Fixing the Primary Care Crisis

As I keep reminding people, Americans spend twice as much as other countries on health care yet still live sicker and die younger, according to the World Health Organization. At $3 trillion/year, that’s about 18% of the nation’s GDP, and it’s not sustainable, especially as our nation’s baby boomers approach retirement age and start needing more medical care in their later Read More …

The Value of Integrative Medicine

By Stephen C Schimpff, MD Beginning with a deep understanding of medical science and years of training and experience, the primary care physician (PCP) needs to delve deeply into the patient’s personal, family and social setting in order to fully understand the context and causes of the patient’s illness. The PCP also needs to know when it is important or even Read More …

Big Data Revolutionizing Healthcare

Byline article by Jessica Oaks The healthcare industry has long been a hotbed for technological and pharmaceutical development. Consider the discovery and later development of penicillin in the 1920s and 1930s to fight bacterial infection, or the use of X-ray imaging in the 1890s to see inside the body. Technology furthers the cause of healthcare and medicine by enabling better Read More …

Meaning And Depth of the Primary Care Crisis

This is Part 1 of a Series on The Crisis in Primary Care by Stephen C Schimpff, MD The primary care physician (PCP) should be the backbone of the American healthcare system. But primary care is in crisis – a very serious crisis. The first statement is my considered opinion and I will attempt to convince you of its truth. The second Read More …

Reframing the Question of Doctor Frustration

By Dr. Stephen Schimpff Editor: I just love this doctor’s thinking and have published several of his articles here. I’m happy to feature another one from HealthWorksCollective. There has been a lot of interest in the Daily Beast article written by Dr Daniela Drake, about very frustrated primary care physicians (PCP.) She quoted both Dr Kevin Pho and myself. Dr Drake noted that nine Read More …

The End of Illness

Today’s article is adapted from The End of Illness by Dr. David B. Agus and an ABC News story about his book. (video below) “The end of illness is closer than you might think,” says Agus, a professor of medicine at USC. But to achieve that, people must look at their bodies in a whole new way. He and many Read More …

Dramatic Change in the Causes of Death

by Stephen C Schimpff, MD Most of us will not have the opportunity to just die of “old age” or to simply fall to sleep one night never to wake again. Most often, we develop an illness which causes our death. These have changed markedly over the years. For the pioneers, accidents, infections, childbirth were times and causes of great likelihood Read More …

Wireless devices to change medicine

Wireless devices will dramatically change how medicine is practiced By Stephen C. Schimpff, MD (originally published at KevinMD.com) I interviewed about 150 medical leaders just a few years ago for my book The Future of Medicine – Megatrends in Healthcare. Not one mentioned wireless devices as a coming megatrend. How fast the world changes! Nowadays everyone has a cell phone and we rarely Read More …

Is Technology a cost Driver or cost Saver in Health Care?

By Stephen C. Schimpff, MD (originally published in Harvard Business Review) Pharmaceutical, biotechnology, and medical-device and equipment companies have been extremely effective at producing innovations that have created major benefits for medical care. But the cost of new patented drugs and devices (pacemakers, defibrillators, stents, ventricular assist devices, insulin pumps, laparoscopic surgical instruments, etc.) are high. As a result, many Read More …

The Future of Health Care Delivery

Author’s summary by Stephen C Schimpff, MD Health Care in the United States is a paradox.  We are the most abundant, highly advanced market in the world, where research, commitment of providers, and dollars spent are unmatched.  And yet… medical care is not uniformly available, is much too expensive and the quality of care is all too often less than satisfactory Read More …

Why American Health Care is So Expensive

This video by Vox and Ezra Klein explains why American health care is so expensive, and it does so simply and effectively. It mentions each of the top issues I write about here at Modern Health Talk, including the political influence of a medical cartel that profits from treating illness and injury with a fee-for-service business model. The video gives me Read More …

Doctored, about Physician Disillusionment

Doctors are just as frustrated with our fee-for-service “sick care” system as patients are. Following on the heels of a related article from a few days ago by Dr. Stephen Schimpff, today’s post introduces an NPR article featuring an in-depth interview with cardiologist Sandeep Jauhar, MD, who wrote the book, Doctored: The Disillusionment of an American Physician. It begins… “As a young doctor working Read More …

Healthcare as Public Utility

Computing functions once associated with PCs are moving back to big servers in the Internet Cloud, leaving mobile client devices to handle the user interface (UI) but not the data storage and analysis. I find this shift especially interesting, having grown up in the mainframe world at IBM as computing functions moved to PCs. In the case of speech recognition Read More …

101 MiniTrends in Health Care

“What the Hell is happening to health care?” “And is it an Opportunity or a Threat?” Insights by Wayne Caswell, Founder of Modern Health Talk. An awful lot has changed in just the last few years and even more will change in the near future, with the aim of reducing (or at least containing) our health care costs. What’s behind Read More …