retired doc's thoughts

Sunday, August 19, 2012

What does Massachusetts do when Romneycare costs too Much

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The quick answer is blame the physicians and pass draconian,liberty crushing,contract abrogating, legislation to control medical care cost...
2 comments:
Wednesday, August 15, 2012

Basis of Quality Adjusted life years is a fiction Ask Jeremy Bentham

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There was a time a few years ago when there was sincere honest thoughtful criticism of he concept of quality adjusted life years ( QALY ) ,...
2 comments:
Wednesday, August 08, 2012

USPSTF-Thanks goodness they have"no emotional,ideological or financial conflicts of interests"

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Dr. Otis W. Brawley,of the American Cancer Society, characterized the USPSTF as ideally suited to provide an objective,unbiased assessment o...
1 comment:
Friday, August 03, 2012

There is no "i" in team,Dr Wes on the Penn State Mentality in Physicians

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Quote for the day: Dare we ask what we are creating as we move to make doctors shift-workers, business minded. algorithm-driven, group-th...
Monday, July 23, 2012

Retired Doc's correction: Parsimonious care from ACP is nothing new

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I have criticized the "New" ( sixth edition of the ACP's ethics manual) before. I stand by that criticism, however, I was at l...
Friday, July 20, 2012

Hormone Replacement Therapy (HRT) another update, but does it matter

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Dr. HR Nelson and her colleagues have updated the continuing data accumulation regarding HRT ,largely from the Women's Health Initiativ...
Friday, July 13, 2012

Three cheers to Dr.RW for his summary review of New ACCP Thrombosis guidelines

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The current edition of the ACCP guidelines is big and filled with much that is important. I thank Dr. RW Donnell ( aka the blogger, Dr RW) f...
1 comment:
Thursday, July 05, 2012

Affordable Care Act (ACA) as example of The Bootlegger and the Baptist phenomenon

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In 1993, economist Bruce Yandle wrote a noteworthy commentary in the journal Regulation. In it he coined the term "Baptist and the Boot...
2 comments:
Monday, July 02, 2012

The revolving door turns for health care agencies and health care business as well

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Kudos again to Dr. Roy Poses for his tireless efforts to battle the forces that are destroying health care core's values. See here on...
Friday, June 29, 2012

How do you turn a mandate into a tax-just say the magic words

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If you are the Chief Justice of the Supreme Court you have the power of magic words. The individual mandate of ACA was called a mandate beca...
Monday, June 25, 2012

AMA joins the "gangwaggon" to guilt doctors to become stewards of society's resources

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Kudos to Dr Doug Perednia,author of the blog Road to Hellth , for his denunciation (see here ) of AMA's latest egregious attack on tr...
1 comment:
Tuesday, June 19, 2012

The litigation to allow seniors to refuse Medicare Part A goes deeper in the rabbit hole

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I have written in amazement about this lawsuit before.Several plaintiffs are attempting to assert what they believe to be their right to r...
Sunday, June 17, 2012

Obamacare's IPAB is not just unconstitutional but is anti-constitution -Cato

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An important Cato policy paper can be found here .Among many other important comments in the paper is the charge that Obamacare is not jus...
1 comment:
Wednesday, June 13, 2012

The gift that keeps giving-the stimulus to the electronic medical record industry

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The American Recovery and Reinvestment Act had a number of beneficiaries.Part of the legislation was money for physicians to use to purcha...

Cahoots ,Obamacare and Big Pharma

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Dr. Richard Fogoros in his blog, The Covert Rationing Blog ,made the observation that big health insurance companies were on board with Oba...
Thursday, June 07, 2012

Muscle soreness after marathon-what do the muscle biopsies show?

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I have completed marathons for 35 years and an interesting ( at least to me) change in the pattern of post marathon recovery time has eme...
Tuesday, May 29, 2012

More on earlier blog regarding statins,primary prevention,drinking water

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My earlier blog commentary on the recent Lancet meta-analysis on outcomes of primary prevention trials in patients designated as "low r...
Monday, May 28, 2012

PSA and "moderate certainty" Don't screen says the central authority

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See here for the latest pronouncement of the USPSTF regarding PSA screening.In a word "don't" I suppose "moderate certa...
Saturday, May 26, 2012

Is aspirin the new warfarin regarding venous thrombosis-No,but.....

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I had thought that aspirin was for the most part not considered very useful as a medication that could prevent venous thrombosis but had an ...
Tuesday, May 22, 2012

Coarse grain data aka Big Data medicine and risk of the z-Pak

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The EP cardiologist and long time medical blogger, Dr Wes, hits a home run with this commentary about the recent study that claimed a relat...
1 comment:
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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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