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Channel: Comments on: “Choosing Wisely”–A great name for a great plan.
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By: Mark Paulsen

Allison, Maybe you don’t need to have your collarbonen “fixed” at all. The vast majority of collarbone fractures will heal with some time in a sling and maybe some physical therapy. Couple visits to...

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By: Dr John

I could not agree more. Take pacemakers and ICDs: it takes far more energy–both mental and emotional–to explain why we should NOT do the procedure than it does to simply do it. And the compensation for...

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By: Dr John

Agreed. Some say cutting salaries of docs will de-incent students to choose Medicine. That’s true to an extent, but if you ask most doctors what they are least happy about, I bet they’d say it’s the...

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By: Ken Grauer, MD

Excellent points Allison. This is why I’ve felt the ONLY way health care costs overall will go down is IF there is a single-party payer. The reason why a bag of saline costs so much is because no limit...

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By: Dr John

All good points Allison. In Germany, AF ablation costs 8000$ and here it costs 80,000$. Same procedure with the same outcomes. What’s more stinging is that all Germans have basic health insurance. The...

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By: Dr John

Thanks Mark… My partner and I sit in adjoining cubicles in the office. We both make our living doing, as interventionalists. Fixers we are. It’s funny; we used to talk about the rigors of how hard a...

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By: Ken Grauer, MD

I wanted to THANK Dr. John for regularly taking time out of his busy day to soul-searchingly, openly, and non-defensively write this blog, with bonus of specific answers to feedback from participants...

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By: Verted

Why is it insurance will pay for a $3,000 CT scan, a $250 per month anti-arrhythmic drug (of dubious usefulness) prescription, but not a $35 blood test for possible magnesium deficiency for afibers?...

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By: verted

OK, I’ll temper that last comment, as medicine is a business as well. I should have said “medicine should be more patient centered and a bit less payment centered”. My apologies to all of the good...

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By: Recommended Reading: April 5-12, 2012 | The Medical Professionalism Blog

[...] Dr. John M called Choosing Wisely® “a great name for a great plan,” and has already proposed his own “Top Five” list for electrophysiology. Posted in: [...]

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