retired doc's thoughts

Tuesday, August 27, 2013

Public Choice Theory informs us that Obamacare is a bad idea

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You will not find defenders of Obamacare (aka ObamaCONcare) evoking Public Choice Theory (PCT).In some instances this is out of ignorance of...
3 comments:
Sunday, August 18, 2013

The still revolving door of Health care "reform"- yet another chapter

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Dr. Roy Poses writes about the odyssey of Nancy DeParle from the health care industry to the health care legislative reform con job known as...
Tuesday, August 06, 2013

What could possilby go wrong with meta-analysis and guidelines (think pre-op beta blockers)

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Epidemiology 101 describes reasons for a correlation, namely :" causation,bias,confounding and chance".But fraud should also be on...
1 comment:
Friday, August 02, 2013

The perfect system of medical compensation is not an option

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Quoting the increasingly insightful Arnold Kling; "Keep in mind that there is no perfect system for compensating doctors. For examp...
Wednesday, July 31, 2013

The medical elite policy wonks need to listen to the real docs

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Here are two real docs telling a story that seems to be lost to many of the medical elite who smoke the progressive pipe and sing the manta ...
Wednesday, July 17, 2013

Will Obamacare bring social justice(as claimed by AMA and ACP) or "Shatter the Backbone of the Middle Class"?

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Obamacare was lauded by some democratic senators and some medical organizations ( e.g. the AMA and ACP) as finally delivering  long awaited ...
Sunday, July 07, 2013

How/why/when did physicians get tasked with being "stewards of resources"?

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 Let's take at look at the the strange journey of physician's ethics from fiduciary duty to the patient to stewards of society's...
3 comments:
Thursday, July 04, 2013

Obamacare in action substitutes "Rule by Rulers" for Rule of Law

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 The term "Rule of Law" may be discussed in at least three  different contextual frameworks. The formal or so called thin interpre...
1 comment:
Tuesday, June 18, 2013

"The fundamental problem with state and employer-based programs"..[in regared to health care]

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The title comes from the following paragraph written by Nobel prize winning economist Vernon Smith in his 2008 book entitled "Rationali...
Friday, May 24, 2013

Will Obamacare's success depend of the kindness and goodwill of strangers (young , healthy ones)?

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 Dr. Ezekiel Emanuel seems to make exactly that point in this WSJ opinion piece. Quoting Dr. Emanuel : "Here is the specific prob...
1 comment:
Monday, May 13, 2013

James Madison on Obamacare

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"It will be of little avail to the people that the laws are made by those they elected, if laws be so voluminous that they cannot be r...
1 comment:
Thursday, April 25, 2013

To discuss "high value" medical care do we need to begin with what is value

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Apparently in the history of economics for a while the early thinkers in the field were a bit perplexed by what was known as the diamond-w...
Thursday, April 18, 2013

High value health care-who gets to decide?

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In the 1 Feb 2011 issue of the Annals of Internal Medicine,an ACP committee offers up a entry entitled High-Value, Cost Conscious H...
Sunday, April 07, 2013

Another chapter in the story of Obamacare and crony capitalism

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Since many states have not and may not ever establish insurance exchanges,a key component of ACA,the federal government is moving ahead to p...
Thursday, March 28, 2013

Here is a shocker- Bogus "commission" recommends abolition of physician fee for service

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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...
1 comment:
Tuesday, March 19, 2013

"physicians as stewards of society's medical resources" is not just bogus but is a dangerous concept

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The "physician as a steward" idea is implicit in Medical Professionalism as defined and promoted by a number of physicians who I l...
Monday, March 11, 2013

Social Justice quote for the day from F.A. Hayek

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Since the medical progressive leadership has at least nominally enshrined the pursuit of social justice as a ethical requirement for all phy...
Friday, March 08, 2013

Is medical practice moving from "What can I do for you" to "What can't I do for you"?

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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...
3 comments:
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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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