The recent announcement that Berkshire Hathaway, Amazon, and JPMorgan have joined forces to pare down health care costs has sent ripple effects across the health care space. The announcement sent stocks tumbling due to the uncertainty of what influence these companies will have on a deeply complex, unruly and wasteful health care system. Said Berkshire Hathaway chair and CEO Warren Buffett: “The ballooning costs of health care act as a hungry ...

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CNN recently posted an article online, asking this very question.  It was posed in the guise of our leading mega-billionaires, Warren Buffet, Jeff Bezos, and Jamie Dimon, “fixing” our broken health care system.  In actuality, these three industry giants announced plans to combine resources to create their own insurance system for their combined 850,000+ employees.  A nice gesture, to be sure, but not really a panacea for a nation of ...

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It's February 15, and our country has had yet another school shooting. Seventeen more kids are dead, despite multiple warnings that the perpetrator was high risk. No one wanted this to happen. Across the political spectrum, Americans are appropriately asking what they can do to prevent another shooting. Yesterday many asked for a day to mourn. They said, “tomorrow we take action.”  Today is tomorrow. My liberal friends are calling to ...

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On September 5th, 2017, the Trump administration denounced the further implementation of Deferred Action for Childhood Arrivals (DACA) and called for its revocation in 6 months. Opponents quickly voiced their concerns towards the unjust decree. Now, the deadline is near and a heightened urgency to act is imperative. To encourage advocacy and help legislators understand the vitality of DACA-recipients, the following displays the power of the undocumented. Days after news of ...

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study from the National Bureau of Economic Research reports on the results of a large randomized controlled trial of a large employer with over 12,000 employees. Program eligibility and financial incentives were randomized at the individual level. Over 56 percent of eligible treatment group employees participated. The study found that in the first year, the employees who signed up were healthier and had lower medical costs, but, and ...

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The way doctors and hospitals are paid is undergoing a quick and quiet revolution in an attempt to control costs and improve health outcomes. Federal payers are driving this change from fee-for-service payments to reimbursements based on quality outcomes and measurements of clinical processes. This focus on clinical outcomes does not account for the deep inequities that drive poor health outcomes in the United States. Without measuring and paying for ...

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What happens when you place an entire nation’s health care in the hands of an overly-controlling, ineffective government bureaucracy and huge corporations whose mission it is to squeeze as much money from the system, no matter the cost, including people's lives? You get the carnage that is the American health care system. You get my week as a family doctor in the worst health care system in the world. This week a diabetic patient who ...

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The costs of many generic drugs have skyrocketed. In some cases, the price of a single pill has increased over 500 percent. But help may be on the way. Recently several large and respected non-profit hospital systems indicated that they will "fire a shot across the bow" of the generic drug business. That would be a game-changer. Why has the price of generics skyrocketed? Some large drug companies have purchased ...

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Early this month, it was reported that President Donald Trump, having grown frustrated from discussions regarding a bipartisan deal on immigration, asked why proposals continued to provide special protections for immigrants from the countries of El Salvador and Haiti, and the continent of Africa. He reportedly exclaimed, "Why are we having all these people from sh*thole countries come here?" The statement has been largely denounced both at home and abroad, and ...

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The most profound health care legislation enacted since the Affordable Care Act, The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), is a huge mistake. It adds another vast layer of bureaucracy to a health care system already overburdened by such things, and penalizes physicians who take care of the most complicated patients. The head of the Centers for Medicare and Medicaid Services (CMS), who administer the program, admits ...

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