Skip to main content

The Wall Street Journal just got spanked.  Hopefully the flogging will end up in the public square.

It may not, which is why I'm sharing the information below.

Their recent opinion piece by Daniel Henninger entitled "Obamacare's Lost Tribe:  Doctors" tried to make the case that the horribleness of the "Law's new PQRS (Physicians Quality Reporting System)" would cause doctors to...  well, it's not clear.  "Give up on medicine" was one implication.  The article implies that the entire ACA should be repealed, because the doctors want it to be, or something, because the PQRS-related provisions will just destroy the doctor-patient relationship, probably!  

The piece cites a JAMA article in support of it's point.  Problem is, the doctors who wrote the JAMA article, when notified of the WSJ piece, were less than happy that their article was cited in such a way.  And they let the WSJ know.

The WSJ article: Obamacare's Lost Tribe:  Doctors

The JAMA article cited in the WSJ piece:  Assessing Individual Physician Performance Does Measurement Suppress Motivation?

My email to one of the JAMA article's authors, Dr. Christine K Cassel:

Dr. Cassel,

The WSJ has published an article critical of the ACA, and it it your JAMA article (Assessing Individual Physician Performance, Does Measurement Suppress Motivation? Christine K. Cassel, MD; Sachin H. Jain, MD, MBA) is cited in a way favorable to the WSJ's article main point.

How do you feel about this?  Was the intention of your article that the entire ACA should be repealed due to uncertainties with the 2012 hospital VBP provision and the 2015 "value not volume" provision?

Thank you,
XXXX
 

And Dr Cassel's response to me:
Mr. XXXX,

Thank you for your email.  The Wall Street Journal  misrepresented Dr. Jain and my views in their editorial.  We are both very strong supporters of the ACA.  Our letter in response (submitted today) is below.

Regards,

Christine K. Cassel, MD MACP
President and CEO
American Board of Internal Medicine
510 Walnut Street, Suite 1700
Philadelphia, PA 19106

And her response directly to the WSJ, which may or may not see the light of day - except for here:
Daniel Henninger’s column (ObamaCare's Lost Tribe: Doctors ) fundamentally misrepresents our perspective as well as key facts about the Affordable Care Act (ACA) and the Physician Quality Reporting System (PQRS).  ACA did not create PQRS, it was established during the Bush administration and by a Republican Congress.

As we noted in JAMA, we believe in and support efforts around physician measurement –measurements that are meaningful, improve quality of care and have patient care-centered goals.  

Physicians are, at their core, scientists – scientists who believe in evidence and measurement.  They are also very used to being assessed and evaluated.  From medical school through residency to practice they demonstrate to themselves, their peers and the public that they have met the standards of the profession through exams, board certification and Maintenance of Certification.  Physicians use performance data from these and other programs to identify areas for improvement.

But the measurement world isn’t perfect. The Affordable Care Act (ACA), in its wisdom, understands that and has created mechanisms to examine innovative approaches to care delivery and measurement.   In fact, many programs of the ACA (Accountable Care Organizations and the Innovations Center to name two) focus on enhancing the physician patient relationship and put doctors and other health professionals in the driver’s seat for designing new approaches to care delivery.

We have no misgivings about the appropriateness of measuring physician’s performance – we believe it is important, vital, to improving the quality and safety of health care in this country.  It is unfortunate that Mr. Henninger chose to use our analysis on how to improve physician measurement as a way to demonize the ACA and cause unnecessary fear for patients.  The ACA will not damage the relationship between ill patients and physicians – in fact it will allow more patients to get the care they need.

Christine Cassel, MD                          Sachin Jain, MD
Philadelphia, PA                                 Boston, MA

EMAIL TO A FRIEND X
Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags

?

More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

Bob Johnson, Jill, Lisa, Alumbrados, JWC, buffalo soldier, Joe Bob, chuck utzman, jo fish, DeminNewJ, KeithH, TXdem, ROGNM, Sean Robertson, Chi, filkertom, jam, melo, ogre, dalemac, Timaeus, ORDem, glitterscale, native, SaveDemocracy, Geenius at Wrok, flatiron, Roger Lamb, TrueBlueMajority, PeterHug, wytcld, bosdcla14, Khun David, Shockwave, Heimyankel, Sherri in TX, LynChi, Pescadero Bill, m maddog, Wintermute, billlaurelMD, tacet, SanJoseLady, Jim in Chicago, OLinda, mslat27, celdd, eeff, rubyr, dsb, saluda, xynz, Duncan Idaho, Just Saying, expatjourno, lady sisyphus, Creosote, davelf2, goObama, Bugsby, Paulie200, Bruce The Moose, chipoliwog, rasbobbo, cinnamon68, EvieCZ, Mr Teem, 1040SU, emmanuel, 88kathy, Babsnc, susans, TracieLynn, lorell, litho, fugwb, BlackSheep1, Wee Mama, wonkydonkey, annrose, sfgb, whenwego, djMikulec, twcollier, jiffykeen, Loquatrix, sharman, ask, highacidity, mikidee, stevej, themank, Bionic, foolrex, mrblifil, otto, Aquarius40, farmerhunt, roses, chechecule, Frederick Clarkson, taonow, ovals49, jbeach, ornerydad, itskevin, jalbert, Chitown Charlie, Bill Roberts, librarianman, fumie, kitebro, splashy, Cedwyn, Alna Dem, admiralh, CocoaLove, sidnora, litigatormom, Chrisfs, ManOutOfTime, Janeo, revsue, menodoc, tidalwave1, Getreal1246, psnyder, Nag, au8285, sockpuppet, TexDem, Dallasdoc, pat bunny, MKS, wordene, sp0t, johanus, delphine, potatohead, JimWilson, texasmom, CarbonFiberBoy, dwahzon, Steven Payne, defluxion10, Catte Nappe, never forget 2000, raster44, harrije, Brian82, outragedinSF, blonde moment, Exurban Mom, ybruti, Sembtex, randallt, WisVoter, tomjones, dnta, ScienceMom, jcrit, xyz, vacantlook, rambler american, furi kuri, eztempo, Josiah Bartlett, sebastianguy99, Armand451, BDA in VA, lam2b2g, Gowrie Gal, Julie Gulden, julifolo, rapala, Skennet Boch, la motocycliste, ExStr8, maybeeso in michigan, bloomer 101, historys mysteries, marina, 3goldens, Tinfoil Hat, DianeNYS, greycat, Ckntfld, ichibon, UncleCharlie, caul, LarisaW, greatferm, JanetT in MD, subtropolis, Heiuan, SherwoodB, Tonedevil, chimene, democracy inaction, sc kitty, Jersey Girl, Alice Venturi, wallys son, citizenx, basquebob, dewtx, ChemBob, juliesie, stagemom, Brooke In Seattle, Dobber, fixxit, eru, owlbear1, Beetwasher, marathon, Ex Con, SaraBeth, Sun Tzu, bjhunt, jimstaro, where4art, eastvan, GreyHawk, Fury, Kayakbiker, rosabw, lotlizard, skyounkin, Ice Blue, gerardbellavita, BayAreaKen, blue jersey mom, markdd, Hastur, Carnivorous Plantling, Sandino, ord avg guy, Cecile, kaliope, PinHole, deep, rb608, brentut5, noemie maxwell, Savvy813, Shotput8, Ginny in CO, Rusty in PA, FindingMyVoice, sodalis, kerplunk, Joes Steven, Pluto, sillia, bunsk, Rogneid, daddybunny, peacestpete, JanL, Box of Rain, Paddy999, kathny, jay23, Paper Cup, bently, xaxnar, Jim R, CJnyc, begone, RJDixon74135, Reality Bites Back, forbodyandmind, alrdouglas, Nowhere Man, Mother Mags, martini, third Party please, occams hatchet, Showman, Nance, BachFan, chicagoblueohio, BobzCat, LeighAnn, Debbie in ME, highfive, GreenMtnGirl, vigilant meerkat, DrSpalding, RAW, cybersaur, 417els, Themistoclea, hungrycoyote, Malachite, tonyahky, Yellow Canary, seefleur, mooshter, kestrel9000, zesty grapher, ktar7582, kck, blueoasis, SherriG, TalkieToaster, MJ via Chicago, StrayCat, philipmerrill, gpoutney, The Hindsight Times, uniqity, lao hong han, Libby Shaw, Crashing Vor, tapestry, real world chick, JVolvo, happy camper, CTLiberal, ER Doc, Up to here, Dinclusin, middleagedhousewife, hlsmlane, anninla, llbear, onionjim, BlueMississippi, bumbi, nother lurker, rage, Sardanicas, CA Nana, profh, Clive all hat no horse Rodeo, BB10, fiddlingnero, Texdude50, means are the ends, Dreaming of Better Days, zedaker, Ian Reifowitz, SD Goat, Statusquomustgo, Bernie68, bstotts, blueintheface, ms badger, sea note, Little, OHdog, Pandoras Box, jobird, DBunn, Tamar, One Pissed Off Liberal, Sapere aude, FlamingoGrrl, pgm 01, dov12348, out of left field, goheelsgodems, Winston Sm1th, asilomar, Ken in MN, Cronesense, Habitat Vic, Haningchadus14, Russ Jarmusch, oklacoma dem, tgypsy, Deadicated Marxist, Debs2, ColoTim, bfbenn, gloriana, EdSF, aravir, yoduuuh do or do not, Wino, FishOutofWater, rgjdmls, LillithMc, HeartlandLiberal, Mgleaf, sfbob, davehouck, bnasley, Kentucky Kid, HCKAD, jayden, jedennis, ubertar, vikingrob, crose, Oreo, SeaTurtle, jnhobbs, millwood, Bridge Master, gchaucer2, OIL GUY, uciguy30, GeorgeXVIII, madgranny, KJC MD, trueblueliberal, South Park Democrat, nuketeacher, TomP, Empower Ink, gizmo59, Spiffarino, Mighty Ike, JDWolverton, MKinTN, tejanablue, gundyj, hkorens, Amor Y Risa, mconvente, AnnieJo, TX Freethinker, NotGeorgeWill, HappyinNM, wayoutinthestix, ScottyUrb, zerone, Sixty Something, Youffraita, bill warnick, crescentdave, Involuntary Exile, dadadata, NewDealer, elwior, skohayes, filby, CDH in Brooklyn, lineatus, Sharon Wraight, Akonitum, Its any one guess, monkeybrainpolitics, Happy Days, Calamity Jean, Lujane, TomFromNJ, hwmnbn, smartdemmg, icebergslim, Jake Williams, Jeff Y, catly, envwq, brasilaaron, Kathy S, codairem, Gemina13, Horsefeathers, glendaw271, petulans, Parthenia, DixieDishrag, Bongobanger, JPax, binkycat, dont think, sagansong, Mayfly, tristan57, dmhlt 66, toom, rhutcheson, scrambler, lissablack, forgore, clent, MrsTarquinBiscuitbarrel, maggiejean, Bule Betawi, Rhysling, bluemoonfever, McGahee220, J Ash Bowie, WhizKid331, number nine dream, DontTaseMeBro, Kansas Born, Calouste, litoralis, divineorder, lostinamerica, Softlanded, bobatkinson, banjolele, Carol in San Antonio, be the change you seek, Mislead, LeftOfYou, Norm in Chicago, janmtairy, Ohiodem1, WakeUpNeo, Apphouse50, I give in to sin, BlueInRedCincy, shopkeeper, CamillesDad1, ToKnowWhy, DefendOurConstitution, virginwoolf, dRefractor, followyourbliss, geebeebee, elziax, marzook, kevinpdx, Shelley99, I teach music, Keith Pickering, IreGyre, stevenwag, lu3, sfarkash, 57andFemale, Little Flower, Tortmaster, Laffy, hopeward bound, jfromga, nancat357, jan0080, davespicer, Leftcandid, Former Chicagoan Now Angeleno, susan in sc, Larsstephens, BlueOak, Railfan, Amber6541, Just Bob, BigVegan, Its the Supreme Court Stupid, commonmass, smileycreek, confitesprit, marabout40, Mokurai, Sotally Tober, willynel, The Jester, NJpeach, serendipityisabitch, brunoboy, drainflake77, Observerinvancouver, leftywright, catwho, Orlaine, CS11, biggiefries, Crabby Abbey, LOrion, ColoradAnne, alguien, freeport beach PA, plankbob, ATFILLINOIS, CrissieP, Nurse Jeckell, cordgrass, gulfgal98, pixxer, ItsSimpleSimon, OnlyWords, laserhaas, Puddytat, dlemex, anonevent, DiegoUK, sharonsz, asm121, nickrud, rja, Betty Pinson, Maverick80229, DrTerwilliker, elengul, MsGrin, GiveMeFreedom, BlueFranco, kenwards, PLGwannaB, ericlewis0, USHomeopath, cocinero, wwjjd, stevenaxelrod, slice, bluestatedem84, Mac in Maine, Onomastic, BrowniesAreGood, yellow cosmic seed, TAH from SLC, kerflooey, Bluefin, agrenadier, I love OCD, coquiero, Bob Duck, bgblcklab1, slowbutsure, lady blair, sostos, jardin32, MaryinHammondsport, vahana, hooktool, cv lurking gf, myadestes, OldGrammy, Susipsych, UtahLibrul, Teknocore, FarWestGirl, OhioNatureMom, Nicci August, California06, Bill from SC, Alice Olson, Deleuzional, trumpeter, marleycat, zukesgirl64, Lorikeet, susanala, grannysally, IllanoyGal, thomask, jk2003, muddy boots, smoothnmellow, Coastrange, KVoimakas, rk2, Yogurt721, Grandma Susie, MRA NY, xaoiv, jgnyc, Dreidlgirl, antooo, FreeWoman19, yaque, CorinaR, chira2, VACommonsense, sound of progress, Imhotepsings, poliwrangler, VTCC73, Caddis Fly, SNFinVA, randomfacts, waiting for lefty, Vatexia, Dbug, Stonepounder, Oilwellian, jolux, SteelerGrrl, just another vortex, Book of Hearts, Sunspots, jadt65, DRo, Mentatmark, CoyoteMarti, BoulderStevo, ParkRanger, Davui, cheerio2, deltadoc, Rejoinder, left over flower child, YaNevaNo, AnnetteK, bluebottles, DirtyLibrul, Only Needs a Beat, jacey, Anti Em, daysey, i saw an old tree today, ridemybike, Liberal Granny, OldDragon, Heart n Mind, anodnhajo, sow hat, Flying Goat, cwsmoke, angry marmot, TheLizardKing, Siri, molecularlevel, Citizenpower, IndieGuy, im a plugger, ahumbleopinion, SilverWillow, Trevin, tb92, S F Hippie, orangecurtainlib, barkingcat, a2nite, Deep Texan, rukidingme, FloridaSNMOM, Trotskyrepublican, exatc, DemLabRat, Yonkers Boy, congenitalefty, Horace Boothroyd III, Lh1695, chicagobleu, Mike RinRI, Halandri, hotheadCA, CartoonDiablo, Spirit Dancer, reginahny, TBug, radical simplicity, Arahahex, Olkate, MartyM, BRog, pittie70, Buckeye54, cuphalffull, Margd, wxorknot, james321, rat racer, Kinak, AverageJoe42, ItsaMathJoke, 4mygirls, Kayjay, wasatch, Windowpane, BradyB, ProfessorWho, CalBearMom, Hammerhand, Greatwyrm, allensl, kiga, Blue Dream, DamselleFly, Panacea Paola, ebailey, Short Bus, countwebb, newinfluence, Late Again, remembrance, glorificus, Setsuna Mudo, RerumCognoscereCausas, goodpractice, weck, averblue, patchmo13, leeleedee, paccoli, howabout, Constantly Amazed, LaraJones, Icicle68, bob152, Smoh, Jacoby Jonze, ET3117, Eltearpdx, nilsdavis

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site