Skip to main content

Who Deserves Quality Medical Care?

We all should know the difference between a slogan and real substance.   One of these has size and shape while the other is just a shadow.   Why then, is the slogan so powerful?

A slogan is one of the weapons wielded by the Guardians of Political Correctness.  They will point toward the slogan du jour, and then, with cameras rolling, demand to know if you support it.  Even a moment’s hesitancy will be taken as weakness.   Expect to see your waffling go viral for all to see, edited down and sans context. 

Politicians Advised to Avoid Waffles.

During a presidential election, this practice is omnipresent. 

Mr. Bush, do you support fair trade?
Mrs. Clinton, is your immigration policy to give amnesty to all illegal aliens?
Mr. Cruz, do you believe in the rule of law?

These questions cannot be adequately answered with a reflexive yes or no.   The slogans contained within these 'gotcha' questions point to complex and nuanced issues that need layered responses.  Of course, if a politician were to begin his response with, ‘Yes, but…’, he will be tossed aside as a spineless waffler.  

I hear the slogan ‘equal pay for equal work’ bandied about.  If a reporter shoved a microphone in your face and demanded to know if you support this slogan, would you scream ‘Yes!’ while you pumped your fist in the air for emphasis?   After all, who could oppose equal pay for equal work?  Shouldn't a man or woman receive the same wages for the same job?

Try this example.  A new teacher who has just completed his training becomes a 3rd grade teacher.  He is qualified and brings youthful enthusiasm into the classroom.  His colleague across the hall, has been teaching 3rd grade for 15 years.  This teacher is a seasoned professional whose students benefit from a career of experience during which she has honed her craft to higher level of performance.  Both are 3rd grade teachers.  Should each be paid the same salary?   I don't think so.  Does this mean that I do not  support equal pay for equal work?

Slogans are rife in the medical world.  How often do we read or hear about ‘quality health care’?  Not a day passes that I don't confront this slogan.  It’s an empty phrase that masquerades as something real.  It’s a phantom, a cloud, a ghost.  It falls apart if you try to hold it.  

I think every American deserves quality health care from quality physicians who prescribe quality medications dispensed by quality pharmacists purchased by quality patients.

My point?  Try to define quality medicine.  It’s not as easy as it seems.  Could you do it as a quality reporter with a mic and a camera demands a quality definition in 5 seconds?

Context anyone?



Comments

Popular posts from this blog

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

The VIP Syndrome Threatens Doctors' Health

Over the years, I have treated various medical professionals from physicians to nurses to veterinarians to optometrists and to occasional medical residents in training. Are these folks different from other patients?  Are there specific challenges treating folks who have a deep knowledge of the medical profession?   Are their unique risks to be wary of when the patient is a medical professional? First, it’s still a running joke in the profession that if a medical student develops an ordinary symptom, then he worries that he has a horrible disease.  This is because the student’s experience in the hospital and the required reading are predominantly devoted to serious illnesses.  So, if the student develops some constipation, for example, he may fear that he has a bowel blockage, similar to one of his patients on the ward.. More experienced medical professionals may also bring above average anxiety to the office visit.  Physicians, after all, are members of...

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) Durin...