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 -
HR 2350
20 May2009
I spent the day lobbying on behalf of ACP. We had a simple message today – support HR 2350
Preserving Patient Access to Primary Care Act of 2009, H.R. 2350:
Establishes scholarship and loan repayment opportunities for primary care providers who serve in areas with critical shortages of primary care services.
Creates new residency positions for primary care and general surgery trainees, with more opportunities to train in ambulatory care setting — particularly community health centers.
Improves access to primary care for seniors by eliminating copayments for preventive care services in Medicare.
Increases Medicare reimbursements for primary care providers.
Establishes Medicare payments for care coordination services, and monthly payments to providers who serve as patient-centered medical homes
These are the key policy initiatives of ACP. This is the bill we need.
Related posts:
- Thoughts on lobbying for HR 2350
- Cantwell plans to introduce Senate bills
- Retainer medicine – a patient’s view
- Are retainer practices the model for PCMH?
- Could primary care actually win?
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- In: Medical Rants
3 Responses to HR 2350
Ali
May 20th, 2009 at 10:11 pm
This is a step forward. I am currently reading the Harvard Business Review’s Book: “Redefining Health Care” and it argues that the system of how health care is delivered should be looked at from a competitive stand-point or what they define as “Positive-Sum Competition.” If providers competed on quality versus using strategies such as “cost-shifting” maybe access to primary care would not be such an issue.
GingerB
May 21st, 2009 at 12:40 pm
Good for you!
Now you need everyone who reads your blog, hopefully in many different states, to write their Congressperson in support of it.
You need to identify the members of the committee who are responsible for kicking this along, and have readers in those states specifically address their members.
I realize that lobbying isn’t what you normally do, but if you don’t someone else with their own agenda will!
Michael Ellwood
May 22nd, 2009 at 10:12 am
I am happy you are supportive of HR2350. As a member of a pediatric family, we have spent years advocating for primary care issues.
I hope you also took notice that the bill is the first to open the door to independent practice of NPs – without a collaborating physician typically required in all 50 states to provide full medical and related health services. It also permits establishment of NP-led practices staffed by PAs.
I can only assume ACP was aware of this when they endorsed this bill.