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Doctoring Health Care Health Care Reform Knowledge

Right Care Action Week — Change what we fear

Last night I talked with one of my partners about a few terrible cases of medical harm from unnecessary procedures. He said, “John, people get this stuff done to them because they fear not being healthy. People are scared.” My answer was that people should fear healthcare more than they do disease. That sounds like […]

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Doctoring General Medicine Health Care Health Care Reform ICD/Pacemaker Knowledge

Right Care Action Week — Be skeptical

Right Care seeks to be smart care. In the first part of my career, I rarely looked critically at the evidence. I was too busy; and I was more trusting of the vertical hierarchy of medicine. Eminence-based medicine seemed normal. Listen to the experts, for they are experts, went my mindset. Then something happened. When […]

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AF ablation Doctoring General Medicine Health Care Health Care Reform ICD/Pacemaker Knowledge

Right Care Action Week – Un-informed Consent

The current state of informed consent in the US is best described as un-informed consent. A study this May reported that only 3% of patients with coronary artery disease received full informed consent before having an invasive procedure. Findings like these, and there are many other similar studies, reflect the ill-health of the medical decision […]