Don’t touch my in­come

Modern Healthcare - - OPINIONS LETTERS -

Re: “MedPAC of­fers path to SGR re­peal,” Modern­Health­, Oct. 6: As in any other po­lit­i­cal de­ci­sion process, ev­ery group will fight for what they con­sider ap­pro­pri­ate and not one will ac­cept to be “un­der­paid” or in any way de­crease their in­come.

I guess this is an is­sue that will have to con­tinue as who­ever squeaks less will be cut more. The re­al­ity is, how­ever, that we have to be al­most cer­tain of what ar­eas can be sac­ri­ficed to the preser­va­tion of what is es­sen­tial for pa­tients’ im­proved out­comes with the least ex­pen­sive ap­proach. To me the rec­om­men­da­tions from the Medi­care Pay­ment Ad­vi­sory Com­mis­sion sound just fine.

No one wants to look at the real bot­tom-line in­come, as it is not con­ve­nient for spe­cific groups.

Dr. Gil­bert Han­dal Pe­di­atric in­fec­tious dis­ease spe­cial­ist

fac­ulty mem­ber Texas Tech Univer­sity Paul Foster School of Medicine

El Paso ple and col­lab­o­ra­tive team man­age­ment.”

The “eerie si­lence” de­scribed by those of us who were there was due, no doubt, to Dr. Bow­man’s calm and thought­ful pres­ence. He de­liv­ered care to fright­ened and bleed­ing pa­tients, old and young, with a per­sonal touch.

He made the hard choices that had to be made, and he un­der­stood the pain of those ex­e­cut­ing his or­ders. His hum­ble ac­cep­tance of prof­fers of thanks, his un­will­ing­ness to take credit, to put him­self front and cen­ter—he is cer­tainly my Physi­cian Ex­ec­u­tive of the Year.

Su­san A. Hileman Grand­par­ents in Res­i­dence

Tuc­son, Ariz. Editor’s note: Read a pro­file of Dr. Bow­man in this is­sue on p. 31

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