Tag Archives: National Health Care

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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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 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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Repealing the Affordable Care Act – Be Afraid

Gentle Readers – this was published this morning in the Daily Item, the paper for this area of Pennsylvania. I grant that it is not measured and without passion. But then, if you have read anything I have written, you … Continue reading

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The Tragedy of the Commons – Drug Shortages and Our Patients’ Health | The American Journal of Medicine Blog

Gentle Readers – A brief editorial written by colleagues and me related to the abuse of the Commons by unbridled capitalism. Yes, we live in a capitalist country, but without proper regulation “..the weak become the meat that the strong … Continue reading

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Mental Health and the Affordable Care Act – Not So Fast !

There was some welcome news on the Affordable Care Act (ACA) front reported on Friday (November 8, 2013, New York Times).  On the front page of the Newspaper of Record, a bold headline stating: “Rules to Require Equal Coverage for … Continue reading

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Handling Absolute Lies – What Does One Do ?

Gentle Reader: About a month ago, I received a request for help from a friend, S.  Her mother-in-law – F. – had been sent a series of assertions related to the Affordable Care Act; things that “were going to happen”.  … Continue reading

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From Time Magazine: The Long Goodbye

Gentle Reader: Mr. Klein has done us a service in writing this piece.  It could just as well be titled: The Way We Die. It is somehow ironic that Mr. Klein was interviewing Iowa’s Senator Grassley when he received the … Continue reading

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From The New Yorker: Restaurant chains have managed to combine quality control, cost control, and innovation. Can health care ?

Gentle Reader: Doctor Gawande’s piece from the New Yorker, below, details some interesting facts relted to the day-to-day operations of a restaurant called the Cheesecake Factory.  He asks if there are things we in medicine can learn from this chain … Continue reading

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