Pamela Wible Shares A Day Of Ideal Medicine

by Pamela Wible

Johnny’s disabled. He can’t get to my office anymore. So I drive 100 miles up the Oregon coast to check in on him. I get lost, but finally discover his little white house on the edge of a cliff overlooking the Pacific Ocean.

Read Dr. Wible’s complete post on

Dr. Wible’s a huge inspiration for us in Wichita.

Please, take a moment to experience her day at the “office”, or in this case, a man’s house in Oregon adjacent to a 100-foot cliff.

Oregon Spends Over $1,000 Per Cover Oregon Enrollee — Then Bails On Their Broken Website

Oregon went “all in” on health reform, firmly embracing the Affordable Care Act. They launched a very successful Medicaid expansion — a $2 billion federal experiment to prove the state could save money by managing patients’ care better, and, of course, the state’s own online marketplace to sell Obamacare insurance.

But that last point has been a huge problem.

The Cover Oregon board decided on Friday to ditch its troubled website and join up with the federal exchange instead.

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Oregon’s ACA Healthcare Website Failed, Too. But The Reason Why Could Spell Direct Primary Care Success.

The state of Oregon has paid software giant Oracle over $100 million to build a healthcare exchange site. Unfortunately, it doesn’t work. And now it appears that Oregon is stuck with Oracle because they can’t hire another firm to finish the job. This is case and point of an old-school IT provider lagging behind the current trends in building massive web operations i.e. the open source approach used on mega-scale websites like Google and Facebook.

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Posted by: AtlasMD

January 2, 2014

Study Suggests More Insurance, More ER Visits

Sabrina Tavernise writes in The New York Times about a new study that flips a steadfast assumption on its head. At first glance, you’d think that giving people more access to Medicaid would lower the frequency of ER visits. However, a study conducted in Oregon has proven the exact opposite.

The study was published in the journal Science. It compared two groups of people — a 2008 lottery randomly selected thousands of low-income people in the Portland area and provided them Medicaid coverage; a second group entered the lottery but received no insurance. Here’s the shocker. “Those who gained coverage made 40 percent more visits to the emergency room than their uninsured counterparts,” writes The Times. The pattern was strong, holding true across most demographics, times of day, and types of visits. These even included conditions that we could have treated here in our Atlas MD office.

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