Internal Medicine Physician with a Direct Primary Care practice in Fayetteville, Arkansas
Operating as usual
Social distancing can seem like a simple task, but this concept flies in the face of our human nature to connect to one another. We are practicing social distancing at work and at school, but we must also practice this at home. As difficult as it will be we have to be strong enough to tell our children they cannot play with the neighbors, and we have to resist the temptation to see extended family and friends that live outside our homes. Instead, utilize FaceTime, video-chat, texting, and phone calls to stay connected. Protect your children by having them do the same. Social distancing is the most powerful tool we have to prevent the spread and save lives. Stay well.
So true! Fayetteville Youth Baseball
Congrats to my friends at Mamaka Bowls on the opening of their new location in Waco! Y’all are gonna kill it!
Eat healthy foods, exercise regularly, and get your sleep.
wired.com The synchronized brain waves of non-REM sleep may play a key role in preventing toxins from accumulating in a person's brain.
Consumer Reports calls DPC a smart money move for 2019!
consumerreports.org Start off the new year with a few simple money moves that can increase your savings, protect you from fraud, and help you prosper in the months ahead—and for years to come.
Dispose of unused prescription medications safely. Go to Takebackday.dea.gov for a location near you.
Dispose of unused medications in a secure location next Saturday. See link to find a location near you.
More people need to stand up to the insurance industry.
npr.org A former health insurance executive has made it her mission to bring down high health care costs. She's demanding a better deal for employers — and the workers whose care they pay for.
“As a heart doctor, my opinion is that if you think an Apple Watch is nifty, buy one. But do not buy it for your health.” - John Mandrola, MD
medium.com Apple’s new watch sounds like a win for anyone interested in their heart health. It will notify wearers of a slow or irregular heart rhythm, and it can take a basic electrocardiogram (ECG), a…
Have a happy and safe Fourth of July!
True quality in primary care comes with a strong relationship which takes time and trust.
kevinmd.com Patients need personalized attention and they need a health care team that listens to them, no matter who is telling them to step up the pace.
AAPS - Association of American Physicians and Surgeons
It is past time to let patients use HSAs for DPC. AAPS Executive Director, Dr. Jane Orient, is urging the Senate Finance Committee & House Ways and Means to expedite approval of S. 1358/H.R. 365. Stand with Dr. Orient; add your name to our letter: http://bit.ly/dpchsa
Today is the day to start something new.
THOUGHT EXERCISE (followed by a rant and plea!)
If you were allocating your health care dollars, what % of the total would you put towards your primary care provider? [Yes, pick an ACTUAL NUMBER]
I have asked this question of many people and have never heard an answer less than 15-20%. Obviously, this valuation will vary depending on your current situation and needs. Whether you are healthy or sick, some of this money needs to be saved for a rainy day, medications, specialist care, etc. Your experience with primary care-- good or bad-- may sway how much you value primary care.
REALITY: Do you know how much health insurance plans (private, Medicare, etc) in the US allocates on average for primary care?....... 7%. SEVEN PERCENT! (if that number doesn't seem insanely low to you, keep reading).
Why does it matter?
This low determination of value leads to almost every problem that a person will experience in a modern primary care clinic-- scheduling, long wait times, rushed visits, turnover in providers, difficulty in communicating, etc. etc.
If you have ever been frustrated by a PCP's office while using insurance, realize they are being valued at 7%. SEVEN PERCENT. In order to stay in business, a PCP needs to average a minimum of 15-25 clinic visits per day! While nearly every PCP I know cares deeply about their patients, the old idiom is applicable: You get what you-- or somebody else, in this case-- pay for.
Lack of a good primary care relationship leads to a number of unnecessary things: ER/urgent care visits, more specialists, lab testing, unhappy providers, misunderstandings, excessive meds, mistrust, increased downstream costs, and much more. This is both true for people who have a single complicated event, but more so when chronic diseases are present.
Most people presume that having INSURANCE is going to ENSURE they get good care at a fair price. But, sadly, we often discover that is very often not the case when actual care is required. I see this every day in my practice-- people that have been chewed up and spit out by a system they don't understand.
I want every single American to be protected from severe financial burden related to health care expenses. But, we must understand that insurance as-is severely undervalues primary care in favor of everything else. In the status quo, "coverage" will not automatically people get the type of care that people truly need or deserve. If we rely on that system, we will continue to be plagued with the same problems. The reality is that insurance doesn't ensure much beyond having a plastic card in your wallet, a confusing network and a vague estimate of maximum financial losses.
Even when the above is understood, most people just demand somebody else fix the problem-- Washington DC, employers, insurance companies, state legislatures. Our nation has been demanding that others fix this for a couple decades without any real improvement in sight. Maybe another couple decades of gnashing of teeth will lead to progress, but we will surely all need dentures by then.
I am probably naive to think that a group of rouge primary care physicians can be the foundation of a better health care system. But, we are trying our damnedest. There are now nearly 1000 DPC practices nationwide. (find one at http://DPCFrontier.com/mapper) However, these brave doctors cannot do this without people voting with their dollars. If you want a better future for American health care, please consider joining a DPC practice.
Thankful for Nancy Peevy's article about the benefits of Direct Primary Care. (Thanks to Dr. Rob Lamberts for using your tag line in the article.) Direct Care Clinic of Northwest Arkansas
talkbusiness.net Dr. Dan Weeden likes caring for the whole family – from babies all the way to grandmas. He spends time building relationships with them, much like doctors did 50 years...
Sadly, these are the people shaping health insurance reform in America. The idea that training physicians to be better "data collectors" than compassionate, educated, problem solvers is absurd! http://authenticmedicine.com/need-get-data-private-payers/
authenticmedicine.com The AAFP Smartbrief came out with their newsletter and one of their topics ended with this proclamation: “Health care professionals need to do a better job collecting data, and accurate data are needed in a timely fashion to allow private payers to make decisions, experts said.” This was in referenc...
nytimes.com GSK’s Shingrix is considered much more effective than the older vaccine, Zostavax. Health officials urged consumers over age 50 to be vaccinated.
John Furlow MD
reason.com The “direct primary care” movement is attracting physicians sick of red tape. And it’s transforming the doctor-patient relationship.
Four years on Sunday October 1st. Thanks to Ryan Neuhofel, Rob Lamberts, Josh Umber and others who blazed the trail before me.
more-distractible.org Hi, I’m Rob. I’m a recovering doctor Yeah, I know I used that line once before, but it’s a special day for me today. Humor me. Five years ago today I earned my last money from an insurance company. Yep, today is my five year sobriety date.
Why is health insurance so expensive?
Why is health insurance so complicated, while car insurance and life insurance are so simple? Can health insurance be more like, well, insurance? Lanhee Chen...
Stay healthy my friends!
All of you nincompoops who talk about coffee like a "vice," it is NOT. It's like exercise or eating right.
It is HEALTHY to quaff the caffeine!
"DPC is not a “business” model; it is a “care” model. Whether accepting insurance or DPC in structure, we already know solo, and two-physician practices deliver the best care and have been doing so for the past 100 years. These intimate clinics know their customers better than anyone else in the industry, and can devote the time necessary to their clientele; these micro-practices should be known as the small giants of health care."
kevinmd.com Whenever possible, find an independent practice, whether a solo doctor or direct primary care clinic, and patronize that physician.
Order your healthy and delicious Mamaka Bowl before heading to Baum Stadium to cheer on the #OmaHogs @mamakabowls #directprimarycare #eatnwa
Proud to support Fayetteville Youth Baseball. #GoRoyals⚾️👑
"It (a recent CNN/ORC poll) also suggests that any attempt by Republicans to fix the problems with Obamacare will likely fail the affordability test. Politicians are rarely willing to go against the people who employ them. Unfortunately, the people who employ them want the unattainable in this case: access to unlimited health care with minimal waiting at low prices that doesn't "discriminate" against people who already know they're going to use a lot of care. That's not insurance. It's a pipe dream."
The problem isn't healthcare, it is the idiotic way we pay for healthcare with insurance. The problem is bloated insurance bureaucracy. Insurance companies lobby congress hard for things that benefit themselves. If you want to cut the price of healthcare, get transparent pricing and remove insurance as much as possible. (No one will get on the floor of the US Senate or House argue for reductions for an sector as large as the insurance industry.) Insurance should be used only in large ticket items like prolonged hospitalizations and major surgery, not primary care. The ACA helped some people and hurts other. The republican plan will do the same, just change who's in which group. The only winner in both cases is the insurance industry, and the loser is the American people, specifically patients and healthcare providers.
Before you tout universal healthcare as the solution, just know they are worse than private insurance at cost control and are an even more bloated bureaucracy. The cost of care is still paid by your taxes.
Can we please quit calling it healthcare reform, it is health insurance or payment reform!
reason.com People don't really want insurance.
Glad to see more exposure for a better way to deliver primary care!
wsj.com Patients pay a monthly fee for a range of basic physician services, eliminating the insurance middleman.
Glad to see NPR discussing DPC! The movement is gaining traction!
npr.org Doctors are experimenting with direct primary care, a lower-cost version of cash-only concierge care. Patients pay a flat monthly fee for primary care, including email and phone contact.
Why do we see “heroic measures” as more valuable than primary care or other kinds of incremental medicine? http://www.pbs.org/newshour/bb/reassessing-value-care-chronic-health-conditions/#
www.pbs.org Surgeon Atul Gawande says we need to reconsider health care’s focus on generously rewarding physicians who practice heroic interventions, rather than those who practice incremental medicine for chronic conditions. Gawande talks with William Brangham about the value of that kind of care, and the pote...
“Almost all of the millennials I spoke with said they had high expectations for their primary care and were willing to ‘doctor shop’ until they felt satisfied. Most saw value in same-day appointments, online scheduling, and access to their medical record, as well as the option to text or email the doctor between visits.”
thedoctorweighsin.com We are about to feel the impact of Millennials on our out-of-control healthcare system and hopes are high that they will demand and get the healthcare that they want and need.
Happy Holidays! We will be out of the office a few days to spend time with family and friends. As always, we will be available by phone,text, and email. #knowyourdoctor #nwarkansas #dpcrising #directprimarycare
Enjoyed last night's #ParkersAnchorScreening and seeing so many Fayetteville places and faces on the big screen in this uplifting story.
forbes.com BY SEN. PATRICK COLBECK -- This is why I am so passionate about making Michigan ground zero for a "free market healthcare revolution."
Our pediatricians and staff have 30 years of experience caring for children. Drs. Joe T. Robinson and Terry Payton founded the Northwest Arkansas Pediatric Clinic in 1983 to provide comprehensive care for children from infancy to adolescence.
Dr. Sharkey is pleased to provide pediatric care to her patients in a personal manner with continuity of care being her number one priority. www.doctorsharkey.com