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of things. You can’t have it where peo- ple can’t make a living off, for instance, Medicaid because you then might have primary care down in Houston, but what are you going to do about rural areas that are very Medicaid-dependent? It can be reducing red tape because I don’t have to pay you more money if I can make it easier for you to get that money in your pocket.


Texas Medicine: TMA reached an agreement with physician assistants and advanced practice nurses on an im- proved delegated model for team-based health care. Is our work done?


Dr. Brotherton: By the time I start in May, maybe we don’t have any scope is- sues. But you can’t stop. If we get to May and we don’t think there’s any scope bills that are going to hurt us, the next time we get hurt. We have to stop the scope expansion before the legislative session. That comes from physicians talking to our legislators. We have to remind them that if you have not been through the academic rigor getting into medical school, the Darwinian process of med school, doing that work, getting into residency and finishing that and proving that you’re competent, you don’t get to be a doctor.


Texas Medicine: You talked about the importance of the county medical societ- ies. Why are they important?


Dr. Brotherton: There are probably other states that can get by without the county medical societies, but we don’t, we won’t, we can’t. It’s not going to hap- pen. That’s where we get our leaders. That’s where I started. That’s where we help legislation and hinder legislation that’s not going to help us. If you try to do that at the state level, it’s ineffective and it’ll cost more money. To have a lob- byist in Austin talk to somebody who’s a legislator in Abilene or wherever, that’s not going to go. But you get two or three docs in Abilene to talk to that legislator, now they’re going to listen. If there’s a health problem in a county, it’s not the state or the AMA that needs to go in and fix it. It’s the county that says, “Here’s


May 2013 TEXAS MEDICINE 9


the problem, here’s the solution. Now what resources can you give us?” Grass- roots works. The farther you get away from that the less effective you are.


Larry BeSaw is the editor of Texas Medicine. You can reach him by telephone at (800) 880-1300, ext. 1383, or (512) 370-1383; by email at larry.besaw@texmed.org; or by fax at (512) 370-1629.


habilitation, Physician Health, Practice Management, Psychiatry, and Quality


8–9:30 am


House of Delegates opening session 9:30 am–noon


House of Delegates reference committees


TexMed 2013 opens May 17 in San Antonio


Visit San Antonio this month for more than 100 hours of continuing medical education (CME) credits, a chance to in- fluence Texas Medical Association policy on important issues that affect you and your patients, and the opportunity to mingle with your peers and enjoy Texas’ most historic city.


All that will be available at TexMed 2013, May 17–18, at the Grand Hyatt San Antonio and the Henry B. Gonzalez Convention Center. Highlights of TexMed 2013 include:


Friday, May 17 7:30 am–3 pm CME tracks Allergy, Anesthesiology, Cancer, Colon Rectal Surgery, Diabetes/Endocrinol- ogy, Emergency Medicine, General Ses- sion, Geriatrics, Occupational Medicine, Ophthalmology, Otolaryngology, Pain Medicine, Physical Medicine and Re-


11:30 am–1:30 pm


Networking lunch in Expo Hall, spon- sored by Blue Cross and Blue Shield of Texas


2:30–3:30 pm Candidate forum


3:30–5 pm


General Session with Abraham Ver- ghese, MD: A Doctor’s Touch. In his presentation, physician and writer Dr. Verghese will explain a new world where patients are merely data points, and call for a return to the traditional one-on-one physical exam. As founding director of the Center for Medical Hu- manities & Ethics at The University of Texas Health Science Center at San An- tonio, he brings deep-seated empathy for patient suffering to his new role in the medical humanities. Sponsored by the Texas Medical Liability Trust.


5–6 pm Welcome Reception, sponsored by the Texas Medical Liability Trust


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