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SAN ANTONIO TABLE OF CONTENTS
MEDICINE
THE OFFICIAL PUBLICATION OF THE BEXAR COUNTY MEDICAL SOCIETY • WWW.BCMS.ORG • $4.00 • DECEMBER 2017 • VOLUME 70 NO. 12
Public Financing San Antonio Medicine is the official publica-
tion of Bexar County Medical Society (BCMS).
Reimbursement Primer All expressions of opinions and statements of
By Alan M. Preston, MHA, ScD ..........................14 supposed facts are published on the authority
of the writer, and cannot be regarded as ex-
A Brief History of Charitable Hospitals pressing the views of BCMS. Advertisements
in San Antonio do not imply sponsorship of or endorsement
By J.J. Waller, MD ..............................................18 by BCMS.
Patient Protection and Affordable Care Act: EDITORIAL CORRESPONDENCE:
Find What’s Missing, Keep What Works,
Fix What’s Broken Bexar County Medical Society
From Texas Medical Association ....................... 20 4334 N Loop 1604 W, Ste. 200
San Antonio, TX 78249
Medicare for All Might Mean Misery for Most Editor: Mike W. Thomas
By Alan M. Preston, MHA, ScD ..........................24 Email: Mike.Thomas@bcms.org
BCMS President’s Message ............................................................................................................8 MAGAZINE ADDRESS CHANGES:
BCMS Alliance News ................................................................................................................................10 Call (210) 301-4391 or
BCMS Legislative News ............................................................................................................................12 Email: membership@bcms.org
Feature: Vatican Speech: Pornography and the Developing Brain: Protecting the Children
SUBSCRIPTION RATES:
By Donald L. Hilton Jr. MD, FAANS, Adjunct Associate Professor of Neurosurgery, UTHSCSA ..............28
Legal Ease: Driving While Intoxicated during a “No Refusal” Weekend, What do I do? $30 per year or $4 per individual issue
By George F. “Rick” Evans, Jr., General Counsel, BCMS........................................................................32 ADVERTISING CORRESPONDENCE:
BCMS News: Women in Medicine Event...................................................................................................34
BCMS Circle of Friends Directory ..............................................................................................................38 SmithPrint Inc.
In the Driver’s Seat ....................................................................................................................................42 333 Burnet
Auto Review: 2018 Nissan Armada By Steve Schutz, MD ........................................................................44 San Antonio, TX 78202
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San Antonio Medicine is published by SmithPrint, Inc. (Publisher) on
behalf of the Bexar County Medical Society (BCMS). Reproduction
in any manner in whole or part is prohibited without the express
written consent of Bexar County Medical Society. Material contained
herein does not necessarily reflect the opinion of BCMS or its staff.
San Antonio Medicine, the Publisher and BCMS reserves the right to
edit all material for clarity and space and assumes no responsibility for
accuracy, errors or omissions. San Antonio Medicine does not
knowingly accept false or misleading advertisements or editorial nor
does the Publisher or BCMS assume responsibility should such
advertising or editorial appear. Articles and photos are welcome and
may be submitted to our office to be used subject to the discretion and
review of the Publisher and BCMS. All real estate advertising is subject
to the Federal Fair Housing Act of 1968, which makes it illegal to ad-
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4 San Antonio Medicine • December 2017