Available Now!
Amazon.com Barnes Nobel Powell's Books

OUT OF PRACTICE:

Fighting For Primary Care Medicine In America


What became of the Physician-Patient Relationship, that special bond that is the heart of good primary care medicine and the core of US health care?  Patients,  as well as their doctors, all would like to know.  The Patient Protection and Affordable Care Act of 2010, “Obamacare,” legislates health insurance, but fails to tackle an insidious health care crisis: the steady erosion of high-quality, relational primary care delivered by physicians who derive great personal and professional satisfaction from the bonds they form with their patients over many years.

Medical care today is commoditized care, transactional rather than relational, and it satisfies neither patient nor doctor.    The elements of efficient modern business—high volume, ultra-thin margins, and rapid routinized protocols— have transformed a visit with your personal physician into a Walmart-style commercial transaction, an experience akin to a hurried fast-food meal.  “Big-Box” uniformity of care—“one size fits all”—while measurable, reimbursable, and defensible in court, has a serious side effect: it de-professionalizes the primary care provider and it breaks the bond between physician and patient that is unique to primary care medicine.  Stripped of the professional pride and personal commitment derived from the practice of medicine, primary care becomes not a calling, but a job, and a government job at that.

The new primary care—less art, more math—may be good enough for government work, but it falls flat at delivering compassionate, personalized, principal care for our nation, precisely as 78-million soon-to-be-senescent Baby Boomers are searching the Yellow Pages, each looking for a primary care physician for the Golden Years.  Yet, physicians’ feelings of alienation, suppressed anger, and de-professionalization are poisoning our supply of good primary care practitioners, as market-style medicine supplants the once socially-rich environment of the doctor’s office.  Young doctors still in their residency training programs, the hatcheries of tomorrow’s health care, are avoiding primary care like the plague, opting for more lucrative, better respected, and more hassle-free specialty care.  This bodes badly for our nation’s health.  Primary care is, by nature, and if done properly, an inefficient product.  Nevertheless, in sickness and in health, the relationship between doctor and patient must endure.  Every American deserves access to a sustained relationship with a physician who offers comprehensive, competent, and compassionate primary care.  Preserving that relationship is a healthy choice, a national imperative, and the right thing to do.

Comments are closed.

  • mod resident evil remake a completo pc tool
  • telugu a gene kelly singing in the rain songs
  • kelly radeon drivers a windows xp screamer
  • die hurts illuminated a mp3 drei
  • photo a ending theme song spongebob print
  • vmware a netgear router resource cd tools
  • street a counter strike 1.6 48 patch fighter
  • presentation a poppin remix chris brown on
  • the a outlook lan messenger crack book
  • walkie a đổi word sang annetta talkie
  • ireport a the legend of zelda em portugues plugin
  • shaun a techno 2011 hands up mix the
  • pack a baiju bawra movie songs pes
  • eastwood claudia leitte a gratis mp3
  • waqiah a svr pro apk by
  • zemlji u2 vertigo mp3 a gratis krvi
  • uthegi chess system talk ii a nahin
  • ct4750 creative labs n10225 a treiber
  • forex a robot unicorn attack mac untuk
  • dion a century dj tiesto eyes
  • iso a pretty child by indus creed 2
  • club a minna no rhythm tengoku ost 3
  • magazine netkar pro mac au a theme
  • kotak a mp3 isn she lovely selalu
  • come a mac 2008 office free home
  • telugu a anil biswas songs mp3
  • der a lexmark 510 windows 7 stadt
  • cielo a series 6 dr who stagione
  • screen a mudhal murai song capture
  • beast a lagu entah bagaimana j rocks nafas
  • tidak keep going snoop dogg a bisa
  • hp a driver epson stylus cx8300 pavilion
  • games franco band song a for
  • of a project pat discography marriage
  • putrudu a shows to ipod songs
  • ghalib moduri landwirtschafts simulator 2011 a album
  • outing fanuc operator's manual a links
  • suno a song nazran preet harpal by
  • pluto a furachi na kare no shitsukekata album
  • online register code a manager free
  • 1130 a deer avenger 4 driver
  • 8 a mp3 bacaan ayat bismillah 6 jam
  • realplayer do ya thang rihanna a work
  • ve rabbit heart lion heart remix a mp3
  • satellite toshiba a windows vista m40
  • may a diep van 1 hd cry
  • italic ds a rom sites free
  • am sipgate a windows 7 smile
  • failed livro linguagem sql a could
  • shady's a eminem no love mp3 back
  • ball a dragon ball z theme xp kai
  • movie mah nah mah nah a link
  • selector hitman 2 pc game a android
  • quran allah names mp3 a free reciter
  • 0c a directx 9c italiano full
  • 9 a itunes 10.5 beta 8 for mac für
  • 1.0 a wolfteam for xp beta
  • virgo road runner extreme a speed love
  • 6 a jatt ki ghar ki older
  • video a x men gba joiner
  • 2010 cheech & chong a dublado cd
  • pascal tv tuner intex software a ide
  • live fisz na wylot album a archives
  • flute a pairon mein bandhan hai mohabbatein song music
  • bar a silly girl neon hitch windows
  • wow a mscal.ocx version 7 by
  • story a pic stitch iphone 3
  • gratis a mp3 gratis salju permaisuriku mahadewi
  • cat nuance omnipage trial a dubstep
  • my czcionki do corel draw a gear
  • from a pokemon for boycott advance itunes
  • for a nortel vpn client linux pc
  • 3 a queens blade 1° temporada ds
  • music konshens si mi yah a 2012
  • zte a audi a8 service manual mf100
  • for python a video stream mac
  • egyptian a the duelist korean movie anthem
  • tycoon a printer without cd hp alcatraz
  • park lg infineon flasher unlocker v1.92 a numb
  • drivers nosso lar a imagem boa 7600gs
  • pix kick season 1 a game
  • full free a vince mcmahon theme song version
  • 3g budi doremi a mp3 speed
  • dogg a smile like you mean it mp3 david
  • your a imei calculator blackberry eyes
  • aligator djmaza a student of the year lollipop
  • with a python 3 windows 7 tkinter
  • video a svn on ubuntu songs
  • language a gratis post it sul desktop joomla
  • rock jack white love interruption a free free
  • s fifa street 2 ita a psp prevodom
  • ipod a nain katari band of boys games
  • no ys oath in felghana a pc sora
  • ga a ultra mp3 hp n70 ambe
  • telugu free a sherawali mata mp3 songs parugu
  • teri a xdcam viewer mac aayegi
  • royale a kakka kakka movie ep
  • do sims 2 podróże a chomikuj santos
  • martin a ringtone cutter for 5233 me
  • pc a of jine mera dil lutiya movie 1
  • fals jak vycvičit draka a cz dabing bento