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Public Choice Theory informs us that Obamacare is a bad idea 27 Aug 2013 | 07:48 pm
You will not find defenders of Obamacare (aka ObamaCONcare) evoking Public Choice Theory (PCT).In some instances this is out of ignorance of the ideas contained therein and in other instances a wise, ...
The still revolving door of Health care "reform"- yet another chapter 19 Aug 2013 | 05:13 am
Dr. Roy Poses writes about the odyssey of Nancy DeParle from the health care industry to the health care legislative reform con job known as ACA and back to the health care business-this time with a ...
What could possilby go wrong with meta-analysis and guidelines (think pre-op beta blockers) 7 Aug 2013 | 01:30 am
Epidemiology 101 describes reasons for a correlation, namely :" causation,bias,confounding and chance".But fraud should also be on the list. Reports indicate that fraud played a major role in a Dutch ...
The perfect system of medical compensation is not an option 2 Aug 2013 | 05:29 pm
Quoting the increasingly insightful Arnold Kling; "Keep in mind that there is no perfect system for compensating doctors. For example, if you pay them a fixed amount of money per patient, then their ...
The medical elite policy wonks need to listen to the real docs 31 Jul 2013 | 07:19 pm
Here are two real docs telling a story that seems to be lost to many of the medical elite who smoke the progressive pipe and sing the manta "medicine is too complex and important to be left in the han...
Will Obamacare bring social justice(as claimed by AMA and ACP) or "Shatter the Backbone of the Middle Class"? 17 Jul 2013 | 08:16 pm
Obamacare was lauded by some democratic senators and some medical organizations ( e.g. the AMA and ACP) as finally delivering long awaited social justice to health care in the U.S. Labor unions suppo...
How/why/when did physicians get tasked with being "stewards of resources"? 8 Jul 2013 | 03:33 pm
Let's take at look at the the strange journey of physician's ethics from fiduciary duty to the patient to stewards of society's medical resources. When I trained as an internist in the late 60s and ...
Obamacare in action substitutes "Rule by Rulers" for Rule of Law 5 Jul 2013 | 10:17 pm
The term "Rule of Law" may be discussed in at least three different contextual frameworks. The formal or so called thin interpretation states that law must be prospective,well known, and have the fe...
"The fundamental problem with state and employer-based programs"..[in regared to health care] 18 Jun 2013 | 08:51 pm
The title comes from the following paragraph written by Nobel prize winning economist Vernon Smith in his 2008 book entitled "Rationality in Economics" which is found on page 96: "The fundamental pr...
The U.S. medical care boondoggle depends on hookwinking the physicians 7 Jun 2013 | 09:51 pm
The terms hoodwink and boondoggle are so appropriate. My comments here were inspired in large measure by Dr Michel Accad's Jan 2009 insightful blog entry from which I quote: '... beyond ignoring the...
