Relevant and even prescient commentary on news, politics and the economy.

Medicare’s Discretion to Say No to Unproven Therapies, Medical Devices, and Equipment

If it is not Medicare Advantage plans over-charges tapping into Medicare funds designated for the care of seniors, it is the commercial healthcare companies such as pharma this time and again. The political influence these companies wield with legislators and probably SCOTUS justices (later as companies sue and quickly levitate to a SCOTUS hearing) who […]

Part 2 of Saving Rural Hospitals – Problems and Solutions for Rural Hospitals

I broke this report into two parts as it becomes harder to complete reading when each of us has other obligations. CHQPR or the Center for Healthcare Quality and Payment Reform is a national policy center facilitating improvements in healthcare payment and delivery systems. As explained earlier in Part 1, rural hospitals are facing issues […]

Women’s out-of-pocket healthcare costs are higher than for men

Out-of-pocket healthcare costs are $15 billion higher for US women than men,, Clarisa Diaz Healthcare financial burden on women persists outside of maternity related care. That is the crux of the issue. Women pay more for healthcare. Consulting firm Deloitte: The analysis of the resulting costs after the current benefit coverage is applied, indicates […]

Mosquitoes in Sao Tome, Principe & the New York Times

I really don’t have much to add to this excellent article on mosquitoes in Sao Tome and Principe. It includes an explanation of how to make mosquitoes resistant to malaria and maybe eliminate malaria at very low cost. The a non explanation of why this isn’t being done (there is no law against it but […]

Humans red in tooth and claw?

The New Yorker has an interesting article by Manvir Singh about fad diets, with a focus on all-animal diet as ostensibly the diet best suited to our species. A character who brands himself “The Liver King” specifically endorses grassfed beef liver. The paleo diet industry insists that humans evolved to kill animals and devour their […]

Buprenorphine Naloxone & Naltrexone

I think the main practical point is that pharmacological treatment of opioid addiction is effective and yet not as easily available as it should be. Not all opioid use disorder (OUD) specialized treatment programs offer medication assisted treatment (I have a somewhat out of date report that in 2017 “only … 35.5% offered any single […]

A Healthcare Insurance System Making Patients Sicker and CEOs Rich

A bit of a rewrite on this commentary to make it clear and precise in what it is saying. What is occurring is the Insurance Companies and their CEOs are profiting off of our illness. Insurance Policy pricing keeps going up along with the healthcare insurance deductibles. Unless one can afford the insurance premiums, people […]