Archive for the 'Gekkonian Rationing' Category

Medical Home Invasion

Friday, August 24th, 2007

Last year, the American College of Physicians (ACP) published a “policy monograph” on the Advanced Medical Home, which urges a “new” model of medical practice. Under the “medical home” paradigm, patients would have a personal physician who partners with them over time, coordinating all their medical care and guiding them, whenever necessary, through the confusing […]

SiCKO and Covert Rationing

Friday, August 3rd, 2007

DrRich finally saw Michael Moore’s film SiCKO this week, and found it to be surprisingly affecting. DrRich is quite jaded about the injustices routinely and systematically performed by the American health insurance industry, and has written about them extensively. But even he was moved by the personal stories Moore presented of those who […]

Free Personal Records From Your Health Plan? Not So Free.

Monday, July 2nd, 2007

Personal health records are, generically speaking, a wonderful idea. It is vitally important for American patients, in the name of self-preservation, to collect all their personal health records in one place, where they can control them, access them at will, and share them with healthcare professionals of their choosing as they deem necessary. Maintaining one’s […]

Why Gag Clauses are Obsolete

Wednesday, June 20th, 2007

After the collapse of the Clintons‘ plan to federalize healthcare in 1994, the Gekkonian HMOs experienced explosive growth. For the remainder of the 1990s, American doctors had little choice, if they hoped to retain access to American patients, but to sign contracts with one or more of these HMOs. The large majority of these contracts […]

The Two Flavors of Covert Rationing

Sunday, June 10th, 2007

As we learned in the previous post, the behaviors used to covertly ration healthcare in America are advanced by two different schools of thought. Once we are introduced to these two schools and become familiar with their philosophies, it will be easy for us to begin spotting covert rationing behavior when we encounter it, and […]