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	<title>Comments on: Healthcare Update &#8211; 08-25-2010</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25467</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 31 Aug 2010 16:48:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25467</guid>
		<description><![CDATA[It&#039;s not me you&#039;re arguing with - it&#039;s the facts.  Don&#039;t fight them - embrace them.]]></description>
		<content:encoded><![CDATA[<p>It&#8217;s not me you&#8217;re arguing with &#8211; it&#8217;s the facts.  Don&#8217;t fight them &#8211; embrace them.</p>
]]></content:encoded>
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	<item>
		<title>By: Fyrdoc</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25464</link>
		<dc:creator>Fyrdoc</dc:creator>
		<pubDate>Tue, 31 Aug 2010 15:39:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25464</guid>
		<description><![CDATA[Yep, I&#039;m fine.  Just haven&#039;t felt like banging my head against the wall (i.e., argue with you) lately.]]></description>
		<content:encoded><![CDATA[<p>Yep, I&#8217;m fine.  Just haven&#8217;t felt like banging my head against the wall (i.e., argue with you) lately.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25423</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Mon, 30 Aug 2010 17:55:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25423</guid>
		<description><![CDATA[Your charm has been sorely missed.  You doing ok?]]></description>
		<content:encoded><![CDATA[<p>Your charm has been sorely missed.  You doing ok?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Fyrdoc</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25422</link>
		<dc:creator>Fyrdoc</dc:creator>
		<pubDate>Mon, 30 Aug 2010 17:48:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25422</guid>
		<description><![CDATA[Yeah Matt,

I&#039;d give you that one, except when you actually apply logic, even this falls apart.  Now let&#039;s see, I&#039;m trying to create an on-line persona that will attract women.  I know, I&#039;ll say I&#039;m a DOCTOR!  OTOH, no one but a lawyer would ever admit to being one.  So, I&#039;m pretty sure in reality you have us beat there too.]]></description>
		<content:encoded><![CDATA[<p>Yeah Matt,</p>
<p>I&#8217;d give you that one, except when you actually apply logic, even this falls apart.  Now let&#8217;s see, I&#8217;m trying to create an on-line persona that will attract women.  I know, I&#8217;ll say I&#8217;m a DOCTOR!  OTOH, no one but a lawyer would ever admit to being one.  So, I&#8217;m pretty sure in reality you have us beat there too.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25243</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Sat, 28 Aug 2010 02:54:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25243</guid>
		<description><![CDATA[Physicians beat attorneys again!  Although I don&#039;t mind losing this one:

http://www.boingboing.net/2010/03/10/most-adulterous-prof.html?utm_source=feedburner&amp;utm_medium=email&amp;utm_campaign=Feed:+boingboing/iBag+(Boing+Boing)]]></description>
		<content:encoded><![CDATA[<p>Physicians beat attorneys again!  Although I don&#8217;t mind losing this one:</p>
<p><a href="http://www.boingboing.net/2010/03/10/most-adulterous-prof.html?utm_source=feedburner&#038;utm_medium=email&#038;utm_campaign=Feed:+boingboing/iBag+(Boing+Boing)" rel="nofollow">http://www.boingboing.net/2010/03/10/most-adulterous-prof.html?utm_source=feedburner&#038;utm_medium=email&#038;utm_campaign=Feed:+boingboing/iBag+(Boing+Boing)</a></p>
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		<title>By: Carol</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25234</link>
		<dc:creator>Carol</dc:creator>
		<pubDate>Fri, 27 Aug 2010 23:24:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25234</guid>
		<description><![CDATA[It makes me very sad that people with mental illness cannot get appropriate care.]]></description>
		<content:encoded><![CDATA[<p>It makes me very sad that people with mental illness cannot get appropriate care.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25193</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 27 Aug 2010 13:56:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25193</guid>
		<description><![CDATA[Rural areas with high overhead?  Where can you find calculations of the overhead for any profession?  Other than average labor costs?

Remember though, attorneys aren&#039;t asking for extraordinary limitations on their liability - you are.]]></description>
		<content:encoded><![CDATA[<p>Rural areas with high overhead?  Where can you find calculations of the overhead for any profession?  Other than average labor costs?</p>
<p>Remember though, attorneys aren&#8217;t asking for extraordinary limitations on their liability &#8211; you are.</p>
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	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25192</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 27 Aug 2010 13:54:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25192</guid>
		<description><![CDATA[So are you promising that physicians will take those money losing patients if we give them something?  If not, I&#039;m not sure the point of your first paragraph.

$420,000 for med mal?  Where?  Who?  On average, CMS reports that malpractice insurance is less than 5% of a physicians&#039; overhead.  You claim that Texas physicians are seeing more patients?  How can I confirm that?  

If that&#039;s the case, why don&#039;t we just arbitrarily cap your insurance premiums so you&#039;ll see more patients - can you give us a dollar-patient figure?]]></description>
		<content:encoded><![CDATA[<p>So are you promising that physicians will take those money losing patients if we give them something?  If not, I&#8217;m not sure the point of your first paragraph.</p>
<p>$420,000 for med mal?  Where?  Who?  On average, CMS reports that malpractice insurance is less than 5% of a physicians&#8217; overhead.  You claim that Texas physicians are seeing more patients?  How can I confirm that?  </p>
<p>If that&#8217;s the case, why don&#8217;t we just arbitrarily cap your insurance premiums so you&#8217;ll see more patients &#8211; can you give us a dollar-patient figure?</p>
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	<item>
		<title>By: throckmorton</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25166</link>
		<dc:creator>throckmorton</dc:creator>
		<pubDate>Fri, 27 Aug 2010 01:27:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25166</guid>
		<description><![CDATA[I agree.  Part of the problem is that we are trained to treat diseases and emergencies where politics doesnt help.  Or at least it hasnt helped stop a tension ptx in the ER.]]></description>
		<content:encoded><![CDATA[<p>I agree.  Part of the problem is that we are trained to treat diseases and emergencies where politics doesnt help.  Or at least it hasnt helped stop a tension ptx in the ER.</p>
]]></content:encoded>
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	<item>
		<title>By: throckmorton</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/healthcare-update-08-25-2010/#comment-25165</link>
		<dc:creator>throckmorton</dc:creator>
		<pubDate>Fri, 27 Aug 2010 01:25:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5449#comment-25165</guid>
		<description><![CDATA[Matt;

You site a &quot;working paper&quot;. This is very different from a &quot;study&quot;. This working paper didnt include even a MANOVA analysis to statistically support its conclusions.

In looking at physician shortages and the economics of medmal the other variables must be controlled or at least understood.

Have you ever looked to see what the number of attorneys per capita is in rural areas with high overhead?  I think you will find it is better in areas with lower overhead.]]></description>
		<content:encoded><![CDATA[<p>Matt;</p>
<p>You site a &#8220;working paper&#8221;. This is very different from a &#8220;study&#8221;. This working paper didnt include even a MANOVA analysis to statistically support its conclusions.</p>
<p>In looking at physician shortages and the economics of medmal the other variables must be controlled or at least understood.</p>
<p>Have you ever looked to see what the number of attorneys per capita is in rural areas with high overhead?  I think you will find it is better in areas with lower overhead.</p>
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