"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
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Workouts by month - Goal 200 from 11/1/09 through 10/31/10
The ACP Advocate Blog by Bob Doherty: "There once was a man named O'Bama ..." http://ow.ly/1nUH3 - HCR limericks and a cold one for BobMarch 18, 2010 5:24
http://ow.ly/1mYi7 - ABIM MOC program - two differing viewpoints - you can guess my voteMarch 16, 2010 5:06
RT @yejnes: My thoughts on the annual exam, etc., final letter ACP Internist, March 2010 http://bit.ly/9FNcXn wel-stated & importantMarch 15, 2010 12:47
A note to the professors, from the "real" world, on the use of ICDs in a fee for service community... http://ow.ly/1jaPy - great postMarch 13, 2010 2:19
RT @paulinechen: New "Doctor and Patient"; Learning to Keep Patients Safe in a Culture of Fear http://nyti.ms/bYA14V - blog post comingMarch 12, 2010 1:35
RT @tom_peters: @kevinmd Spoken like an MD. - true primary care is very complex - it is not simple care -March 11, 2010 12:43
RT @efalchuk: Seriously, what is Nancy Pelosi Talking About? http://bit.ly/9sHSc2 #healthreform #hcr #healthcare think Dazed and ConfusedMarch 10, 2010 7:53
Obama Says Health Overhaul Should Trump Politics - http://nyti.ms/bwKRyo - and he is correctMarch 8, 2010 7:28
With all the attention paid to the subject, you’d think these stories should be dead by now. But when asked if they think something like “death panels” are real, only 23% said “no.” A full 73% said they didn’t know or thought the answer was “yes.”
To understand why this idea sticks, you should read Made to Stick. I believe it sticks because it is a catchy phrase. It avoids the Curse of Knowledge – as Evan actually discusses – by providing a simplified idea. We remember simple ideas.
Evan does make a most important point about legislation – almost nobody really knows the details of any bill. Our legislative process has major problems.
I could probably make a strong reasoned argument against any bill. I know that I could make a strong argument against part of health care reform – when we finally get a bill to dissect. However, I can also make a strong argument in favor of any bill. It depends on what we find most important.
I have discussed in the past why I favor these flawed bills.
No, there are no death panels in HR3200, section 1233.
But – there are questions that need to be addressed.
First, in a bill that is called the Health Care Affordability Act, what is a provision doing in there to pay doctors to do counseling? How does that make health care more affordable?
Second, why are doctors going to be paid more for something that is already federally mandated? – people are already supposed to be notified of their end of life options when they are admitted.
Third, people like Ezekiel Emanuel continually cite rationing in their articles. Now it is true Dr. Emanuel has gone on record as being against rationing but the problem is he doesn’t say what he is for- when resources become constrained. Let him explain why rationing can be avoided.
Fourth, the experience in Britain is sobering, the Daily Telegraph has documented rationing decisions made at the expense of the elderly in thousands of cases. This is never addressed by the people who are quick to deny death panels.
IT would be a lot more comforting if those who are proponents of HR 3200, instead of treating the concerns so lightly and saying “there are no death panels” would say we understand these concerns, they are legitimate- here is what we will do to make sure this doesn’t happen.
The fact is there are no death panes but the current health care bill is short on details – and that doesn’t mean that there won’t be death panels in the future unless those constructing the bills assure the public.
“Death Panels” exist, they just don’t label them this way. As a traveling ER nurse for over 10 years, my first contact with this concept was working an ER in Long Island NY.
The ER docs were encouraged to not admit patients of a certain age, medical problem and average insurance. And the ER docs were given bonuses for this action.
I was told that the owners of this particular health care system (5 hospitals total) felt settling the occasional lawsuit was cheaper than admitting all the people that by ethical and moral codes should be admitted. Check out http://swineflureader.com
3 Responses to Defeating a sticky message – not so easy
Three Reasons Why “Death Panel” Myths Live On « See First Blog
September 26th, 2009 at 7:39 pm
[...] UPDATE: More interesting insights on this from Dr. Robert Centor here. [...]
cory
September 27th, 2009 at 2:38 pm
No, there are no death panels in HR3200, section 1233.
But – there are questions that need to be addressed.
First, in a bill that is called the Health Care Affordability Act, what is a provision doing in there to pay doctors to do counseling? How does that make health care more affordable?
Second, why are doctors going to be paid more for something that is already federally mandated? – people are already supposed to be notified of their end of life options when they are admitted.
Third, people like Ezekiel Emanuel continually cite rationing in their articles. Now it is true Dr. Emanuel has gone on record as being against rationing but the problem is he doesn’t say what he is for- when resources become constrained. Let him explain why rationing can be avoided.
Fourth, the experience in Britain is sobering, the Daily Telegraph has documented rationing decisions made at the expense of the elderly in thousands of cases. This is never addressed by the people who are quick to deny death panels.
IT would be a lot more comforting if those who are proponents of HR 3200, instead of treating the concerns so lightly and saying “there are no death panels” would say we understand these concerns, they are legitimate- here is what we will do to make sure this doesn’t happen.
The fact is there are no death panes but the current health care bill is short on details – and that doesn’t mean that there won’t be death panels in the future unless those constructing the bills assure the public.
seth
October 27th, 2009 at 9:53 am
“Death Panels” exist, they just don’t label them this way. As a traveling ER nurse for over 10 years, my first contact with this concept was working an ER in Long Island NY.
The ER docs were encouraged to not admit patients of a certain age, medical problem and average insurance. And the ER docs were given bonuses for this action.
I was told that the owners of this particular health care system (5 hospitals total) felt settling the occasional lawsuit was cheaper than admitting all the people that by ethical and moral codes should be admitted. Check out http://swineflureader.com