retired doc's thoughts

Monday, June 28, 2010

The best name yet for Obamacare-TNRKMA (turkey ma)

›
High fives to the endlessly insightful blog of John Goodman for what I believe is the best designation yet for PPACA which is also known as...
Sunday, June 27, 2010

Business Roundtable suffers buyer's remorse with Obama care, will AMA, ACP, etc. be next ?

›
This article , from the WSJ, tells a precautionary tale that has been told many times in the past.It is a narrative with apparent deal-maki...
2 comments:
Tuesday, June 08, 2010

Laymen find notion that more care and more expensive care can be worse as counter intuitive

›
A recent publication in the publication "Health Affairs" has evoked comments and some concern from advocates of comparative effec...
1 comment:
Sunday, June 06, 2010

Is refusal to accept government price controls "price fixing"

›
According to this article in the Christian Science Monitor, the Justice Department says it is -at least in regard to as physicians. This g...
2 comments:
Tuesday, June 01, 2010

Composite endpoints in clinical trials can be very misleading

›
The blog commentary by Dr. David Rind discusses the issue of composite end points in clinical trials and in particular the CREST trial which...
Monday, May 24, 2010

P4P(Pay for performance) harmful effects may impact surgeons as well-I am shocked,shocked

›
This paper (see here ) regarding P4P and its impact on surgery or the lack of it for the obese patient has received at least two appropriat...
4 comments:
Thursday, May 20, 2010

Medicare and Price controls -one more time

›
I harp on the theme of the effect of the price controls on physician's fees in regard to Medicare several times. It is good to see someo...
1 comment:
Tuesday, May 18, 2010

More on freedom to purchase one's own health care

›
See here for a interesting review of aspects of the history of health care insurance in the U.S. from Peter Zavislak at the blog Medical Pa...
Sunday, May 16, 2010

Will Obama care lead companies to drop their health care plan?

›
An analysis published in Fortune ( see here ) makes a strong case for many employers to do just that."If you like your health care pl...
Friday, May 14, 2010

When you see how IPAB will cut costs, you will want to thank AMA and ACP for their roles in support of PPACA

›
Yes, the tittle is sarcastic. Go here to read a clear explanation of how exactly the Independent Payment Advisory Board (IPAB) will limit...
Tuesday, May 04, 2010

Important series of blog posts on Individual prerogative to purchase health care

›
Earlier I had cited the first in a series of posts by DrRich of the Covert Rationing Blog concerning the issue of of the future of the righ...
1 comment:
Thursday, April 29, 2010

One group who loses from PPACA-those folks on Medicare Advantage

›
Patients enrolled in the Medicare Advantage ( MA) program will loose under PPACA . The Chief actuary of CMS in his Jan 10, 2010 letter (...
Wednesday, April 28, 2010

The canary in the Mass.coal mine health care is looking bad

›
See here for comments from Dr. Wes regarding the events as they unfold in the preview to PPACA that health care in Massachusetts is turni...
Monday, April 26, 2010

Another Medical blogger worried about erosion of physician's duty to the individual patient

›
I should have noticed Dr. Doug Perednia's blog, Road to Hellth, sooner. See here . I was aware of the "competition "between ...
3 comments:
Friday, April 23, 2010

CMS actuary's report validates criticism of PPACA-increase costs plus risk of decreased care for seniors

›
Richard S. Foster, chief actuary for Medicare, issued a report that says in part that PPACA will result in : Cuts to hospitals that will je...
1 comment:
Monday, April 19, 2010

Social Justice and the Framing of the Healthcare Debate about fairness and individual freedom

›
Two years ago, I published a blog commentary about what I now call the"social justice revolution" in medicine. I wrote about about...
Saturday, April 17, 2010

New Health care bill not long enough ? we need more pages ? And are insurers now utilities or not?

›
Remember, we were told that we must pass health care reform or America will" go bankrupt" and the bill will bend the health care ...
1 comment:
Friday, April 16, 2010

Thinking beyond stage one in the health care bill.

›
I wonder if the leadership of the AMA and the ACP have thought much past stage one in the recently passed health care bill. Stage one is ...
Thursday, April 15, 2010

CFC asthma inhalers not long for the world

›
Environmentalists can breath more easily with the CFC inhalers banished while some asthmatic and patients with COPD may have trouble adjust...

So how might section 10320 (of health care bill) be implemented

›
Section 10320 of the PPACA deals with the control of private health care costs and tasks some federal structure ( probably the Secretary ...
‹
›
Home
View web version

About Me

james gaulte
Trained in and practiced internal medicine and pulmonary disease.interested in endurance exercise,economics and gerontology
View my complete profile
Powered by Blogger.