retired doc's thoughts

Tuesday, April 29, 2014

Is the "social justice" of ABIMF and ACP what John Rawls had in mind?

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The stated reason for the existence of the American Board of Internal Medicine Foundation (ABIMF) is to further medical professionalism.,the...
1 comment:
Thursday, April 17, 2014

Another chapter in the never endling clash between the collective and the individual regarding health care

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The following comments were inspired by this insightful and very well written commentary by Margarit Gur-Arie entitled "Is the Nurembe...
Thursday, April 10, 2014

More internists are failing the MOC exam-why could that be? Resistance to ABIM's MOC grows.

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Why are more internists failing the Maintenance of Certification (MOC) exam? Kevin Pho on his medical blog offers two suggestions. See here...
1 comment:
Friday, March 21, 2014

Adam Smith's Men of Systems and the progressive medical elite

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Adam smith spoke of the men of system- men with a dangerous mixture of hubris and naivete  who presumed to know what is best for every one  ...
2 comments:
Thursday, March 06, 2014

Breaking news-OBM discovers economics prinicple of "incentives matter"

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Several of my favorite economists have said that the real good stuff in economics is revealed in the econ 101 courses. One of the secrets re...
Monday, March 03, 2014

Is this what ABIMF"s Choosing Wisely is really all about?

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Dr. John Benson Jr, Emeritus President  of the American Board of Internal Medicine Foundation,makes it clear  what direction he wants the Ch...
4 comments:
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:
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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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