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Latest Posts

  • So much for “If you like your doctor, you can keep him”…
  • “Open Wide and Say ‘Moo!’”: The Book Review
  • Mass Mandates Round 2 – Part II
  • Mass Mandates Round 2 – Part I
  • How to Destroy a Useful Healthcare Technology
  • Encouraging Common Sense in Public Policy
  • The Tragedy of the Supreme Court’s Affordable Care Act Ruling

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Jul
24

Encouraging Common Sense in Public Policy

by Dr. Doug Perednia

Science is nothing, but trained and organized common sense.                                                                                           –Thomas Huxley First a quick note.  Our postings are fewer and farther between this summer due to a particularly busy schedule, but will become more frequent and regular again as we get closer to the November elections. In the meantime, the dog days of summer seem to be producing relatively few new or interesting journeys

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Jul
4

The Tragedy of the Supreme Court’s Affordable Care Act Ruling

by Dr. Doug Perednia

The past week’s Supreme Court ruling on the constitutionality of ObamaCare is a tragedy on at least two counts.  The first tragedy relates to the relationship between our Federal government and the citizens who are subject to its will.  The second tragedy relates to the healthcare system itself, and affects all of us who seek, deliver and pay for care.  It is hard to say

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Jun
22

Are Doctors Dumb Enough to Be Society’s Hitmen?

by Dr. Doug Perednia

You have to hand it to the American Medical Association (AMA), it has a real talent for destroying the medical profession. Over time this aptitude has been turned to a variety of uses.  In the late 1980s and early 1990s it was used to support the development and deployment of the RBRVS system of coding and billing.  The AMA was a direct beneficiary of this

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Jun
10

Oregon’s Magical Thinking Meets CCO Reality

by Dr. Doug Perednia

In September of 2011 we wrote an article called Oregon’s Healthcare “Transformation”, about the Beaver State’s efforts to solve the problem caring for the poor (and eventually everybody) by encouraging the development of “Coordinated Care Organizations” (or “CCOs”) for Oregon’s Medicaid program.  CCOs appear to literally be “Accountable Care Organizations” or “ACOs” with a different name, just as ACOs are simply Health Maintenance Organizations (HMOs)

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May
30

Who’s Regulating the Regulators?

by Dr. Doug Perednia

 It’s easy to criticize the regulation of medicine these days.  No really, it is.  There is so much material to choose from.  And it frankly doesn’t much matter whether this regulation comes from the private sector or the government.  Most of it is very, very poorly done.  It defies logic.  It defies common sense.  It increases costs.  It decreases quality.  It makes people sick or

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RTH In The News

  • Health Care Reform: How Will It Impact the Practicing Physician?
    A particularly interesting MD Magazine – Peers & Perspectives Discussion
  • Dr. Perednia on PJTV: ObamaCare Is Sick: Doctor Diagnoses the Illness Behind Obama's Health Care Law
    Douglas Perednia, M.D. thinks that Obama’s health care legislation is actually making the health care system worse. The average doctor spends five working weeks a year on paper work, and it will only get worse under ObamaCare. Video interview with Danika
  • Financial Times Press – Introduction to Overhauling America's Healthcare Machine by Douglas Perednia M.D. – Read first chapter
    Douglas A. Perednia explains that improving the efficiency of the system might be the only way to prevent a meltdown of the larger economy and restore growth in the standard of living.
  • The Washington Times 12/27/2010
    PEREDNIA: Doctors Left In The Lurch By Own Medical Associations

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RTH Recommends

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Recent Comments

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