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

The economics of medicine: personal reflections

When I was growing up, I viewed being a physician as the zenith of achievement for someone interested in science. That changed when I got to college and became interested in research. I realized I didn’t have the temperament for a physician (OK, maybe a radiologist or a pathologist) and I became a lab rat. […]

Changes at Angry Bear

Many of you have noticed unwanted occurrences at Angry Bear. We have had four occurrences of down time. I am not sure why this is happening. Each time, Joel and I have alerted our present Server staff without being demanding or obnoxious. The latter serves no purpose. We need their help while we transition to […]

Candidates’ Stances on Healthcare Issues, including Drug Pricing, Medicaid and AI

The article is talking around the issues. The country is calling on former drug company management to assist in taking down an industry giant. It probably will not succeed as many of these experts still have ties to the industry and the companies employing them. Think Azar . . . Pharma companies were using “value-based” […]

A housing crisis? Location, location, location

Housing is expensive here in East Providence. It’s even more expensive in Boston, an hour from here. Some folks live in Rhode Island and commute to Boston. When we were house-hunting in the Providence area in the Spring of ’22, the real estate market was white hot. We were out-bid on three offers. Making an […]

Democracy is the worst form of government, except for all the others

I’m reading an article about Kamala Harris in the October 21st New Yorker. This paragraph caught my eye: “When Harris talks of the origins of her interest in government, she lingers on a moment from her time in Montreal: a friend from Westmount High, Wanda Kagan, was being physically and sexually abused at home, and […]

Commenting and Commenters on Angry Bear

– For some reason (we are trying to find out why) Word Press and Askimet is deciding some commenters are new and need to be approved again. Both Joel and I are aware of this and are working with another group to fix the issue. The system was changed by input from somewhere else (WP?) […]

No, immigrants aren’t taking all the jobs

A common right-wing grievance is that undocumented (“illegal”) immigrants are taking all the jobs. In particular, that they’re stealing jobs from native-born Americans. What’s the evidence? If it were true that immigrants were stealing jobs from native born Americans, then if you plotted labor force participation by native- and foreign-born over time, they would have […]

American xenophobia

Donald Trump and JD Vance are campaigning on xenophobia. There’s no evidence that immigrants are any sort of threat to America, and the data show that immigrants commit crimes at *lower* rates than American citizens. Sadly, though, fear of the other seems to work in America: “Jeffrey Balogh, a resident of Erie, said at that […]

Polls vs betting markets

I had an email exchange a couple days ago with Josh Marshall over at Talking Points Memo about polls (which he’s written a lot about recently) and the election betting market (which he had never mentioned). Yesterday, he used our exchange as a jumping off point to explain why he doesn’t believe the betting market […]

Private practice docs are cutting off Medicare patients

The old model of a single doc running a practice is disappearing in America. Between the overhead and the reduced compensation, this model of health care delivery looks increasingly anachronistic. When I started as an assistant professor at a medical school in 1987, there was a lot of money sloshing around. Patients and their insurance […]