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
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
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
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)
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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