Health Reform Should It Be’s
Should it be the government elite who are the most strong?
Should it be the skeptical who represent the common throng?
Should it be the left who sings their siren song?
Should it be the right who rings the market gong?
Should it be the center for which we should long?
Should it be about a moral mentality?
Should it be [...]
SIGNS THAT PEOPLE ARE HIDING ASSETS OR PREPARING FOR DIVORCE…
Be on the lookout for these techniques that do not involve secret or off shore accounts.
Taxes – allow the accumulation of back taxes. Fail to pay property taxes.
Trusts – create family or other trusts.
Purchases with joint assets, such as cosmetic surgery, clothes, appliances, home remodeling, automobiles.
Paying off of debt with joint assets.
Driving up personal business [...]
I’ll supply the tar if you supply the feathers
The results of the latest Heart Scan Blog poll are in.
DIRECT-TO-CONSUMER PHARMACEUTICAL ADVERTISING HAS:
Increased public awareness of medical conditions and their treatment 19 (11%)
Has had little overall effect on health and healthcare 29 (18%)
Needlessly increased healthcare costs 81 (50%)
Further empowered the revenue-obsessed pharmaceutical industry 130 (81%)
Clearly, there’s a lot of [...]
Cardiac CT incidentalomas
Although screening for lung cancer with CT is not highly evidence based or widely advocated, many incidental nodules (as well as occasional non-neoplastic incidental abnormalities) are picked up on cardiac CT imaging. A recent paper in JACC reported high cost and low yield, and reached the following conclusions regarding such incidentalomas:
Although noncardiac IF are [...]
Nettmøte med Kerry Cook
Tidligere dødssdømte Kerry Cook svarer på dine spørsmål under nettmøte hos VG Nett kl 14.00 i dag. Og Norgesturnéen fortsetter.
Kerry Cook satt 22 år på dødscelle og ventet på å bli henrettet for et mord han ikke hadde begått. Det er nå ni år siden han slapp ut. Hvert ledige minutt av tiden i [...]
Medicare as Godfather and Grandmother; Quote and Note
Quote
As I tell my students, Medicare is the Godfather when it comes to setting payment rates ( “I have an offer you can’t refuse.), but like my Grandmother serving lunch when it comes to what care a patient can receive (Whatever you would like, dear).”
Donald Taylor, Jr, assistant professor of public policy at Duke University, [...]
Health Refrom and Loss of Individual Liberties
There is no such thing as a little freedom. Either you are all free, or you are not free.Walter Cronkite
This blog is about loss of individual liberties under the best of intentions. In The Road to Serfdom, conservative economitis Friedrich Hayek argued you cannot control or comprehend market transactions between individuals from the [...]
Eric Cropp redux
Since I linked to Bob’s post on this subject yesterday he has drawn a couple of commenters. Their remarks were so insightful and informative I thought I’d share portions here.
One commenter provided additional detail about the system problems that prevailed:
…it was a Sunday morning and the HIT devices were experiencing “unplanned downtime”. Directly from [...]
What goes up can’t come down
According to conventional wisdom, heart scan scores cannot be reduced.
In other words, say you begin with a heart scan score of 300. Conventional wisdom says you should take aspirin and a statin drug, eat a low-fat “heart healthy” diet, and take high blood pressure medications, if necessary.
If your heart scan score goes up [...]
Eric Cropp: a second victim
Lately, hospitalist leader and patient safety expert Bob Wachter has been making the case for more individual accountability in the the field. But in his Thanksgiving Day post he reminds us that some medical errors, even tragic errors, are indeed system problems.
On February 26, 2006, 2-year-old Emily Jerry died because her chemotherapy was mistakenly [...]