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Note that this comment was not in response to a proposed rule, but to a public meeting on a relevant topic. The person responsible for the meeting received the E-mail. My proposal had been discussed with the HCPCS team. The team did not have the authority to implement my proposal, so I chose to write to the then current CMS Administrator. The problem of improper payment and inability to enforce the statute were well known to CMS and need not be repeated. Summary: Thoughtful comments to proposed regulations have impact. Use your freedom of speech to improve our collective self-rule. Good ideas must start somewhere, perhaps with you. jerryroganmd@sbcglobal.net

The Day I Caught Up By Nathan Hitzeman, MD I woke up this morning, Without any warning, Cured my breath, And all the rest. Stretched my legs, Cooked some eggs, Finished the paper, And my Prozac taper. At work I gave passes, To all of the masses. Medicines – quite a lot, And scans just nonstop. Endless forms completed, My lunch was reheated. Finished my JAMA. Deleted my Spam … Ah! Submitted my CME. Donated a tree. Wrote a politician, About primary care attrition. Volunteered at a clinic, A paper I finished. Peer review – just did it, Even drove home the speed limit. In an empty house that still stands, With drink and pen in hand, I sign away my kids and land. This job is too much, But today I’ve caught up. hitzemn@sutterhealth.org

—William Nakashima, MD

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Sierra Sacramento Valley Medicine

Profile for Sierra Sacramento Valley Medical Society

2015-Jul/Aug - SSV Medicine  

Sierra Sacramento Valley Medicine is the official journal of the Sierra Sacramento Valley Medical Society (SSVMS) and promotes the history,...

2015-Jul/Aug - SSV Medicine  

Sierra Sacramento Valley Medicine is the official journal of the Sierra Sacramento Valley Medical Society (SSVMS) and promotes the history,...