It amuses me when people possessing little knowledge of the inner workings of the practice of medicine write articles as if they are “in the know.” Mr. Cannon’s article is one such work.
I’m not going to pick apart the whole article, but there are several statements Mr. Cannon makes that are either purposely inflammatory or that show a fundamental lack of insight. Contrary to its title, the article talks very little about “universal coverage” but instead tries to incite the public about “never events.” I’m glad he links to a few statistics, but the conclusions he comes up with are flat out wrong.
Mr. Cannon states that
“For more than 40 years, Medicare has provided financial rewards to providers when a patient requires follow-up care following a medical error.”
This is a partial truth, but he’s sensationalizing the whole concept. There are errors such as wrong medications, wrong site surgeries, and wrong type blood transfusions. I’ve stated before that I can’t think of a legitimate reason for some of those things happening. Should practitioners be compensated if they commit those errors? Maybe, maybe not. Errors are a part of any profession. If your mechanic doesn’t fix the rattle in your car, you still have to pay him for his “error” in trying to diagnose the problem. If the restaurant messes up your order, maybe you get comped the meal, but you don’t walk out of the restaurant without paying the check. If your attorney can’t get case filings done on time and requests a continuance, you’re paying him for going to court to get the judge’s permission and your paying for the letter/phone call telling you the status of your case.
The other side of the coin, as I’ve also stated before, is that if people like Mr. Cannon and our beloved government are so sure that all of these “errors” are preventable, then provide all of us overpaid brain dead doctors with a way to prevent the errors, then. Give me some links to those articles, there, Hippocrates. Put up or shut up.
Mr. Cannon also makes the statement that
“Medicare will still reward hospitals for many medical errors, including infections and medication errors ….”
Since when did living organisms that cause infections become a “medical error”? If you get a strep throat are you going to pay the doctors double for your “error”? How about that painful little drip coming from the tip of your woo-hoo? OK, I guess that the clap results from an error in judgment. So you’ll have to pay us triple for that one – once for the medical error and once for the judgment error. How about pneumonia? How about paronychia from chewing your fingernails? For that matter, how about the cavities from the organisms in your mouth? What about influenza? Are all of these infectious processes “medical errors”? I’d like to see how you rationally differentiate post-op infections, c difficile, and UTIs from other compensible “infections.”
Mr. Cannon’s article does propose a solution to all of medicine’s ills, though. Actually, the idea was created by Group Health Cooperative and Kaiser Permanente “more than 60 years ago.” According to Mr. Cannon’s article,
“Doctors and patients who choose those plans tend to like them, and the plans receive high marks for quality, which suggests the financial incentives they use serve patients better.”
He doesn’t really explain what he’s talking about, so I did a little searching.
Mr. Cannon wrote another article here that expounded more on this process.
Drumroll, please … he’s advocating a national HMO.
Yes, HMOs are Michael Cannon’s answer to the healthcare crisis. Pay a flat monthly fee for every patient a physician sees and the physicians are responsible for paying for all of the care that the patient requires. If the patients require more care than the monthly fees, the doctor has to pay for the care out of pocket.
Do I even need to link to articles on what a colossal failure HMOs have been? Try finding a physician who even takes HMO patients in many parts of the country. Doctors are less happy and see fewer patients. You think it’s tough to get an MRI now? Try getting an expensive test with an HMO. HMOs reward minimalist medicine. The less you do, the more money you make. That’s great if you’re a healthy patient with few medical problems. I have neither the time nor the desire to track them down, but I would like to see some studies on how many chronically ill people are happy with their HMO care.
As I sat here shaking my head at another person perpetuating misinformation to the public, I started thinking about how to explain the concept of a “never event” to a journalist.
If you’re a journalist whose articles don’t follow the rules of proper English, a never event woul mean that you don’t get paid for writing the article. Any article you write in which your editor has to make any correction is uncompensated. You don’t like that idea? Why you miserable incompetent money-grubbing wretch. Taking money from a publisher when you’ve made a mistake?!?!? That borders on unethical. You churl!
Of course, your editor, as a representative of the employer that is paying you money, has an incentive to find errors so that the employer doesn’t have to pay you. Even so, that type of system shouldn’t bother you so much. After all, how hard can it be to follow the rules of English? Those are at least written out in Strunk and White.
Yeah. I can go with that concept.
Mr. Cannon’s article uses the “naked this” like it’s going out of style and has dangling modifiers and sentence fragments galore. Maybe we can start a petition to the National Review and request that they withhold Mr. Cannon’s paycheck this week for all of those literary “never events.”
I propose that they send his paycheck to their local hospital to help it avoid more “medical errors.”