Comments on the Affordable Care Act and the Future of Clinical Medicine
Authors: Douglas A. Perednia
Journal: Annals of Internal Medicine (2011)

Letters18 January 2011Comments on the Affordable Care Act and the Future of Clinical MedicineDouglas A. Perednia, MDDouglas A. Perednia, MDFrom Portland, OR 97221.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-154-2-201101180-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The authors of the article on the Affordable Care Act and the future of clinical medicine (1) make an extraordinary number of unsubstantiated or erroneous assertions.First, they claim that the mandated use of electronic medical records, physician order entry, and other health information technology investments will improve clinical care and reduce costs. Many scientifically valid studies and reports document that these very expensive technologies reduce clinical productivity; increase practice costs; and actually cause a substantial number of new errors as a result of high cost, poor user interface, poor design, software defects, and other factors. Many ...References1. Kocher R, Emanuel EJ, DeParle . The Affordable Care Act and the future of clinical medicine: the opportunities and challenges. Ann Intern Med. 2010;153:536-9. [PMID: 20733178] LinkGoogle Scholar2. Perednia DA. Yes, we can double “improper” Medicare payments! Posted 14 January 2010. Accessed at roadtohellth.com/2010/01/yes-we-can-double-%e2%80%9cimproper%e2%80%9d-medicare-payments/ on 29 November 2010. Google Scholar3. Perednia DA. Large quantities of worthless quality—part 1. Posted 26 May 2010. Accessed at roadtohellth.com/2010/05/large-quantities-of-worthless-quality-part-1/ on 29 November 2010. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Portland, OR 97221.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges Robert Kocher , Ezekiel J. Emanuel , and Nancy-Ann M. DeParle Comments on the Affordable Care Act and the Future of Clinical Medicine Quentin D. Young Comments on the Affordable Care Act and the Future of Clinical Medicine Ardis D. Hoven Comments on the Affordable Care Act and the Future of Clinical Medicine Frank J. Kadel Comments on the Affordable Care Act and the Future of Clinical Medicine Albert Davis Comments on the Affordable Care Act and the Future of Clinical Medicine John A. Goldman Comments on the Affordable Care Act and the Future of Clinical Medicine Lee S. Gross Comments on the Affordable Care Act and the Future of Clinical Medicine G. Andrew McIntosh Comments on the Affordable Care Act and the Future of Clinical Medicine Robert A. Donato Comments on the Affordable Care Act and the Future of Clinical Medicine Arvind R. Cavale Comments on the Affordable Care Act and the Future of Clinical Medicine Robert G. Luke Comments on the Affordable Care Act and the Future of Clinical Medicine J. Fred Ralston Jr. Comments on the Affordable Care Act and the Future of Clinical Medicine Christine Laine Comments on the Affordable Care Act and the Future of Clinical Medicine Ezekiel J. Emanuel and Nancy-Ann M. DeParle Metrics 18 January 2011Volume 154, Issue 2Page: 138-139KeywordsBehaviorForecastingHealth careLegislationMedicarePatientsSoftware designTaxes ePublished: 18 January 2011 Issue Published: 18 January 2011 CopyrightCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...