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...operating room that the new way of doing things is most graphically illustrated. Surgery in the U.S. is billed the same ŕ la carte way primary care is: separate charges for the hospital, the anesthesiologist, the lead surgeon, the post-op checkups, and on and on. Care itself can be similarly fragmented, with patients finding themselves in the hands of whoever happens to be on duty at any point in the day and a doctor on the night shift knowing little about a patient whose surgeon worked the day shift. Dr. Alfred Casale, Geisinger's chief of cardiothoracic surgery, tells...

Author: /time Magazine | Title: Is There a Better Way to Pay Doctors? | 10/26/2009 | See Source »

...scheduled to have an operation, here's something to add to your list of questions for the surgeon: Will you need an assistant surgeon? If the answer is yes, ask who will it be and who will pay him. Make a call to your insurer to ask about payment for that assistant to be there. And wear sneakers. You might get quite a runaround...

Author: /time Magazine | Title: The Case of the Missing Assistant Surgeon | 10/23/2009 | See Source »

...fails, you just have to operate without another doctor. This is especially true for middle-of-the-night and weekend emergencies. Common sense and unfortunate anecdotes tell us it is unquestionably less safe for the person on the table to have only one doctor present. But, not surprisingly, no surgeon, hospital, insurance company or government agency has wanted to come up with a hard statistic on how much less safe it actually is. It is clearly against all of their interests to show that assistants are needed. And it's not something I've seen brought up in the already...

Author: /time Magazine | Title: The Case of the Missing Assistant Surgeon | 10/23/2009 | See Source »

...genitourinary surgeon at the Harvard-affiliated Brigham and Women’s Hospital, the study assessed the long-term outcomes of radical prostatectomy, the procedure used to completely remove the prostate gland...

Author: By Stephanie B. Garlock, CONTRIBUTING WRITER | Title: Surgical Outcomes Are Questioned | 10/23/2009 | See Source »

...largest providers of minimally invasive surgeries in Boston, attributes much of the difference to surgeon skill levels...

Author: By Stephanie B. Garlock, CONTRIBUTING WRITER | Title: Surgical Outcomes Are Questioned | 10/23/2009 | See Source »

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