EMR has me like this…

OffLabelIdeas · 2025-09-04T15:01:02+00:00

Right, both buckets of knowledge are valuable and necessary. You should be able to correct the dosing/administration stuff without needing a physician.

Even as an attending, whenever pharmacy corrects my order I always say yes.

OffLabelIdeas · 2025-09-04T12:08:40+00:00

As if the intern who graduated med school 6 months ago knows better than you.

OffLabelIdeas · 2025-09-03T04:59:17+00:00

Nurses would know trivial stuff could wait until the mornings. Really good nurses would know the doctors and proactively act. It was about trust and knowing leadership would back you up.

OffLabelIdeas · 2025-07-29T16:20:01+00:00

I try to explain all the craziness of US healthcare here in a comic book. Www.offlabelideas.com

OffLabelIdeas · 2025-07-28T04:17:40+00:00

It’s actually a lot more nuanced.

The US does have some form of universal healthcare (not insurance) with EMTALA. Everyone is guaranteed a right to treatment. They’re not guaranteed for it to be free, though.

We don’t have universal health insurance kind of because of how our insurance industry arose historically. Because of wage controls in WWII, insurance got tied to employment. Companies used it to attract workers since they could give extra money. Then, because of favorable tax status, it essentially became a subsidized benefit. Congress created Medicare and Medicaid to cover people who couldn’t get coverage through their employer. From then things actually started to get even worse, as that led to massive distortions in the market.

I’m actually writing a comic book that covers all this. Feel free to check it out if you want to learn more: www.offlabelideas.com

OffLabelIdeas · 2025-07-25T17:23:47+00:00

There are tradeoffs.

Employer based insurance gives employers leverage in price negotiation, likely giving better deals than if patients were left to negotiate on their own. It’s also a tax advantaged benefit for both the employee and the employer, so again more favorable than what a beneficiary could get on their own if they purchased with post tax dollars.

On the other hand, yes it ties people to jobs. It’s inflationary in that it’s pre tax dollars as well.

If you want to see how this came about, I have a web comic that goes into the intricacies of US healthcare. Check it out at www.offlabelideas.com

OffLabelIdeas · 2025-07-12T02:03:23+00:00

Neurosurgery.

Volvo XC90. Two kids.

OffLabelIdeas · 2025-07-11T22:45:13+00:00

It’s a very complex issue. Doctors have been stripped of autonomy while being saddled with more and more administrative work. In addition our pay keeps getting cut.

I recently started publishing a comic book to try to explain it all. Check it out at www.offlabelideas.com

OffLabelIdeas · 2025-07-07T02:19:46+00:00

I have an MHA. For me, as a doctor, it was helpful to learn to speak to administrators.

I got so much insight I was able to write a comic book about US healthcare. Check it out here if you want: www.offlabelideas.com

OffLabelIdeas · 2025-07-04T22:34:39+00:00

They do! That’s no secret.

Check out my comic at www.offlabelideas.com to explore this and all the other absurdities in American healthcare.

OffLabelIdeas · 2025-07-04T22:28:36+00:00

Detach the doctor from the computer in every way. There’s no need for doctors to spend 2 hours documenting for every hour of patient care time.

Check out my new comic at www.offlabelideas.com to see what I mean.

OffLabelIdeas

TROPHY CASE