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Dr. Taylor Dickinson's articles and essays discussing his ideas on tax-preserved Universal healthcare...

Displaying articles filed under: Organizational Interest

The New Healthcare: Physician Reward »

Posted: Thu, Apr 21, 2011

By Taylor Dickinson

Rewarding physicians on the basis of volume incentives or mandatory quality of care measurements miss the opportunity presented by today’s upheaval in health care. The care of patients is about life and death. Reward should ultimately reflect this basic truth.

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Comments on: Sick Around the World »

Posted: Tue, May 6, 2008

By Taylor Dickinson

Of all the pressing domestic issues in this election year, a successful resolution of the problems in healthcare will have the most enduring effect. Any effort to clarify the issues involved therefore deserves thoughtful consideration. “Sick Around the World,” presented by Frontline, does attempt an even handed comparison of universal care in five countries. Its premise is that among these programs we may find useful suggestions to apply to US medicine. In his summary the narrator, T. R. Reid, identifies three common practices used by these nations to organize their healthcare. First, insurance company profits are limited or eliminated. Second, everybody is mandated to buy healthcare. Government must then provide subsidies to the poor. Lastly, providers (hospitals and physicians) must accept fixed prices.

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The Responsible Physician: Part III »

Posted: Wed, Apr 2, 2008

By Taylor Dickinson

What does the responsible physician bring to the table? Each physician has an innate belief that his patient’s welfare must come before his own. This healthcare system would have collapsed long ago if this were not the case. The flaw lies in the misalignment of self-interest. To correct it there must be an economic focus through which the diverse interests in healthcare can be resolved.

How do risk-bearing physician owned medical groups provide this focus?

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The Responsible Physician: Part II »

Posted: Sun, Mar 30, 2008

By Taylor Dickinson

Why should it seem to be a paradox for physicians to manage healthcare? Many blame physicians for the system’s failure. Deterioration in cost of care, ease of access, and availability of services all seem to point toward the profession. Yet it is the constancy of the physician’s dedication that sustains healthcare. Despite steady erosion of income and increased bureaucratic intrusion the profession soldiers on. The myriad factors which sustain the current US system are nicely described in the New England Journal of Medicine by Lawrence D. Brown. But he missed one critical factor. All of the compensating factors he mentions depend upon the input and even generosity of physicians. The system continues to function because the profession consistently places the welfare of its patients above its own. There is an essential iniquity in a society that exploits the humane spirit of its medical profession to sustain its failed healthcare.

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The Responsible Physician: Part I »

Posted: Wed, Mar 26, 2008

By Taylor Dickinson

As our healthcare system crumbles the mantra of cost containment still emanates from the ruins. Few aspects of healthcare escape this indictment. Physicians, hospitals, pharmaceutical companies and even insurance companies are all cited for their contribution to spiraling cost. But we seem unable to recognize that it is the organization of healthcare itself that creates the problem. As long as the belief is held that fiscal responsibility for care of patients can be divorced from the delivery of that care this chaos will continue. The frenzy to contain cost focuses upon care givers. If only they can be constrained healthcare will be affordable.

This is clearly not an effective strategy.

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No Payor System