Category Archives: Public Health

Trumpcare vs. Obamacare: Apocalypse Foretold

Posted on 22 January, 2020 by AJ Layon

Gentle Reader – As Trump and the craven Republicans attempt to whitewash the impeachment allegations, clearing a clearly impeached President with no witnesses and no data, I want to remind you of other things going on in the background. This … Continue reading →

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Quora Query: Will Trump Turn Out To be the Best Thing That Happened to the Affordable Care Act (ACA)?

Posted on 21 January, 2020 by AJ Layon

[From 2016, slightly modified]: No. We are in for a rather wild ride, and I don’t mean that in the most pleasant or interesting way. The Trump administration – or should I say anti-administration since Trump has appointed government haters … Continue reading →

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Quora Query: Does it Really Happen That Doctors Let Their Patients Die Because the Patient’s Family Can Not Provide Money for the Treatment?

Posted on 21 January, 2020 by AJ Layon

[From 2014, Slightly Updated]: While there is much wrong with the American Health System, one of the things that is right is that patients are generally not allowed to die because of inadequate finances; at least not precisely in that … Continue reading →

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Quora Query: What do People Think About the Law in Texas and 31 Other US States that Forces a Pregnant, Brain-Dead Woman, with No Hope of Recovery, to Have Her Functions Supported Against the Written Wishes of the Person Whose Body it is?

Posted on 21 January, 2020 by AJ Layon

[From 2014, slightly modified] NOTE: This answer is long [TL:DR warning] This is an important issue, reminding me of the Terry Schiavo case of some years ago in Florida, on which I also opined along with my colleague Roger Blackburn. … Continue reading →

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Quora Query: What Would the Patient Experience Be Like if You Designed a New Hospital?

Posted on 21 January, 2020 by AJ Layon

[From 2013, slightly updated] Great question. I have spent my adult life in these places – hospitals – and I both love them (they feel like…..home) and hate them (so, so far from home). Were I to design a new … Continue reading →

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Quora Query: Why Do Many Americans Think That Healthcare is not a Right for its Own Taxpaying Citizens, and Should it not be Considered as, or More, Important by the American Public Than is Education?

Posted on 21 January, 2020 by AJ Layon

[Originally from 2012, slightly updated] I think first of all one need ask if the premise is correct: DO MOST Americans think that health care is not a right? And then I would ask: From where did you come up … Continue reading →

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Quora Query: Who Should be in Charge of Administrating a Hospital?

Posted on 19 January, 2020 by AJ Layon

The question is ( or should be): What does it take to administer a hospital and who should do it ? [In a previous comment] Doctor Ford is correct that much of care provision is performed by our nursing colleagues, … Continue reading →

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Quora Query: What Percentage of US Health Costs are Spent on Administration?

Posted on 19 January, 2020 by AJ Layon

There are several answers to this. I am sorry to self promote, but if you go to my blog – Notes from the Southern Heartland (https://www.ajlayon.com) and look at the 3-part series “Problems in Paradise” I go over this in … Continue reading →

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Quora Query: If I find Someone Shot with an Arrow, Should I pull the Arrow Out?

Posted on 19 January, 2020 by AJ Layon

I think [the response give by] Dr. Davis is correct. In general, when you are in a place where you can obtain medical attention LEAVE THE ARROW ALONE (or the knife, or the ……). It could not only be tamponading … Continue reading →

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Quora Query: If Sepsis Requires Immediate Medical Attention, How Does One Live with it for Weeks, Months, and Even Years?

Posted on 18 January, 2020 by AJ Layon

“When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean — neither more nor less.” “The question is,” said Alice, “whether you can make words mean so many … Continue reading →

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