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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
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  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
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                                                                                                                                                             herein does not necessarily reflect the opinion of BCMS or its staff.
                                                                                                                                                             San Antonio Medicine, the Publisher and BCMS reserves the right to
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