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	<title>Comments on: Healthcare Update &#8212; 07-23-2010</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Doc99</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-24110</link>
		<dc:creator>Doc99</dc:creator>
		<pubDate>Fri, 30 Jul 2010 02:12:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-24110</guid>
		<description>Inevitably, they&#039;ll return for &quot;Fast Food.&quot;</description>
		<content:encoded><![CDATA[<p>Inevitably, they&#8217;ll return for &#8220;Fast Food.&#8221;</p>
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		<title>By: Nurse K</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-24066</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Wed, 28 Jul 2010 14:53:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-24066</guid>
		<description>Uh, that&#039;s called socialized medicine.  You can&#039;t really be for that, dude.</description>
		<content:encoded><![CDATA[<p>Uh, that&#8217;s called socialized medicine.  You can&#8217;t really be for that, dude.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23919</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Sun, 25 Jul 2010 10:03:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23919</guid>
		<description>They have professional liability, not strict liability. The damage must have come from a deviation from their professional standards. If everyone had to have the same outcome, that would be strict liability. The liability would come from the bad outcome, no matter if the defendant did anothing wrong.</description>
		<content:encoded><![CDATA[<p>They have professional liability, not strict liability. The damage must have come from a deviation from their professional standards. If everyone had to have the same outcome, that would be strict liability. The liability would come from the bad outcome, no matter if the defendant did anothing wrong.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23918</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Sun, 25 Jul 2010 09:53:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23918</guid>
		<description>There is good evidence and naturalistic experimentation showing that tort litigation deters, not just the defendant, but the entire industry. Immunity grows the industry. 

Here is a list of historical experiments. One, the KKK, has a repeated on-off, on-off sequence. 


http://supremacyclaus.blogspot.com/2007/09/immunity-and-liability-are-stealthy.html

Thank the lawyer for the end of manufacturing in the US. Now the lawyer is going after drug companies. Those will be gone. Medicine happens to be relatively immune, and is growing. Lawyering is nearly totally  immune, and growing.</description>
		<content:encoded><![CDATA[<p>There is good evidence and naturalistic experimentation showing that tort litigation deters, not just the defendant, but the entire industry. Immunity grows the industry. </p>
<p>Here is a list of historical experiments. One, the KKK, has a repeated on-off, on-off sequence. </p>
<p><a href="http://supremacyclaus.blogspot.com/2007/09/immunity-and-liability-are-stealthy.html" rel="nofollow">http://supremacyclaus.blogspot.com/2007/09/immunity-and-liability-are-stealthy.html</a></p>
<p>Thank the lawyer for the end of manufacturing in the US. Now the lawyer is going after drug companies. Those will be gone. Medicine happens to be relatively immune, and is growing. Lawyering is nearly totally  immune, and growing.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23917</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Sun, 25 Jul 2010 09:45:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23917</guid>
		<description>&quot;Blacks, Hispanics, and Asians all tend to think that doctors of their same race or ethnicity provide better medical care. Unfortunately if they go to the emergency departments, they have a 4 in 5 chance of being disappointed. 80% of the emergency physicians in the US are white.&quot;

In a study of cancer patients, same race patients initiated a lot more questions and conversations. 

The implication is that if that with patients of a different race than the doctor, the doctor must initiate more clinically important conversation. You can imagine, in a cancer follow up visit, a lot of ground has to be covered. If the patient has a race different from the doctor&#039;s, the doctor must bring up a lot more subjects.</description>
		<content:encoded><![CDATA[<p>&#8220;Blacks, Hispanics, and Asians all tend to think that doctors of their same race or ethnicity provide better medical care. Unfortunately if they go to the emergency departments, they have a 4 in 5 chance of being disappointed. 80% of the emergency physicians in the US are white.&#8221;</p>
<p>In a study of cancer patients, same race patients initiated a lot more questions and conversations. </p>
<p>The implication is that if that with patients of a different race than the doctor, the doctor must initiate more clinically important conversation. You can imagine, in a cancer follow up visit, a lot of ground has to be covered. If the patient has a race different from the doctor&#8217;s, the doctor must bring up a lot more subjects.</p>
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		<title>By: Niggs</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23908</link>
		<dc:creator>Niggs</dc:creator>
		<pubDate>Sun, 25 Jul 2010 03:00:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23908</guid>
		<description>I knew a woman who gave birth to her first child alone. At the birth of her second child only her daughter was in attendance. At the birth of her son only her two daughters were in attendance.

Insane and very very very lucky.</description>
		<content:encoded><![CDATA[<p>I knew a woman who gave birth to her first child alone. At the birth of her second child only her daughter was in attendance. At the birth of her son only her two daughters were in attendance.</p>
<p>Insane and very very very lucky.</p>
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		<title>By: Sarah</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23897</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Sat, 24 Jul 2010 19:57:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23897</guid>
		<description>Okay, so I am now dying to know where you are from.  :-)  The Dells?!?  I love it.  Can&#039;t sell the cruisers - that&#039;s a big revenue source - hitting up speeding Illinois tourists heading north.  

Sad that I am a physician from Wisconsin and found out about the Supreme Court decision through your blog - also sad this has been dragged out for so long.</description>
		<content:encoded><![CDATA[<p>Okay, so I am now dying to know where you are from.  <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />   The Dells?!?  I love it.  Can&#8217;t sell the cruisers &#8211; that&#8217;s a big revenue source &#8211; hitting up speeding Illinois tourists heading north.  </p>
<p>Sad that I am a physician from Wisconsin and found out about the Supreme Court decision through your blog &#8211; also sad this has been dragged out for so long.</p>
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		<title>By: sarah</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23885</link>
		<dc:creator>sarah</dc:creator>
		<pubDate>Sat, 24 Jul 2010 15:33:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23885</guid>
		<description>i am in exact agreement with you.</description>
		<content:encoded><![CDATA[<p>i am in exact agreement with you.</p>
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		<title>By: VA Hopeful</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23882</link>
		<dc:creator>VA Hopeful</dc:creator>
		<pubDate>Sat, 24 Jul 2010 12:44:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23882</guid>
		<description>Home birth without a trained provider is, in fact, unsafe.  People these days tend to forget exactly how many things can go wrong that can cause serious problems to either mom or baby.</description>
		<content:encoded><![CDATA[<p>Home birth without a trained provider is, in fact, unsafe.  People these days tend to forget exactly how many things can go wrong that can cause serious problems to either mom or baby.</p>
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		<title>By: Anonymous</title>
		<link>http://www.epmonthly.com/whitecoat/2010/07/healthcare-update-07-23-2010/#comment-23870</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 24 Jul 2010 04:40:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5225#comment-23870</guid>
		<description>&quot;Blacks, Hispanics, and Asians all tend to think that doctors of their same race or ethnicity provide better medical care.&quot;

Well I can speak from college about asian students in general.  As students they&#039;re great at memorizing and regurgitating textbooks, but when it comes to actually thinking they come up 0&#039;s.  Translation: give them a multiple choice test they&#039;ll score 100%.  Given them a problem and a blank sheet of paper for doing it out, they die.  And when I&#039;ve had asian doctors it&#039;s the exact same thing...

Black doctors...I&#039;d rather have a doctor that got into a college because they were smart, not because they were a minority.  Until affirmative action gets killed I&#039;m not changing my opinion on that.  But I&#039;ve also met some that are very good at what they do.

Hispanics...worst cheaters on assignments I&#039;ve ever seen.  Funny part is though you&#039;ll see a group of 10 of them trying to figure something out and none of them are good enough to get it even when combined.

Whites...pretty much average in every category.  Good ones, bad ones, cheaters, noncheaters, thinkers, non thinkers.</description>
		<content:encoded><![CDATA[<p>&#8220;Blacks, Hispanics, and Asians all tend to think that doctors of their same race or ethnicity provide better medical care.&#8221;</p>
<p>Well I can speak from college about asian students in general.  As students they&#8217;re great at memorizing and regurgitating textbooks, but when it comes to actually thinking they come up 0&#8242;s.  Translation: give them a multiple choice test they&#8217;ll score 100%.  Given them a problem and a blank sheet of paper for doing it out, they die.  And when I&#8217;ve had asian doctors it&#8217;s the exact same thing&#8230;</p>
<p>Black doctors&#8230;I&#8217;d rather have a doctor that got into a college because they were smart, not because they were a minority.  Until affirmative action gets killed I&#8217;m not changing my opinion on that.  But I&#8217;ve also met some that are very good at what they do.</p>
<p>Hispanics&#8230;worst cheaters on assignments I&#8217;ve ever seen.  Funny part is though you&#8217;ll see a group of 10 of them trying to figure something out and none of them are good enough to get it even when combined.</p>
<p>Whites&#8230;pretty much average in every category.  Good ones, bad ones, cheaters, noncheaters, thinkers, non thinkers.</p>
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