROMAN ZAMISHKA In the final act of Shakespeare’s Richard III the eponymous villain king arrives on the battlefield to fight against Richmond, who will soon become Henry VII. During the battle Richard is dismounted as his horse is killed and in a mad frenzy wades through the battlefield screaming “A horse, a horse! My kingdom for a horse!” Richard shows us how market value can change drastically depending on the circumstances, or your mental state, and even the most absurd exchange rate can become reasonable in a moment of crisis. This presumably arbitrary nature of prices should be the first thing a...
Source: The Health Care Blog - August 2, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Economics Source Type: blogs

A Libertarian ’ s Case Against Free Markets in Health Care
By ROMAN ZAMISHKA In the final act of Shakespeare’s Richard III, the eponymous villain king arrives on the battlefield to fight against Richmond, who will soon become Henry VII. During the battle, Richard is dismounted as his horse is killed and in a mad frenzy wades through the battlefield screaming “A horse, a horse! My kingdom for a horse!” Richard shows us how market value can change drastically depending on the circumstances, or your mental state, and even the most absurd exchange rate can become reasonable in a moment of crisis. This presumably arbitrary nature of prices should be the first thing...
Source: The Health Care Blog - August 2, 2018 Category: Consumer Health News Authors: at RogueRad Tags: Economics Free Market health economics Libertarian Source Type: blogs

Dr. Lynette Charity keynotes 3 conferences this Fall
Dr. Lynette Charity is a practicing anesthesiologist and accomplished humorist and public speaker, having made it to the semifinals of the Toastmasters International World Championship of Public Speaking in 2014.  She’s also one of my coaching clients, and I am so proud to announce that she will keynote three conferences this Fall. On Saturday, October 8, she will keynote the Ohio Dermatological Association Annual Meeting, giving her prescription to success in your medical career. She will follow that by keynoting the annual meeting of the Richmond Academy of Medicine on Tuesday, September 11, where she will share h...
Source: Kevin, M.D. - Medical Weblog - August 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kevin-pho" rel="tag" > Kevin Pho, MD < /a > Tags: KevinMD Source Type: blogs

Title X – Free Speech Under Fire. Again.
It’s deja vu all over again, as the current administration, borrowing a never-implemented move from the Reagan administration, attempts to gag physicians who provide reproductive care to women. New proposed regs would forbid Title X funded providers from freely providing information about abortion to their patients, limiting such conversation to the provision of a list of names to women who have already decided to have an abortion. Given that close to 50% of pregnancies in the United States are unplanned and that a significant proportion of women with unplanned pregnancy are unsure what they will do at the time of di...
Source: The Blog That Ate Manhattan - July 24, 2018 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Abortion Family Planning Uncategorized gag planned parenthood Ruling Title X Source Type: blogs

Doctors are conditioned to deny
13 years ago a colleague of mine did a labiaplasty on my 18-year-old daughter for medical reasons. What was supposed to be routine has become a nightmare for her.  Not only did he remove all of her labia minora, but he also denervated her clitoris. When he saw her post-op, he told her she was fine, maybe a little “atrophied.”  Because of this obfuscation, years went by before she really understood how damaged she was. By then, the statute of limitations had lapsed and she had no recourse. Still seeking closure on this disaster, my daughter recently went to one of his peers who confirmed the extent of her injury and ...
Source: Kevin, M.D. - Medical Weblog - July 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Conditions Malpractice OB/GYN Source Type: blogs

Physician burnout can affect your health
There is a severe and worsening epidemic of physician burnout in the United States, which threatens the health of doctors and patients alike. What is burnout? How does it affect doctors? And, how can this affect patient care? Finally, what can be done about this issue, to breathe life and energy back into the field of medicine? What does physician burnout look like? Burnout among doctors is generally described in terms of a loss of enthusiasm for one’s work, a decline in satisfaction and joy, and an increase in detachment, emotional exhaustion, and cynicism. It manifests in disproportionately high rates of depression, su...
Source: Harvard Health Blog - June 22, 2018 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Health Managing your health care Source Type: blogs

Johns Hopkins Public Health Researchers Claim that Smoking May Be No More Hazardous than Vaping
In anarticle published in the Summer 2018 issue of theHopkins Bloomberg Public Health Magazine, two researchers at the Johns Hopkins Bloomberg School of Public Health are denying that smoking is known to be any more hazardous than vaping.According to the article, Dr. Ana Maria Rule, an assistant professor in the the Department of Environmental Health and Engineering, argued that: " Even if vaping proves safer than smoking, that ' s still a long way from a gold stamp for their safety. " This of course implies that we don ' t currently know that vaping is any safer than smoking. In turn, this means the professor ' s claim is...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - June 10, 2018 Category: Addiction Source Type: blogs

When outcomes are tragic, doctors suffer too
The vast majority of births and deliveries are joyful ones. Families celebrate the wonder of the new addition to their families, and clinicians go home at the end of the day with a sense of pride, deriving meaning from their professional lives. This is one of the reasons that many of us chose obstetrics in the first place. But unfortunately, that is not always the case. As an obstetrician, I know firsthand that there is virtually nothing as emotionally wrenching as a baby or mother suffering an injurious complication or dying during childbirth. Unanticipated, bad, even horrific outcomes sometimes happen — even when all p...
Source: Kevin, M.D. - Medical Weblog - June 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/meredith-d-davenport" rel="tag" > Meredith D. Davenport, MD < /a > Tags: Physician Hospital-Based Medicine Malpractice OB/GYN Source Type: blogs

5 ways to live through medical malpractice lawsuits
Nothing troubles physicians more than an unforeseen outcome and a malpractice lawsuit. It cracks open self-doubts and assumptions about medicine and may be life-changing. It commonly fuels burnout, loss of confidence, PTSD and early retirement. And there are links to depression and physician suicide. There’s another side to this story, though. Like all of life’s great challenges, a patient’s unexpected loss, and professional litigation present us with huge opportunities for growth. I am a believer in more information and less isolation. And while I have 1,001 things I’d like to tell the doctor who i...
Source: Kevin, M.D. - Medical Weblog - June 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/stacia-dearmin" rel="tag" > Stacia Dearmin, MD < /a > Tags: Physician Hospital-Based Medicine Malpractice Source Type: blogs

What to do if you want to be a cruise ship doctor
In 2013 I began searching for ways I could change my career to reduce my workload, but not give up medicine altogether. During that time I took a cruise and looked at various jobs I could do on a cruise ship. One of the jobs I was qualified for, I thought, was to be a Cruise Ship Doctor. After talking with the ship’s doctor to find out what it was like to be the doctor on a ship, I realized that I would enjoy that life. When I arrived back home I sent in an application to a cruise line. I was promptly informed that general surgeons were not qualified to be a ship’s doctor. They only accept physicians who practice emerg...
Source: Kevin, M.D. - Medical Weblog - May 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/cory-fawcett" rel="tag" > Cory Fawcett, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs

The good, bad, and the ugly of being a medical expert witness
I have spent a good part of my career investing time and energy towards side hustles.  I generally categorize them into two distinct types of ventures.  The lazy side hustle involves starting a business or consulting in a field tangential to ones main hustle.  For example, an accountant who works normally as an auditor may do a few tax returns on the side during tax season.  I call his type of work “lazy” because most likely, the professional does not need any extensive extra training on top of what they already have obtained for their primary career.  The non-lazy side hustle, like real estate, usually require...
Source: Kevin, M.D. - Medical Weblog - May 24, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/docg" rel="tag" > DocG, MD < /a > Tags: Finance Practice Management Source Type: blogs

With all the turmoil and craziness, too much is flying under the radar
I didn ' t even know thatit appears a truly horrible version of so-called " right to try " is about to become federal law. I have written about this before, but when legislation was only being passed at the state level it didn ' t really matter. The FDA still controls access to experimental drugs and state law can ' t preempt it, so state legislation was purely symbolic.The link is to an essay by the notoriously long-winded David Gorski. Do read it if you want all the details, but I ' ll try to give a succinct version.For background, the drug approval process has several stages. First, trials in animals have to show some e...
Source: Stayin' Alive - May 21, 2018 Category: American Health Source Type: blogs

How this physician became a financial advisor
Growing up with a father who is a physician made for a natural draw to medicine. However, as young people are prone to do, I did my best to rebel. Early into my undergraduate career I proudly announced to my father that I had decided to go to law school. And perhaps to dig the needle a little deeper, I told him I planned on going into medical malpractice, on the plaintiff’s side. Fortunately, thanks to genetics and a small degree of maturity, eventually I found myself in medical school. From that point on I naturally assumed I would be a practicing physician for the rest of my life. Not so fast. As my mother was fond of ...
Source: Kevin, M.D. - Medical Weblog - May 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/blake-mcgowan" rel="tag" > Blake McGowan, MD < /a > Tags: Finance Primary Care Source Type: blogs

What Nurses Need to Know: Midwifery and Woman-Centered Care
Karen Trister Grace has spent her career as a midwife and a midwifery educator aside from, appropriately, a nine-month period as a labor and delivery nurse. Educating herself and others has given her perspective. The nursing gig gave her real-world confirmation of why her work as a builder of midwives is so important. Grace, working The post What Nurses Need to Know: Midwifery and Woman-Centered Care appeared first on Johns Hopkins Nursing Magazine. (Source: Nursing Blogs at Johns Hopkins University)
Source: Nursing Blogs at Johns Hopkins University - May 10, 2018 Category: Nursing Authors: Editor Tags: What Nurses Need to Know Childbirth delivery doctoral healthcare labor malpractice midwifery midwives Obstetrics PhD racism Source Type: blogs

Patient Modesty: Volume 87
EO, a visitor writing in the Comment section of Volume 86 of this thread title has set the stage for further discussion-- particularly the way male patients are treated within the medical system. I thought his narrative would be appropriate to start this Volume. ..Maurice.Graphic: My composition using ArtRage and appearing as the graphic on the thread "Order vs Chaos in Medical Practice"At Sunday, May 06, 2018 3:55:00 PM,  Though I am encouraged that many of the contributors to this blog have become activists as regards affording male clients (patients) the same rights as female clients when it comes to mode...
Source: blog.bioethics.net - May 7, 2018 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs