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

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 […]

mRNA vaccines “an unsafe medication?”

This just blows me away every time I read one of these articles about what people are thinking about Covid vaccines. And then there is some pseudo-authority who is reinforcing the false paradigm on whether the vaccines works. “Sick, sick, sick,” Digby’s Hullabaloo, digbysblog.net Florida Surgeon General Joseph Ladapo calls the mRNA vaccines “an unsafe […]

$20 Billion Scam At The Heart Of Medicare Advantage

In May of 2023 The $20 Billion Scam At The Heart Of Medicare Advantage, PNHP, Matthew Cunningham-Cook and Andrew Perez, Lever News, May 2023. Health insurance company Humana enjoyed a banner year in 2022. Humana made $2.8 billion in profits in 2022, while paying out $448 million in dividends to shareholders, and paying more than […]

REACHing” for Equity . . . Moving away from Regressive to Progressive Value-Based Payment

“REACHing” for Equity — Moving from Regressive toward Progressive Value-Based Payment, NEJM, Suhas Gondi, Karen Joynt Maddox, and Rishi K. Wadhera. A pretty good take on Value Based Payment Programs and what are the issues. Keep in mind, who determines what the value is to the patient. What is the rub here. Who ascertains the degree […]