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Tue Nov 27 15:40:09 GMT 2007

The root causes of many of the troubles in health care delivery at Grady  
Memorial Hospitals pre dates even the FIRST Gulf War.     

I am organizing some of my thoughts about just how to react to at least 10  
different points made in the NYTs article and which affect EACH OF US, in our  
private, international, and public hospitals.     There are  some sentinel 
events that must be reviewed , and reviewed  soon.     Not the least of which is 
the inadequate LOCAL,  STATE, and FEDERAL funding for health care.    We are 
now back  into the perennial debate about the 10% cut in Medicare .   In my  
simple view, Congress SHOULD NOT fix this deficit for physician payments this  
year.   In my view congress and organized medicine have NOT addressed  the many 
root causes and have just annually created a "fix" which adds to the  
deficits.      By NOT fixing it this year, it forces  all of us, in government and 
practice to deal openly with the real  problems.      Draw a line in the  sand.  

k

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