Cell 2 Soul: The Humane Health Care Blog

Our Moral Stain

"When it comes to health care, most liberals are committed above all to ensuring that every American has insurance. In their view, the greatest achievement of the health care reform act is to finally erase the moral stain of the United States' being the only major developed country without universal coverage. But we also hold the questionable distinction of having the world's most expensive health care system - what about cost control?

This is a fine opinion piece by a thoughtful academic physician.  Reading it made me think, "We have met the enemy and it is us."  As a physician, I particpate in the scandalous cost of health care every day.  All of us do unnecessary tests.  All of us prescribe expensive meds when cheaper ones would work.  All of us do more procedures than needed because that's where our reimbursement comes from.  It's one thing to recognize this in the quiet of one's home -- it's another reality in the clinic.

Emanuel's essay is a good springboard for thought.  See: Download What We Give Up for Health Care

 Image is from CartoonStock.com

Marginal Notes: When the soul breaks

Physicians who have been sued are changed people.  Many of them are resilient and return to medical practice—with a healthy dose of mistrust and a touch of paranoia.  Others elect to leave the profession entirely.  Those who continue to practice remain vigilant, ever mindful that at some point they can be sued again. >>more

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

If Air Travel Was Run Like Health Care...

Jonathon Rauch, a staff writer at the National Journal has written a compelling article on Health Care delivery.  The seven minute video based on this is brilliant, funny, poignantly true and more direct..  It summarizes the frustrations patients and care givers deal with daily in the attempt to navigate the medical-industrial complex.  For a memorable video see: You Tube.

"Hello! Thank you for calling Air Health Care, the airline that works like the health care system. My name is Cynthia. I will provide you with outstanding service. How can I give you travel care today?"

Rauch's essay can be read at the National Journal.

Strangely, this video recalled a fine skit the late Hawaiian comedian, Rap Repleinger, produced in the 1980s.  This, too is available on You Tube.  See:  Room Service.

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Marginal Notes: A Socratic dialog on health care reform (VI)

Toward the evening of a long day, the philosopher Socrates finally makes his way to the home of Hippocrates, the father of medicine.  >>more

The final in a series of Socratic dialogs on health care reform.  Apropos of these discussions, interested readers may wish to peruse previous conversations with Aeschylus, Plato, Aesculapius, Apothos, and Litigius.

 

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

Marginal Notes: A Socratic dialog on health care reform (V)

After leaving the pharmacy of Apothos, Socrates finds himself pursued by Litigius the solicitor. >>more

The fifth in a series of Socratic dialogs on health care reform.  Apropos of these discussions, interested readers may wish to peruse previous conversations with Aeschylus, Plato, Aesculapius and Apothos.

 

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

Marginal Notes: A Socratic dialog on health care reform (IV)

The philosopher Socrates seeks advice from Apothos the sorcerer for a potion or pill to dampen the discomfort in the wound on his foot and learns a bit about standards of practice in the pharmaceutical industry.  >>more

 

The fourth in a series of Socratic dialogs on health care reform.  Apropos of these discussions, interested readers may wish to peruse previous conversations with Aeschylus, Plato and Aesculapius.

 

 

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

 

 

Marginal Notes: A Socratic dialog on health care reform (III)

Socrates consults the general practitioner of medicine Aesculapius to ask both his opinion on the Athenian health care system and a favor as well. >>more

The third in a series of Socratic dialogs on health care reform. Apropos of these discussions, readers may wish to peruse previous conversations with Aeschylus and Plato here and here.

 

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

Voices on Health Care

On Wednesday, September 9, there was a fine editorial in the Times by Anna Deavere Smith, an actress and playwright who is also a professor at New York University.

"Over the last few years, in preparation for a new play, I interviewed doctors, patients and healers about the human body, its resilience and its vulnerability. Although our conversations were not primarily about the health care debate, they do reveal many of the feelings and thoughts of the people in the audience President Obama will address tonight.

The unruliness that now animates the conversation stems from our passions, hopes and discomforts — about life, death, who should (or should not) take care of us and whom we should take care of. The president’s audience has a million and one perspectives, some of them clumping together like blood platelets under one political roof or another. The following excerpts (not all of which are in my play) reflect the range of views.

Obama's Audience Speaks. This Op-Ed piece is stimulating and important.

Marginal Notes: A Socratic dialog on health care reform (II)

After speaking with the tragedian Aeschylus, Socrates encounters his former political science student Plato, who relates the latest debates in the Senate and explains the Athenian health care system from his perspective. >>more

The second in a series of Socratic dialogs on health care reform.  Interested readers may access the first conversation here.

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."

Marginal Notes: A Socratic dialog on health care reform

In attempting to make some sense of our ongoing national debate on health care reform, I recently had a chat with two old mentors of mine. It turns out that the subject is certainly not new; indeed, it has been discussed and debated for centuries.

These two mentors graciously consented to allow me to record one of their more recent dialogs on the subject, which can be accessed here.

 

Brian T. Maurer has practiced pediatrics as a Physician Assistant for thirty years.  His "Marginal Notes" column appears periodically in the Cell2Soul Blog. The title "Marginal Notes" is taken from a quote by Henry David Thoreau: "I love a broad margin to my life."