retired doc's thoughts

Friday, September 25, 2009

PPIs blunt effect of clopidogrel-yes they do,no they don't

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Patients and physicians alike had to be a bit worried when this study suggested that PPIs decrease the efficacy of clopidogrel and could l...
Thursday, September 24, 2009

The villian is fee for service-of that we can all agree?

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Health care costs too much and it will cost more and we are told that a major cause of this is the fee for service system (apparently obesit...
Monday, September 21, 2009

Dr. Richard Cooper's views get aired on major economic blog

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Arnold Kling is one of the economists whose blogs I have begun to read lately ( lately being since the stock market tanking in 2008 scared ...
Monday, September 14, 2009

So what do tires and a tariff on Chinese tires have to do with health care?

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The United States has moved to impose a tariff on imported tires from China.See here for WSJ article. With the stock market swoon of 2008 ...
2 comments:
Tuesday, September 08, 2009

Is Roflumilast the next drug for obstructive lung disease?

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The answer seems to be a firm "maybe". Remember aminophylline.Once a mainstay in the treatment of asthma and COPD exacerbations as...
Friday, September 04, 2009

Why are placebos thought to be getting stronger?

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I read the blog Wired from time to time to make some slight attempt to keep up with really cool innovations and products in the land of the...
Wednesday, September 02, 2009

Do resident work hour restrictions transform professionals to shift workers?

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The answer according to Dr. John D. Rybock ,from Johns Hopkins School of Medicine, is "yes". Dr. Rybock in a letter to the editor...
1 comment:
Tuesday, September 01, 2009

Closer and closer to a new oral anticoagulant (dabigatran)

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Actually, there already is a new oral anticoagulant available in Europe and Canada at least for the application of clot prophylaxis in hip a...
Friday, August 21, 2009

Now for something complety different-we should spend more on health care

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"We are not spending enough of health care" is the point made by economist Mark Perry (economist at the University of Michigan) an...
1 comment:
Tuesday, August 18, 2009

Ambiguity in Legislative language in HR 3200 may be there for a reason

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Everyone with any interest in the proposed health care legislation should go here to read DrRich's latest blog entry in which he tell ...
1 comment:
Friday, August 14, 2009

Who benefits from the world class ambiguity of section 1233 of House Health Care bill ?

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Does section 1233 ( of the current version of the House bill dealing with Health Care "reform") make end of life counseling mandat...
2 comments:
Thursday, August 06, 2009

One more time, so how is the Massachusetts health care plan working?

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Here is one view offered by one of my favorite economists, Arnold Kling . Some proponents of certain elements of the administration's h...
1 comment:
Friday, July 31, 2009

What might Hayek have said about Ezekiel Emanuel's "fair distribution of life years"

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I do not claim to be an expert on the incredibly insightful writing of Friederick Hayek and certainly do not really know what he would said...
3 comments:
Wednesday, July 29, 2009

The "Complete Lives System"-why so little comment from the medical blogger world?

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I missed this when it was published earlier this year in the Lancet and it was called to my attention in the blog "Junkfood Science...
11 comments:
Sunday, July 19, 2009

Should the symbol of Massachusetts Health Plan be the canary or the dead parrot?

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An argument can be made for either candidate. The canary,as in the canary in the coal mine, served as a early warning system for respirable ...
Friday, July 17, 2009

Can we really save the economy by spending more?

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The Director of the CBO believes we can't at least not in the context of the spending involved in the health care bill. The administrati...
1 comment:
Tuesday, July 07, 2009

New physician payment Rules for CMS,different slicing of a shrinking pie

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New physician payment rules from CMS have been proposed, can be found here and will likely go into effect January 2010. The Obama administ...
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 ...
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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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