retired doc's thoughts

Thursday, October 29, 2009

The unintended (but not unexpected)consequences of the Baucus Bill

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In a lengthy,somewhat complicated and IMO very reasonable analysis John Goodman plows through various scenarios that seem likely if/when the...

Government run comparative effectiveness panel and regulatory capture - Fait Accompli?

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Is the deck already stacked for a regulatory capture type scenario in regard to the government version of comparative effectiveness research...
Tuesday, October 27, 2009

The "battle" over the public option-rope-a-dope or just a diversion

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Mohamed Alli made the rope-a-dope (RAD) strategy famous by using it successfully against George Foreman and Joe Frazier. It consisted of lea...
Sunday, October 25, 2009

Health insurance mandates-An economist's argument that it is a bad idea

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Much of the argument involving the health care deconstruction-reconstruction bills (misleadingly labeled as reform) that is reported and e...
1 comment:
Friday, October 23, 2009

Is medical fee for service the real villian or it is price controls?

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I will argue that it is the price controls on the fees and not the fee-for-service (ffs) system per se. The more popular argument is to the ...
Wednesday, October 21, 2009

Health insurance in New York,study in the effects of community rating & guaranteed issue

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This article in the Wall street Journal,Opinion, on line discusses how the mandating or community rating and guaranteed issue for health c...
Tuesday, October 20, 2009

Article we really want to believe,ways to avoid dementia

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Being physically and cognitively active and social engaged are suggested by this article as things you can do that might delay or even prev...
Friday, October 16, 2009

The Stabenow bill to abolish SGR,accounting trick and/or small payoff to the doctors?

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Senator Debbie Stabenow has introduced a bill to abolish the dreaded SGR ( Sustainable growth rate) mechanism by which physician fees under...
Wednesday, October 14, 2009

Mayo Clinic's stand on Medicare and Medicaid-?Model for the country

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This news item seems to show another side to Mayo Clinic who has received nothing but praise from some quarters regarding their reputation ...
1 comment:
Sunday, October 11, 2009

One more time, again,How is the Health Care refrom in Massachusetts working out?

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How many times have we heard the refrain "If you are happy with your health care plan you can keep it"? Well, we'll see what h...
Thursday, October 08, 2009

Evidence based health care policy? an oxymoron?

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If you consider the problem to be "some folks are unable to obtain health insurance"because of bad health, then you might want to ...

Health care "reform" will help the poor-maybe not

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The blog "Diagnosis", which is one of three blogs connected the New Atlantis.com, offers a detailed analysis of the effect of a pr...
1 comment:
Tuesday, October 06, 2009

Blame it on the fat people and penalize them if they don't shape up

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The health care crisis is increasingly being blamed on folks with bad health habits and particularly the obese. Nothing seems outside of th...
Monday, October 05, 2009

Another reason for internists to not participate in Medicare-Medicare Recovery Audits

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The Medical Recovery Audits system has designated various contractors to execute this program to audit physician's practices searching f...
Wednesday, September 30, 2009

We cannot trust drug company studies so we need a government panel,one that is not biased

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I read the medical blog "The Last Psychiatrist" (TLP) regularly.Sometimes I think I understand it.I keep going back because at som...
2 comments:
Monday, September 28, 2009

See what Baucus bill has to offer in 2015 (just one little part)

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A very grateful tip of the hat to Health Care Renewal for information about one of the things that lies in store after the next presidentia...
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:
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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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