Vol. 96 No. 8
The good old days when a physician prescribed a drug because it was appropriate for treating the patient's ailment are gone forever. Like everything else in medicine today, it's a lot more complicated. Drug companies that advertise directly to consumers, restrictive managed care formularies, and influence -- some of it not altogether proper -- by pharmaceutical representatives are playing an increasing role in the decision-making.
By Laurie Stoneham
The Courts and HMOs
There was a little something for everyone in recent decisions by the US Supreme Court and the 5th Circuit Court of Appeals on the issue of suing health maintenance organizations. Organized medicine, managed care, state regulators, and consumer groups all had something to cheer about. But the decisions also wrote a prescription for continued legal and legislative challenges to managed care.
By Walt Borges
School Clinic Funding
A fight is brewing between state lawmakers and the state health commissioner over funding of school-based health clinics. The brouhaha is over the health department not funding new clinics while developing new rules to carry out legislative mandates. Critics say the department is dragging its feet.
By Ken Ortolon
A new trend in health insurance on the horizon called defined contributions may well revolutionize how the treatment you give your patients is covered. The idea is to give employees a defined amount of money to buy health coverage. Proponents say it will give employees more choice and help employers hold down their costs.
By Laurie Stoneham
The Texas Cancer Registry is outdated and woefully underfunded and understaffed, costing the state millions of dollars in research. But a special workgroup formed by the Texas Medical Association is trying to put the registry back on track and make it an effective tool for preventing, identifying, diagnosing, and treating cancer in Texas.
By Alice Adams
Radiology Turf Wars and Antitrust Laws
By Thomas E. Colonna, PhD, JD; Desencia Thomas, MD
Texas Medicine Rounds
Dues and cell phones * President Rohack * The distinguished Dr Alexander * Dr Hancher on deck * Down Mexico way * Winning exhibits * AMA wrapup * Surviving lung cancer * Summit 2000 * Bylaws amendment * New TSBME director * Cancer on the Web * Kicking the habit * Web CME
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