retired doc's thoughts

Saturday, May 31, 2014

Wanted: Men of System to manage the Population Medicine Approach and maximize society's health

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 Let's begin with explaining Men of System and Population Medicine Approach (PMA)  Adam Smith , in his first book, The Theory of Mor...
Thursday, May 29, 2014

Swedish study provides More data but not much definitive useful information regarding levels of exercise and atrial fibrillation risk

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A recent article in BMJ has stirred  more comments regards the possibility that there is a "j shaped" curve in regard to the relat...
Thursday, May 15, 2014

Former president of American College of Physicians explains the population medicine approach and we should be afraid,very afraid

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Dr. Harold C. Sox has played a leadership role in the American College of Physicians  for many years, serving as President of the ACP and lo...
2 comments:
Monday, May 12, 2014

Is the bait and switch of the new medical professionalism more apparent now?

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The concept "social justice" was the bait. The folks at ABIM, ABIMF, ACP and RWJ declared without even a token effort at historica...
2 comments:
Tuesday, May 06, 2014

Has the third party medical payers' dream come true,physicians as medical resource stewards practicing parsimonious care working for the common good

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No longer do the third party payers (TPP) have to deal with the physicians and patients working against their bottom line. Physicians,  pati...
1 comment:
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...
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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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