Comments on: Questions for the primary care panel http://duncancross.net/2009/07/questions-for-the-primary-care-panel/ ill. humored. Thu, 09 Sep 2010 15:01:55 +0000 hourly 1 http://wordpress.org/?v=3.0 By: Malpractice and Patient Safety « DUNCAN CROSS http://duncancross.net/2009/07/questions-for-the-primary-care-panel/comment-page-1/#comment-1732 Malpractice and Patient Safety « DUNCAN CROSS Thu, 10 Sep 2009 13:38:54 +0000 http://duncancross.net/?p=1871#comment-1732 [...] Dr. Wes didn’t answer that question. (By contrast, Dr. Rob and Kevin, MD both weighed in on my questions for the primary care panel.) [...] [...] Dr. Wes didn’t answer that question. (By contrast, Dr. Rob and Kevin, MD both weighed in on my questions for the primary care panel.) [...]

]]> By: Rob http://duncancross.net/2009/07/questions-for-the-primary-care-panel/comment-page-1/#comment-1380 Rob Wed, 15 Jul 2009 18:15:08 +0000 http://duncancross.net/?p=1871#comment-1380 I do think problems with M'care are fixable. The rule that people with M'care can't get assistance on the cost of the drug is crazy. They just need to change the law. The 2-year mandatory opt-out for docs who drop Medicare also just needs to be changed. No other insurer does this. The problem is not the fact that it couldn't be fixed, the problem is that politicians and bureaucrats are the ones who have to fix it. I do think the idea that all members of congress (and their staff) would have to use the public plan is a VERY good idea and would potentially short-circuit some of these crazy rules. I do look forward to seeing you on Friday. I may not have time for the beer, however. I do think problems with M’care are fixable. The rule that people with M’care can’t get assistance on the cost of the drug is crazy. They just need to change the law. The 2-year mandatory opt-out for docs who drop Medicare also just needs to be changed. No other insurer does this.

The problem is not the fact that it couldn’t be fixed, the problem is that politicians and bureaucrats are the ones who have to fix it. I do think the idea that all members of congress (and their staff) would have to use the public plan is a VERY good idea and would potentially short-circuit some of these crazy rules.

I do look forward to seeing you on Friday. I may not have time for the beer, however.

]]> By: dx http://duncancross.net/2009/07/questions-for-the-primary-care-panel/comment-page-1/#comment-1379 dx Wed, 15 Jul 2009 18:10:10 +0000 http://duncancross.net/?p=1871#comment-1379 Kevin - You're right. I got it wrong. I think I over-edited the piece, and lost the original intent of your post somewhere along the way, but that's not in any way an excuse for misrepresenting your views. I've edited the post to reflect that. Kevin – You’re right. I got it wrong. I think I over-edited the piece, and lost the original intent of your post somewhere along the way, but that’s not in any way an excuse for misrepresenting your views. I’ve edited the post to reflect that.

]]> By: Kevin http://duncancross.net/2009/07/questions-for-the-primary-care-panel/comment-page-1/#comment-1378 Kevin Wed, 15 Jul 2009 17:40:43 +0000 http://duncancross.net/?p=1871#comment-1378 You misrepresented my blog post. The argument is that mid-levels are, i) not immune to the incentives favoring specialist care, and ii) there simply are not enough of them to make up for the primary care shortage. No where in that post did I say I was against mid-levels in primary care. In fact, I've written the opposite, like in this NY Times piece: "The lesson here is that universal coverage must go hand in hand with the training of more primary care providers — not only doctors, but also nurse practitioners and physician assistants who can provide excellent primary care." http://roomfordebate.blogs.nytimes.com/2009/02/25/ideas-for-fixing-health-care/#pho Kevin You misrepresented my blog post.

The argument is that mid-levels are, i) not immune to the incentives favoring specialist care, and ii) there simply are not enough of them to make up for the primary care shortage.

No where in that post did I say I was against mid-levels in primary care.

In fact, I’ve written the opposite, like in this NY Times piece:
“The lesson here is that universal coverage must go hand in hand with the training of more primary care providers — not only doctors, but also nurse practitioners and physician assistants who can provide excellent primary care.”
http://roomfordebate.blogs.nytimes.com/2009/02/25/ideas-for-fixing-health-care/#pho

Kevin

]]>