The Presidential Sweepstakes and Healthcare
Jul26

The Presidential Sweepstakes and Healthcare

Cleveland Edition Perhaps against my better judgement this posting and next week’s posting will draw from the events, emotions and the  intellectual content of the conventions of our two parties. I approach this self directed assignment with “fear and trembling”. I was taught in college to avoid “plagiarism” as I would avoid the plague or any other communicable, uniformly fatal infection. Indeed as I wrote “fear and trembling” I...

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What You Earn and How Long You Live
Apr25

What You Earn and How Long You Live

I was recently surprised when I received the free publication online from JAMA of the “The Association Between Income and Life Expectancy in the United States, 2001-2014” by Chetty, et. al.  An added bonus to the JAMA paper was the discovery that the New York Times had used it to produce two articles with interactive graphics that let the reader easily explore the impressive wealth of information that was published in the article....

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In Defense of Lean
Jan27

In Defense of Lean

Rarely do you see a clinician, researcher, teacher, philosopher, ethicist and writer all bundled up in one person inside one white coat. Jerome Groopman has been such a person. Dr. Groopman and his wife Dr. Pamela Hartzband, an endocrinologist, are one of healthcare’s power couples. Together they are providing the world access to their insights and to their biases in popular books like How Doctors Think and Your Medical Mind: How to...

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Golden Age of Medicare and Medicaid
Aug05

Golden Age of Medicare and Medicaid

Medicare and Medicaid are now fifty years old. I suspect they are the two programs that much of the healthcare establishment still loves to hate the most. Lyndon Johnson’s  signing on July 30, 1965 of  the Social Security Amendments of 1965, created two landmark programs which—along with the tattered VA system—have represented the most “socialized” forms of healthcare in our society. The road to their existence was almost as long as...

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Another Hurdle Cleared at the Supreme Court!
Jun26

Another Hurdle Cleared at the Supreme Court!

  Thanks to the Supreme Court, healthcare reform has cleared another hurdle.  At 10:21 AM yesterday, as I was writing this week’s letter a banner appeared on my screen: NPR:Breaking News–Supreme Court Rules Obamacare Subsidies Are Legal Just seven words but a powerful message. Later I enjoyed looking at all the YouTube commentary on CNN. In particular I enjoyed the President’s words and the brief analysis of Jeffrey Toobin....

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Pioneer ACOs’ Successful Efforts
May21

Pioneer ACOs’ Successful Efforts

Recently the Boston Globe published the much-anticipated results of the independent actuarial accounting of the results of the first two years of the Pioneer ACOs program of CMMI.(Click here to read the whole article.) I find it impossible to read this without wanting to comment. Many may not remember that the first accountings of the Pioneer ACO program were somewhat different. In 2013 there was an article in the Globe and in papers...

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