Last night, I was invited to a “boys” night by a good friend. The ”boys” were all MD's- specialists- mostly guys that I know and respect by the way, as individuals and physicians. I have not socialized with them for a very long time and I was looking forward to the experience. BUT, the night was depressing for me because as we hung out it became clear that we have become VERY far apart.

These docs , who in some ways are representative of docs in private practice certainly in Ari...

Continue reading ...

Adult primary care providers (PCP's-Family Doctors and Internists) are paid 55% of what reimbursement is typically for specialists Yet, specialists (cardiologists, radiologists, surgeons, etc.) increase the cost of care, increase the number of hospitalizations, and utilize pharmaceuticals in greater numbers, DECREASE lifespan and quality of life. PCP's, on the other hand, INCREASE length of life, DECREASE mortality and decrease all the other parameters I just mentioned like hospitalizations, ...

Continue reading ...

Every time there is talk about universal health coverage, the political right scares you by yelling "socialism". They warn of "long lines" for care. They warn of rationing of medical services. They yell with pride that we have the "best" medical system in the world.

Now, I am NOT on the right or the left. I AM a doctor and I want ALL American citizens to have access to health care. NO AMERICAN should worry about medical care and medicines for their families. NEVER!!!!! You will note that it i...
Continue reading ...

I am a strong advocate of more access to health care for ALL Amercans. I want to see it affordable. I want to see it include integrative medicine (alternative and convenional care). I want folks to have a choice of their physicians and health care institutions. NO AMERICAN CITIZEN should go without health care coverage.

On the other hand, who is going to pay for this?  How are we going to finance more expense in a country that is on its knees financially? My greatest fear in the next year or s...
Continue reading ...

I am hearing the term "Community Health Centers" as the "new" concept for primary care inner city and rural health care in the U.S. Well folks- been there and done that!!!     The neighborhood health centers of the 70's DID serve a purpose but DID NOT resolve health care issues for the poor or the middle class may I say. These are primary care centers, typically run with a heart but GREAT inefficiency and with some indifference from the non medical doctor employees- like government employees....
Continue reading ...