Recommend starting at 13:10!
2:00 — Dr. Burgess explains his “awakening”: Two tier systems developed in many countries with nationalized healthcare. Clintons were fearful of this, so they sought to criminalize any practice of medicinie outside their system.
13:10 — Dr. Orient describes working for the VA: Very bad idea to work too hard because you don’t get paid more, everyone resents you, and there is a greater possibility of making a mistake. Weekends and Federal holidays all free! No need for malpractice insurance. Eligibility for treatment rigidly pre-determined. Can’t critizise the government.
At the VA’s monthly administrative meeting a nurse suggested playing a recording of last week’s meeting and going to the canteen instead.
(Dr. Orient’s whole talk is outstanding)
25:40 — Dr. Amerling
27:00 — more and more residents are trying to stay on instead of enter private practice. There’s a mass migration from established private practices into hospital. This is driven by money. Practice expenses are rising while medicare / medicade payments are not rising with inflation.
32:00 — wonderful anecdote about the consequences of doctors working at fixed salary regardless of how many patients they see.
Obamacare penalizing hospitals for patient re-admittence.
Federal guide lines are driven by medical industry lobbies which always advocate aggressive treatment. In 2006 guidelines for anemic patients were written based on casual observation. This was dramatically refuted by more rigorous experiments. Patients were harmed.
46:00 — Q & A
One is from New York , another is from Tennessee and the third is from Florida.