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Archive for May, 2011

Why the American People want Miracles over Science

0
May 29, 2011

First, a bit of old business. A friend asked me if the Medicare benefits and taxes figures I quoted last weak were adjusted for net present value. The dollar amounts quoted were in 2010 dollars adjusting for inflation, so yes, they were adjusted for net present value. The link to the...
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The Ryan Plan

3
May 22, 2011

It’s been interesting watching the political maneuvering since Newt Gingrich criticized the plan to reduce the federal budget deficit proposed by the House Budget Committee Chair Paul Ryan of Wisconsin. After receiving push back from fellow Republicans, Gingrich spent the week backpedaling from his earlier remarks. Many pundits have recognized Ryan...
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Processes versus Outcomes in the VA system

4
May 15, 2011

When the quality improvement movement first started in medicine, I was all for it. The principle that you can’t fix what you can’t measure resonated with me. I felt that individual physicians and systems should be accountable to the people paying the freight and our patients. Doubt should have started creeping...
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Raising Young Family Physicians

2
May 8, 2011

Happy Mother’s Day to all the moms. In honor of this day, let’s talk about raising young family physicians. Though the match in family medicine for residency slots was a little better this year than last year, it is still miles from where it needs to be. Only a little over...
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How Dr. Oz Increases Healthcare Costs — Example 2, Multi-ologist Recommendations

1
May 1, 2011

My local newspaper prints the You Docs column 3 days a week and I’ve been reading it for over two years. I can’t say I’ve read every column in that time, but I can say most of them. There is a clear pattern to their writing and thinking. In the column...
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