Page 27 - Flying Physician Magazine Issue 1-2018

James r. elliott,
md, mpH, asked
the simple question:
Would you fly with
you? Autopsies of-
ten reveal unknown
medical conditions
that, under FAA
rules, would have prevented the pi-
lot from flying. He discussed ways in
which a pilot/physician can perform
a self-assessment. If done honestly,
the same means of assessment may be
used in the evaluation. He noted that
not every physician is certified in FAA
basic medicine for pilots.
walter C. “Chip”
may, CFp, CLu,
ChFC, msFs, ex-
plained the differ-
ence between tran-
sitional medical
care and long-term
care and discussed
the roles of Medicare and Medicaid
in transitional medical care and long-
term care. Current ACA coverage pro-
vides no insurance for long-term care,
and Medicaid assistance requires ap-
plicants have less than $2250/month
income and less than $3,000 in assets.
He cautioned that Medicaid will claw
back gains from sale of assets prior to
filing for Medicaid assistance.
John t. Kihm, md,
discussed the com-
monly recognized
medical care prac-
tice models in the
US. Specialization,
insurance, cash
flows, bureaucratic
entanglements, and
other realities directly affect the day-
to-day practice of the individual phy-
sician. He compared the differences
between a standard direct patient to
doctor practice, with or without in-
surance, and a concierge practice with
a value base of perhaps 250 clients.
Kihm concluded that the concierge
practice allows more time and consid-
eration for the needs and goals of the
patient and the practitioner.

The Flying Physician vol. 59 - Issue 2 2016 25
The Flying Physician vol. 61 - Issue 1 2018 27