Re: question on low overhead

[Guest guest]

I didn't know Gladys Knight was black! ;-)

--

Great points.

Ultimately, I fear the only way the system would change however, is if the

American people come to believe such models of practice (IMP-ish models)

will benefit them, in their wallet.

Theoretical discussions of " quality of care " and improved use of health

care system monies, etc, mean nothing to the common American. The ONLY

thing that will get the great majority of the population to listen is if

supporting practices like this actually improve their bank accounts.

And unfortunately, the people holding the money bags of health care are

the insurance companies (private and public) and not the doctors or

patients.

Currently I'm feeling that I can only control a good portion of the small

world around me and thus don't feel like even reaching out to the local

" powers-that-be " . It's great to see your posts and hear others'

inspirational calls for action. But I gotta admit pessimism about health

care in general... but optimism in my own practice (...and the little

league baseball team I'm coaching this spring!)

Cheers!

Tim

--

Malia, MD

Malia Family Medicine & Skin Sense Laser

6720 Pittsford-Palmyra Rd.

Perinton Square Mall

Fairport, NY 14450

(phone / fax)

www.relayhealth.com/doc/DrMalia

www.SkinSenseLaser.com

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> well low overhead is a frame of mind and a design feature of the

> practice to some extent

> I live in the land of the The Tightwad Gazette author-- you know put

> your kids' lunch sandwichs in the plastic bags other thigns come in, and

> you can save to buy your house for cash..

> but

>

> the tightwad gazette chick bought a $40,000 farmhouse.Not much

> avialble at at that price anymore

>

> A cotton ball a day does not malpractice pay.

>

> If you scrimp to the bone but the median cost of a house is 200,000

> and you have school loans and the loans you have to re pay are not to

> yourslef so you must do it every first of the month, and malpracice is

> 20,000 or 30,000 a year then low overhead only takes you so far and

> while,

>

> this group can learn about what low overhead is,

> we cannot help everyone is every setting because

>

> the system is broken.

> the system is broken

> the system is broken

>

> I hope we can next move these conversations somehow very hard into

> the bigger arena.

>

> We already know staff and rent and malpracice and maybe glitzy emrs

> drive up overhead.But you can still only drive it so low.

>

> On election day vote early and vote often.(if you can find someone you

> want to vote for)

> A patietn suggested to me by the way that since we have a chance to

> have our first black ,our first woman, our first mormon presdietn, if

> we would just elect Gladys Knight we could have all three.

>

> Jean

>

> Jean

>

>

>

>