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“That requires—as Halvorson sorta said but was not too clear about—universal coverage and a massive change in the financing system.”

You have to forgive him for not being too clear. As CEO of one of the biggest HMOs in the country, any change in the financing system could have profound and unpredictable implications for his company. Maybe positive implications…but in a time when healthcare payers really are doing very well, I read the odds as leaning toward the negative implications side.

You have little incentive to change when there’s so much predictable money involved. Throwing more money at those kinds of problems usually just leads to some perverse, worse situation.

It’s about time to reveal the real truth. Every EMR slows down the office. That means two imperatives in contradiction:

1. Better documentation results in improved, safer care
2. An encounter averages $64.00 so see more = earn more

This is America; land of fast food, instant gratification and a quarter or a million medical errors every year. If the electric company killed that many annually, the public would be outraged.

But people are manipulated by the pharmaceutical industry, physicians are protected by the AMA and the insurance industry is only about profit to stockholders.

All the talk about EMR and PHR is circus! Unless patients finally get it that whether they live or die is of NO concern to the business of health care, nothing will change.

PHR is the answer… but only for patients who are willing to fight to save their lives. For the rest, Darwin is on the side of the status quo where money is all that matters.

Doctors care more than you think.
Doctors want a better way - but it hasn’t existed.
We decided to get together and start building one.
Please take a look at our website and let us know your thoughts.

We think that the PHR makes sense when directly coupled to our hybrid EMR/dictation-transcription system.

We think that it is about time for doctors to stand up for their patients and begin building a better way together.
Louis Cornacchia, M.D.

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