At this point, few would argue against the need for increased oversight of the legions of so-called pain management clinics that have sprung up in the past decade. After all, an annually increasing majority of them are nothing more than lucrative cash and carries for the legal sale of prescription narcotics to anyone with a need or want -- and the cash in hand. They have become a public mental health ...

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The recent New England Journal of Medicine article, highlighting burdensome healthcare transitions in a subset of nursing home patients, is certainly of documentary value. However, for many of us with real-world experience in the nursing home medical care venue, the article certainly falls short of newsworthy.  Not even mildly surprising really. Too many of our nation’s nursing home staffs suffer from a lack of onsite MDs for evaluating acute ...

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As I point out in The Medical Profession Is Dead and the Doctor Is "Critically Ill!", more factions are able to charge for and be reimbursed for healthcare delivery than ever before. This has come about through creating boutique health care niches. The demand for boutique care is being driven by entrepreneurial interests, and, once brought to fruition, then being managed with corporation business tactics -- i.e., for profit. One of the ...

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I believe that Nilesh Kalyanaraman’s idea of reducing the number of high-pay residency slots has merit. Of course, this would have to be based on an accurate, bonafide need for the particular specialty service, and would require, at the very least, a biannually updated data base for medical schools to plan with. I believe that some states already make available disease prevalence data —broken down by regions or, in ...

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