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Can anyone tell me where I can download software for private medical practice for free?

I don’t really need the billing part. What I need is a programme which can store patients’ prescription,diagnosis,complaint and medical history.
What I previously mean is free legitimate software. Like CARE2x. But CARE2x doesn’t have for private practice yet.
If there r others which r good but not free, could u tell me the name of the software? Thank you.

I’m not sure how legitimate this website is about the software it sells and what country you are in (it only serves the US), but it might be a place to give you some ideas on where to go for medical programs.

Milton Friedman – Health Care in a Free Market

Milton Friedman fields questions from medical professionals at the Mayo Clinic regarding his advocacy of a free market in health care.

Duration : 0:9:3

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Health Savings Accounts are Creating Innovative Medical Services

The new world of consumer-driven healthcare is opening up many opportunities for people to save money on their medical expenses. As more people carry high deductible plans in conjunction with health savings accounts, medical providers are beginning to compete for that business in a variety of innovative ways. One way many people are saving money on doctor visits is through telephone consultations.

Many times an expensive doctor visit could be avoided if you could just talk to the doctor to discuss the situation over the phone. If you could do a quick email exchange and have a prescription waiting for you at the pharmacy, you could save time and money, and let the funds in your Health Savings Account continue to grow for your retirement. There are now online physician consultation services that allow you to do just that.

While an ER visit may indeed treat medical needs, the reality is that most visits end up being more about peace of mind. If your child’s skin is turning red in the middle of the night, you might not know if it’s harmless flushing, or a serious allergic reaction. So you rush off to the emergency room, fill out some forms, and sit in a room full of contagious people. You wait and wait, finally get to speak to a nurse, then wait some more, and explain your problem again to the resident. Then you may have a battery of tests done, wait some more, and finally leave with a prescription and a bill for $650.

All this for a problem that could have been far less expensive, and handled more simply and expediently by discussing the situation with your doctor. According to the American Medical Association, about 70% of doctor and emergency room visits are actually just informational.

However, asking your doctor a health question is rarely as easy as picking up the phone. Because insurance companies do not normally reimburse doctors for phone care, most traditional practices avoid offering such service. Instead, their objective is to get you into the office so that you can be billed for the service you receive.

Paying for that office and the surrounding bureaucracy is not cheap. A doctor’s costs may include the office itself, a receptionists, a triage nurse, someone handling insurance billing, office managers, and expensive medical equipment. All this is very expensive to maintain, so generating as many office visits as possible is critical for most doctors to even stay in business.

So you get stuck in a system that is inconvenient, expensive, and does not value your time.

Telephone Consultation Services

As health savings accounts become more popular and more people are paying for their own doctor visits, several companies have begun offering inexpensive telephone and email consultations with board-certified physicians. These companies can offer dramatically lower prices because they have cut out most of the costs that burden traditional medical facilities.

Though telephone consultations are obviously not appropriate for all medical conditions, it is an accepted standard of care for many health-care problems. In fact, telephone medicine has been around as long as the telephone, and is practiced throughout the country by most doctors at nights and on weekends.

Here are a few companies that are now offering telephone consultations with licensed physicians:

Doctor on Call ( This company currently has over 240 board-certified physicians on call, with 24-hour access. The physicians with this service will not diagnose or prescribe, but they will provide information based on your questions. The price is a bargain – only $5.95/month for the family for an unlimited number of calls.

TelaDoc Medical Services ( This company also provides 24-hour access to members and dependents age 12+. Telephone medical consultations are with primary care doctors who can also diagnose medical problems and prescribe appropriate medications. There is an initial $18 registration fee, and a monthly fee of $4.25 for an individual or $7 for a family. Consultations are a flat $35.

Doctokr ( is a practice run by Virginia physician Alan Dappen. Though this service is only available to people who can come in to his office for an initial visit, it is a model likely to be copied by other providers as consumers become more price conscious when shopping for medical care. 24-hour access is available by telephone and email. Consultations are billed in 5-minute increments ranging in price from $15 to $22.50. A simple consultation to request medication refills costs from $10 to $15 for up to 5 medications. There is a monthly fee of $5.95.

Saving You Time and Money

Not only will these services save you money when compared to a typical doctor visit, but they will also save you time. You may be able to quickly resolve routine medical issues in a fraction of the time you would spend accessing care from urgent care facilities, emergency rooms or physician offices. If you use a service that will prescribe medications, you could have your consultation finished and the medicine in hand in less than the time it would otherwise take just to visit the doctor.

As telephone technology evolves, these services will add picture taking and even recording vital signs, and the scope of these physician consultations will become broader. With doctor visits approaching $100 each and ER visits in excess of $800, it doesn’t take much to justify the small monthly fee for most of these services.

Though there are certainly times when visiting your doctor’s office or the emergency room is the most appropriate thing to do, as a smart HSA consumer, you owe it to yourself to be aware of all your options. Using a physician telephone consultation service can help you avoid the expense, time, and hassles of urgent care facilities, emergency rooms, and visits to the doctor.

Wiley Long

Bloodletting was a common medical practice for over 2000 years. Does this make it something we should still do?

Is religion special in that it’s the only archaic practice that can’t be obviously proven superfluous or erroneous?

Actually, bloodletting is making a comeback onto the medical field.

It is healthy to extract a certain amount of blood from those who have disorders of the blood or high amounts of certain elements in the blood. High blood pressure can be helped without medication by regular, controlled bloodletting. Hemochromatosis (too much iron building up in the blood) can also be helped without medication by regular, controlled bloodletting.

Medical and Dental Treatment and Coverage in Oaxaca, Mexico

Alvin Starkman  M.A., LL.B.


When I first gave up the practice of law in Toronto in favor of early retirement in Oaxaca, I assumed that the years I would add to my life by leading a much more stress-free existence in Mexico, would be lost by the inferior health care system to which I would be exposed, subjected and restricted.  This, then, is my assessment of the extent to which my presuppositions have been accurate, together with information and advice for both vacationers to and would-be ex-patriot residents of Oaxaca.


Aside from the small, private hospitals, often referred to as clínicas, there are four publicly funded and insurance – based hospitals in the city, as well as a hospital just outside of the city offering specialized treatment for a number of serious ailments. There is the Red Cross facility available to all, often used for emergency treatment only.  The civic hospital provides free services or treatment at a modest cost based on a sliding scale respecting means.  ISSSTE is a federally funded facility restricted to government employees who are members of a union.  Finally, there is IMSS, a federal insurance program available to ex-pat residents and Mexican citizens alike, with an extensive network of clinic doctors and a large hospital.  It’s funding is provided in large part by business owners. Aside from these hospitals, there are several, small, easily accessed clinics scattered throughout suburban and rural neighborhoods. 


For the vacationer, and the ex-pat with a VISA permitting residency in the country, the most common means by which to obtain emergency treatment is through Red Cross, IMSS (which accepts patients without coverage on a pay-per-service basis) or a private hospital.  However, the last of these three is the only one in which you can be reasonably reassured of being attended in a timely fashion by extremely competent and efficient personnel.




If you do not have out-of-country healthcare coverage, by all means go out and buy it before leaving for your trip.  However, it’s advisable to first inquire of your credit card company, to ascertain if in fact you already have at least some coverage simply by virtue of, for example, having a gold or platinum card.  You can then make a more informed decision concerned whether or not to purchase coverage, and if so at what level. On the other hand, a broken leg, gastrointestinal problem or other non-life threatening ailment can be attended by a private doctor or clinic without breaking the bank.  Of course for an outlay of more than $100, it’s nice to be reimbursed.


If you intend to make a claim to your private carrier, credit card company or government funded health care plan, ensure that you not only keep all receipts, but request a written diagnosis and treatment plan, and that the prescriptions you are given indicate for what purpose each medicine is being prescribed (i.e. antibiotic, analgesic, etc.).  Many doctors provide all required information simply as a matter of course.  Accepted practice, at least except for when narcotic medications are being prescribed, is for the pharmacy to return prescription forms to you.  Often medical plans require translations of each document that is presented to them as a prerequisite for processing and reimbursement.  When in doubt, submit all documentation with your claim, making sure to determine if originals are required, and keep copies.  Frequently, as is the case with Ontario, it’s a two step process. Treatment receipts and diagnosis is submitted to the provincial plan.  Once you’re notified of the portion not covered, prescription receipts together with a request for reimbursement for the amount not covered by the province, is submitted to one’s private plan.  In theory, between the two plans, 100% reimbursement is achieved. 


You can ask the manager of your hotel or bed and breakfast to do you a favor by translating each of your supporting documents, to save you the trouble upon your return home.  Make a note of the then prevailing rate of exchange, and submit a calculation to your plan with your documentation, to more easily facilitate payment.  When a member of a clerical staff is processing your claim, he’ll be less inclined to put yours aside for another day or week if it already contains all the necessary and relevant data, organized in a readable format.


Concerning where to go in the event of illness or emergency, your accommodations host should be able to make recommendations for English speaking physicians with private practices, and for private clinics.   Regarding competency of the former, while there is a medical school in Oaxaca, many doctors travel out-of-state for their post-graduate training such as to universities in Mexico City or the US, and regularly attend conferences and upgrading courses.  Some travel abroad within the context of their specialization training.  Indeed the Oaxacan populace appears to take notice of and prefer those physicians who are able to display foreign diplomas.


Our personal experience with emergency treatment over the past 10 years has been nothing but positive for ourselves, our family and our guests, at hospitals Carmen and Molina, both downtown … in terms of competence, speed with which one is attended, and the presence of English speaking ER doctors. On the other hand, we cannot recommend the emergency departments at the civic hospital or IMSS because of delays in receiving treatment, and at minimum in the case of IMSS unavailability of competent medical personnel 24 hours a day to attend to even a commonplace emergency (i.e. suturing).  Having said this, many excellent surgeons with private practices perform surgery at the non-private hospitals where there tends to be the more state-of-the-art and sophisticated equipment. 


The normal range in price for a consultation with a family doctor, specialist or dentist, is $20 – $50 (all figures are stated in US dollars and are approximate for 2008 unless stated otherwise).




Over the past several years Oaxaca has become a popular destination for Americans and Canadians seeking both plastic surgery and extensive dental work.  Word has spread of the competence and quality of work of both nip-and-tuck and dental surgeons, and of course of their extremely reasonable charges relative to those paid to hometown practitioners.  Many foreigners, as well as Mexicans from Mexico City and other regions of the country come to Oaxaca for face lifts, breast reductions and augmentations, liposuction and other appearance enhancing procedures.  A friend who attended for plastic surgery in Oaxaca by a well-known plastic surgeon a couple of years ago, recently commented that she had read an article in a Canadian magazine indicating the cost for the same procedure which she had performed for $500, was $3500 – $5000 at home.  In effect she had a free trip to Oaxaca, and returned home with extra money in her pocket.


Our personal experience with dental treatment has been extremely positive.  Cost tends to be about a third to a half of American and Canadian prices, for example for crowns and bridges, implants, root canals, gum and bone work, etc.    While the use of nitrous oxide (laughing gas) has not yet arrived in most Mexican cities, a dentist with a gentle touch can more than make up for that lack of temporary high while in the chair. 




Get whatever coverage is made available to you both in your homeland and in Mexico, subject of course to affordability. 


To my thinking, with IMSS coverage costing under $400 annually for a couple, why not go for it regardless of what other coverage you already have. Then supplement IMSS with international coverage for catastrophic injuries unless you have other similar insurance from another source. Our Oaxacan friends tend to disagree, but theirs is a different mindset where insurance in general has historically not been stressed or valued, be it home, car or health.


Some American acquaintances swear by IMSS since it provides regular care including preventive procedures, all dispensed by government employed physicians including specialists, together with lab tests, medication and hospitalization.  There are restrictions the first year of enrolment, and there are caveats. The level of cleanliness in the clinic environment tends to be below the standard to which most of us have become accustomed growing up in the US and Canada. Many physicians have not received the quality of medical education of their private counterparts. The medications provided through the clinic pharmacy are often not the best available in the marketplace for treatment of a particular ailment, because of cost.  Often the wait to see your designated doctor or for your lab tests can be long, requiring a half day commitment for each step in the process:  visiting a general physician, going for one set of tests, then for another, and finally seeing a specialist.


So why bother with IMSS at all, with all these downsides?  It’s a failsafe, another form of assurance that you’ll be cared for in the event of a lengthy and serious illness.  As suggested earlier, often it’s the largest hospitals such as IMSS which have the best equipment, and surgeons with private practices who perform some of the surgeries.  And there is no additional cost for hospitalization once you have full IMSS coverage.  While attending a private clinic is more akin to your experiences before moving to Mexico, if you must remain in hospital for a lengthy period of time, the cost of doing so in a clinic could be prohibitive…just like back home. 


Visiting private physicians, and even biting the bullet and getting your tests done at privately owned laboratories, reasonably assures you of a familiar quality of care.  Coupled with IMSS coverage, you can now be confident that you’re covered in almost all respects.   In the event of a protracted hospital stay you can afford to be there for as long as necessary.  The best locally available equipment will be used in your diagnosis and treatment, and you have a reasonable likelihood that attending surgeons are those who split their time between private practice and clinic work, and performing procedures in one or more large hospitals. 


We maintain IMSS coverage, but rarely use it, preferring to tap our Oaxacan social networks for referrals to specialists to the extent they are required.  And in any event, after having been resident in Oaxaca for a few years, those of us who are in our fifties or older have already been introduced to a broad range of specialists.   As strange as it still is to be a Canadian and subscribe to the pay-as-you-play philosophy of medical care, it serves our purposes, with the IMSS safety net just in case.


Under certain circumstances you may not want to rely on even the best Oaxaca has to offer.  Indeed the stream of Oaxacans traveling to Mexico City flows briskly and wide.  The middle and upper classes with contacts in the nation’s capital, there quickly seek out the best in terms of physicians and state-of-the-art equipment, for diagnosis and for treatment of life-threatening diseases.


Even doctors working in Oaxaca at the IMSS and ISSSTE hospitals can make arrangements for patients to receive treatment not available here, to be attended in Mexico City or other larger centers.  However, the process can be slow.  We know of one case, that of a two-month-old baby with heart problems, who was finally sent to Puebla for surgery at ISSSTE, only to die before the procedure could be performed. 


The solution, unless you have quality foreign coverage perhaps as part of your retirement pension plan, is to buy insurance which will pay for treatment in Mexico City, or better yet throughout the world as long as you can make your way to one of the participating top-of-the-line hospitals.  In my case, I have a low annual premium, with high deductible which is waived in the event of accident.  Again, it’s a failsafe mechanism in the event of, for example, a serious car accident, or cancer, stroke, heart attack, or other catastrophic ailment which would otherwise not be affordable.  Oaxaca has less than the best of diagnostic equipment and treatment facilities. My plan provides for a $10,000 deductible, $2,000 annual premium, with member private hospitals in Oaxaca, Mexico City and elsewhere in the republic, and of course abroad including the US, with the Mayo Clinic in Rochester being a participant. 


In summary, my medical coverage and plan for treatment is the following.  We have our regular family physician, who, along with our Oaxacan friends, refers us to specialists in which we have the utmost confidence, and to whom we pay per visit. The same holds true for dental treatment.  We have IMSS coverage which we reluctantly (because we don’t use it) renew on an annual basis, but believe it’s worth the price in the event we need extended hospitalization, or to have surgical procedures performed not available in private clinics.  And I have my catastrophic coverage which hopefully I’ll never need to access.


Medical care and coverage can be inexpensive, and just as easily it can be costly.  It’s a matter of the individual or family having a philosophy, or set of priorities, before electing to move to Oaxaca.  You have to determine how you want to lead your life in terms of balancing having less disposable income as a result of medical and insurance costs,  with having greater peace of mind in knowing that whatever is thrown your way will be looked after as best possible given your new life in a foreign land. If you cannot achieve a level of comfort in the resolution of these issues and decisions, then perhaps the move is not for you. 

Alvin Starkman

Describe the interactions of climate change, the global economy, and modern medical practice on any emerging d?

Describe the interactions of climate change, the global economy, and modern medical practice on any emerging disease.
I need to know if my answer is correct…..?To control infectious diseases, a pipeline of effective tools needs to be developed continuously. These include vaccines and drugs, prevention programs that focus on individual behavior and structural changes, and insecticides and biological insect control methods. Furthermore, scientific advances need to be translated into innovative tools that are affordable, culturally acceptable, and deliverable in resource-poor settings. To implement developed tools and effectively manage control programs, it is necessary to understand the ecological and social forces that shape and fuel the spread and maintenance of these infections.

Climate change and the global economy are linked to one another. As climate change becomes a bigger issue and creates more negative environmental results (loss of water, loss of biodiversity, less vegetation), the global economy is also impacted negatively. Poor environmental health contributes to a weaker economy (knowing that most emerging economies are substance based, meaning they rely on raw materials and natural products for their jobs and income) and poverty. From poverty we will see a rise in infectious disease and a higher percentage of people without access to medical care or even proactive health information.

which are the countries where i can practice medical profession without having to appear for any exam?

i am a Post Graduate medical student from India , could anyone please tell which are all the countries where i can practice as a doctor after completing my studies.. without any separate exams like USMLE for US etc .. thanks in advance.

Your only possibility might be India. You are not going to work in any developed country with med school in India and no exam. You probably are not going to work in any undeveloped country with Indian med school and no exam.

Top 5 Reasons Why There Is A Medical Collection Problem

Over the years there has been a marked increase in medical collection problems. A recent controversial case involves an attempt by the Aargon Collection Agency to recover more than half a billion dollars written off as bad debts by UMC. According to news reports, UMC sold their half a billion worth of bad debts to a third party called Orion Portfolio for $8.5 million. Orion in turn hired Aargon, a professional collections agency, to collect the debts from the patients. The controversy has since generated threats of a class suit, multitudes of complaints and a closer examination of the medical collection practice.

The heart of the problem, as pointed out by experts and former patients, is the ineffectual billing practices of UMC and other hospitals. In the case of UMC, the hospital failed to bill the insurance and HMO companies of their former patients. To make matters worse, they included these neglected bills with their bad debts which they sold to a third party.

Another reason for the growing medical collection problem is the ambiguity of the coverage of certain insurance and HMO policies. Clients take out a policy not having a clear understanding of their coverage. This lack of understanding can be attributed to the clients’ negligence, over zealousness of the agent to make a sale or both.

A third reason is in the hierarchy of bills, medical bills are most like to take the backseat in the face of mortgage, auto, credit card and utility bills.

A fourth reason is that medical collection records appear only on reports requested by the debtor for his or her personal record. Credit reports sold to third parties mask or block medical collection history. This protects the debtor against discrimination based on his or her medical condition. At the same time, it serves as a disincentive for the debtor to satisfy the debt.

A fifth and perhaps most obvious reason for medical collection problems is poverty due to unemployment or underemployment. Medical care costs are at an all-time high and can be extremely prohibitive to a minimum wage earner. Coupled with the reality that most unemployed or underemployed patients do not have HMOs or if they do, they have limited coverage; it is no wonder that these patients, if they do receive treatment, are not in a position to pay even if they wanted to.

The rise in medical collection problems can be attributed to several factors within the medical and insurance/HMO industry. The current employment and poverty levels play key roles as well. Then there is the questionable practice of selling bad debts to third parties at a discounted rate. In this light, it seems no longer important to point a finger to the party at fault since no single party can be said to be solely responsible for the problem.

Tristan Andrews