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Concierge Medicine: The Cost Of Healthcare “Room Service” And Other Hospital...

A per­spec­tive in [a recent] NEJM con­sid­ers the Emerg­ing Impor­tance of Patient Ameni­ties in Patient Care. The trend is that more hos­pi­tals lure patients with hotel-like ameni­ties: Room...

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Are Primary Care Physicians Being Assimilated By The Borg?

If you live in a small town or rural area of the United States, you may have noticed that family doctors are becoming an endangered species. Private and public health insurance reimbursement rates are...

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Why I Still Don’t Hate Being A Doctor

Judging from recent articles, surveys, and blog posts, the medical profession is remarkably demoralized. Typical complaints range from “feeling like a beaten dog” to “living in humiliating servitude,”...

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How Does The Gig Economy Translate To Physician Work?

The New Yorker recently featured a long essay about a popular new episodic work style sweeping America: the “gig economy.” The gig economy unbundles units of work previously tied to an employer or...

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Concierge Medicine: Not Just For Primary Care Anymore

Concierge medicine isn’t just for internal medicine or primary care anymore. It seems the concept is starting to take hold in cardiology, too: Starting April 1, patients at Pacific Heart Institute can...

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Is “Minimally Disruptive Medicine” An Emerging Field?

I recently stumbled onto the “Minimally Disruptive Medicine” blog maintained by Dr. Victor Montori from the Mayo Clinic. I have to admit that the name caught my attention so I scoped it out. According...

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About Concierge Or “Boutique” Medicine

A recent piece in The New York Times wondered if the few patients who can afford to pay for additional attention and access to their primary care doctors in a concierge medicine or boutique medicine...

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Free Drug Samples Or Hospital Hotels: The Greater Evil?

Many folks criticize pharmaceutical companies for providing physicians’ offices with free drug samples. They claim that this giveaway harms consumers because drug companies must raise their prices to...

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Will Health Insurers Do Anything To Save Primary Care?

A few days ago I received an email from a general internist about my posts about concierge practices. I have known this physician for over 20 years, and he has great insight into the challenges facing...

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Being A Doctor In 2011: Things Have Changed

Close your eyes and think of a doctor. Do you see a Marcus Welby type? A middle-aged, smiling and friendly gentleman who makes house calls? Is his cozy office staffed by a long time nurse and...

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