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First Take

Threats to Medicare funding jeopardize physician participationHow long they can play the Medicare payment shell game without simply walking away from the table?
Mr. President, physicians fight when things get toughPhysician numbers aren’t declining
Physicians have fought against fake news for yearsYou may blame it for the results of the presidential election. You may see it as the byproduct of the Internet run amok.
Dear President-elect Trump:  It’s time to bring doctors to the table
Dear President-elect Trump: It’s time to bring doctors to the tablePresident-elect Donald J. Trump campaigned on a promise to “repeal and replace” the Affordable Care Act with better health plans and healthcare for all Americans.
Physicians, let’s lead the charge to reduce handgun deaths
Physicians, let’s lead the charge to reduce handgun deathsI am a gun owner, raised as a hunter in rural Texas, and proficient with all types of civilian firearms.
Tips for independent practices to survive value-based careThe Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 (MACRA) ushers in a new age of “value-based payment reform” and forces the question, “How does one become more interdependent without losing one’s identity?”
JAMA study a slap in the face to physiciansAMA recently published an article with findings from a study alleging an association between free meals for physicians and an increased rate of prescribing the branded drugs discussed during a lunch or dinner meeting. Of course, it wasn’t until you got to the very end of the piece that the authors came clean and admitted that there is no actual cause-and-effect relationship present.
Obamacare hasn’t solved the challenge of uninsured patientsIt will cost a lot to solve the challenge of covering the 30 million Americans who are still uninsured despite the Affordable Care Act.
Transitional care: the unintended consequence of hospitalists’ riseHow did we end up with yet another layer added to our healthcare delivery system? It might be an unintended consequence of hospitalist programs.
USPSTF doing a disservice to physicians and patientssome of The United States Preventive Services Task Force (USPSTF) recommendations cause confusion among patients and physicians and lull them into a complacent attitude toward preventive care.