Voices of Medicine

By Del Meyer on 01/01/2020 10:22 PM

As managed care was conscripting the medical profession in the 1980s and 1990s, and doctors became impotent to the forces of control of our professional expertise, very few took the risk of not signing the managed care contracts being circulated among us. When I go to the Medical Grand Rounds at the UC Davis Medical […]

By Del Meyer on 12/17/2019 2:49 AM

Making Dystopia: The Strange Rise and Survival of Architectural Barbarismby James Stevens Curl, Oxford, 592 pages, $60 In a recent debate in Prospect magazine on the question of whether modern architecture has ruined British towns and cities, Professor James Stevens Curl, one of Britain’s most ­distinguished architectural ­historians, wrote as his opening salvo: Visitors to these islands […]

By admin on 10/17/2019 8:30 AM

Moreover, though we pay lip service as a society to diversity and tolerance, we increasingly demand uniformity. A recent article in the New England Journal of Medicine argued that doctors should not be permitted to opt out of performing procedures that they considered unethical on the grounds of con­scientious objection. Once the profession, guided by […]

By admin on 09/17/2019 3:49 AM

Let me give you a concrete example of the dangers of not thinking critically. In 1980, a letter was published in the New England Journal of Medicine pointing out that patients in hospital who were prescribed strong opiates for post-operative, heart attack, or cancer pain never became addicted to the drug they were given. At […]

By admin on 09/02/2019 5:54 PM

by Theodore Dalrymple You tell me you are thinking, my dear Stephen, of medicine as a career, but you wonder whether you have the ability or the temperament for it. You say that you have wanted to be a doctor ever since your family practitioner visited you at home as a child when you had […]

By admin on 08/06/2019 12:58 AM

 By Jane M. Orient M.D. Managing Editor, Journal of American Physicians & Surgeons   Congress recently passed, and President Donald Trump signed, the “Right to Try” bill that gives dying patients limited access to drugs that have not yet been approved by the Food and Drug Administration (FDA). Our founders would be astonished that we […]

By Del Meyer on 06/21/2019 1:50 PM

Direct Primary Care Summit Albert L. Fisher, M.D. When I attended the Direct Primary Care Summit in Indianapolis, Indiana, a vendor told me that HMOs are dead. Patients now have high deductibles, high copays, and very costly insurance. They are having difficulty getting necessary care despite their high premiums.

By admin on 05/16/2019 9:08 PM

Viewpoint: JAMA | September 11, 2018 Victor R. Fuchs, PhD1 JAMA. 2018;320(10):971-972. doi:10.1001/jama.2018.10779 Is US medical care inefficient? Many health policy experts maintain it is, whereas others prefer a verdict available to juries in Scotland— “not proven.” The correct answer is that no industry is either efficient or inefficient in abstract terms. Efficiency describes the relation between the […]

By admin on 05/15/2019 11:36 PM

Dr Schrier Goes to Congress as Second Woman Physician Rita Rubin, MA  | JAMA | March 27, 2019 JAMA. 2019;321(15):1443-1445. doi:10.1001/jama.2019.1704 For more than 17 years, Kim Schrier, MD, held what she considered to be the perfect job: pediatrician. But after the 2016 general election, when Republicans began trying to dismantle the Affordable Care Act, […]

By admin on 03/02/2019 5:27 AM

AMA (JAMA) July 17, 2018 How HIPAA Harms Care, and How to Stop It Donald M. Berwick, MD, MPP1; Martha E. Gaines, JD, LLM2 JAMA. 2018;320(3):229-230. doi:10.1001/jama.2018.8829 “Knock, knock.” “Who’s there?” “HIPAA.” “HIPAA, who?” “I’m sorry, but I cannot disclose that.” Clinicians and patients alike will laugh at this, but behind the laughter are anger and frustration. The Health […]