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Tuesday, May 12 2015

Full Issue

Primary Care Docs, Anesthesiologists Face Tough Questions Over Their Roles

Will machines replace anesthesiologists? Should primary care physicians do more or less? These are among the serious issues being confronted by these specialties.

The new machine that could one day replace anesthesiologists sat quietly next to a hospital gurney occupied by Nancy Youssef-Ringle. She was nervous. In a few minutes, a machine 鈥 not a doctor 鈥 would sedate the 59-year-old for a colon cancer screening called a colonoscopy. But she had done her research. She had even asked a family friend, an anesthesiologist, what he thought of the device. He was blunt: 鈥淭hat鈥檚 going to replace me.鈥 One day, maybe. For now, the Sedasys anesthesiology machine is only getting started, the leading lip of an automation wave that could transform hospitals just as technology changed automobile factories. (Frankel, 5/11)

Is a good family doctor one who treats your knee pain and manages your recovery from heart surgery? Or is it one who refers you to an orthopedist and a cardiologist? Those are questions at the heart of a debate about primary care 鈥 one with serious health and financial implications. A study from the American Academy of Family Physician's Robert Graham Centersheds some light on this topic. The findings, published in the latest issue of Annals of Family Medicine, suggest that family doctors who provide more care themselves save the health system money. (Kelto, 5/11)

Meanwhile, in other news -

If you鈥檙e conservative, you鈥檙e likely to recite horror stories of medical shortages or doctor defections under the Castros. For every Michael Moore talking up Cuban healthcare, there is a Marco Rubio ready to tear it right down. Whatever your stance on Cuba鈥檚 system, however, you could soon benefit from its medical advances, particularly when it comes to cancer. In fact, Americans suffering from the emperor of all maladies might soon be thanking Fidel for his country鈥檚 miraculous medications. (Miller, 5/12)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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