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

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, qz.com, 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Not all opioid use disorder (OUD) specialized treatment programs offer medication assisted treatment (I have a somewhat out of date report that in 2017 “only … 35.5% offered any single […]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 […]

Fentanyl, Methadone, Buprenorphine and Naltrexone

One of these things is not like the others. Fentanyl is killing about 70,000 Americans a year. The others are known to be useful in treating opioid dependency yet (in 2014 sorry will Google more) only half of private opioid use disorder treatment programs offered pharmaceuticals and less tha one third of patients actually received […]

Open Thread – NPs and PAs are Handling Primary Care Visits

Open Thread: NPs and PAs are Handling Increasingly More Primary Care Visits, Medscape, Avery Hurt “Healthcare Primary Care visits to NPs and PAs, also known as advanced practice providers, have been rising in recent years compared to doctor visits, according to the latest studies. The proportion of Medicare visits that NPs and PAs delivered nearly […]