retired doc's thoughts

Tuesday, October 23, 2012

More on the "seen and the unseen" related to Obamacare

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Bastiat's "seen and the unseen" and Thomas Sowell's "and then what" express the same basic notion. That notion i...
Monday, October 15, 2012

The corporate physician - he is not your father's doctor

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Dr. Roy Poses has tirelessly written about the loss of professionalism in the medical profession. Here is the link for a recent commentary ...
Thursday, October 11, 2012

Will ACA turn full time jobs into part time jobs?

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See here for comments from economist Garrett Jones. If Obamacare increases the cost of hiring full time employees versus part time worke...
Tuesday, October 09, 2012

The locus of medical decisions will shift evenmore with Obamacare

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Thomas Sowell said the following as a good summary of the second half of his book Knowledge and Decisions: Even within democratic nations,...
Monday, October 08, 2012

If you give up Medicare Part A you loose your social security benefits-WTF

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The headline is correct .See here for background on this agency ruling that makes the headline true. See here for my earlier posting of ...
Thursday, October 04, 2012

Electronic Health Records-follow the money

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Promoted as a means of not only improving health care quality but saving money ( the often quoted $ 77.8  Billion that computers would save ...
Wednesday, October 03, 2012

fee for service in primary health care-what you get when you mess with prices

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 In regard to consumer goods markets most economists accept the superiority of the market versus central planning.Almost all believe the inv...
2 comments:
Monday, October 01, 2012

When you urge coercion by the government,don't be shocked if you get coerced as well

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The following quote explains the title.See here for further details All people have the moral obligation to care for those who are les...
Tuesday, September 25, 2012

Quality adjusted life years (QALY)-More to life than counting the dead

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Counting deaths is much easier than assessing quality of life. Drs Pamela Hartzband and Jerome Groopman discuss the vagaries and uncertai...
Thursday, September 20, 2012

Rule of law,property rights erode and USA economic freedom index drops to 18 th in world

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Not too long ago the United States was one of the most economically free countries..Not so now, as measured by the Frazier Institute in Cana...
1 comment:
Tuesday, September 18, 2012

"Global" health care spending caps-the push ramps up

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The clumsy, global health care spending caps enacted in Massachusetts is a harbinger of what the medical planning elites are pushing for the...
1 comment:
Sunday, September 16, 2012

Government ignores Goodhart's law again

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Goodhart's law expresses one of those insights to human behavior that we see play out again and again and increasing so in medical care ...
Wednesday, September 12, 2012

R.I.P, Thomas Szasz -Define or be defined

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Dr. Thomas Szasz died 9/08/2012 at age 92. I have read and admired his work for the past 30 years.A real champion of liberty is lost. (Par...
1 comment:
Monday, September 10, 2012

Maintenance of Licensure- another tool to ensure social justice?

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Most physicians probably have never heard of the Federation of State Medical Boards ( FSMB ) though all are aware of their own state board a...
4 comments:
Wednesday, September 05, 2012

Wise Massachusetts Solons realize value of central planning of health care

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The Massachusetts legislature and governor realizing the incredible success of central economic planning from their study of the history of ...
Friday, August 31, 2012

ACP celebrates 10th anniversary of A Physician Charter -but all physicians may not agree

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In the August 21,2012 issue of the Annals of Internal Medicine Drs .Christine K. Cassel ,Virginia Hood and Werner Bauer have offered the rea...
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...
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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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