The Disappearance of Rural Obstetrical Care

The United States infant death rate has always been far higher than that in other developed countries. Now researchers are finding that in the United States, the maternal death rate is on the increase while it is going down in other countries. There are many possible reasons for these disturbing numbers. The American Congress of…

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CPC+, The New “Better” Physician Reimbursement from CMS

The Centers for Medicare and Medicaid Services (CMS) is constantly coming up with ways to cut payments to physicians in the name of improving health care quality. We had PQRS, then Meaningful Use. Statistical studies have shown that these attempts to reduce payments to physicians under the guise of improving the quality of care have…

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Death by Follow-up Appointment

It’s hard enough to get an appointment with a primary care physician, but when that primary care physician recommends your seeing a specialist, getting that appointment can get dicey. But what happens in the emergency room (ER)? Thus my interest in the recent Idaho Supreme Court decision Morrison v. St. Luke’s RMC. A patient was…

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