retired doc's thoughts

Sunday, August 31, 2014

The effects of multiple sub-concussion head blows in football

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Two research  groups have demonstrated brain imaging findings in collegiate football players over the course of a season.Importantly these a...
Wednesday, August 13, 2014

What would happen if Choosing Wisely became the medical "law of the land"?

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Choosing Wisely (CW) is an initiative or campaign lead by the American Board of Internal Medicine Foundation (ABIMF) to change the thinking ...
Wednesday, August 06, 2014

The crusade to change medical ethics,custom and practice gains momentum

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The mega-thought leaders,the established leadership of some of the major,influential professional medical organizations, and an alarming num...
Friday, August 01, 2014

Is "low value [medical] care like Justice's Stewart's definition of pornography?

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In a 1964 obscenity case, Supreme Court Justice Potter Stewart admitted that he might not be able to specifically define the parameters of p...
Wednesday, July 30, 2014

Population medicine approach meets Public Choice theory and practice

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What happens with the population medicine approach (PMA) when one considers how thing really work according to the insights of public choice...
1 comment:
Monday, July 28, 2014

Dr. Gruber-were you wrong then or are you wrong now?

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The "were you wrong then.." question is a classic attorney question thrown at an expert witness who has been caught in a contradic...
Monday, July 21, 2014

A physician does not need to be society's steward to "Choose wisely"regarding medical advice

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Eliminating dangerous and unnecessary medical tests and treatments is the ostensible aim of the "Choosing Wisely" ( CW) initiative...
Friday, July 18, 2014

The population medicine approach does not respect the separateness of the individual,traditional or Rawlsian social justice nor evidence based medicine

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 The population medicine approach does not respect  the separateness and sanctity of the individual and individual liberty. It is antithetic...
Friday, June 13, 2014

Does the concept of "value based payments" make any sense at all?

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Greg Scandlen at the Health Policy Blog comments on the term "value based" quoting from a worth- reading article by David Carr wr...
Friday, June 06, 2014

Is the underlying problem with the VA hospitals scandals greed?

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Perhaps self-interest in a better word to describe what is going here. There is a wide spread and naive notion that for-profit institution...
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...
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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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