04/16/2016    David Gurvis, DPM

The Economics of the New Healthcare Era: Part 1 - What Has Been Happening? (Bryan C. Markinson, DPM)

I am in complete agreement with Dr. Markinson.
I was dismayed and outraged by Dr. Hrywnak’s
remarks. Some seem to have swallowed the hook,
the sinker, the float, and are still going.
How can we have come so far downhill? Is this
kind of crap going to hit us and hit us hard?
Sure. But as they say, do we have to enjoy it
and embrace it?

EMRs have done nothing good except build a
tower of Babel. Yet some rave about how much it
has improved medicine. If it has improved
anything, it is in the attorney’s ability to
sue.

PQRS? Improved quality? Balderdash is the
strongest word I am going to use here, but I
could do better (but would never get
published). MU? To whom? Physicians now spend
on average an hour a day looking at emails and
if my own PCP is any example, most of them
crap. Not at all helpful to treatments and
needing more explanation back to the patient
than can effectively be done in a simple email.

I used to take notes on paper with an
instrument that needed very little instructions
after grade school. You might recall it, it is
called a ball point pen. Instead people now
brag about having scribes. Another employee.
And we discuss which reporting agency is best
for the PQRS (at what cost added to our
practices), instead of say, discussing some
interesting case.

There is a ICD 10 code and I shall quote it
Insect bite (non-venomous) of anus (initial
encounter) S30.867A. The only question left to
ask is “are we the anus”? And why?

David E Gurvis, DPM, Avon, IN

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