Table of Contents
Introduction v
About the Artist xiii
About the Author xv
Part 1 Reform and the Patient 1
Introduction 3
1 Buyer Beware: How Patients are Negatively Impacted by the Changing Landscape of the Affordable Care Act (ACA) 5
2 Big Brother is Watching … And Your Healthcare Privacy Rights May Suffer: More Affordable Care Act Fallout 9
3 An Apple a Day - Changing Medicine through Technology and Engagement 13
4 Medicine in the Age of Mobile Technology: How Tablets Are Transforming the Patient Encounter 17
5 Obamacare Delays and Rearranging Deck Chairs on the Titanic: Old People Can't Surf 21
6 The High Cost of Terminal Illness: Big Pharma Cashes in on Hope 25
Part 2 Reform and the Physician 29
Introduction 31
7 Reflecting on Medicine and Change: Sailing Rough Seas and Finding Uncharted Waters Ahead 33
8 Finding Success and Happiness in Medicine? Where is the Holy Grail? 37
9 Obamacare Fuels Burnout: Running for Cover and Finding Nowhere Left to Hide 41
10 Physicians and Leadership in the Age of Reform: The Power of Applying "I Don't Know" to Medicine 45
11 The High Healthcare Costs of Emergency Department Visits: Stop Pointing Fingers and Begin Offering Solutions 49
12 The Next Government-Based Healthcare Debacle: Coding for Orca Bites? 53
Part 3 Reform and the Doctor-Patient Relationship 57
Introduction 59
13 Limiting Choices and Destroying Relationships: Early Consequences of the Affordable Care Act 61
14 Government Regulation and the Destruction of the Art of Medicine: When Checking Boxes Replaces Care 65
15 The Doctor-Patient Relationship on the Brink of Extinction: The Impact of Physician Post Graduate Training 69
16 The Perversity of Medicare Incentives and Reform: Turning People & Patients into 10-Minute Time Slots 73
17 Sharing Bad News or Keeping Secrets: How Physician Communication Impacts Patients and Families 77
18 Attending a Funeral: Mourning the Loss of a Friend and Learning More About the Art of Medicine 81
Part 4 The Politics of Reform 85
Introduction 87
19 Sex, Lies and Healthcare Reform: The Current (Sad) State of the (Un) Affordable Healthcare Act 89
20 Obama's Latest Bait and Switch for Docs: Medicaid Payments to be Cut by 40% 93
21 Unsustainability: Obamacare, Medicaid Expansion and the Destruction of the "Art" of Medicine 97
22 Controlling the Costs of Innovation 101
23 "Veritas", Ivy and the Affordable Care Act: What is Good for the Goose May Now NOT be Good for the Gander at Harvard 105
24 Healthcare Industry CEOs and the Cost of Care: Too Many Men (and Women) in Black (Suits)? 109
Part 5 Reform and the Future of Medicine 113
Introduction 115
25 The Doctor Shortage of Tomorrow: Fact or Fiction? 117
26 More (or less) Hope and Change (for the worse) in Healthcare: Are Doctor Shortages Really All Due to Training Bottlenecks? 121
27 Doctors Punching Time Clocks: The Impact of Reform 125
28 The Advantages of Team Approaches to Patient Care: Extending NOT Replacing Physician Care 129
29 The Electronic Medical Record Mandate and Managing Fraud: More Government Ineptness? 133
30 Turf Battles and Collateral Damage: Are We Really Putting the Patient First? 137
Index 141
