retired doc's thoughts

Fee for service has increasingly become the bogus reason for  all of what is wrong with health care in the U.S. Now a  group of self designa...

The "physician as a steward" idea is implicit in Medical Professionalism as defined and promoted by a number of physicians who I l...

Since the medical progressive leadership has at least nominally enshrined the pursuit of social justice as a ethical requirement for all phy...

In a society in which individuals are more or less free to interact with one another and seek each other's services and goods the follow...

One of the many changes that have occurred in medicine over the last 40 years ( my professional lifetime)  has been the framing of certain a...

 There is an increasing stream of news almost hourly on the detrimental effects of Obamacare and to adequately review and highlight even the...

Thomas Sowell makes the distinction between what he says is the traditional conception of justice and social justice.See here for the essa...

The Robert Wood Johnson Foundation in 2012 gave the American Board of Internal Medicine Foundation (ABIMF) $ 2.5 million to further the prom...

What does "go protean" mean? See here for this WSJ article on the phenomenon. Basically a business would outsource many of its fu...

The Hungarian economist Anthony De Jasay in his commentary posted in the Library of Economics and Liberty takes on the issue of social justi...

What does the affordable in the Affordable Care Act mean? It means exactly what the IRS says it means and now the IRS has had its say in tha...

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. ...