Addressing threats to health care's core values, especially those stemming from concentration and abuse of power - and now larger threats to the democracy needed to advance health and welfare. Advocating for accountability, integrity, transparency, honesty and ethics in leadership and governance of health care.
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Friday, November 23, 2007
BLOGSCAN - The Dwindling of Primary Care
On the Retired Doc's Thoughts blog, Dr James Gaulte tied the dwindling of primary care to how Medicare controls physicians' reimbursement. Furthermore, he ties the continuing imbalance between the generally poor reimbursement for primary care and other cognitive services and the much better reimbursement for procedures to the influence of the shadowy RUC (RBRVS Update Committee), a topic which I have also ranted about (here and here). Kudos to Dr Gaulte for trying to keep a flame under this pot.
Also, see anything by Barbara Starfield. She has correlated population health to the degree if imbalance between specialist and generalist compensation.
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