Why some front line folks may actually get attention

[Guest guest]

One thing that gives me hope is that there

are senior policy folks who are very perceptive. They are saying that the

usual cast of characters is feeding them the same old tired lines.

Some policy makers want real change.

They don’t see the usual cast of characters suggesting real change and

they are asking “Is there anyone out there in the health care world who

is interested in real change?”

They see many of the suggested changes as

weak and unlikely to achieve the desired results, they are ready to reach out.

Our job is to show that there is a

constituency out here in the real world that is ready for real change.

Gordon

http://SavingPrimaryCare.org

Go there. Sign up. Get five

colleagues and/or patients to sign up. It’s time for real change.

From:

[mailto: ] On

Behalf Of Haresch

Sent: Tuesday, February 10, 2009

9:03 AM

To:

Subject:

Re: [Fwd: NYTimes.com: UnitedHealth and I.B.M. Test Health Care Plan]

Yes, yes, yes. All good points. But when you have AAFP, ABIM, AMA, ad

nauseum standing up in Washington

saying we're not doing well enough

and if you'll dribble some money our way we'll fix everything with

PCMH and lots of reporting, and the AMA with all the proceduralists

and other assorted money-makers aggressively defending their funding

turf, what is possibly going to get legislators to invest in a

functional primary care system? The voices of small groups of PCPs

advocating AGAINST their national organizations on a new direction

aren't going to get very far. If the current appetite for change is to

be utilized, it seems to me that the CURRENT movement needs to be

turned toward the good. That's why I am thinking that, if there were

relatively simple, easily testable, and MEANINGFUL measure(s) that

could be substituted when the NCQA benchmarks fail to bring about

anything useful, the current shifting sands could just maybe be

directed somewhere good.

But these are just my loose synapses (mis)firing. Thanks for your

indulgence.

Haresch,___

[Guest guest]

Gordon, I tried posting to your Telling It Like It Is blog, but I'm

getting lots of technical problems. Trying to log in results in a

blank screen or 400 error. Entering a comment results in the entry

being erased or the message " Invalid blog entry specified entered. " ,

depending on which browser I use. Any ideas on what I'm doing wrong?

Haresch

[Guest guest]

Let me check.

Gordon

From:

[mailto: ]

On Behalf Of Haresch

Sent: Tuesday, February 10, 2009

8:09 PM

To:

Subject:

Re: Why some front line folks may actually get attention

Gordon, I tried posting to your Telling It Like It Is

blog, but I'm

getting lots of technical problems. Trying to log in results in a

blank screen or 400 error. Entering a comment results in the entry

being erased or the message " Invalid blog entry specified entered. " ,

depending on which browser I use. Any ideas on what I'm doing wrong?

Haresch