retired doc's thoughts

Almost everyone, not just health care policy wonks, talks about costs to the health care system.It seems that we are speaking about everythi...

 Background: Part of the 2009 stimulus bill was a program (called HITECH) that  provided 27 billion $ to subsidize the purchase of electron...

Who wrote Obamacare? Of course, no one person authored the entire lengthy statute but if one person could be singled out as playing a role g...

I had thought for the past forty plus years that by acting as the fiduciary to my patients and by striving to help them,not harm them and re...

 If you thought the unfolding consequences (unintended?) could get no more  ridiculous and socially unjust , stay tuned as the rules making ...

I need to gain some weight because of a recent meta-analysis (see here ) that informs us that folks who are "over weight" (BMI o...

Dr Roy Poses tells us that plenty can go wrong and has already and will only get worse. See here for his latest commentary  of things goin...

I have commented before about the happy feet of Elizabeth Fowler and her travels in and out of government and in and out of the industries m...

See here for a fascinating, detailed account of the behind the scenes activities in the creation of one part of the Affordable Care Act. ...

 "We are pattern-seeking,story-telling animals". From chapter 1 , Macroeconomic Patterns and Stories , Edward E. Leamer In a...

There is so much social justice being dispensed from ACA that I can't really keep up. Here is one more instance,one that is imminent, ( ...

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 ...

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...

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

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

Opponents of ACA had hoped that SCOTUS would find the act unconstitutional and failing that that the 2012 election would give republicans th...

  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...

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

Bastiat's "seen and the unseen" and Thomas Sowell's "and then what" express the same basic notion. That notion i...

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