retired doc's thoughts

Tuesday, June 30, 2009

Is fee for service really the culprit for health care costs?

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Fee for service is said to be a major cause of the high health care costs that we are told must be brought under control to save the economy...
1 comment:
Monday, June 29, 2009

Comment writer asks retired doc about single payer

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This post is a reply to a comment made on one of my earlier postings that inquired about the single payer option for U.S.health care or at l...
3 comments:
Friday, June 19, 2009

National Demonstration Project for Medical homes-some early observations and concerns

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Medscape has a republished a report from the National Demonstration Project regarding the Medical Home concept that appeared in the Annals ...
Wednesday, June 17, 2009

Everyone go read Dr. Wes's Open Letter to patients

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Go here .His satire elegantly captures so much of what is happening and is threatening to happen.Those of you who still get up everyday a...
Tuesday, June 16, 2009

Ignoring history-doomed to repeat it ?

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President Obama recently spoke to the American Medical Association and offered in part some reassurances that the public choice option would...
5 comments:
Friday, June 12, 2009

American College Physicians (ACP) endorses house bill that allows NP lead Medical Homes

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Note this is a republication of an earlier version with a new headline and some introductory remarks..As pointed out by Bob Doherty in a ...
3 comments:
Monday, June 08, 2009

For those who worry about government managed CER,MedPAC may be your real worry.

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From the WSJ we read about the entity that may be the group that really will pull the budget strings for Medicare and have major influence...
2 comments:
Sunday, June 07, 2009

Must reading for all internists-DrRichs' take on the bill purported to save internal medicine

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DrRich's blog entries typically are insightful and entertaining. This one goes way beyond his usual very high standards.Go here to rea...
1 comment:
Friday, June 05, 2009

CMS's "never events"-so much for reason and let the unintended consequences begin

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Aggravated DocSurg offers cogent comments about the seeming lack of logic or common sense in their program of denying payments for so call...
1 comment:
Friday, May 29, 2009

Does ultra sound help decisions regarding length of anticoagulation for DVT

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The answer provided in a recent issue of the Annals of Internal Medicine suggests use of U/S to help determine how long to continue anticoag...
Thursday, May 28, 2009

Annals Internal Medicine commentary laments imminent death of internal medicine

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Dr. David D. Nerenbert writing in the May 19,2009 issue of the Annals of Internal Medicine offers his analysis of why internal medicine is...
Tuesday, May 26, 2009

Cogent commentary about the Dartmouth Atlas conclusions by a senior medical educator and troublesome observations by Atul Gawande

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The Obama administration is promoting the idea that we can finance a wide and expensive variety of government programs-including better qual...
Thursday, May 21, 2009

The IOM speaks: mandatory nap time for house staff

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The very name Institute of Medicine for reasons that have eluded me seems to mean to many a venerable assortment of very wise people who unl...

More and More data is ganging up on Proton pump inhibitors

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The story of PPIs apparently interfering with the beneficial effect of Plavix is widely distributed and read. Now we see data (see here f...
Monday, May 18, 2009

Electronic Medical Records, tool to save health care costs or windfall for the tool makers

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One of the package of health care "reforms" that will increase quality, provide care for all and save money is the widespread impl...
2 comments:
Friday, May 15, 2009

Is the latest medical world cahoots insurance companies and academia

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The Last Psychiatrist (TLP). suggests that an unholy alliance between medical insurance companies and medical academia is well underway.See ...
Tuesday, May 12, 2009

More on the three magic elements of reforming health care.

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To reform" health care" (and to fix the nation's economy) we are told we must have electronic medical records, government fund...
Monday, May 11, 2009

Will Protecting people from second hand smoke decrease heart attacks?

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Well, the early relatively small studies gave the public health rule makers some empirical justification for claiming success, further study...
Thursday, April 30, 2009

Whistle blowing is always risky,In Great Britain's NHS even worse,nurse looses a lot

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See here for what happened to a nurse in England who dared to help let the public know how bad things were at one NHS service about which ...
1 comment:
Monday, April 27, 2009

Two of my favorite medical bloggers seem to disagree regarding CER

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When I read a recent blog posting by DB,who postings inspired me to start to blog and with whom I rarely disagree, I was sharpening up my ...
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About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
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