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...Does this House provision for funding end-of-life counseling concern you? This provision says that people should talk about what their goals of care are and what they want at the end of life. That could be anything. This is an opportunity for patients and physicians to share information with each other and come up with a plan. It is one of the special things about being a physician. You get to know your patient and what matters to them, and their inner thoughts, and their lives, and that's a very special role that most physicians value...

Author: /time Magazine | Title: The Real Issues of End-of-Life Care | 8/17/2009 | See Source »

...prisoner at Auschwitz, Dina Babbitt, 86, was ordered by Nazi physician Josef Mengele to create portraits of his patients. In exchange, her life and her mother's were spared. Babbit later inspired Holocaust survivors by fighting to reclaim the paintings...

Author: /time Magazine | Title: Milestones | 8/17/2009 | See Source »

Another "protocol" that left me bewildered was the $3,013 charge for the physician's care. It was coded on the bill as Level 5 - the highest, what you would think would be charged for, say, shooting victims or massive coronary patients. While I was admittedly in epic pain during those few hours when the stone drilled its way from kidney to bladder, my case was nowhere near life-threatening. Again, I was simply told, "The doctor determined your care was of the nature reflected by the level that's on the bill...

Author: /time Magazine | Title: The Case of the $12,000 Kidney Stone | 8/13/2009 | See Source »

...fair, the E.R. care level often has less to do with the severity of the case than with the diagnostic work required of the physician. Still, $3,000 for diagnosing a kidney stone "is unfortunately all too typical in Miami," says one South Florida healthcare expert - a big reason the average annual private healthcare provider costs for a family of four in the city is a remarkable...

Author: /time Magazine | Title: The Case of the $12,000 Kidney Stone | 8/13/2009 | See Source »

...even failure. Active citizenship is all about tapping into one's amateur spirit. "But hold on," you say. "I will never understand credit-default swaps or know how to determine the correct leverage ratio for banks." Me neither, and I don't want to depend on an amateur physician telling me how to manage my health. But we can trust our reality-based hunches about fishy-looking procedures and unsustainable projects and demand that the supposed experts explain their supposed expertise in ways we do understand The American character is two-sided to an extreme and paradoxical degree...

Author: /time Magazine | Title: The Avenging Amateur | 8/10/2009 | See Source »

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