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

Foreign-trained physicians and the physician workforce

I’ve written previously about the shortage of primary care physicians in the US. In principle, one way to address this shortage is to admit more international medical graduates as physicians. But an historic barrier to this solution is the requirement for US residency training. Some states are passing laws allowing international medical graduates if they […]

The shutdown’s impact on health

It appears that the government shutdown has finally caught up with the CDC . . . none of their Covid demographics were updated this week, and the wastewater data still only goes up till the week ending September 20th . . . I don’t know if the data that they’ve missed will be caught up […]

Republican Mega Bill Will Impact Healthcare Coverage

We have posted information on Angry Bear before from various and different sources. We expect healthcare costs to increase. The article says 15 million will lose healthcare coverage. I have seen reports of up to 20 million will lose healthcare coverage. Many will lose coverage as a result of cutting Medicaid and loss of subsidies […]

Bot docs and the economics of primary care

The way to make money in medicine is to do procedures (colonoscopies, surgery). Primary care physicians, as a rule, don’t to procedures. They diagnose and, when necessary, refer to a specialist for procedures. So primary care physicians don’t make the big bucks. Med school graduates carrying loans from college and medical school are attracted to […]

Some Information and Data on Firearms

Just information . . . mostly . . . Trends and Patterns in Firearm Violence, 1993–2023, U.S. Department of Justice In 2023, the rate of nonfatal firearm violence was 2.0 victimizations per 1,000 persons age 12 or older, down 72% from 7.3 per 1,000 in 1993 (figure 1). Nonfatal firearm violence includes rape or sexual […]

Curiouser and curiouser

In his quest to find an environmental “cause” for autism, RFK Jr has honed in on acetaminophen. Initially, it was gestational exposure. Now it’s acetaminophen exposure in newborn boys who were circumcised: “While Kennedy did not cite specific research, he appeared to be referencing two older studies. “One was likely a 2015 Danish national cohort […]

Autism incidence vs autism diagnosis

RFK Jr has dishonestly portrayed the increase in autism diagnoses over the past 20 years as an increase in incidence of autism to justify his claim of an environmental cause for autism. Multiple published and refereed reports using twin pair studies show 60-90% heritability for autism, and those are probably underestimates. What changed in the […]

Tyler Cowen’s no good, very bad post on Affordable Care Act Subsidies

We are in the middle of a government shutdown, and one point of contention between Democrats and Republicans is the extension of “enhanced” premium subsidies for policies purchased on the exchanges set up under the Affordable Care Act (Obamacare). Yesterday Tyler Cowen put up a blog post titled “The unraveling of Obamacare?”.  I haven’t followed […]

Why do Republicans hate women?

“Twenty-five years ago, the FDA made a decision that changed the course of reproductive health in America. By approving mifepristone (Mifeprex) for medication abortion, the agency gave people access to one of the safest, most effective, and most studied medications in modern medicine. “Since then, more than 7.5 million Americans have relied on it to […]

Summer Covid Wave

In the past and through the epidemic, r.j. sigmund has been reporting on Covid and the waves that have hit the U.S. He is a good read on the topic of Covid. ~~~~~~~ Summer’s Covid wave continues to recede, based on the sketchy data we’re still getting. The CDC’s Covid Surveillance page shows that “test positivity”, (or […]