retired doc's thoughts

Tuesday, February 25, 2014

Say it isn't so Joe, Medical "thought leaders" might have conflict of interests

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 The issue of possible conflicts of interest (COI) has arisen in regard to both the National Quality Forum,  (NQF) and the popular UpToDate....
Thursday, February 06, 2014

Obamacare may decrease employment but at least more folks can "pursue their dreams"

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The situation involving recent projections about job loss and Obamacare from the Congressional Budget Office and the White House's react...
Wednesday, February 05, 2014

Are employee wellness programs just silly or can they be hazardous to health?

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Leah Binder, writing in Forbes on line ( see here ) argues that the answer is "maybe" at least as regards what she calls badly des...
Wednesday, January 22, 2014

So how's that health care insurance for "nearly everyone" working out for you?

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Advocates of Obamacare in defense  of it in spite of all the flaws and the ever increasingly list of unintended and intended- but not advert...
Monday, January 20, 2014

Can widely accepted guidelines be dangerous?

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Projections assuming the wide acceptance of peri operative beta blocker guidelines in Europe suggests the answer is a frightening yes..See h...
Wednesday, January 08, 2014

Are cuts in Medicare (mainly Medicare Advantage) more of the magical social justice of Obamacare?

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As this Forbes article by Scott Gottlieb explains,Medicare Advantage programs are in the cross hairs of the Obama administration as ACA con...
Friday, January 03, 2014

As 2014 sees Obamacare ramp up,another tip of the crony hat to its "architect" is in order

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Of course no one person wrote the bill,it took a small village of cronies to put it together being as careful as they could to make sure tha...
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:
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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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