The document that is more important than a living will
Have you heard the radio advertisements for legal firms that will send you a FREE living will? Have you heard them promise that if you call now, you can save even more money because they will include a FREE Health Care Power of Attorney? Sounds great, doesn’t it? What they don’t mention is that these documents are already available for free, and you don’t even need a lawyer in order to complete them.
My "conversation" with Rush Limbaugh
July 30, 2009 by admin · 7 Comments
Today while driving between nursing homes, I heard Rush Limbaugh talking about the health care reform bill’s Advance Care Planning Consultation section. He, like some other conservative talkers, was complaining that the government was mandating these consultations as a way to usher patients towards an early death in order to save money. In my previous [...]
Reimbursing doctors for discussing goals of care with their patients- finally, a good health care reform idea!
July 29, 2009 by admin · 5 Comments
Part of the proposed health care reform bill that I like is the idea to reimburse physicians for having an “advance care planning” discussion with their patients once every 5 years. This is something I do with my patients often, and I have wished many times that Medicare would recognize the value of this skill, and the time it takes to perform it, by offering specific reimbursement for the discussion. Unfortunately, some Republicans are saying that supporting a patient-physician conversation about goals of care and end-of-life options will “start us down a treacherous path toward government-encouraged euthanasia”. I disagree.
Does Your Doctor See Dollar Signs in Your Kid’s Throat?
If you watched President Obama’s press conference Wednesday night, you may have come away with the impression that doctors are often thinking about how much money they can earn from your illness as they make decisions about your health care. Here are his comments from the transcript at CBS News:
Does Your Doctor See Dollar Signs in Your Kid’s Throat?
July 23, 2009 by admin · Leave a Comment
If you watched President Obama’s press conference Wednesday night, you may have come away with the impression that doctors are often thinking about how much money they can earn from your illness as they make decisions about your health care. Here are his comments from the transcript at CBS News: “Right now doctors a lot [...]
More thoughts on health care reform
July 21, 2009 by admin · 2 Comments
I am not an economist; I do not claim to understand the complexities of the health care market, nor can I accurately predict how the proposed health care legislation will impact our nation’s health care industry. However, many aspects of the proposed reforms make me uneasy.
More thoughts on health care reform
July 21, 2009 by admin · Leave a Comment
I am not an economist; I do not claim to understand the complexities of the health care market, nor can I accurately predict how the proposed health care legislation will impact our nation’s health care industry. However, many aspects of the proposed reforms make me uneasy. 1) Creating a centralized oversight committee in Washington puts [...]
Where President Obama is wrong about health care reform
June 26, 2009 by admin · 5 Comments
I don’t have all the answers to health care reform. American medicine is a complicated web of economic, political, and social factors. I believe that everyone engaged in this debate wants the best health care for the most people; we just disagree about how to accomplish that goal. President Obama’s recent statements about Medicare tipped me off that he is about to damage our health care system in ways that may not be reversible.
Alzheimer’s resources
June 11, 2009 by admin · Leave a Comment
This morning on WMBI-FM I spoke about Alzheimer’s disease. Judging by the number of calls and follow up e-mails I received, this is a topic that affects many people. Below are more resources that I have found helpful:
Information from the National Institutes of Health (main site here)
Alzheimer’s Disease Fact Sheet
Alzheimer’s Disease Medications

