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Medical News

Where have all the doctors gone?

If third party payers are unwilling to work with physicians, argues C. Richard Schott, M.D., they will have to deal with, and be responsible for, the resultant deterioration in quality and the disruption of access to care that surely will result, not from physician initiated job actions, but from existing market forces, resulting in the inability of a decreasing number of the physicians remaining in this region to meet the medical needs of their subscribers.

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Balancing nursing autonomy with quality of care

Pending legislation would dangerously expand nurses' scope of practice, argues Pennsylvania Medical Society President Donald H. Smith, M.D. Solutions for the issues that the legislation purports to address are found in proposed regulations, which provide prescriptive authority for CRNPs.

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Health care mergers must receive oversight

Whenever nonprofit health care entities convert to for-profit or merge with other nonprofits, these public investments, and the benefits they bring to a community, are jeopardized. The role of the Commonwealth must be to insist on scrupulous review and community input in every case.

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It's still not cooked

Physician empowerment can be better achieved, Richard Baron, M.D., writes, by focusing on the medical profession inself rather than by responding to external forces.

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Physician empowerment

Medical decision-making must stay in the hands of the physicians, writes Paul J. Fink, M.D., and, hopefully, the era of a fiscally driven, quasi-profession will pass and we can get back to the practice of the profession of medicine.

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Healing academic medicine

For academic medical centers to survive and thrive, they must adopt a certain stance toward their clinical researchers. Institutions must make clear policy commitments to endowments, to student mentoring, to clinical care and to salaries, or risk the fall of academic medicine.

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