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Featured Posts

The Great Myth: Why Health Care Reform is Failing both Patients and Medicare

A Novel Way to Present Health Information

Deception about Dementia: Why Early Detection can be Dangerous

Curing Medicare to be republished by Cornell University Press in 2016

Cancer screening: how conventional wisdom, quality indicators, and payment incentive equals poor ou

Rat Poison in the Nursing Home

PPI Use and Heart Attacks: Really?

The Real Value of Primary Care

The CDC and diseases of the elderly: Less factual than advertised

Baltimore Sun Op Ed Post

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How "Quality and Value" are double-speak for the lack of both: The bankruptcy of health c

In the era of health care reform, two words consistently are employed to describe the strategy being used to cut cost: quality and value. What do these words mean? We have discussed their use many times in these blogs, and have shown that they often diverge sharply from their purpose. In fact, nothing wastes physician time, and gets in the way of the doctor-physician interaction, more than having to focus on adhering to Medicare’s report card of quality. How effective ar

Primary Care: The Bedrock of Health Care Reform

In previous blogs and in my book, we have discussed the value of primary care to the health care delivery system. Primary care doctors—the lowest paid of all physicians, sometimes earning as much as $200,000 per year less than their more specialized colleagues—provide the highest value of all physicians. In areas of the country with a higher proportion of primary care doctors to specialized doctors, outcomes are better, costs are lower, and satisfaction is higher. Patients

Finding common ground in health care reform: How to replace the ACA

We are at a Rubicon moment in the battleground of health care reform. The ACA has expanded insurance coverage to millions of Americans, but it has not altered the basic flaws inherent to our health care delivery system. Now with its elimination hovering over us, we have an opportunity to come together and enact changes in medical care that are universally endorsed and can evade partisan bickering. Can conservatives develop a free market health care system that also achieve

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Anticipating & Planning for Long-Term Care Needs

Does Tamiflu help if you have Influenza? The answer says a lot about our health care system.

A new Video Podcast: Running Doc Unhinged. Subscribe Today!

New Blood Pressure Guidelines: Good for Doctors, Bad for Patients.

A 105 year old doctor advocates a better path to improved health and wellness

Isn't it time we finally stop this nonsense and actually fix the system???

Reforming Health Care by Putting Patients in Charge: Our Op-Ed in the Sun

Marginalizing Primary Care in the Hospital: My article in Medical Economics

"We are losing the battle for the hearts and minds of our patients": The seeds of our hea

Marching for better health care: The Science March, April 22nd, DC

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An Inside Look at Health Care for the Elderly and Medicare