Author Archives: AJ Layon

About AJ Layon

AJ Layon was, for 28 years, at the University of Florida College of Medicine, in the Division of Critical Care Medicine, in Gainesville, FL. For the past approximately 10 years, until September 2011, he was Professor and Chief of Critical Care Medicine at UF; In September of 2011 he became System Director of Critical Care Medicine in PA. While his interests are primarily related to health care, health care reform, and ethical issues, as a citizen of our United States and our world, he will occasionally opine on issues of our "time and destiny". You are welcome to respond to him at ajlayon@gmail.com.

The Graham-Cassidy Bill: Yet another Attempt to Remove Health Care from Americans and Cut Taxes for the Rich

It had been my intention to write a multi-part series on Health Systems as a way to lead into further discussion about the direction our health system should take. There are also issues related to women’s health, the opiate crisis, … Continue reading

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The Health System of the United States of America – Can We Do Better than This ? A Five Part Series

Part 1 (857 words)   “There are those that look at things the way they are, and ask why? I dream of things that never were, and ask why not?”   Those over a certain age will remember this phrase from then Presidential-candidate … Continue reading

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The Collapse of “Repeal and Replace” and “Just Repeal” – Was There Ever a Plan ?

Now we know. Despite eight years calling for repeal of the Affordable Care Act (ACA) Messers McConnell (R-KY), Ryan (R-WI) and colleagues had no plan, actually no clue, of what to do. This is unsurprising. The ACA is an amalgam … Continue reading

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Notes from the Southern Heartland – A New Bimonthly Column in the Regional Press

Gentle Reader – Starting next Sunday, 23 July, I will begin a twice monthly column in the regional press  – The DailyItem and related papers – in this area of PA. Everything published will be here as well. Please read … Continue reading

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This Man Has No Sense of Irony

In Britain this morning, there is an 11-month old child named Charlie Gard with a genetic disease that condemns him to death. The disorder, Mitochondrial DNA Depletion Syndrome (MDS), is a group of disorders caused by abnormalities in various genes … Continue reading

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Why Has the Senate Kept Us in the Dark about the American Health Care Act ?

The House of Representatives passed the American Health Care Act of 2017 (House Resolution 1628) on 4 May 2017. While the Senate is in the process of re-writing this legislation, it is being done completely in secrecy. Democrats, Independents and … Continue reading

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Maybe Death Isn’t All That Bad: Trump’s Budget Proposal Slashes Spending by $3.6 Trillion Over 10 years – Guess Who Pays ?

The “oil spot” theory of counter-insurgency asserts, in brief, that if we take an area and make it safe for the population, the effect of this improved safety would spread beyond the confines of the area made safe(er), kind of … Continue reading

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“Repeal and Replace” is a Lie, it is Simply “Destroy and Enrich”

There is an old political truism that one should never impute intent on the actions of one’s opponents; that they are honorable people with whom one has, simply enough, policy disagreements. This truism does not hold with the Republican ACA … Continue reading

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INTRODUCTION

INTRODUCTION Contents Establishing the Inquiry ………………………………………………………………………………………….2 Purpose of the Inquiry …………………………………………………………………………………………….2 Support to the Inquiry Committee …………………………………………………………………………3 Avoiding conflicts of interest …………………………………………………………………………………4 The Inquiry’s approach ………………………………………………………………………………………….5 Initial meetings ………………………………………………………………………………………………………5 Issues not addressed by the Inquiry …………………………………………………………………….6 Hearings …………………………………………………………………………………………………………………8 Written evidence … Continue reading

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Repeal of the Affordable Care Act: The Issue Is Not Cost

“Those who need care most often get care least. And even when the poor do get service, it is often second rate…This situation will be corrected only when the poor have sufficient purchasing power to enter the medical marketplace on … Continue reading

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