Monthly Archives: April 2018

The Tapeworms are Hungry for Direct Primary Care

Tapeworms represent third parties who have ingratiated themselves into the patient-physician relationship in the interest of the almighty dollar. As the distance has grown between patients and physicians, costs have spiraled out of control. By inviting extra layers of bureaucracy, CMS and other corporations are essentially slapping lipstick on the tapeworm and trying to make CPC look as attractive as Direct Primary Care, but that is an illusion.

How These Useless Doctors’ Exams Are Raising Health Care Costs (via Fortune Magazine Online)

MOC is a cash cow for the American Board of Medical Specialties (ABMS) and its 24 specialty boards, which administer the exams. According to its most recent tax filings, ABMS president Lois Margaret Nora made nearly $700,000 in compensation from the organization in 2016. Thirteen other executives made over $150,000 from the nonprofit in the same year. In total, ABMS spent over $10 million on compensation, more than half its annual revenues, which largely come from inflated testing fees.

Firing Dr. Shulkin, One Really Good Decision

Just over a year ago, I met Dr. Shulkin in his office while working in Washington DC on behalf of independent physicians. A highly esteemed colleague of mine previously worked at the same hospital with Dr. Shulkin and scheduled a meeting to discuss healthcare reform. My colleague asked for a “wing woman” and I happily tagged along. Knowing their shared history, an exchange of pleasantries seemed far more likely than the haranguing with insults that ensued. In my opinion, Dr. Shulkin was one of the most pompous men I have ever encountered.