Archives / 2008 / October
  • America‚Äôs health care price tag: An inflationary tale

    Tags: health care costs, fee-for-service, health insurance, payment, reform

    By Roland A. Goertz, M.D., M.B.A.

    What is it that makes American health care so expensive compared to every other developed country? I am often asked that question, and giving an accurate or simple answer is difficult. Instead of a long list of items that underlie the problem, I will describe four well-intended processes that I believe have created an inherently inflationary model of care. We have all benefited from the creation of the four processes, but we now pay a huge price for maintaining them.

    Health Insurance

  • Rewards and challenges of family medicine

    Tags: value, primary care, graduate medical education, payment, reform, president's letter, youens

    From the inaugural address of TAFP’s new president

    By Robert Youens, M.D.
    TAFP President, 2008-2009

    I’m a board-certified, residency-trained family physician starting my 30th year of practice in Weimar, Texas. My grandfather started practicing in my community 100 years ago and my father started 60 years ago. Sometimes I feel that I am simply a continuation of that one spirit. I love what I do. I love what our specialty does and I embrace its uniqueness. The longer I am at this business the more I realize how our particular brand of medicine is what’s best for all patients. Our holistic approach to the treatment of our patients continues to make us the best specialty on which to found a health care system. As the president of TAFP, I will continue our efforts to reinforce the truths that have been known to us and proven by repeated studies that family medicine delivers better outcomes at lower cost. We will continue to actively participate in any arena that will allow us to promote and support our proper place in the health care of our nation.

    We need to be properly paid for what we do and TAFP will be there for any effort, including defining a medical home, that will get this done.