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	<title>Comments on: Healthcare Update &#8212; 01-07-2013</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Linda</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-115239</link>
		<dc:creator>Linda</dc:creator>
		<pubDate>Wed, 16 Jan 2013 01:44:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-115239</guid>
		<description><![CDATA[As a pharmacist I don&#039;t want prescribing practices expanded to chiropractors. In some circumstances I carry a liability along with the prescriber. I have found the less a prescriber knows about a medication the more adamant he/she is in prescribing it.Can you imagine a chiro trying to prescribe adalimumab or methotrexate?]]></description>
		<content:encoded><![CDATA[<p>As a pharmacist I don&#8217;t want prescribing practices expanded to chiropractors. In some circumstances I carry a liability along with the prescriber. I have found the less a prescriber knows about a medication the more adamant he/she is in prescribing it.Can you imagine a chiro trying to prescribe adalimumab or methotrexate?</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-114248</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Thu, 10 Jan 2013 15:46:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-114248</guid>
		<description><![CDATA[A criminal action is not a suit at all similar to a medical malpractice civil suit (assuming we can compare legal systems between our country and theirs).  So your comparison fails, per usual.  It&#039;s unlikely that Taiwan&#039;s system has much in common with our system with its roots in the British.  Moreover, their healthcare system is single payer, which also makes comparisons between the motivations of physicians between our country and theirs pretty suspect.  But I realize the conclusions drive the evidence with you, rather than vice versa.

Quick primer on Taiwanese Healthcare: 

http://en.wikipedia.org/wiki/Healthcare_in_Taiwan

Note the section on Problems. 

We are not heading down the penalty path in this country any more than we are trying to &quot;sue our way&quot; to better healthcare in this country.  As you well know, the majority of malpractice doesn&#039;t result in a claim.  And when you look at the number of doctor/patient interactions and the number of criminal charges against physicians, it&#039;s minimal.  

The availability of medical care is, has been, and always will be a function of the wealth of a community.  Poor people will always have fewer, and there will always be plenty of physicians to serve wealthy communities.  Your hysterical pronouncements will not change that.]]></description>
		<content:encoded><![CDATA[<p>A criminal action is not a suit at all similar to a medical malpractice civil suit (assuming we can compare legal systems between our country and theirs).  So your comparison fails, per usual.  It&#8217;s unlikely that Taiwan&#8217;s system has much in common with our system with its roots in the British.  Moreover, their healthcare system is single payer, which also makes comparisons between the motivations of physicians between our country and theirs pretty suspect.  But I realize the conclusions drive the evidence with you, rather than vice versa.</p>
<p>Quick primer on Taiwanese Healthcare: </p>
<p><a href="http://en.wikipedia.org/wiki/Healthcare_in_Taiwan" rel="nofollow">http://en.wikipedia.org/wiki/Healthcare_in_Taiwan</a></p>
<p>Note the section on Problems. </p>
<p>We are not heading down the penalty path in this country any more than we are trying to &#8220;sue our way&#8221; to better healthcare in this country.  As you well know, the majority of malpractice doesn&#8217;t result in a claim.  And when you look at the number of doctor/patient interactions and the number of criminal charges against physicians, it&#8217;s minimal.  </p>
<p>The availability of medical care is, has been, and always will be a function of the wealth of a community.  Poor people will always have fewer, and there will always be plenty of physicians to serve wealthy communities.  Your hysterical pronouncements will not change that.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113864</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Wed, 09 Jan 2013 00:43:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113864</guid>
		<description><![CDATA[&lt;a href=&quot;http://www.youtube.com/watch?v=ktUx57i63e0&quot; rel=&quot;nofollow&quot;&gt;Logic gene powers ... ACTIVATE&lt;/a&gt;!

Go back and click on the article and read *why* the Taiwanese government is considering the bill. Actually, don&#039;t bother. I wouldn&#039;t want you to get more confused. Key paragraph:

&lt;blockquote&gt;&quot;Malpractice claims proliferate in Taiwan and can result in severe penalties for medical personnel. As a result, domestic physicians tend to avoid fields such as surgery and emergency room treatment, according to the bill drafted by the Department of Health (DOH). The DOH developed the bill after the premier called for solutions to Taiwan&#039;s dwindling pool of qualified physicians in the key departments.&quot;&lt;/blockquote&gt;

So in other words, Taiwan was suing its way to such good health care that it couldn&#039;t find sufficient qualified physicians ... because those &quot;severe penalties&quot; it was imposing are so good at improving quality and availability of health care. 

Now Taiwan is trying to backpedal to attract more physicians. We&#039;ll see if it works. Or maybe they can hire more lawyers. After all, trial lawyer Gerry Spence believes that &lt;a href=&quot;http://legalnewsline.com/tort-reform/217295-spence-trial-lawyers-more-important-than-doctors&quot; rel=&quot;nofollow&quot;&gt;trial lawyers are more important than doctors&lt;/a&gt;, anyway. 

We&#039;re heading down the &quot;penalty&quot; path in medical care in this country, also. 

Watch to see how the availability of medical care is affected.

Glad I&#039;m a doctor.]]></description>
		<content:encoded><![CDATA[<p><a href="http://www.youtube.com/watch?v=ktUx57i63e0" rel="nofollow">Logic gene powers &#8230; ACTIVATE</a>!</p>
<p>Go back and click on the article and read *why* the Taiwanese government is considering the bill. Actually, don&#8217;t bother. I wouldn&#8217;t want you to get more confused. Key paragraph:</p>
<blockquote><p>&#8220;Malpractice claims proliferate in Taiwan and can result in severe penalties for medical personnel. As a result, domestic physicians tend to avoid fields such as surgery and emergency room treatment, according to the bill drafted by the Department of Health (DOH). The DOH developed the bill after the premier called for solutions to Taiwan&#8217;s dwindling pool of qualified physicians in the key departments.&#8221;</p></blockquote>
<p>So in other words, Taiwan was suing its way to such good health care that it couldn&#8217;t find sufficient qualified physicians &#8230; because those &#8220;severe penalties&#8221; it was imposing are so good at improving quality and availability of health care. </p>
<p>Now Taiwan is trying to backpedal to attract more physicians. We&#8217;ll see if it works. Or maybe they can hire more lawyers. After all, trial lawyer Gerry Spence believes that <a href="http://legalnewsline.com/tort-reform/217295-spence-trial-lawyers-more-important-than-doctors" rel="nofollow">trial lawyers are more important than doctors</a>, anyway. </p>
<p>We&#8217;re heading down the &#8220;penalty&#8221; path in medical care in this country, also. </p>
<p>Watch to see how the availability of medical care is affected.</p>
<p>Glad I&#8217;m a doctor.</p>
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		<title>By: Torgrim</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113855</link>
		<dc:creator>Torgrim</dc:creator>
		<pubDate>Tue, 08 Jan 2013 22:55:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113855</guid>
		<description><![CDATA[http://www.ey.gov.tw/News_Content.aspx?n=1C6028CA080A27B3&amp;s=AB2EB184E07C68A8

- this is a detailed plan of what the Taiwanese government is going  to do. As far as I can see, it is a no-fault compensation scheme, a patient&#039;s ombudsman  and extra-judicial &quot;arbitration&quot; by some government official. 

All of these things have already been tried in Norway and Sweden and have failed dismally. Difficult to see why the Taiwanese want to go down that road as well.]]></description>
		<content:encoded><![CDATA[<p><a href="http://www.ey.gov.tw/News_Content.aspx?n=1C6028CA080A27B3&#038;s=AB2EB184E07C68A8" rel="nofollow">http://www.ey.gov.tw/News_Content.aspx?n=1C6028CA080A27B3&#038;s=AB2EB184E07C68A8</a></p>
<p>- this is a detailed plan of what the Taiwanese government is going  to do. As far as I can see, it is a no-fault compensation scheme, a patient&#8217;s ombudsman  and extra-judicial &#8220;arbitration&#8221; by some government official. </p>
<p>All of these things have already been tried in Norway and Sweden and have failed dismally. Difficult to see why the Taiwanese want to go down that road as well.</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113842</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 08 Jan 2013 21:35:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113842</guid>
		<description><![CDATA[WC, as you rush to your usual misguided judgment so you can repeat your meaningless line of &quot;sue your way to better healthcare&quot;, you misread the Taiwan article.

Key paragraph:  &quot;The bill, which is pending review in the Legislative Yuan, would make medical personnel liable for criminal punishment only if they acted with “malicious intent” or in violation of duty.&quot;

This has nothing to do with malpractice cases.  It has to do with criminal liability.  These people would not be sued as in a civil case.  The state would bring charges (assuming some similarity between their system and ours).  I realize you&#039;ve got a line to spew, but at least read your own links before hopping on the Jump to Conclusions Mat.  I normally wouldn&#039;t expect someone who isn&#039;t a criminal or an attorney to catch the civil/criminal distinction, but you&#039;ve put yourself out as such an expert on these matters it&#039;s surprising you missed it.

But maybe it&#039;s not your fault - maybe the tort reform newsletter the &quot;reformers&quot; sent you and you cut and pasted from wasn&#039;t clear either.]]></description>
		<content:encoded><![CDATA[<p>WC, as you rush to your usual misguided judgment so you can repeat your meaningless line of &#8220;sue your way to better healthcare&#8221;, you misread the Taiwan article.</p>
<p>Key paragraph:  &#8220;The bill, which is pending review in the Legislative Yuan, would make medical personnel liable for criminal punishment only if they acted with “malicious intent” or in violation of duty.&#8221;</p>
<p>This has nothing to do with malpractice cases.  It has to do with criminal liability.  These people would not be sued as in a civil case.  The state would bring charges (assuming some similarity between their system and ours).  I realize you&#8217;ve got a line to spew, but at least read your own links before hopping on the Jump to Conclusions Mat.  I normally wouldn&#8217;t expect someone who isn&#8217;t a criminal or an attorney to catch the civil/criminal distinction, but you&#8217;ve put yourself out as such an expert on these matters it&#8217;s surprising you missed it.</p>
<p>But maybe it&#8217;s not your fault &#8211; maybe the tort reform newsletter the &#8220;reformers&#8221; sent you and you cut and pasted from wasn&#8217;t clear either.</p>
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		<title>By: Dina</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113702</link>
		<dc:creator>Dina</dc:creator>
		<pubDate>Tue, 08 Jan 2013 04:56:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113702</guid>
		<description><![CDATA[Re: chiropractors. Could not agree more, WC. Same for psychologists and prescribing. They know not what they do. But they&#039;ll find out soon enough.]]></description>
		<content:encoded><![CDATA[<p>Re: chiropractors. Could not agree more, WC. Same for psychologists and prescribing. They know not what they do. But they&#8217;ll find out soon enough.</p>
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		<title>By: PA</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113693</link>
		<dc:creator>PA</dc:creator>
		<pubDate>Tue, 08 Jan 2013 04:08:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113693</guid>
		<description><![CDATA[I work in a large 5 hospital health system which requires ALL employees to receive the Flu Vaccine, volunteers too. All office employees, accountants, clinical staff, engineers, housekeeping, physician, everyone. If you do not provide proof of vaccination or exemption you lose your job. Thousands and thousands of employees and all have complied by January. No complaints and we have been working toward this over the past 3 years. It is good for the patients and keeps staff healthy.]]></description>
		<content:encoded><![CDATA[<p>I work in a large 5 hospital health system which requires ALL employees to receive the Flu Vaccine, volunteers too. All office employees, accountants, clinical staff, engineers, housekeeping, physician, everyone. If you do not provide proof of vaccination or exemption you lose your job. Thousands and thousands of employees and all have complied by January. No complaints and we have been working toward this over the past 3 years. It is good for the patients and keeps staff healthy.</p>
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		<title>By: CJL</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113683</link>
		<dc:creator>CJL</dc:creator>
		<pubDate>Tue, 08 Jan 2013 02:18:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113683</guid>
		<description><![CDATA[I work in the same hospital system (but a different hospital) in Indiana that required the flu vaccine this year. I haven&#039;t heard any serious complaints about the mandatory flu vaccines.

A general question, though. To work at the hospital, we have to show proof of hepatitis B vaccination as well as varicella vaccination/positive antibody titers/documentation of chickenpox. I have heard no one complain about these mandatory vaccinations. What&#039;s the difference?]]></description>
		<content:encoded><![CDATA[<p>I work in the same hospital system (but a different hospital) in Indiana that required the flu vaccine this year. I haven&#8217;t heard any serious complaints about the mandatory flu vaccines.</p>
<p>A general question, though. To work at the hospital, we have to show proof of hepatitis B vaccination as well as varicella vaccination/positive antibody titers/documentation of chickenpox. I have heard no one complain about these mandatory vaccinations. What&#8217;s the difference?</p>
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		<title>By: Canuck</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113662</link>
		<dc:creator>Canuck</dc:creator>
		<pubDate>Mon, 07 Jan 2013 21:57:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113662</guid>
		<description><![CDATA[Hahaha, love the continued digs at the misinformed quarter-backing power of hindsight expert medical Dr. Google  read up on the Internet  journalist... ;-)]]></description>
		<content:encoded><![CDATA[<p>Hahaha, love the continued digs at the misinformed quarter-backing power of hindsight expert medical Dr. Google  read up on the Internet  journalist&#8230; <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /> </p>
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		<title>By: DefendUSA</title>
		<link>http://www.epmonthly.com/whitecoat/2013/01/healthcare-update-01-07-2013/#comment-113628</link>
		<dc:creator>DefendUSA</dc:creator>
		<pubDate>Mon, 07 Jan 2013 18:47:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8942#comment-113628</guid>
		<description><![CDATA[In 2011, I seem to recall that there were potentially 176 reports of GBS and 99 were confirmed in roughly 100 million doses. 

But, alas, you are right. If a hospital requires it, this crap will surface.]]></description>
		<content:encoded><![CDATA[<p>In 2011, I seem to recall that there were potentially 176 reports of GBS and 99 were confirmed in roughly 100 million doses. </p>
<p>But, alas, you are right. If a hospital requires it, this crap will surface.</p>
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