The Doctor Is In

a physician looks at medicine, religion, politics, pets, & passion in life
 

The Doctor Is In header image
There is no point dwelling on all the foolish mistakes we have made in our lives. For one thing, it can be very time-consuming.
--Thomas Sowell--

Time For Your Booster Shot…

June 20th, 2012 · Comments Off on Time For Your Booster Shot…  

Be careful watching this if you are prone to vertigo….

Tags: Astronomy

Comments Off on Time For Your Booster Shot…

Dogs & Guitars: Life is Good

June 19th, 2012 · Comments Off on Dogs & Guitars: Life is Good  

A lovely Guild D-55…

Tags: Dogs · Guitar

Comments Off on Dogs & Guitars: Life is Good

How Many Musicians Does It Take to Play a Guitar?

April 7th, 2012 · Comments Off on How Many Musicians Does It Take to Play a Guitar?  

Five, apparently.

Tags: Music

Comments Off on How Many Musicians Does It Take to Play a Guitar?

What Brilliant Darkness

April 7th, 2012 · 2 Comments  

tomb

What brilliant darkness now descends
To slay the weight which life doth rob
To bear the anguish undeserved
On frigid stone no glorious end.

The blazing lanterns light the night
As noble leaders drain the cup
To toast the end of ghost not known
And praise the triumph of blind sight.

What brilliant darkness now hangs deep
In hopeless end of fruitless dreams
In upper room no brightness cast
In lowered light a restless sleep.

The blazing lanterns light the night
As slumbered warriors wrap their cloaks
And starlight bathes the tethered beam
Where blood poured out in sacred rite.

What brilliant darkness now breaks bright
With light a sun can scarce reflect
To roll the stone which triumphs death
The lamps of countless souls to light.

Have a blessed and fruitful Easter. God bless.

Tags: Crucifixion · Faith & Religion

→ 2 Comments

Brave New World

March 7th, 2012 · 1 Comment  

Amazing — and in no small way, terrifying at the same time.

Of course this technology will only be used for the good of mankind…

Tags: Science · Technology

→ 1 Comment

Revolt of the Poster Boys

October 2nd, 2011 · 2 Comments  

And the hits just keep on comin’ from our enlightened masters in government-run health care:

‘Poster Boys’ Take A Pass On Pioneer ACO Program:

During the health care debate, the Mayo Clinic, the Cleveland Clinic, Geisinger Health System and Intermountain Healthcare were repeatedly touted as models for a new health care delivery system.

Now, they have something else in common: All four have declined to apply for the “Pioneer” program tailor-made by the Obama administration to reward such organizations.

“When the poster boys ask that the posters be taken down, you have a problem,” says Michael Millenson, president of Health Quality Advisors LLC…

The four health systems are considered the most promising models for “accountable care organizations,” a new approach to delivering health care services that rewards doctors and hospitals for providing high-quality care to Medicare beneficiaries while keeping costs down. The ACO provision became one of the most highly anticipated elements of the health care overhaul, and providers embarked on a frenzied race to join in as quickly as possible.

But when the proposed regulation for the program was announced in March, excitement fizzled.

Hospital and doctor groups complained that the program created more financial risks than rewards and imposed onerous reporting requirements. The American Medical Group Association, which represents nearly 400 large provider organizations, responded with a letter to CMS warning that more than 90 percent of its members would not participate because of the reporting requirements and financial disincentives. In particular, the proposed rule would impose penalties for ACOs that do not achieve savings.

In response, HHS announced the Pioneer program in May, promising it would “provide a faster path for mature ACOs” like the Mayo Clinic that would allow the high-performing health systems to pocket more of the expected savings in exchange for taking on greater financial risk. HHS estimated that the Pioneer program could save Medicare as much as $430 million over three years.

The big boys in health care were so impressed by the latest-and-greatest rendition of Obamacare’s hot new ACO “reform” (which is little different than the disastrous capitated HMO model which went down in flames not so very long ago) that they responded, “Thanks, but no thanks.”

No doubt a new rendition of ACOs will be forthcoming soon, complete with a host of new regulations, onerous reporting requirements, and penalties for care which does not meet “quality” (AKA, low-cost) standards set by the government. After all, who knows more about “quality” than our sharp-witted wizards in Washington? Be afraid — be very afraid…

Centralized funding and control of health care is beyond disastrous. It is paving the road to national bankruptcy. The answer to this monstrous failure is, as always, more control, more regulations, more centralization. Sadly, like a runaway train, it hurtles down the tracks toward an inevitable trainwreck.

Let’s just hope and pray that there will be some salvageable pieces left when it all jumps the tracks. Physicians who have wedded themselves to hospital-based and other large ACO-aligned medical groups for security will find themselves among the wreckage.

The only hope for physicians in the long run is to move outside the current system of third-party payers and decentralizing toward a cash-based practice. The inevitable outcome of the coming disaster in health care (and no, our politicians won’t prevent it) is severe rationing of care, long waits for doctors visits, diagnostic studies, and surgery. For patients, catastrophic coverage (if you can get it) with HSAs will ultimately prove the safest and most reliable way to get access to health care.

Welcome to health care in the millennium.

Tags: Health care policy · Health care reform · Medicine

→ 2 Comments

Opposable Thumbs

September 16th, 2011 · Comments Off on Opposable Thumbs  

Tags: Humor

Comments Off on Opposable Thumbs

Stunning Milky Way Video

September 1st, 2011 · 2 Comments  

Check it out:

Tempest Milky Way from Randy Halverson on Vimeo.

And this, with the winter sky in time lapse photography:

Sub Zero – winter night timelapse from Randy Halverson on Vimeo.

Tags: Astronomy · General Interest · Photography · Science

→ 2 Comments