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December 16, 2009 > Reducing health care costs

Reducing health care costs

Primary Care Physicians are instrumental in reducing medical care expenses by their succinct training and attention in evaluating the entire health concerns of both the patient and family.

Obstacles to good health care:

By Hospitals which hire MD's, namely 'Hospitalists' or live-in docs, who administer inferior medical care due to their lack of communication and knowledge of a patient's medical history. Who wins? The hospital by their rampant charges. Hospitalists are directly under the control of non-medical hospital chief executive officers (CEOs). Recruiting and contracting physicians (against California laws) is done at maximum cost to patients.

By U.S. Medical Schools who need to upgrade their curriculum. Professors in 'Ivory Towers' teach students to be hospitalists and sub-specialists with the expectation of 9 a.m. - 5 p.m. jobs.

To correct these problems:

First year medical students must be made aware of a Family Practice degree as a goal, not just an elective. Tuition should be reduced for those seeking a Family Practice degree. Alumni should donate to 'Preventive Medicine' to make such cost reductions possible. Local and rural General Practitioners should be involved through lectures and student office visitation.

Medical schools must participate by seeking a halt to immigration, both illegal and legal, creating an instant stimulus package. This will make millions of dollars available for Medical Schools to produce U.S. scholars. A moratorium on immigration by Congress will reduce medical costs of 125,000 immigrants per month to the U.S.A. The stimulus would preserve Medicare and other medical coverage for U.S. citizens.

What happened to the 'Hippocratic Oath' - ethical professional behavior sworn by new physicians? Think green - recycle congress.

James Gearhart, M.D. FACS

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