Our medical & political leadership are still not getting it either. They say they want to address primary care?s survival; but I’ve seen no real action in all the years I’ve been practicing. They couch the crisis in primary care with terms like ‘may’ or ‘will be’ as if the crisis were not already upon us and worsening by the day. They offer ‘pie in the sky’ solutions like the ‘medical home’ while oblivious of the up-front costs of these programs and the EMR’s that would be necessary to implement them.
And to the policy wonks that say; ‘oh, universal single payor will fix everything’, let me remind you all that it was the government run, entitlement driven system for all Americans over the age of 65 that has put me out of the business of seeing my patients.
I am apparently supposed to shuffle elderly and/or complex/complicated patients in & out of my office every 10 to ! 15 minutes, or I cannot make a living. Alternatively, I can bring them back every week to address one more of their multitude of problems. Frankly, this is not a solution that I, or these debilitated patients can live with.
Primary care is unraveling around us. Indeed, all of the articles about the inordinate strain & crowding of emergency departments across the U.S., overlook the obvious - the impending failure of primary care is going to completely overwhelm emergency rooms. There is no way to prepare for this other than to save primary care.
And you cannot save primary care unless you address the financial issues.
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Javier ! A. Garcia is a successful internet marketing expert and ed! itor in chief of more than half a dozen websites targeted to anyone interested to start a home based business. With many years of experience in online marketing, website optimization and promotion.
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