Favorite Quotes
"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow ====
Nov - 15
Dec - 19
Jan - 21
Feb - 8
Mar -
Considering health care reform
4 Mar2009
Disclaimer – the Annals of Internal Medicine is an ACP publication and I am on the ACP Board of Regents
Yesterday, the Annals published online 3 articles about health care reform. They have started a discussion forum and asked me to comment. I highly recommend reading the articles and joining the discussion – Health Care Reform.
While I have a conflict of interest, my comments are independent. My commentary starts as:
These perspectives make interesting reading, however, they read as committee reports. I fear that none of the "solutions" recognize a particular fundamental problem in our payment system – the formula for paying physicians. We receive pay for "widgets." Each type of widget has a specific payment based on a billing code. Once we get paid for widgets, we have an incentive to do more widgets (or at least more expensive widgets.) Thus, we have an incentive structure to do more, not to do appropriate. A few examples might help.
When I have more time, I will expand my comments. Let me know what you think.
Related posts:
- Some thoughts on health care reform
- Why this libertarian favors health care reform
- Thoughts on health care costs
- Are the Democrats destroying health care reform?
- Our health care system has perverse incentives
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- In: Medical Rants
1 Response to Considering health care reform
Considering health care reform
March 4th, 2009 at 3:22 pm
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