Category Archives: General Interest

Why Don’t Many People Like “The Patient Protection and Affordable Care Act” (PL 111-148) also known as “ObamaCare”?

There are many potential reasons to not like the Patient Protection and Affordable Care Act (PL 111-148). Most revolved around political differences on the role of government (Federal or State) in the delivery of health care. Some were related to business lobbying, and some were deliberate false characterizations of some components of the law.
One hopes that understanding some of these concepts will allow the public a broader, more balanced view of the law. Continue reading

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A Follow-up on the Autopsy

This follow up on the Autopsy has data and suggestions for returning the autopsy to a significant role in medical education (both initial and continuing education of physicians and all other health professionals). Pathologists have reported autopsy findings since before … Continue reading

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Why has respect for Medicine and Physicians largely evaporated?

Most, physicians choose to enter Medicine for more than “just” income opportunities. They are also motivated by altruism, and a desire to do good for the communities in which they served[i]. Physicians anticipated respect, which came from appropriately applying their … Continue reading

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Does Insurance oversight of clinical practice improve either quality of care, or patient outcomes?

When outside oversight, based solely on published guidelines, interferes with clinical care there are potentially multiple adverse outcomes, including physician and patient frustration, waste of time and interference with delivery of optimal care. There should be ways for insurers to use their databases to mitigate inefficient and intrusive oversight. Continue reading

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Cook County’s Sweetened Beverage Tax of November 2016 – It’s A Matter of Choice!

The Cook County of Illinois Board enacted a Sweetened Beverage Tax. The purpose of the tax was twofold. Every tax is is intended to increase revenue. This is no exception. However, the tax is a “choice tax”, that people can choose not to pay, by not buying drinks with added sweeteners. If people don’t add sugar to their diet, every expectation is that obesity and its complications will become less prominent. This will be associated with reduced health care costs. Continue reading

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Some thoughts on Health Care Legislation 2010 to 2017.

Legislation to overcome some of the flaws of the Patient Protection and Affordable Care Act (Obamacare) is flawed. The Senate and House bills are not as different as had been originally hoped. Insurance reforms may be overcome with “waivers” and Medicaid is being drastically changed. The individual mandate appears to have been continued, under different guises, in both bills. Continue reading

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Rolf McMillan Gunnar, MD, MACP, MACC 1/22/1926 – 3/18/2017 – An Appreciation.

Dr. Rolf M. Gunnar died after a battle with Cancer. The Chicago medical community and the world lost a compassionate, and brilliant man. I met Dr. Gunnar when I was an intern at Cook County Hospital in 1966. My resident, … Continue reading

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What is Quality in Medicine? – It Isn’t Easy!

The definition of Quality in Medicine is in the eye of the beholder. There are several good paradigms, but they all look at different components of the overall concept. Continue reading

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How Can We Align Incentives As We Move From Volume to Value?

Changing payment for health care from volume to value will be facilitated if the stakeholders keep a close eye on “What’s in it for me” Continue reading

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How Do We Use Statistics?

How we utilize Statistical Inference is indeed a critical piece in the evaluation of new information in the Biomedical Literature. Continue reading

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