Whatever Happened To Managed Care?

January 24th, 2012 - 7:18 am

Podcast:

In his last post, DrRich demonstrated that our modern American healthcare system proposes to treat individual patients as if they were merely members of a herd of cattle or sheep.* ____ *Doctors, on the other hand, will be treated like the border collies who – responding instantly to the various complex whistles, hand [...]

Author: DrRich One Response

Herd Medicine

January 16th, 2012 - 8:27 am

Podcast:

Farmer Emanuel has 10,000 head of cattle in his beef herd. He prides himself in staying up to date on all the latest methods, so he knows that adding a certain antibiotic to their feed will reduce the incidence of intestinal infections, and will increase his annual overall yield, measured in pounds of [...]

Author: DrRich 13 Responses

The ACP Further Elaborates On “Parsimonious Medical Care”

January 9th, 2012 - 10:21 am

Podcast:

On the same day that DrRich published his post about the American College of Physicians’ new Ethics Manual, Rob Stein of NPR’s Health Blog did the same thing. In his post, Mr. Stein took particular notice of the ACP’s admonition to physicians that, in order to practice medicine ethically, they must practice parsimoniously. [...]

Author: DrRich 5 Responses

A Parsimonious Exegesis Of The ACP’s New Ethics Manual

January 3rd, 2012 - 8:38 am

Podcast:

The American College of Physicians published the Sixth Edition of its Physicians Ethics Manual yesterday. Regular readers may find it surprising to hear DrRich say that there is little objectionable in it, and actually much to admire – that is, when it is considered as it is written, as a stand-alone document. But [...]

Author: DrRich 3 Responses

DrRich’s Top Ten of 2011

December 30th, 2011 - 9:33 am

After extensive analysis by a committee of hand-picked experts, with much debate and with some dissension, the following have been identified as DrRich’s Top Ten Posts of 2011. Ten: The Right To Bear Salt Nine: About Those Doctor-Nurses Eight: The Four Ways To Reduce Healthcare Spending Seven: On Killing The Elderly Six: The Real Utillity [...]

Author: DrRich No Responses

Let Us Shun the Obese This Holiday Season

December 20th, 2011 - 7:54 am

Podcast:

In the tradition of “Yes, Virginia, &c.,” DrRich once again reprises his classic holiday message. ____ ‘Tis once again that time of year when we Americans gather together with our extended families and friends to celebrate the Season. It is a time for catching up – renewing acquaintances and making new ones, sharing [...]

Author: DrRich 12 Responses

How the NTSB Can Really Meet Its Goals

December 15th, 2011 - 1:55 pm

Podcasts:

DrRich wants to record his sympathy for the recommendation, made by the National Transportation Safety Board this week, that all cell phone use by automobile drivers be banned at the federal level. When our government gives us new rules that are for our own good, we should be thankful and not critical. The [...]

Author: DrRich 2 Responses

Why Crying Doctors Are A Good Fit For Obamacare

December 12th, 2011 - 6:44 am

Podcast:

DrRich has written a lot on this blog about the intentional destruction of the classic doctor-patient relationship. That relationship, of course, was a fiduciary one, under which the patient was encouraged and expected to place full trust in the doctor’s sacred duty to put the patient’s own best interests above all other considerations. [...]

Author: DrRich 4 Responses

Why President Obama Let The Birther Question Fester

December 7th, 2011 - 8:29 am

Podcast:

A few years ago, one of the Ladies on the View (DrRich does not recall whether it was Rosie or Whoopie or Joy or Daisy May) “proved” that George Bush was responsible for the collapse of the World Trade Center (and not the heat generated by all that burning jet fuel), when she [...]

Author: DrRich 2 Responses

More On The Potential Dangers Of Salt Restriction

December 2nd, 2011 - 7:13 am

Podcast:

This past summer, DrRich wrote a post on the utter arrogance of the public health experts who are urging the FDA – and international bodies of busybodies – to mandate a policy of strict sodium restriction across the globe. DrRich attempted to show how such a broad-based salt restriction at this juncture is [...]

Author: DrRich 4 Responses

May God Save Us From the Public Health Experts

August 23rd, 2011 - 7:45 am

The “expert class” – the knowledgeable elites who are appointed by the Central Authority to establish the rules under which all of us in the great unwashed masses are to live our lives – will always (as a general proposition) tend to do great harm. Nowhere is this result more evident than in the policies [...]

Author: DrRich No Responses

Healthcare Reform and End-of-Life Care

June 20th, 2011 - 8:30 am

Death panels? We don’t need no stinkin’ death panels. As President and sole member of Glorious Old Farts of America (GOFA), DrRich is acutely aware of the many ways our healthcare reformers – even prior to the birth throes of Obamacare – have subtly laid the groundwork for ushering us old timers to Our Great [...]

Author: DrRich No Responses

From Medical Miracle to Abomination

February 1st, 2011 - 10:43 am

The implantable cardioverter defibrillator (ICD), an incredible feat of visionary medical science blended with cutting edge engineering, a device responsible for saving thousands of lives a year, has gone from being a prototypical American success story to a symbol of healthcare excess. Today the ICD is widely castigated by the press, the public, the insurers, [...]

Author: DrRich 2 Responses

Medical Ethics Smack Down! DrRich vs. the ACP

December 9th, 2010 - 7:48 am

In early 2010, The Covert Rationing Blog and the ACP Advocate Blog were named finalists in the 2009 Medical Weblog Award Competition, in the category of Best Health Policy/Ethics Blog. DrRich, who has been a vocal critic of the “New Ethics” espoused by the ACP (and other professional organizations), took the opportunity to challenge the [...]

Author: DrRich No Responses

DrRich Deconstructs Progressivism

November 6th, 2010 - 1:03 pm

It is easy to be puzzled by Progressives. They tend to be so kind, compassionate and well-meaning, and they try so assiduously to make everything turn out so well for everyone – and yet their works turn out to be so destructive. What’s up with that?  And why do Progressives so revere Diversity? And why [...]

Author: DrRich No Responses

The Importance of Demonizing the Obese

September 15th, 2010 - 6:02 am

The obese, like the poor and the uninsured, will always be with us. And like the poor and the uninsured, the obese have served as a useful foil to healthcare reformers. But while their fellow foils are portrayed as sympathetic victims of hard-hearted right-wingers, the obese serve a different purpose. It it their role to [...]

Author: DrRich No Responses

How Big Health Insurance Saved Obamacare, and What That Means To Us Regular Folks

August 11th, 2010 - 8:30 am

Contrary to common wisdom, the American health insurance industry did not oppose President Obama’s healthcare reforms. Far from it. Big health insurance was actually quite desperate for Obamacare to pass, and indeed took extraordinary steps, at critical times, to make sure that it did. In this series of articles, DrRich reveals why the insurance industry [...]

Author: DrRich One Response

Now On Kindle!

July 3rd, 2010 - 11:30 am

Why should you still read DrRich’s book, Fixing American Healthcare, even though our leaders have just fixed American healthcare for us? Four reasons. First, DrRich humbly suggests, you may be insufficiently paranoid about American healthcare, whether it’s the style of healthcare we have now, or the New Style Healthcare that is rapidly coming our way [...]

Author: DrRich 2 Responses

Limiting Individual Prerogatives in Healthcare

May 20th, 2010 - 11:24 pm

Now that President Obama’s healthcare reform has become the law of the land, it is time for us to prepare ourselves for the real fight. Namely, will individual Americans ultimately be restrained, by law or by subterfuge, from using their own resources to pay for their own medical care?  This notion is not as far-fetched [...]

Author: DrRich No Responses

Healthcare Reform For The Unwashed Masses

May 18th, 2010 - 9:20 pm

Sure, nobody’s read the bill, and even if they had, what Nancy said is true: To find out what’s in the bill, they first had to pass it (so the bureaucrats could translate it into the hundreds of thousands of regulations that would finally determine its meaning). But there’s no need to wait for the [...]

Author: DrRich No Responses