http://disqus.com/by/Jipsey99/enSun, 25 Oct 2009 17:15:06 -0000http://blog.jayparkinsonmd.com/post/220188416#comment-20996712<p>"Who Killed Healthcare" was brilliant</p>Jipsey99Sun, 25 Oct 2009 17:15:06 -0000http://blog.jayparkinsonmd.com/post/217197824#comment-20571772<p>Well said</p>Jipsey99Mon, 19 Oct 2009 17:30:24 -0000http://blog.jayparkinsonmd.com/post/148509484#comment-13298313<p>How about health clubs, gyms and YMCA type places?</p><p>And give people a choice of insurance based on life style and culture rather than pseudo choices of large employers...almost makes too much sense</p><p>I always wondered if primary care could be integrated into some sort of local or specific community like the above mentioned, would an ongoing and consistent relationship with a primary care provider be more effective, practical and contextual. As regular member of a "Health Club" what if we can integrate a health care team to a place where people go three-four times a week rather than three times a year. Of course this would mean people would have to actually go to their gyms, but at least we can move forward the idea of a health club as an institution towards holistic health rather than just a place to go to continue to look good in jeans after going to a bar three nights a week</p><p>Anyway the idea of offering insurance through these organization is ingenious. I hate insurance but working in oncology, continued catastrophic coverage even with excellent primary care I believe still has a role. Your philosophy in primary care empowers patients by making them truly free market consumers that providers must be directly accountable to. The free market approaches started by the Nixon administration and subsequently the backbone of our current piece of $hit insurance system empowered private insurance companies, left little opportunity for selection and therefore accountability in insurance.</p>Jipsey99Fri, 24 Jul 2009 20:29:57 -0000http://blog.jayparkinsonmd.com/post/124286494#comment-10968280<p>Congrats....Here's to a beginning of many creative solutions to healthcare, rather than one dimensional "liberal" or "conservative" solutions</p>Jipsey99Tue, 16 Jun 2009 01:49:11 -0000http://blog.jayparkinsonmd.com/post/116341196#comment-10375351<p>Thanks Jay...I'm definitely going to check out that book and website...both are news to me</p>Jipsey99Tue, 02 Jun 2009 00:06:08 -0000http://blog.jayparkinsonmd.com/post/116341196#comment-10375173<p>Unfortunately I think if nurses, nurse practitioners, or MD's don't take care of the coordination and communication, the job may go to some paper pusher related to billing or insurance with no insight on treating real patients...maybe a medically competent social worker would be appropriate....I personally would love so see some hybrid of psychiatry or behavioral medicine with primary care training...</p>Jipsey99Mon, 01 Jun 2009 23:56:28 -0000http://our.hellohealth.com/post/103030190#comment-9000606<p>Cool. Do you practice in Seattle or are you passing through?</p>Jipsey99Mon, 04 May 2009 21:42:27 -0000http://our.hellohealth.com/post/103030190#comment-8986456<p>I'm considering about an enrolling in an Informatics progam at the Uiniveristy of Washington in Seattle before, after or instead of nurse practitioner school. Is this something that is worth my time to learn about that I can use to make a difference in health care? ...or are current informatics programs more about learning about progarms that suit billing and insurance( the "Window's 95 esk" programs) needs</p>Jipsey99Mon, 04 May 2009 13:39:46 -0000http://our.hellohealth.com/post/103030190#comment-8984614<p>I love how the Hello Health phillosophy is using and promoting ingenuity towards win-win situations for patients AND providers. A lot of publicity for Jay Parkinson has been how great these new systems are for providers. No doubt about that. Primary Care Providers are as under appricated in our society as teachers and social workers not because of the quality of their skills but the limitations of the systems they work in. I love how Jay is working to make American healthcare a viable ( and profitable) place for the primary care practionioners to thrive in. But my enthusiasm, as an RN, is in the potential to make primary health care better for patients. I believe Hello Health is doing that. I believe those who chose to practice primary care medicine , by natural selection, do not necessarily need nor want to be the highest paid physicians in health care. They want have relationships with whole patient and not just the disease. Don't want get me wrong, I want to be paid well and fairly, but as a potential ARNP, I am not expecting salaries anywhere close to specialist physicans. Yet today's salaries are not keeping up with modern nursing school and medical school debt. But most of all, PCP 's choose their field because we love to prevent disease as well as treat disease. I personally wouldn't mind working 60 hours a week for $25 and hour if I knew I was actually giving quality health care to patients....but with forgetable 8 minute visits?!?..we're just preping patients to get worse and require specialists....why not improve patient communication earlier in the process, which ulitmately improves care, while keeping more money in the patients and the providers' pocket </p>Jipsey99Mon, 04 May 2009 12:32:14 -0000