Categories

Above the Fold

QUALITY/PHYSICIANS: Just what we need now, another grandstanding politician on end of life issues

I’ve been having a backchat email with the people from the Tenet Shareholders Committee. They are enjoying the legal  attack on the Louisiana physician who is supposed to have performed a mercy killing or provided ample pain medication at Tenet’s Memorial Hospital a little too much for my taste. Admittedly they are so opposed to Tenet that this one is too easy for them. But I doubt this one has anything to do with Tenet, which frankly didn’t do much to help its patients (HCA was a little more honorable).

But where the hell was the Louisiana or New Orleans AG (or for that matter any other level of government) when desperate physicians, nurses and patients needed help? Absolutely effing nowhere. A humane person wouldn’t leave a dog to slowly die or drown in the 105 degree heat, let alone another human. And it seems to me that in absolutely desperate circumstances, Dr Anna Pou did what she felt was best for those patients.Yet six months later a grandstanding DA gets his jollies off by sending physicians and nurses on trial for homicide.

This is total bullshit. A series of studies in the 1990s showed that physicians routinely ignored DNR orders. I don’t recall any of them being prosecuted, but they probably caused more harm and inflicted way more distress on patients than Dr. Pou would have done under any normal circumstances…..and let us not forget—those were anything but normal circumstances. If I was a patient there suffering with no water, no power,and no hope other than suffering a long agonizing death—I’d have been very grateful for the relief Dr. Pou’s care would have given me in my final hours.

And now we’re going to send her to jail?!

 

TECH: Tim keeping track of healthcare unbound

Over at Medical Connectivity Consulting Tim Gee is blogging up a storm about the Healthcare Unbound conference going on in Boston. For those of you who don’t know “Healthcare Unbound” is our friends at Forrester’s cute-sy way of talking about remote monitoring, but they’re good guys so let’s let them have their phrase and their fun!

 

POLITICS/POLICY/HEALTH PLANS: On the Blues’ political giving & CDHP complexity

Says here that Blues Plans Favor Republicans With Their 2006 Campaign Contributions. But I think what it means is that they’re favoring incumbents. Having said that and reading the polls and the tea leaves, I think the Blues might think about evening up those contributions given that the Congress is as likely to flip over his year as any since 1994, and that the Blue Dog Democrats are the crowd most traditionally aligned with their interests.

Meanwhile, Joe Paduda is showing that the CDHP is even more confusing to consumers than ordinary health plans. Well, when United bought the shysters at Golden Rule, you didn’t actually think that they were going to reform them, did you?

 

POLICY/THE INDUSTRY: Nice work if you can get it

So for rewriting Alain Enthoven’s lectures from the late 1980s and missing the main points, apparently Michael Porter is being paid $50,000 a day, and that is a discount from his apparently usual fee of $100,000! Damn, that’s nice work and yes I am very jealous. Hopefully I’ll soon have his co-author Elizabeth Teisberg on THCB to explain what I don’t understand about their book which I’m chunking through at the moment.

When I said he was sinking in the health care quagmire, I should have said that he would be rolling in it.

PHYSICIANS/INDUSTRY: Retail clinics

I recently met Michael Howe who is CEO of MinuteClinic, and he had the good graces to call me back and talk on the day that they sold out to CVS. Very classy as it would have been easy to blow me off.

So the rumor quoted here is that CVS paid $170m for the company—certainly an endorsement that they at least think that retail NP clinics are real. But if you want to really know more, look at this new report on retail clinics from the California Health Care Foundation written by Mary Kaye Scott. Very nice summary indeed.

PHARMA/CONSUMERS: Med Solutions

This is more of a public service announcement, but Med Solutions offers a service which can put you in touch with all the patient assistance programs from big Pharma. It looks to be well worth checking out if you need drugs and can’t afford them.

BLOGS: Medpundit’s back

My fiancee complains when I come to bed late after blogging. Medpundit’s family complained when she ranted to them instead of to us. So she’s back! Hi Syd and welcome back!

HOSPITALS/POLICY: Unhealthy & unhappy Returns from BillMon

I missed this but last week my favorite writer on the entire Internet, Billmon at the Whiskey Bar, wrote about health care. 99% of his posts are about foreign policy, from an extremely cynical point of view. But this time he looked at the capital problems facing hospitals and his extrapolating guess is that to maintain the profitability of hospitals we will soon be allowing emergency rooms to turf people out to die in the streets. His piece on the future of EMTALA (not that he uses the term, but he clearly understands it) is called Unhealthy Returns.

THCB – You’ve got mail!

Or we’ve got mail. Or we’ve all got mail. Or something … 

After much late night heroism by THCB’s trusty (and highly sensitive) tech staff, the THCB email list is up and running. If you’d like to get a quick email in your inbox with a rundown of new posts – with news flashes for important stories – you can sign up here.

If you subscribed to the list in its earlier incarnation, there’s no need to do so again.

assetto corsa mods