The Center for Medicare and Medicaid Services (CMS) has sent out a Request for Information (RFI) concerning a new project called DPC. This stands for Direct Provider Contracting—not Direct Primary Care or Direct Patient Care, the growing type of practices that work for patients, not third parties. There are now about 770 such practices, the […]
Volume 74, no. 4 April 2018 The leading publication of organized medicine has published an extensive analysis of U.S. “health care” spending, which is twice as high per capita as in other comparable countries—although health outcomes are no better, and utilization is similar (Papanicolas et al. JAMA 3/13/18). Why? “It’s the prices, stupid!” editorializes Ezekiel […]
Volume 74, no. 3 March 2018 The Center for American Progress is proposing the next step toward the total government takeover of medicine: “Medicare Extra for All.” It calls the Affordable Care Act (ACA) “an historic accomplishment,” which is “remarkably resilient,” with steady enrollment “despite repeated acts of overt sabotage by the Trump Administration” and […]
Volume 74, no. 2 February 2018 Growing physician opposition to their Maintenance of Certification (MOC®) cash cow is apparently causing consternation at the American Board of Medical Specialties (ABMS) and its component boards. They need to persuade legislators that MOC® is actually improving the quality of care—and not just contributing to physician burnout, decreasing access, […]
Right to Work laws, in effect in 28 states, provide that no person can be compelled, as a condition of employment, to join or not to join, nor to pay dues to a labor union. The right of states to enact such laws is affirmed in §14(b) of the Taft Hartley Act (https://tinyurl.com/y7vewhfj). However, more […]
Volume 73, no. 12 Having failed to repeal the Affordable Care Act (ACA or “ObamaCare”), the Republican regime is moving along to the next item on its promised agenda, tax reform. A repeal of the ACA individual mandate might be slipped into the package. But so far, none of the other ACA tax increases are […]
Volume 73, no. 11 November 2017 The Report of the President’s Commission on Combating Drug Addiction and the Opioid Crisis (http://tinyurl.com/yaz9zw6a) has been released. It calls for the Office of National Drug Control Policy (ONDCP) to review federal spending and invest “only in programs that achieve quantifiable goals and metrics.” It does not call for […]
Volume 73, no. 10 October 2017 Worse than the AIDS epidemic at its peak. Fatalities nearly double the global terrorism death toll. The “U.S. heroin crisis is so bad it’s raining ‘needles’.” In March 2017 alone, San Francisco collected 13,000 discarded syringes, compared with 2,900 in March 2016 (http://tinyurl.com/y8d8hy6a). Annual opioid overdose deaths nearly tripled […]
Volume 73, no. 9 September 2017 After a century of standing there in peace, statues erected c. 1920 by Democrats to commemorate Southern heroes of the Civil War are triggering violence across the land. President Trump was severely criticized for harshly condemning all the violent agitators, somehow implying a “moral equivalence” between “white supremacists” or […]
Volume 73, no. 8 August 2017 At one point in the Senate debate over ObamaCare, Sen. Ted Cruz (R-Tex.) introduced an amendment that would allow insurers to offer plans that were not compliant with the Affordable Care Act (ACA) so long as they offered at least one plan that was: an opening for a free […]