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	<title>Comments on: Operating in a Vacuum</title>
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	<description>meandering healthcare, law, technology...</description>
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		<title>By: jb</title>
		<link>http://symtym.net/2004/05/operating_in_a_vacuum/comment-page-1/#comment-2</link>
		<dc:creator>jb</dc:creator>
		<pubDate>Sun, 09 May 2004 09:27:00 +0000</pubDate>
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		<description>He forgot to add:
To manage a 20th century problem.

The problem: Involvement of government and the legal system in medical care.  Until these meddlings, a simple office visit could be dispensed with in a line or 2, handwritten.  An operative report for a routine procedure might have been a dozen lines.  The patient paid when he left the office, or later received a bill that said, &quot;For professional services...$XXX.

Medical records are now exploded into inch thick documents for a two day hospital stay, 2 single spaced typed pages for an ofice visit.  Multiple vendors are out there to sell you a million dollar EMR to &quot;simplify&quot; record keeping. 5 or 6 figure computer systems just to be able to send out a bill.  Everything has a 5 digit procedure code and a 5 digit diagnosis code.

Does anyone out there think that any of this is necessary to take care of the sick folks?  No, it&#039;s necessary to take care of the lawyers, consultants, and bureaucrats who have latched onto the medical care system, sucking it dry like parasites.</description>
		<content:encoded><![CDATA[<p>He forgot to add:<br />
To manage a 20th century problem.</p>
<p>The problem: Involvement of government and the legal system in medical care.  Until these meddlings, a simple office visit could be dispensed with in a line or 2, handwritten.  An operative report for a routine procedure might have been a dozen lines.  The patient paid when he left the office, or later received a bill that said, &#8220;For professional services&#8230;$XXX.</p>
<p>Medical records are now exploded into inch thick documents for a two day hospital stay, 2 single spaced typed pages for an ofice visit.  Multiple vendors are out there to sell you a million dollar EMR to &#8220;simplify&#8221; record keeping. 5 or 6 figure computer systems just to be able to send out a bill.  Everything has a 5 digit procedure code and a 5 digit diagnosis code.</p>
<p>Does anyone out there think that any of this is necessary to take care of the sick folks?  No, it&#8217;s necessary to take care of the lawyers, consultants, and bureaucrats who have latched onto the medical care system, sucking it dry like parasites.</p>
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		<title>By: jb</title>
		<link>http://symtym.net/2004/05/operating_in_a_vacuum/comment-page-1/#comment-3</link>
		<dc:creator>jb</dc:creator>
		<pubDate>Sun, 09 May 2004 07:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://symtym.com/?p=19#comment-3</guid>
		<description>He forgot to add:&lt;br&gt;To manage a 20th century problem.&lt;br&gt;&lt;br&gt;The problem: Involvement of government and the legal system in medical care.  Until these meddlings, a simple office visit could be dispensed with in a line or 2, handwritten.  An operative report for a routine procedure might have been a dozen lines.  The patient paid when he left the office, or later received a bill that said, &quot;For professional services...$XXX.&lt;br&gt;&lt;br&gt;Medical records are now exploded into inch thick documents for a two day hospital stay, 2 single spaced typed pages for an ofice visit.  Multiple vendors are out there to sell you a million dollar EMR to &quot;simplify&quot; record keeping. 5 or 6 figure computer systems just to be able to send out a bill.  Everything has a 5 digit procedure code and a 5 digit diagnosis code.&lt;br&gt;&lt;br&gt;Does anyone out there think that any of this is necessary to take care of the sick folks?  No, it&#039;s necessary to take care of the lawyers, consultants, and bureaucrats who have latched onto the medical care system, sucking it dry like parasites.</description>
		<content:encoded><![CDATA[<p>He forgot to add:<br />To manage a 20th century problem.</p>
<p>The problem: Involvement of government and the legal system in medical care.  Until these meddlings, a simple office visit could be dispensed with in a line or 2, handwritten.  An operative report for a routine procedure might have been a dozen lines.  The patient paid when he left the office, or later received a bill that said, &#8220;For professional services&#8230;$XXX.</p>
<p>Medical records are now exploded into inch thick documents for a two day hospital stay, 2 single spaced typed pages for an ofice visit.  Multiple vendors are out there to sell you a million dollar EMR to &#8220;simplify&#8221; record keeping. 5 or 6 figure computer systems just to be able to send out a bill.  Everything has a 5 digit procedure code and a 5 digit diagnosis code.</p>
<p>Does anyone out there think that any of this is necessary to take care of the sick folks?  No, it&#39;s necessary to take care of the lawyers, consultants, and bureaucrats who have latched onto the medical care system, sucking it dry like parasites.</p>
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