by
Barbara Kram, Editor | August 19, 2009
KH: No, it's terrible. We have a lot of patients that come from Canada or large U.S. plans.
If you break your arm, that is something simple [to understand and treat]. With complex multi-system [health problems] patients don't fit into a box so ... they just get terrible care. Doctors are becoming technicians [in an HMO or public health model].... What happens is they have these narrowly defined objective measures that are so-called preventive, like lowering cholesterol. So all the doctors are trying to do is lower cholesterol with inappropriately used statin drugs. And they say look how much healthier these patients are. No, they are getting all these drugs inappropriately so that doctors can meet these narrowly defined criteria. It actually hurts care, it doesn't help.
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Few patients fit into that [pigeon-hole]. A patient is not the diagnosis. They are a patient. Each is different.
DM: How is your practice doing financially?
In this downturn, we are increasing. We get 35 new patients a day. We are expanding where everyone is hurting. The worse health care gets, the better we do. But I would rather have everyone get good health care.
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