Will a high dose of Ivermectin for 6 Days impact Covid? As a biochemist, I find the argument of a lack of mechanism for Ivermectin as a justification for prescribing it for COVID particularly pernicious. While it is correct to say that we didn’t know the mechanism for aspirin for decades after we knew it […]

This is one of the types of care where the resource may not be used as often in rural areas when compared to more populated areas. It is still needed in rural areas. The problem being, how do you get the patient and the baby to a fully equipped hospital an hour or more away. […]

This article is about ER Dr. Ming Lin. He is calling attention to the influence of large corporations such as Envision, TeamHealth in the contracting and management practice of medicine (ERs, etc.) and the detrimental effects it has on physicians, healthcare workers, and patients. He paid the price for calling attention by losing his job. […]

Now that COVID seems to be surging again, some timely reminders are in order: • keep your vaccination status current. The vaccine won’t keep you from being infected, but it will most likely keep you out of the ED and the morgue; • the outcome of COVID infection isn’t binary: death or survival. A third […]

Rethinking the RUC, Center for American Progress, Maura Calsyn and Madeline Twome The point being made in this commentary is the purposeful inaccuracy of the RUC. Much of the time determined for treatment too large which in turn drives the patient fees charged and the prices in Medicare Advantage to which CMS adds a percentage, […]

Coronavirus special update: the annual summer wave has arrived  – by New Deal democrat As I wrote at the beginning of this year, I would only post Coronavirus updates if there appeared to be something significant happening. And there is. There is a completely new alphabet soup of XBB subvariants that are competing with one […]

According to this WaPo article, the average physician in the US earns $350K/yr. I didn’t click through to the actual data, but from the first table, I’m guessing that “average” means median, not mean. And physician income isn’t a Gaussian distribution—there’s a long right-hand tail for the specialties. Why is this? It looks to me […]

As taken from the Comments Section., Commenter RJS . . . the CDC reports that the trend in hospital admissions for Covid was up 12.1% to 8,035 over the most recent week, while the trend in the percentage of Covid deaths was again unchanged…if we go back three weeks on the CDC’s Covid deaths graph to the death totals which presumably […]

Delightful story on how US pharmaceutical companies shift profits overseas. And US citizens are paying the highest prices globally for lifesaving meds which other countries our paying roughly one third. Pharma is also shifting their profits overseas and minimizing US taxes or tax avoidance. One way to avoid taxes is to move intellectual property to […]

This is an abbreviated version of a Canadian trial which examines whether eliminating out-of-pocket costs would improve the health of people taking the medications by making drugs less costly. The greater impact was amongst lower income participants who may not take drugs as prescribed to lengthen a refill timetable. The elimination of out-of-pocket medication costs […]