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	<title>Comments on: Accepting Our New Normal and Finding New Opportunities</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: kris</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-108161</link>
		<dc:creator>kris</dc:creator>
		<pubDate>Wed, 28 Nov 2012 20:56:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-108161</guid>
		<description><![CDATA[&quot;The difference in America is that Obamacare will still leave the lawyers free to prey upon physicians for providing government-mandated substandard care.

As physicians, we are the designated whipping boys of a president who belives that we perform amputations because they pay better than managing HA1C.&quot;
 It is interesting you feel free to malign and stereotype one group of people (lawyers) while in the next sentence are appalled that another group (physicians) are being maligned and stereotyped.]]></description>
		<content:encoded><![CDATA[<p>&#8220;The difference in America is that Obamacare will still leave the lawyers free to prey upon physicians for providing government-mandated substandard care.</p>
<p>As physicians, we are the designated whipping boys of a president who belives that we perform amputations because they pay better than managing HA1C.&#8221;<br />
 It is interesting you feel free to malign and stereotype one group of people (lawyers) while in the next sentence are appalled that another group (physicians) are being maligned and stereotyped.</p>
]]></content:encoded>
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		<title>By: Onefootoutthedoor</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-108149</link>
		<dc:creator>Onefootoutthedoor</dc:creator>
		<pubDate>Wed, 28 Nov 2012 19:52:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-108149</guid>
		<description><![CDATA[Also, I&#039;m going to add the following...

The importance of the Hippocratic oath was not the time in which he practiced or the technology available to him.  It represented a philosophy of medical practice that rose above the needs of business and profit to serve the needs of the patient.

Perhaps one of its most important statements is: &quot;Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice&quot;

Now that intentional injustice to the individual has been institutionalized in the name of collective fairness, Hippocratic medicine is indeed dead.]]></description>
		<content:encoded><![CDATA[<p>Also, I&#8217;m going to add the following&#8230;</p>
<p>The importance of the Hippocratic oath was not the time in which he practiced or the technology available to him.  It represented a philosophy of medical practice that rose above the needs of business and profit to serve the needs of the patient.</p>
<p>Perhaps one of its most important statements is: &#8220;Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice&#8221;</p>
<p>Now that intentional injustice to the individual has been institutionalized in the name of collective fairness, Hippocratic medicine is indeed dead.</p>
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		<title>By: Onefootoutthedoor</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-108144</link>
		<dc:creator>Onefootoutthedoor</dc:creator>
		<pubDate>Wed, 28 Nov 2012 19:06:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-108144</guid>
		<description><![CDATA[&gt;The new generation of physicians may very well
&gt;evolve into protocol-following, brown-nosing,
&gt;corporate mantra-spewing clock-punchers,
&gt;indistinguishable from other “providers” all
&gt;while refusing to make the tremendous sacrifices
&gt;of doctors past

This is what has happened in every other national health system.  The difference in America is that Obamacare will still leave the lawyers free to prey upon physicians for providing government-mandated substandard care.

As physicians, we are the designated whipping boys of a president who belives that we perform amputations because they pay better than managing HA1C.

Count me out.]]></description>
		<content:encoded><![CDATA[<p>&gt;The new generation of physicians may very well<br />
&gt;evolve into protocol-following, brown-nosing,<br />
&gt;corporate mantra-spewing clock-punchers,<br />
&gt;indistinguishable from other “providers” all<br />
&gt;while refusing to make the tremendous sacrifices<br />
&gt;of doctors past</p>
<p>This is what has happened in every other national health system.  The difference in America is that Obamacare will still leave the lawyers free to prey upon physicians for providing government-mandated substandard care.</p>
<p>As physicians, we are the designated whipping boys of a president who belives that we perform amputations because they pay better than managing HA1C.</p>
<p>Count me out.</p>
]]></content:encoded>
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		<title>By: Canuck ER MD</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107751</link>
		<dc:creator>Canuck ER MD</dc:creator>
		<pubDate>Mon, 26 Nov 2012 03:49:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107751</guid>
		<description><![CDATA[Cultural difference. Canucks (the vast majority) are not sue happy...]]></description>
		<content:encoded><![CDATA[<p>Cultural difference. Canucks (the vast majority) are not sue happy&#8230;</p>
]]></content:encoded>
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		<title>By: Bobby</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107740</link>
		<dc:creator>Bobby</dc:creator>
		<pubDate>Mon, 26 Nov 2012 02:00:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107740</guid>
		<description><![CDATA[Good luck.

I wish you the best.

I agree we practice in a different world, but I don&#039; think that means it has to change your attitude. The attitude is a choice.

My dream is that we can get physicians like you and many others together who can identify the waste and present solutions.  If anything, this problem is a huge opportunity for all of us.  If this is solved then patients and doctors win.  Like I said, that video you posted was excellent, I wonder if we can get more physicians together with a united voice that helps everyone and saves  $.]]></description>
		<content:encoded><![CDATA[<p>Good luck.</p>
<p>I wish you the best.</p>
<p>I agree we practice in a different world, but I don&#8217; think that means it has to change your attitude. The attitude is a choice.</p>
<p>My dream is that we can get physicians like you and many others together who can identify the waste and present solutions.  If anything, this problem is a huge opportunity for all of us.  If this is solved then patients and doctors win.  Like I said, that video you posted was excellent, I wonder if we can get more physicians together with a united voice that helps everyone and saves  $.</p>
]]></content:encoded>
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		<title>By: Birdstrike</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107738</link>
		<dc:creator>Birdstrike</dc:creator>
		<pubDate>Mon, 26 Nov 2012 01:41:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107738</guid>
		<description><![CDATA[&quot;Part of the premise of this whole article is that somehow the legislation is burying the ghosts of Hippocrates, Osler and Marcus Welby M.D… I don’t believe that’s true.&quot;

Hippocrates was a physician that lived over 2000 years ago.  Osler practiced before the era of antibiotics, the era of $250,000+ of student loan debt, the defensive medicine crisis and electronic medical records.  Marcus Welby M.D. was fictional.  We practice in a very different environment than any of the above.  That reality began long before Obamacare became law.


&quot;I believe there is still hope as long as people continue to fight for positive change.&quot;

We agree on this.]]></description>
		<content:encoded><![CDATA[<p>&#8220;Part of the premise of this whole article is that somehow the legislation is burying the ghosts of Hippocrates, Osler and Marcus Welby M.D… I don’t believe that’s true.&#8221;</p>
<p>Hippocrates was a physician that lived over 2000 years ago.  Osler practiced before the era of antibiotics, the era of $250,000+ of student loan debt, the defensive medicine crisis and electronic medical records.  Marcus Welby M.D. was fictional.  We practice in a very different environment than any of the above.  That reality began long before Obamacare became law.</p>
<p>&#8220;I believe there is still hope as long as people continue to fight for positive change.&#8221;</p>
<p>We agree on this.</p>
]]></content:encoded>
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		<title>By: Bobby</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107737</link>
		<dc:creator>Bobby</dc:creator>
		<pubDate>Mon, 26 Nov 2012 01:21:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107737</guid>
		<description><![CDATA[I wasn&#039;t implying you should write about untruths, but rather the truths that are positive, rather than all the truths that are negative.

If a person just lost their legs in an accident, they could spend hours thinking of all the things they can no longer do or hours thinking of the things they can still do.  Both true, yet one is positive and the other is negative.

Just because a person is replaceable doesn&#039;t mean they have to have a poor attitude.  Your attitude of how you approach the job is independent of private practice or being an employee.  So yes, I do think adopting a poor attitude is &quot;sad and pessimistic&quot;.

I did enjoy the video you posted of a group of physicians finding a free-market way around the system.  That was fantastic and showed the waste in the system and how it could become more efficient.  I think you&#039;re an intelligent guy and that if we can get people who see all these problems and start a movement for change towards something positive (like that video in your post), then maybe it would help everyone.  But seeing things as the new normal and then taking advantage of the situation to serve yourself in the best way possible doesn&#039;t seem like a great plan.  Part of the premise of this whole article is that somehow the legislation is burying the ghosts of Hippocrates, Osler and Marcus Welby M.D... I don&#039;t believe that&#039;s true.  I believe there is still hope as long as people continue to fight for positive change.]]></description>
		<content:encoded><![CDATA[<p>I wasn&#8217;t implying you should write about untruths, but rather the truths that are positive, rather than all the truths that are negative.</p>
<p>If a person just lost their legs in an accident, they could spend hours thinking of all the things they can no longer do or hours thinking of the things they can still do.  Both true, yet one is positive and the other is negative.</p>
<p>Just because a person is replaceable doesn&#8217;t mean they have to have a poor attitude.  Your attitude of how you approach the job is independent of private practice or being an employee.  So yes, I do think adopting a poor attitude is &#8220;sad and pessimistic&#8221;.</p>
<p>I did enjoy the video you posted of a group of physicians finding a free-market way around the system.  That was fantastic and showed the waste in the system and how it could become more efficient.  I think you&#8217;re an intelligent guy and that if we can get people who see all these problems and start a movement for change towards something positive (like that video in your post), then maybe it would help everyone.  But seeing things as the new normal and then taking advantage of the situation to serve yourself in the best way possible doesn&#8217;t seem like a great plan.  Part of the premise of this whole article is that somehow the legislation is burying the ghosts of Hippocrates, Osler and Marcus Welby M.D&#8230; I don&#8217;t believe that&#8217;s true.  I believe there is still hope as long as people continue to fight for positive change.</p>
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		<title>By: David Behar, MD, EJD</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107729</link>
		<dc:creator>David Behar, MD, EJD</dc:creator>
		<pubDate>Mon, 26 Nov 2012 00:24:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107729</guid>
		<description><![CDATA[One has to understand better. A criminal cult enterprise, the lawyer profession, has total control of the three branches of government. Itself, it is in total failure as far as the goals of all law subjects. However, it uses its power to extract rents from the taxpayer, and is now taking over the one sixth of the economy that constitutes health care. 

It is destroying the family, the church, the schools, and all competing sources of moral and actual authority. They are in competition with government. 

As with all other criminal enterprises, especially ones that control a government, making 99% of its policy choices, there is no legal recourse. 
]]></description>
		<content:encoded><![CDATA[<p>One has to understand better. A criminal cult enterprise, the lawyer profession, has total control of the three branches of government. Itself, it is in total failure as far as the goals of all law subjects. However, it uses its power to extract rents from the taxpayer, and is now taking over the one sixth of the economy that constitutes health care. </p>
<p>It is destroying the family, the church, the schools, and all competing sources of moral and actual authority. They are in competition with government. </p>
<p>As with all other criminal enterprises, especially ones that control a government, making 99% of its policy choices, there is no legal recourse. </p>
]]></content:encoded>
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		<title>By: Birdstrike</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107727</link>
		<dc:creator>Birdstrike</dc:creator>
		<pubDate>Mon, 26 Nov 2012 00:18:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107727</guid>
		<description><![CDATA[Thanks (I think).]]></description>
		<content:encoded><![CDATA[<p>Thanks (I think).</p>
]]></content:encoded>
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		<title>By: girlvet</title>
		<link>http://www.epmonthly.com/whitecoat/2012/11/accepting-our-new-normal-and-finding-new-opportunities/#comment-107715</link>
		<dc:creator>girlvet</dc:creator>
		<pubDate>Sun, 25 Nov 2012 22:37:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8767#comment-107715</guid>
		<description><![CDATA[Wow. I am flabbergasted. An honest assessment of reality by a doc. Impressive.]]></description>
		<content:encoded><![CDATA[<p>Wow. I am flabbergasted. An honest assessment of reality by a doc. Impressive.</p>
]]></content:encoded>
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