Tag Archives: Bureaucracy

No Time For Patients – ICD 11 and the Banality of Evil

Talk to your doctor and ask about how much time is spent on the 21st century’s version of paperwork. Also ask about the sense of satisfaction he gets from spending more time in front of a computer than he does interacting with his patients. Having just been confronted with with ICD 10, which contained an…


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CMS – Proposed New Physician Fee Schedule

If you think health care is expensive now, wait until you see what it costs when it’s free PJ O’Rourke CMS (the federal agency that runs Medicare and Medicaid) is proposing a new physician fee schedule. The three page article that summarizes the proposed changes is hard for my ossified brain to decode, so I…


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Trans Fats, Big Brother, and Sloppy Science

Be afraid. There’s a plot to poison you with fat, trans fats to be precise or trans fatty acids to be even more exact. There are two articles in the Annals of Internal Medicine (here and here) which give a pretty good idea where medicine is heading. You’ve likely heard about trans fats. Their chemical…


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How I Spent New Year’s Eve

If you think healthcare is expensive now, wait until you see what it costs when it’s free – PJ O’Rourke I hope you had fun celebrating the New Year. I was supposed to be at a gay soiree – well not gay, festive. You know what I mean. I didn’t make the party. Instead I…


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