Biomedical subjects
J B Brame
Publications and source records attributed to J B Brame.
Health care for all: comparing proposals for reform. A roundtable discussion: Part 2.
Part 1 of this roundtable discussion [Geriatrics 1992; 47(Sept):34-48] examined the flaws in our current healthcare system and factors that are interfering with our nation's ability to achieve reforms. This month, the panelists discuss the benefits and drawbacks of the major healthcare reform proposals, including managed care, single-payer systems, and so-called "play or pay." The practical aspects of any redistribution of healthcare resources are considered as each panelist outlines a favored approach. The influence of special interests, such as the insurance industry, is also discussed.
Health care for all: long-term care, the missing piece. A roundtable discussion: Part 3.
Long-term care has been described as the "missing piece" in many healthcare reform proposals. Yet the cost of nursing home care often exceeds that of acute care, especially for the elderly with Alzheimer's disease. In this final installment of a three-part roundtable discussion, panelists discuss the options for providing long-term care, such as social insurance, a single-payer system, play or pay, or private insurance models. Alternatives to nursing home care, such as community service centers and home care, are discussed. The panelists conclude with an examination of how these proposed reforms might affect the practices of physicians and the U.S. economy.
RBRVS: the first 6 months.
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Toward a national health policy.
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Behind the scenes at the PPRC: what happened to 'fair' and 'equitable'?
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Physician payment reform seeks equity, predictability.
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Searching for equal pay for equal service.
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Federal practice guidelines and clinical autonomy.
Congress established the Physician Payment Review Commission (PPRC) in 1986 to provide recommendations on the reform of Medicare physician payment. PPRC recommendations to Congress played a major role in shaping the physician payment reform legislation that was enacted as a part of the Omnibus Budget Reconciliation Act of 1989. Dr Brame, a former president of the Texas Medical Association (1986-1987) is a member of the PPRC.
Physicians affected by many rural problems.
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The Physician Payment Review Commission and Medicare reform.
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Doctor/hospital issues examined.
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A new educational responsibility: toxic-shock syndrome.
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Using physician's assistants in remote areas of Texas.
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