The Dry Tortugas and Being a Deplorably Good Physician by Dr. Marilyn Singleton

This is a brilliant piece by my friend, Dr. Marilyn Singleton.  She is both a doctor of medicine and a doctor of law.  She does a fantastic job at calling out the political establishment for what they have done, and are planning to do to health care in America.  Not only will you not be able to keep your doctor, but your doctor will not be able to keep his/her practice open after they are done. This article comes from The Association of American Physicians and Surgeons (AAPS) website, Michael A. Ciampi, M.D.   By Marilyn Singleton, MD, JD Hillary … Continue reading

Bill Has A DPC Doctor. Be Like Bill.

Michael A. Ciampi, M.D. This is just a friendly reminder that having health insurance is not the same thing as having access to high quality, affordable health care. Having a plastic card issued by an insurance company that you have to pay several hundred dollars a month for, and are still liable for high copayments, deductibles, and other out of pocket costs, is not the same as having a great relationship with a doctor and office staff who know you and will take care of all your primary care needs. Direct Primary Care doctors actually deliver the health care that … 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

Maine Heritage Policy Center Releases Report on Direct Primary Care

July 6, 2016 Today I had the pleasure of being invited to the Hall of Flags at the Maine State House to give some remarks about the newly released report from the Maine Heritage Policy Center entitled “Restoring The Doctor-Patient Relationship, How Entrepreneurship Is Revolutionizing Health Care In Maine.”  It is a research project authored by Liam Siguad doing an analysis on Direct Primary Care (DPC) in Maine. I am admittedly biased on the subject, but I think it was very well done.  It is a concise summary of what DPC is, who is doing it, and how it can … Continue reading

Non-Profit Hospitals & Their Employees

Whenever I talk about hospitals which don’t pay taxes because they supposedly do not make a profit, and write off so much money because of bad debt and charity care, I always use air quotes when I use the term, “non-profit.” The truth is that these entities, while crying poor, are often constantly expanding.  They build multimillion dollar buildings, buy up surrounding property and take it off tax rolls, and pay their executives seven figure salaries.  If that is not making a profit, I would like in on the action. In the article below by Dr. Arvind Cavale, published in … Continue reading

Three Reasons Why Employers Should Care about Direct Primary Care

The following essay is written by Samir Qamar, M.D., CEO of Medlion, a large Direct Primary Care company based in Nevada.  He does a great job of outlining why the Direct Primary Care (DPC) model of healthcare delivery works much better for employers and employees than the traditional insurance based practices. It is our belief that DPC provides 1) price transparency,  2) predictability  3) outstanding access  4) increased patient, employer, and physician satisfaction.   Michael A. Ciampi, M.D.   Three Reasons Why Employers Should Care about Direct Primary Care By Samir Qamar, M.D. Apr 14, 2016 1.“Insurance is not necessary … 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

Is Your Hospital Next?

From the Citizen’s Council for Health Care Freedom e-newsletter:  Hacker attacks using ‘ransomware’ endanger patient lives. Recent attacks on electronic health record (EHR) systems have disabled hospitals full of sick and dying patients. Under this digital extortion scheme, hackers infect EHR systems with malware that locks down hospital computers and then demand Bitcoin ransom payments to decrypt the data. In 2014, ransomware thieves extorted $27 million in just six months. Some IT experts worry ransomware could be the downfall of health care. Hospitals areparticularly vulnerable to these crimes: “Without quick access to drug histories, surgery directives and other information, patient care can get delayed or halted, which … Continue reading

The Future of Health Tracking

From the Citizens Council For Health Care Freedom E-Newsletter: Health ‘apps’ are becoming increasingly common on smartphones. The authors of a study on diabetes ‘apps’ wrote, “This study demonstrated that diabetes apps shared information with third parties, posing privacy risks because there are no federal legal protections against the sale or disclosure of data from medical apps to third parties.” Devices are being incorporated into some medications in addition to wearable or implanted devices that collect and transmit data. NYU ethicist Arthur Caplan asks the question: “Which parties get to watch?” … 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