Opinion

Low-tech reforms would free physicians to treat the uninsured

LETTER — Posted Aug. 16, 2004

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Regarding "Universal health care coverage through technology" (Column, July 12): Leonard J. Marcus, PhD, and Barry C. Dorn, MD, tell us that one way to get medical care to the uninsured is to offer them a basic basket of services. This would be accomplished by a universal electronic medical record and digital information systems. This would let doctors devote more time to patient interaction and less time to administrative and routine tasks. Such automation would lower costs and "make it easier to open the door to publicly financed health care."

The translation of that, of course, is more government interference.

There is no state with more uninsured (percentagewise) than Mississippi. I can't give more care to the uninsured because I am swamped by state and federal regulations, demands, paperwork, mandates, etc. -- especially now with HIPAA.

The last thing I need for overhead expense is a new whirlwind of electronic data bombarding my computer and office staff. If social engineering wonks would just leave me alone, I'll get to the uninsured. Just give me two reforms:

First, a loser-pays system so I can get the plaintiff bar out of my office and let me concentrate on patients and less on defense.

Second, tax credits for my charity work, which will at least help with overhead. I need less government, not more. I need tort reform and tax reform, not medical reform. Perhaps Drs. Dorn and Marcus should spend more time in practicing doctors' offices rather than meeting with "leading government officials."

Calvin Ennis, MD, Escatawpa, Miss.

Note: This item originally appeared at http://www.ama-assn.org/amednews/2004/08/16/edlt0816.htm.

Back to top


ADVERTISEMENT

ADVERTISE HERE


Featured
Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story


Read story

Goodbye

American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story


Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story


Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story


Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story


Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story


Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story


Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn