retired doc's thoughts

Friday, November 30, 2012

Will states opting out of insurance exchanges unravel Obamacare?

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Michale Cannon of Cato seems to argue that.See here . Michigan is the latest state to say no thanks to the insurance exchange deal.Cannon ...
Thursday, November 29, 2012

More aspects of Obamacare being challenged in court

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Some states are still refusing to set up the insurance exchanges contained in ACA.Subsidies are an important part of the exchanges.The IRS c...
Monday, November 26, 2012

How Medicare CMS payment schemes push physicians to be employees

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 The health care economist John Goodman explains  one more  incentive for the private practice doctor to become an employee of a hospital or...
Wednesday, November 21, 2012

U.S. health care needs more regulation,bureaucratic oversight and expert panels

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Fortunately, that is exactly what is on the way  thanks to ACA also known as Bronco care-formerly Obamacare. Efficiency and innovation will ...
Monday, November 12, 2012

With the presidential election settled Obamacare is free to pour forth its bountiful social justice

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Opponents of ACA had hoped that SCOTUS would find the act unconstitutional and failing that that the 2012 election would give republicans th...
1 comment:
Monday, November 05, 2012

Is the term "medical commons" a useful analogy to US health care or a lame figure of speech

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  In the Animal kingdom,the rule is eat or be eaten;in the human kingdom,define or be defined. Thomas Szasz A recurrent meme in the disc...
2 comments:
Friday, November 02, 2012

Naturalistic Decision Making,phronesis and the making of an expert

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A recent blog posting by Dr Robert Centor, see here , introduced me to the term "naturalistic decision making" which seems to be o...
1 comment:
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:
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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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