Clinical Face Time Now 29% by Douglas Farrago, M.D.

This post is shamelessly stolen from Dr. Doug Farrago’s Authentic Medicine Blog. It is a great illustration of why physicians like Dr. Farrago and myself have decided to go into the Direct Primary Care (DPC) model of practice.  We spend time with our patients rather than waste most of the day doing meaningless paperwork and data entry for insurance companies. Michael A. Ciampi, M.D. Here is what the job of being a physician has come to: During office hours, physicians spent 27% of their time providing direct clinical face time to patients Physicians also spend almost 50% of their time on … Continue reading


  There is a lot of attention being paid to the surprise move by the people of the United Kingdom who last week voted to exercise their right to opt out of the European Union, aka “The Brexit.”  Those who benefit from maintaining the status quo are shocked and aghast.  They should not have been so unprepared for the result.  When you oppress a free people long enough and make them do things that they know are against their own self interest, and may even bring about the end of their own existence as they know it, at some point, … Continue reading

Tennessee Lawmakers Offer Direct Primary Care as Alternative to Medicaid Expansion

Tennessee gets it! We need similar legislation here in Maine, and in the other states where this legislation does not exist. It is a great idea to facilitate price transparency and increase truly affordable health care without burdening taxpayers.   Michael A. Ciampi, M.D. From The Heartland News Institute: (via the Goodman Institute For Public Policy Research’s Linkedin Page) Tennessee Lawmakers Offer Direct Primary Care as Alternative to Medicaid Expansion April 2, 2016 Dustin Siggins  A year after rejecting Gov. Bill Haslam’s (R) plan to expand Medicaid under the Affordable Care Act (ACA), Tennessee lawmakers are adopting free-market reforms to increase … Continue reading

What Has the Physician World Become? There is a way out! By Dr. Arvind Cavale

In our practice, we experimented with electronic medical records for a little over a year before finally pulling the plug on them.  They added several hours to my workday, none of those extra hours of work, keeping me away from my family, helped a single patient.  I cannot remember a single time that my EMR gave me a shred of useful clinical output, despite my spending thousands of hours inputting data. I could not agree with Dr. Cavale’s sentiments more.   Like him, I like technology, but only when it helps me and my patients.   Michael A. Ciampi, M.D.   … Continue reading

Electronic Medical Records:The Potemkin Village of Healthcare

I truly believe that the 12 page boilerplate notes generated by a hospital EMR system for a problem that would have been a paragraph or two in a paper chart actually will be proven to be dangerous. Because the information is not concise, it is hard for clinicians to sift through all the prefabricated chaff to find the few grains of pertinent information. Also, once erroneous information is entered into a system’s EMR, it is there for eternity. In a paper chart, you put a line through it and initial it. Problem solved. EMRs are a boon for tech companies, … Continue reading

Quality Measurements: Beware Unintended Consequences

Whenever anything is presented to us by the government, and/or corporations who work closely with the government as progress, we should be very skeptical. The whole concept of measuring “quality” in medicine and paying doctors for performance is a case in point.  The article below touts a government/big insurance corporation collaboration to rate doctors on quality, so they can pay less to physicians whose patients have worse outcomes. On the surface, this sounds like a great idea.  We all want to have high quality goods and services.  On some level, it makes sense to demand some kind of measurements in … Continue reading

In America, the art of doctoring is dying

This piece appeared on Feb. 12 in the Washington Post. It is a heart-felt article written by a retiring physician who is very candid about how the art of medicine is being replaced by the mindset that it is more efficient to feign caring and use technology to replace the time honored method that physicians had relied on to diagnose patients accurately and compassionately, namely to talk to them and do a good physical examination. Unfortunately, with the demands on physician time, this is no longer possible for most to do, even if they want to.  Primary care physicians must see … Continue reading

“Repeal and Replace”? No Thanks by Dr. Keith Smith

Anyone who knows me is very well aware that Dr. Keith Smith, co-founder of the Surgery Center of Oklahoma and the Free Market Medical Association, is a hero of mine. I could not agree more that the solution to what now truly is a health care crisis (because of Obamacare, not in spite of it) will come from the grassroots, not from the central planners in government and big industry.   Michael A. Ciampi, M.D.   “Repeal and Replace”?  No Thanks Click here to read online and discuss. By: G. Keith Smith, M.D. – Republicans are being urged to “repeal and … Continue reading

Open Letter to the American Board of Pediatrics by Dr. Meg Edison

From the Rebel M.D. Blog. Brava Dr. Edison!!!!! Once it was a great source of pride when a resident physician graduated from his/her residency program and passed a grueling examination in order to become board certified.  Unfortunately, when you mention board certification to a physician now, it evokes a sense of dread.  Now it means unending paperwork, studying for exams that have nothing to do with their practice, and writing checks. Now, the specialty board organizations that grant certifications, often that a doctor cannot be employed without, are exploiting physicians.  They keep adding more and more requirements to get and maintain … Continue reading

When will more Doctors stand up for their Patients and Themselves?

A great post in the Rebel MD Blog.  It echoes what I and so many other doctors have been saying about all the “progress” in medicine brought about by all these EMRs that were not ready for prime time, but shoved down everyone’s throat by government mandate.  If you are not scared and mad, someone needs to check your pulse… Michael A. Ciampi, M.D.   When will more Doctors stand up for their Patients and Themselves? Posted on January 3, 2016 by Marion Mass MD • 10 Comments  I walked into the hospital for my overnight shift through the ER. Always good to know what … Continue reading