Posted on 06/03/2015 10:22:22 AM PDT by Rona Badger
The Sinister Bridge between Evidence-Based Medicine and Electronic Health Records. The Federal government is closing in on every aspect of our society. Medical data is one of several key components required to make their collection and consolidation complete.
Words mean something. They are not just utterance or grunts. Yet, we have been taught to swallow words without really considering their meaning. In this, the corporate and governmental propaganda machine has succeeded well. We give up our lives based on a kind of mass failure to understand what is really meant by a word or a phrase.
Weapons of Mass Destruction, as an example, were sold to the public as absolute truthtruth backed by evidence. The result? Thousands of body bags and trillions of dollars spent on the longest war in the history of the US. The fallout? Utter chaos and America well into bankruptcy, borrowing and printing money to smooth over the eruption which is rumbling now under our societal feet.
Evidence-Based Medicine (EBM) sounds like a noble and worthy concept. Only a foolish and stupid doctor would ignore evidence in making a decision, especially involving ones life or death.
Yet, EBM, enabled by the massive data capture called Electronic Medical Records (EMR) or even more overreaching, Electronic Health Records (EHR), is now being pushed down the throats of doctors by the government and their surrogates in order that they may receive Medicare benefits.
Under Obamacare, the benefits of EHRs were touted as being monumental. These advantages were promised: less paperwork, increased quality of care, financial incentives, increased efficiency and better patient care. Instead, there is antipathy brewing. EHRs are contributing to the opposite: lower quality of care and higher costs.
(Excerpt) Read more at theamericanmedicalmoneymachine.com ...
This is arguing against digitizing medical records?
Hell yeah! And let’s get rid of paper, too. Too easy for anyone to scribble on a piece of wood pulp.
Bring back clay tablets! Bring back engraved stone! Bring back Moroni’s Golden Tablets!
This is an excellent example of how not to write something to convey information or to have people not familiar with the topic learn something.
I can supply the author with tons of evidence of WMDs in Iraq and, although I don’t have the figures at hand, I don’t think the cost of the war put us in bankruptcy. I believe our economic woes are firmly tied to something else.
Wow - what did I read? I know knot. But evidence-based medicine seems to be a WMD. Ok then.
Won’t this be fun in the future. Now every medical treatment or problem will be available for snooping by Obamacare minions. You better pay the right people if you want to run for office. That wart you had removed??? That time you went in for depression?
Look how Obama won all his elections. He got the records of all his rivals and used SEALED records to destroy his enemies.
This is pointing out that your doctor has to provide evidence that your congestive heart failure or diabetic neuropathy is improving or Medicare can stop paying for the medicines you are taking. This will cause your death, but it will drive down the cost of health care, one of Obama’s goals in Obamacare. The fewer sick and elderly we have around, the better for the government.
Iraq and Weapons of Mass Destruction
I guess one could argue those trillions could have been used elsewhere but given this admin, I don't think so.
As opposed to prior, when it was medical insurance companies with access to your health records denying you coverage.
I had to take out a bankruptcy in the early 1990s because my wife at the time was hospitalized for endometriosis. The insurance company pre-qualified her for admission, and she spent two weeks inpatient in the hospital for complications.
Three months later, they retro-actively withdrew their payments, leaving us on the hook for over $85,000 in medical bills. We took it to the state insurance office, but it was argued successfully, that because she had been seen in the ER in the previous years for the same condition (horrible abdominal cramps) without proper diagnosis, it was a “pre-existing condition” and didn’t have to be covered.
The main problem with EHR was that computer programmers in some 3rd world country were trying to impose their idea of what medical charts should be onto the US doctors. No one bothered to ask the doctors how they actually create charts, and not every doctor does it the same way. That problem still hasn’t been fully resolved. Some EHR companies listened and now have better software, but some are still putting out a nearly worthless product and charging huge amounts for support. Some doctors I know have retired early or just decided to take the penalty fee to avoid the issue until early retirement. Others who are too far from retirement have put their techs through medical transcription training so it takes some of the burden off the doctor while they interact with the patient. Doctors that use a lot of imaging and drawing attachments to charts, such as ophthalmologists, have had some of the worst experiences with EHR.
As for trillions spent on the war? I don't think it was multiple trillions. It certainly didn't cause the huge bank default in '08. The 7 trillion that 0bama glommed onto for Stimulus I, II and III and other domestic spending didn't go for war funding.
I don't even know what "evidence based medicine" means but I couldn't read past the poor analogies so maybe he explained that later in the article.
My doc is furious! All his nurses/assistants now have rolling computer consoles. One of my meds used to be able to be refilled by just a call from the drugstore. Now I have to drive to the doc’s office, sign a form, hand over my driver’s license, and they scan the form and my license into their computer. Then I get the script, and get it filled. PITA for my doc and me. And it’s cost him a lot of moolah!
Can’t argue with you. I hope he reads these comments one day! As an FYI, I’ve “latched on” to his blog to post here because I’m pretty sure I won’t get zotted for duplicate posts :-). It’s not easy to find articles that aren’t immediately added here by the regulars! I’ve also been very interested in the topic of medicine as a money machine for years. FWIW, he does go on to explain EBM in the [long] article and lots of links to other explanations.
OK, thank you. Perhaps I will give the article another try later today.
Happy posting! :-)
EHRs are simply a government surveillance tool. Surveillance on patients and surveillance on doctors. The opportunities for expanded government criminality by entrapment are legion.
Patients: psychiatric diagnosis or even being placed on psychiatric medicines will lead to loss of 2nd amendment rights, but would also allow violations of 4th amendment when agencies get “leads” via medical records and then conduct parallel investigations. Vets are already being placed on “do not treat” lists likely because of political reason; what’s to prevent that form happening to the general public. Be very careful what you say to a doctor especially one that works for a big hospital or clinic.
Doctors: Medicine will increasingly be criminalized. Any errors in medical records will be prosecuted as fraud resulting in fines and imprisonment. This has already happened to Dr. Natale, a vascular surgeon in IL who was imprisoned by the Feds because he wrote supra-renal aneurysm instead of infra-renal aneurysm. He was not even found guilty of a coding violation. Violation of confusing coding rules will be vigorously prosecuted.
Show me the man and I’ll find you the crime. Beria NKVD. In a sentence, this is what EHRs are all about.
Why do you think I call one particular EHR suite, “Epic HyperFAIL?”
Gives me a good laugh while waiting HOURS for a doc to see me...even if it may be painful for me to do so....
Interesting.
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