I have been thinking about buprenorphine, naltrexone and the stimulants cocaine and methamphetamine. An issue which came to my mind recently and which I think it worth discussing is that cocaine is often cut and replaced with fentanyl to hide the over-dilution. This is sometimes done sloppily leading to fentanyl overdoses of people who did […]

This is the latest in a series of posts about drug assisted therapy (DAT) of opioid use disorder (OUD). I will repeat things which I wrote here and here. The bottom line, so far, is that there is strong evidence that drug assisted therapy ov OUD is effective and many extremely establishment experts complain that […]

I saw an article online yesterday that claimed that over 1% of Americans are using semaglutides for weight loss. Since these drugs suppress appetite, the article was about the possible impact on food retail. Since global warming promises to destroy a lot of arable land on the planet, as well as ocean fisheries, reducing food […]

A follow up to Joel Eissenberg’s commentary on mRNA and how it came to be at BioNTech. This seemed interesting enough to add another post on mRNA discovery. Some more detail . . . Nobel Prize in medicine awarded to scientists who laid foundation for messenger RNA vaccines (msn.com), Carolyn Y. Johnson The Nobel Prize […]

LARC (Long Activer Reversible Contraceptives) are highly effective. It seems to me past time for the US Federal Government to pay for contraceptives (all types not just the device of pharmaceutical but also cost of care from the prescribing physician if required) for everyone who wants them (including Elon Musk if he changes his mind […]

Charles Gaba at ACA Signups in Michigan has been doing the yeoman’s labor of tracking Medicaid, Chips (for children) and the ACA. A good blog to read. He is my go-to person for information on the ACA, etc. CMS releases June 2023 enrollment data: Medicaid/CHIP enrollment dropped another 1.2 million as #MedicaidUnwinding ramped up, ACA […]

This is the upper end or the delivery of product and care of the healthcare food chain. If you want to improve healthcare delivery pricing, you might want to go down a couple of levels more also. The costs of pharma and healthcare supplies are areas to investigate. It may have a bit more of […]

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 […]

At night, I will soak a third of a cup of rolled oats, oat bran, raisins, almonds, a bunch of seeds, etc. in skim milk. Toss some crumbled walnuts in there to go along with the almonds and hazel nuts and blue berries or other fruit if I have it. The oats soak up the […]

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 […]