Comments on: Race and Reason http://www.john-goodman-blog.com/race-and-reason/ Insights on Health Care Reform | NCPA Mon, 15 Mar 2010 17:34:38 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: John Goodman http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38816 John Goodman Thu, 19 Jun 2008 15:21:57 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38816 [Response to Dr. Bob] Doctors may be competing for the business of employers and insurance companies, but they are not competing for patients based on price or on quality. [Response to Dr. Bob]

Doctors may be competing for the business of employers and insurance companies, but they are not competing for patients based on price or on quality.

]]> By: Dr. Bob http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38815 Dr. Bob Thu, 19 Jun 2008 15:20:00 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38815 A great Health Alert. However, I must take you to task re: lesson no. 2. Lots of doctors compete on price, most at the behest of the insurance companies. A significant number of foreign-trained doctors will cut prices to attract business because they are still earning 5-10 times what they were earning in their own country. You are right about quality. How can you see 50-60 patients a day as a PCP and provide even a semblance of quality? The only markers for quality are with outcomes for procedures. The thinking (primary care) specialties have yet to find a quality algorithm, short of looking at best practices for treating chronic illnesses. If the folks in charge could understand that medicine has to be practiced one patient at a time; that all diabetics, asthmatics, and all those with arthritis require specialized care tailored to their particular response to medications, to their immune and genetic makeup, etc. But what can you expect when you can see a doctor for less than it costs to go to a movie? That is no way to develop a meaningful patient/physician relationship. How can he be revered, trusted, and worshipped as a healer? A great Health Alert. However, I must take you to task re: lesson no. 2. Lots of doctors compete on price, most at the behest of the insurance companies. A significant number of foreign-trained doctors will cut prices to attract business because they are still earning 5-10 times what they were earning in their own country. You are right about quality. How can you see 50-60 patients a day as a PCP and provide even a semblance of quality? The only markers for quality are with outcomes for procedures. The thinking (primary care) specialties have yet to find a quality algorithm, short of looking at best practices for treating chronic illnesses.

If the folks in charge could understand that medicine has to be practiced one patient at a time; that all diabetics, asthmatics, and all those with arthritis require specialized care tailored to their particular response to medications, to their immune and genetic makeup, etc. But what can you expect when you can see a doctor for less than it costs to go to a movie? That is no way to develop a meaningful patient/physician relationship. How can he be revered, trusted, and worshipped as a healer?

]]> By: Tom http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38812 Tom Tue, 17 Jun 2008 18:26:17 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38812 Thanks very much! Thanks very much!

]]> By: Ben Sasse http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38811 Ben Sasse Tue, 17 Jun 2008 13:06:56 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38811 Helpful piece. Thanks. Helpful piece.
Thanks.

]]> By: Ed Harper http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38809 Ed Harper Mon, 16 Jun 2008 18:09:28 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38809 Fascinating! Fascinating!

]]> By: Racial Disparities in Health Care and Cashing in on Medicare at Dr. Sam Online http://www.john-goodman-blog.com/race-and-reason/comment-page-1/#comment-38765 Racial Disparities in Health Care and Cashing in on Medicare at Dr. Sam Online Fri, 13 Jun 2008 15:30:37 +0000 http://www.john-goodman-blog.com/race-and-reason/#comment-38765 [...] John Goodman had a nice blog post today.  I typically enjoy reading his stuff and recommend it to my readers. [...] [...] John Goodman had a nice blog post today.  I typically enjoy reading his stuff and recommend it to my readers. [...]

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