Naivety

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Naivety is having or showing a lack of experience or understanding. This definition of the word came to mind as I read my medical “news” today. Medicare is preparing to “improve patient care” by implementing a new reimbursement plan that will cut their payments for healthcare providers. Sadly enough, most people won’t question such a “noble cause.” Perhaps we can improve other entities using this same philosophy. I suggest we start with the federal government and cut their salaries to improve their work—how can they argue with their own rationale?? Sorry, I am being naive.

Parasites

3E664A69-7B7A-4921-9F05-FD9321F4A3DDParasites

Most dogs and many people harbor parasites within their body. These can be life threatening if not adequately treated. The parasite uses its host’s resources and gives nothing in return.
Likewise a person who habitually relies on others and gives nothing in return is a parasite by definition. I believe we have far too many of these people in our society that have been enabled by our social programs, which were initially designed to help those in need. Today the programs have been abused to a level that has lead to entitlement. This phenomenon, like parasites, needs proper treatment to save its host (our society). What can we do?

Abuse of Physicians

8D29106B-EC59-4CA6-B48F-EDDE2C7DE24BAbuse of Physicians
For years I have been preaching that we physicians do not have basic human rights. Finally there is an article by Dr. Wible, “Not ‘Burnout,’ Not Moral Injury—Human Rights Violations,” which validates some of my beliefs. Our society through the legal system has rapidly increased the burdens on physicians; which, in other people, would be considered basic human rights violations. Our media has switched in my lifetime from reporting mostly positive views of physicians to mostly negative ones. As a result, the real healthcare crisis, in my opinion, centers around the diminution of physician oversight. Most physicians who speak to the public are extremely biased as they are either hired by the government, hospitals, or insurance companies. All of this abuse is possible I believe because our legal system has set the stage with laws that restrict us from our basic human rights.

Quality Measures

3132393C-67AA-415A-9621-3DF764F5804B.jpegQuality Measures

At first glance, quality measures seem like a great idea. Perhaps the intent is to help processes work better, but certainly, my experience in the medical world has been mostly ridiculous. Someone, who doesn’t understand the issues involved, decides what measures should be applied and often irrelevant data is collected. Unfortunately this misinformation then effects changes in policies and procedures. Naturally, we are introduced to more quality measures to fix the resulting new problems.

Layers

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When I think of layers, I generally think of the peeling off of layers of clothing or layers of skin. But today I read an amazing article (Physicians aren’t ‘burning out.’ They’re suffering from moral injury by Drs. Talbot and Dean) on the moral injury of physicians by a broken healthcare system. In my medical mind which has many years of experience, I believe the authors are exactly correct with their assessment. As this kind of honest information about physicians hits the media, I feel the first layers of this massive medical bureaucratic quagmire begin to peel—a glimmer of hope.