tag:blogger.com,1999:blog-7323692122514281455.post1613100461042746114..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: Supreme Court Upholds Obamacare: There's Order in the CourtMichael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-7323692122514281455.post-26782470567080736482012-07-16T11:55:59.985-04:002012-07-16T11:55:59.985-04:00What is really awesome about the Maryland law is t...What is really awesome about the Maryland law is that PAP smears are now not even recommended until age 21 according to American College of OB/GYNs and can be tapered off after age 60 for most women. So the law requires you to prove why you have not done that which is nor recommended.<br /><br />JustADocAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-21471415921575872962012-07-10T19:27:35.968-04:002012-07-10T19:27:35.968-04:00To the above anonymous commenter, do you really fe...To the above anonymous commenter, do you really feel that if Justice Roberts had sided with the 4 dissenters and overturned Obamacare that the left wouldn't have been outraged and accused the court of acting political? I certainly do. Justice Roberts has now permanently disarmed this argument.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-5483692264828740932012-07-10T11:27:51.089-04:002012-07-10T11:27:51.089-04:00The political left is not "fair and balanced&...The political left is not "fair and balanced" because you claim their response to a favorable ruling is not comparable to what you imagine their response would be to an event that will never happen?<br /><br />Interesting.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-13028800773780978502012-07-05T16:44:54.094-04:002012-07-05T16:44:54.094-04:00Didn't realize how enlightened Maryland is. T...Didn't realize how enlightened Maryland is. This is a stellar example of 'pay for performance' when we are rewarded for practicing (and documenting) quality medicine. Pass the zofran please!Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-65119562571598945452012-07-04T20:07:48.892-04:002012-07-04T20:07:48.892-04:00Yesterday, I had to document why I'm not perfo...Yesterday, I had to document why I'm not performing a Pap smear on my 104 year-old female patient admitted with acute myocardial infarction. According to Maryland Law SB59, all female patients >18yo must be offered this exam; if not performed, it must be documented why on a special form that is included in every chart (along with 800 other forms that must be signed). You say "medical documentation and check mark medicine, not medical quality, is rewarded." That's an understatement. It has become utter insanity. But that's what happens when non-scientists (ie lawyers and businessmen) or, as I like to call them, "non-rational thinkers," are the architects of medical policy.Payamnoreply@blogger.com