Marion Mass, M.D.: A doctor’s perspective: Who stands for patients in the health-care debate?

I would like to share a great article posted on philly.com written by Marion Mass, M.D.  She is a practicing physician and a vocal member of  Physicians Working Together, a grassroots organization of physicians working to change the system from the inside.   Dr. Mass asks that if after you read this and feel compelled, call your lawmakers(congress and Both senators) and ask them to stop taking HC lobby money from those who do not serve the interest of the patient’s of America. Then consider sharing on other social media tagging 10 and sharing this with 10 people in your district … Continue reading

Insurance Companies Already Hitting New Lows in 2017

Welcome 2017. After the first business week of the year has concluded, it is time to share the newest way insurance companies have hit a new low. An elderly couple came in for a visit a few days ago with letters in hand from their Medicare (Dis)Advantage Insurance Contractor. The letters told me that two medicines they are taking have cheaper and equally effective alternatives that I should prescribe for them to save money. The problem is that that statement was absolutely false! One medicine is levothyroxine, a generic thyroid hormone that she needs to treat an underactive thyroid. The … Continue reading

Jeff Gold, M.D.: DPC, THE NETFLIX OF HEALTHCARE

The article below was written by my friend and colleague, Dr. Jeffery Gold, owner of Gold Direct Care in Marblehead, Massachusetts.  He uses a great metaphor to describe how Direct Primary Care may soon be the standard way that primary care is delivered in this country because it is more consumer friendly than standard, insurance based medicine.  Like Blockbuster, the medical establishment will try to copy DPC, but it will fall flat. Michael A. Ciampi, M.D.   When is the last time you went to a Blockbuster Video store on a Friday night to peruse the shelves for a rental? Yup, … Continue reading

Douglas Farrago M.D.: Singapore’s Healthcare System

A great post stolen from Dr. Doug Farrago’s Authentic Medicine Blog.  He is absolutely right; instead of following the examples of failing healthcare systems like Canada’s, the U.K’s, or Sweden’s, we should look to successful ones, like Singapore’s, and maybe Switzerland’s. Michael Ciampi, M.D.   Check out this article in Forbes about Singapore’s Healthcare System.   Here are some highlights: Pricing is extremely transparent. Singapore spends 4.9% of its gross domestic product on healthcare. The European Union and Canada spend double. The United States spends more than triple at 17%. Singapore is the most cost-efficient healthcare system in the world. Singapore has … Continue reading

The latest update from the Association of American Physicians and Surgeons on Obamacare: According to Affordable Care Act (ACA or “ObamaCare”) architect Jonathan Gruber, ObamaCare is working just as intended. The main problem is that the mandate penalty (which is actually a non-mandate, non-penalty tax, according to the U.S. Supreme Court) is too small, in his view. If we could attract more low-risk people to sign up, premiums would fall, and insurers would flock to the market instead of leaving. The average 22% increase in premiums is not a crisis, he says, because it affects so few people. Most (85%) … Continue reading

Why I Do Not Support The American Academy of Family Physicians

For many years, in fact since I was a newly minted physician in my internship, I was a proud member of the American Academy of Family Physicians (AAFP).  I felt that it was an organization that was all about supporting the rights and privileges of family doctors like myself.  I thought that it would help advocate for its member physicians and their patients. Several years ago, I realized how wrong I was.  Like many other big organizations, it became too wrapped up in politics and advancing its own interests above those of the people who they are supposed to represent, … Continue reading

A Growing Alternative to Obamacare

From the Citizens’ Council for Health Freedom e-Newsletter: In the years since the passage of the Affordable Care Act (ACA), health sharing ministries have grown exponentially. Samaritan Ministries membership has tripled since 2013 and Medi-share has grown from 60,000 in 2013 to 200,000 in 2016. Health sharing is one of the exemptions from the Obamacare mandate and has over 600,000 members according to the Alliance of Health Care Sharing Ministries. With all the problems caused from the ACA, health sharing ministries are worth looking at as we near the next enrollment season. We are seeing more and more patients who are members … Continue reading

Direct Primary Care vs. Concierge Medicine

Michael A. Ciampi, M.D.   I often I talk to people who don’t understand Direct Primary Care (DPC) and try to educate them about it.  Very often, when I tell them that in a DPC practice, we expect payment from our patients directly rather than submit bills to an insurance company, they snicker and accuse me of being a greedy concierge doctor who is only affordable for rich patients. I do my best to smile, bite my tongue, and try to explain the model to them, assuming they are willing to listen and learn about an exciting way to deliver health … Continue reading

Why Thousands of Doctors Still Don’t Use Electronic Records

From the March 2016 edition of Governing Magazine: HEALTH & HUMAN SERVICES Why Thousands of Doctors Still Don’t Use Electronic Records With federal incentives to go electronic expiring this year, many wonder what can be done to reach physicians who still rely on paper. BY MATTIE QUINN | MARCH 2016 (AP)           Michael Ciampi runs a family medical practice in Portland, Maine, that’s still entirely reliant on paper records. He has no plans to implement an electronic health records system anytime soon. Ciampi doesn’t have anything against technology, but a failed attempt to go electronic several years ago … 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