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Index
Books by Richard L. Reece
About the Author
Foreword
PART ONE—Culture and Politics, the Reform Law, Costs and Demands, and Unforeseen Consequences
Culture and Politics
Blue Monday for ObamaCare
Political Chickens Coming Home to Roost
Obama Health Reform Rope-a-Dope
Tipping Point
Reform Storm
U.S. Exceptionalism
American Heritage
Ask Not: Health Reform Propositions
Pig in a Poke
A Favor You Can’t Understand
Reform and Repeal Odds
Massachusetts and Indiana Experiments
Romney’s Legacy
Center-Right Nation
Americans and Their Medical Machines
Comparative Health Statistics among Nations
The Reform Law
“Fiendishly Complicated”
Fast-Baked Reform Cake-Off
A Tangled Web
Winners and Losers
Known and Unknown Consequences of Reform Law
Vast Law, Half-Vast Consequences
Positives and Negatives
Checks and Balances
Correctness and Incorrectness
Wisdom of Crowds
Constitutionality
If Not Constitutional, What Then?
No Compelling Story
Big Brother Is Watching
Costs and Demands
Big “D”
Everything Has a Price
It Ain’t the System, It’s Aging
Doing the Math
Health Costs and Human Nature
SNAFU (Situation Normal All Funds Up)
Hospital “Facility Fees”
Unforeseen Consequences
Waive ObamaCare Goodbye
Costs of Consolidation
Reform Holes You Can Drive a Truck Through
Health Reform Dislocations
Will Public Hospitals Be a Health-Reform Casualty?
Death Knell of Independent Health Agents?
Part Two—Physicians, Hospitals, Patients, Access to Doctors, Medicare, and Government Bureaucracy
Physicians
Doctors in America
Talk Is Cheap
The Physician Organizational Inferiority Complex
Primary Care Revolt Against RUC
Survey: Two-Thirds of Doctors Fear or Oppose the Health Reform Law
The Future of Accountable Care Organizations
The Elephant in the Room: Small Physician Practices
Pay-for-Performance: Not So Fast, Macduff!
Stalking the Noncompliant Physician
A Physician’s Manifesto
Impact on Doctors
Physician Gratitude List
Reaping Tort Reform Benefits
Congress Hoist on Its Own Petard
Who Speaks for Physicians?
A Remarkable Document
Primary Care in the Dumps
Scuttlebutt
Monstrous Implications
Physician Sentiment Index
Doctors’ Dilemmas
The Future Ain’t What It Used to Be
Feminization of Medicine
Who Decides—Government or Doctors?
Hospitals
Chain Reaction of Consolidation
Hospital-Doctor Hiring Wave
Disgruntled Physicians and Unhappy Hospitals
Accountable Care Organizations: Negative Reaction among Physicians
Accountable Care Organizations as Private Practice Killers
Resolving Hospital-Physician Conflicts
Patients
“I Told You I Was Sick”
Resuscitation of Death Panels
“I Feel Like a Million Dollars!”
Patient-Centered Care and What Patients Want
Heart Disease and Health Reform
More Private, Personal, Home, and Decentralized Care
A Physical Exam Tale
Access to Doctors
Playing the Percentages
Access Mess
And Who Shall Care for the Sick?
I Told You So
Victims of Health Reform
Medicare
Ba-Ba-Ba Boom!
Health Reform Impact, as Cited in the Medicare Chief Actuary’s Report
Fraud and Abuse
Skepticism among Seniors
Government Bureaucracy
Res Ipsa Loquitur
Sickness of Government
Berwick Quote
Harvard-Driven Healthcare
Part Three—Innovations, Electronic Health Records, the Internet and Social Media, and Miscellany
Innovations
Government “Innovation”
Innovation: Last Great Hope
Irresistible Force
Seek and Find: Googling of Disease and Health
Why Not More Innovation?
Balancing Reform and Medical Innovation
Top Ten Innovators
Getting Your Care at Work
No Miracles among Friends
How-To’s of Healthcare Innovation
Electronic Health Records
Bonanza or Boondoggle?
“Inevitability” and “Waiting Game”
Is a “Free” EHR for Real?
Seek, Speak, and Ye Shall Find
The Janus of Health Reform
Unnatural Human Communication
Talking to Your EHR
Patients and WikiLeaks
Need for Physician-Friendly and Physician-Useful Information
The Internet and Social Media
Internet Groundswell
The Computer Is a Moron
Sermo.com—Physician Social Networking
Miscellany
The Medical-Industrial Complex
Too Many Rocks in Physician Knapsacks
Why the Political Sea Is Boiling Hot and Pigs Have Wings
Pruning of the Reform Christmas Tree
Epilogue
Eight Health-Reform-Driven Physician Trends
Doctors Make a Difference for the Poor
Ten Wrap-Ups for The Health Reform Maze
The Doctor Is In
References
Acknowledgments
Praise for The Heath Reform Maze: A Blueprint for Physician Practices
Copyright Info
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