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

PFAS Contamination, the New Flint at Military Bases and Again in Michigan

In parts of Livingston and Oakland counties, the people have been warned not to eat the fish from the Huron River and Kent, Strawberry, Zukey, Gallagher, Loon, Whitewood, Base Line and Portage lakes as well as Hubbell Pond due to the fish being contaminated with PFAS and similar chemicals coming from industries. In 2016, Michigan […]

Pentagon to Tap Leftover Military Pay Funding

“The Pentagon is planning to tap $1 billion in leftover funds from military pay and pension accounts to help President Donald Trump pay for his long-sought border wall, a top Senate Democrat said Thursday. Sen. Dick Durbin, D-IL ‘It’s coming out of military pay and pensions. $1 billion. That’s the plan. The funds are available […]

Again, Healthcare Cost Drivers Pharma, Doctors, and Hospitals

This should come as no surprise as I have written on the topic of Healthcare Costs and Its Drivers before. In particular, the overriding statistic from an earlier post was 50% of the increase in healthcare costs was due solely to price increases between 1996 and 2013 (JAMA, Factors Associated With . . . . […]

The Ethics of Clinical Trials

(Dan here…lifted from Robert’s Stochastic Thoughts) The Ethics of Clinical Trials In a clinical trial the therapy is decided by a pseudo random number generator. How can this be ethical ? People are treated differently for no reason related to different interests different values and priorities or even different merit (assuming merit can differ).There is […]

Healthcare News

Massachusetts ACA Enrollment Exceeds Last Year, Charles Gaba, ACA Signups Blog Massachusetts: (January 14, 2018) saw an increased 285,000 signups for healthcare for 2019 which is up 6.6% YOY and with 9 days left until the ACA signup deadline. This comes even though Republicans and Trump have been sabotaging the ACA. Even more impressive, 97.2% […]

The Ethics of Clinical Trials

In a clinical trial the therapy is decided by a pseudo random number generator. How can this be ethical ? People are treated differently for no reason related to different interests different values and priorities or even different merit (assuming merit can differ). There is a utilitarian rational for clinical trials. Through such trials doctors […]

The Price of Naltrexone

In The New York Times Abby Goodnough wrote ” she got a Vivitrol (naltrexone) shot but it was so expensive β€” her co-payment was $600 β€” that she never got another” !!! This is insane. Naltrexone is an opioid antagonist. It prevents opioids from causing a high (and relieving pain and suppressing coughing and breathing). […]

ACA Enrollment for 2019 Followup

To add to Robert Waldman’s post on ACA enrollment, here is the chart as taken from Andrew Sprung’s Blog (Expostfactoid) on the ACA. This is data Charles Gaba had gathered and Andrew rearranged. Note non-expansion Medicaid states did better than expansion states in enrollment. Why is that true? The states marked in yellow on the […]

The High Cost of End-of-Life Healthcare – Myth?

American Journal of Public Health: “The Myth Regarding the High Cost of End-of-Life Care” December 2015, Melissa D. Aldridge, PhD, MBA and Amy S. Kelley, MD, MSHS There has been a lot of talk and presentation on End of Life care and its high costs. “The Myth Regarding the High Cost of End of Life […]

Heads Up on Out of Network ER Doctors, etc. in 2019

Last December 2017, Envision Healthcare Corporation paid an approximate $30 million to settle allegations for subsidiary EmCare doctors getting bonus payments for admitting patients to hospitals when it was not necessary. History: A subsidiary of Envision, EmCare is a provider of physician services to emergency departments, inpatient services for hospitals, acute care surgery, trauma and […]