retired doc's thoughts

Tuesday, December 31, 2013

The great linguistic coup of 21 th century medical ethics

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George H. Smith in his book "The System of Liberty" in the chapter entitled "Liberalism,Old and New" discusses how the c...
Friday, December 27, 2013

Obamacare's noble lie meets the iatrogenics of the statute's reality

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 Matt Welch, writing in Reason.com ( see here ) offers the following concise summary of what is fundamental to making ACA work. "The...
Thursday, December 26, 2013

What happens when health care is based on spending other people's money?

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Dr. Paul Hsieh answers the question posed in the title in his recent commentary in Forbes. See here . He outlines four important ominous ...
Thursday, December 19, 2013

so why don't we really know about breast cancer screening? Is it really turtles all the way down?

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The more I read and the more I think about what I read and the more things seem to change but really stay the same I develop a  renewed se...
Tuesday, December 17, 2013

ACA and " improvisational government"

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 Daily, both in the main stream press and in the blogger world, more and more ACA bad news is reported and dissected. But the cancelled po...
Monday, December 16, 2013

Individual risk assessment- Is that a concept that resists meaning?

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Following the Annals of Internal Medicine's publication of the latest recommendations of the USPTSP regarding breast cancer screening, ...
2 comments:
Friday, December 06, 2013

Obamacare's chief economist does not raise the important "and then what" question.

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In a recent interview Dr. Jonathan Gruber,a MIT economist whose name is closely linked to ACA gave a broad outline of who gains and who loos...
1 comment:
Thursday, December 05, 2013

The dangerous shift from the medical ethics of the individual to the ethics of the collective

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The long running,thoughtful  blog "DrWes" discusses an important issue .See here . The author is Dr.Westby G. Fisher,a cardiac e...
1 comment:
Monday, December 02, 2013

ACA's IPAB and Platonic Medicine led by Platonic guardians

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 A recent commentary by one of favorite bloggers,Dr. Robert Centor, spoke favorably about IPAB, one of many,many provisions of ACA.See here...
Saturday, November 30, 2013

some of the week that was in the commentary regarding the magestic unfolding of Obabacare

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1. Don Boudreaux , economist from George Mason University, blends the history of the Plymouth Colonies,Thanksgiving, the purported right to ...
Friday, November 29, 2013

Do the new medical professionalism and new ethics conflict with the notion of "rule of law"?

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Both the new medical Professionalism and the current rendition of the ethics of the American College of Physicians have added to the long st...
Monday, November 25, 2013

More emerging aspects of the great kaleiscope of the Obamacare debacle

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1. Contrary to the silly claim made in the even sillier comparison between Obamacare and Katrina  that " at least Obamacare  did not ki...
Sunday, November 17, 2013

Medical Insurance cancellations-A feature not a bug of Obamacare

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Those who believe it is a feature argue something like the following: Part of the funding for Obamacare was supposed to come from forcing ...
2 comments:
Thursday, November 14, 2013

More Obamacare "Social justice": cutting subsidies for charity medical care

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Dr John Goodman's website explains what is happening. See here . Less money will be paid by the government to hospitals that provide med...
Monday, November 11, 2013

Recent Bits and pieces about Obamacare

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 Here are few items of possible interest regarding ACA, some fairly trivial,others more significant. 1. Bob Doherty of the ACP blog ACP A...
1 comment:
Wednesday, November 06, 2013

Modern legislation as "emergent phenomena" AFTER the bill is passed

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One of George Will's more valuable insights is that Congress does not pass legislation anymore but rather passes "intentions"....
1 comment:
Monday, November 04, 2013

Are the cancelled health care policies really "substandard" or is that another misleading statement?

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The spin being spun by the ACA apologists regarding the hundreds of thousands of medical insurance policies that have been cancelled is that...
Sunday, October 20, 2013

The politicalization of medical ethics

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The politicization of medicine is a topic raised and discussed cogently by Dr. Thomas Huddle. See here for an abstract of his article. F...
Wednesday, October 16, 2013

ABIM Foundation reveals how physicians can further social justice

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Older physicians,inculcated as they were with outmoded,no longer applicable in the new millennium, ethical principles might have wondered ho...
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Thursday, September 19, 2013

Don Berwick on the NHS ..."unique example for all to learn from and emulate""-after examing the Mid Staffordhire horror show

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Here is the entire sentence from which part of this posting's title derives: "You are stewards of a globally important treasure: ...
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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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