retired doc's thoughts

Friday, August 27, 2010

The Little Book of Obamacare Horrors-a guide for the worried (most folks)

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Go here to read a publication from the folks at the NCPA telling the readers much they need to know about PPACA . It is a welcome coun...
Wednesday, August 25, 2010

Yet another valid criticism of pay-for-performance (P4P)

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DB of "DB's Medical Rants" takes another opportunity to direct some of his typical well thought out criticism against the da...
Tuesday, August 17, 2010

The Initiative to Transform Medicine-The push for social justice goes on and on

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Should medical student applicants be chosen less for their demonstrated ability to master large amounts of knowledge and solve problems and...
1 comment:
Monday, August 09, 2010

Will health care law make Medicare more fiscally viable by making care less available?

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Two recently released projections of what Obama Care (PPACA aka ACA) will do paint different pictures. The paper by the Medicare Trustees t...
1 comment:
Monday, August 02, 2010

Value,quality,rent seeking -Does value equal quality/cost

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I suspect we will be hearing more and more about paying for "quality" since the recess appointment of Dr. Donald Berwick to be th...
Friday, July 30, 2010

Donald Berwick and Great Britain's Prime Minister talk about different NHS s

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While Dr. Don Berwick , Obama's recess appointee to head CMS , speaks of Britain's NHS in glowing if not poetic and outlandishly l...
1 comment:
Saturday, July 24, 2010

Wall Chart of PPACA is so complex that no one who supported the bill could have possibly known what they supported

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Go here to see the labyrinth of provisions, regulations, deadlines,subsides and cross subsidies from the hundreds of thousands of words fr...
4 comments:
Monday, July 19, 2010

So did AMA and ACP have a seat at the medical legislative table or were they on the menu?

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An essay that is receiving much attention as it should is available here .The author is Angelo M. Codevilla, a professor emeritus from Bos...
Thursday, July 15, 2010

More medical blogs express concern about Donald Berwick's suitability for CMS head

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For a while it seemed only a few medical blogs were expressing concern about Dr. Donald Berwick's suitability to be the head of CMS. See...
2 comments:
Monday, July 12, 2010

Dr. Donald Berwick's medical utopia - a top down, technocratic, authoritarian pipe dream

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Apart from some apparently radically contradictory expressed views on patient "centerness " and patients being in control ( see h...
1 comment:
Saturday, July 10, 2010

Who Funds Don Berwick's foundation?And why did he not give that info to Senate Democrats?

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H/T to Keithhennessey .com for calling attention to the fact that Dr. Donald Berwick did not reply to Senate Democrats questions regarding ...
1 comment:
Thursday, July 08, 2010

New Head of CMS,Donald Berwick-friend of central planning and redistribution of wealth ?

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President Obama has appointed Dr. Donald Berwick as head of CMS during Congress's recess .If you like central planning and the notion of...
1 comment:
Sunday, July 04, 2010

Another virtue of Obamacare-massive job stimulus for lobbyists

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There is benefit to make a law ambiguous-at least to the bureaucrats whose rule making will give that law operational meaning. There is be...
1 comment:
Thursday, July 01, 2010

A possible job for Retired Doc

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Ever since I retired I have had my eyes open for a suitable job opportunity. This might work. Thanks to the Carpe Diem blog for the referen...
Monday, June 28, 2010

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

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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 ?

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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

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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"

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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

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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

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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:
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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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