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

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all opioid use disorder (OUD) specialized treatment programs offer medication assisted treatment (I have a somewhat out of date report that in 2017 “only … 35.5% offered any single […]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

Pocket Doctor

Siri: “Hey Jill, how are you? Anything you would like to talk about?” Jill: “I fell while hiking today.” Siri: “Were you hurt?” Jill: “Left ankle is somewhat swollen and sore from jamming the foot into a rock while trying to stay upright.” Siri: “Sorry to hear that, Jill. Any idea why you fell?” Jill: […]

Seeking the reasons for the death for HB 135

This is Part 1 of a three-part story of how politics and delays backed by commercial interests and business sponsor groups delayed and eventually killed a bill meant to aid Ohio citizens. Kind of a forerunner to what may happen if Congress ever promotes a bill for healthcare-for-all. I will post the other two parts […]

Not Stepping Aside – What Do We Do?

Democrats are good at killing themselves politically in elections. We are also good at not pushing back when our candidates are under fire. Instead, we find excuses to promote others as substitutes. Or, we take our voting to other extremes such as voting for Disney characters, the family dog or cat, themselves, etc. You do […]