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Everyone Loses With Insurer Monopolies Except the Insurers

It turns out that when insurers don’t have any competition they drive down the payments to hospitals and doctors.  And then they keep all the profits. In markets where insurers and providers are concentrated — where consolidations have increased individual market shares — hospital admissions and physician fees drop, a big-data study shows. However, the…

Fun Friday: Odors

This was the genius of the Placebo Journal, a print magazine that ran from 2001 to 2011.   Something as official sounding as a medical algorithm was totally blown up into something preposterous. Click here to get your free weekly newsletter. No Spam. No giving out of your info. Promise.) Tweet0

The Healthcare Mortgage Payment

Are you ready to pay through the teeth for health insurance that you will never use, because of the high deductible? This is from the Associated Press (not Fox or other right leaning media outlet): Millions of people who buy individual health insurance policies and get no financial help from the Affordable Care Act are…

Golden Rule of Reimbursements

There are grumblings in Vermont about the disparity of payment to independent doctors versus hospital based doctors: In 2015, commercial insurance companies reimbursed independent doctors about $100 for a typical primary care visit and paid academic medical centers $168 for that same service, according to data the Green Mountain Care Board’s staff presented at the…

Generic Viagra as Cheap as a Cup of Coffee

Viagra has always been very expensive but luckily you can get sildenafil (generic for Viagra) cheap using a goodrx.com coupon. Or, you can buy yourself a cup of Longjack coffee!  The FDA is alerting the public NOT to consume this and some other products, which means that is exactly what they will be doing soon.…

Burned Out Over Burnout by Pat Conrad MD

This last weekend of summer – sigh – reminds us all that it’s important to take a breath, take a break, and focus on our own well being.  Or so that’s the word from the finger-on-the-pulse AAFP.  I stumbled over their section named “Focus on Physician Well-being.”  This included the following submissions:  For This FP, Faith…

Unthinking Limpet

The following was sent to me by an anonymous Ph.D.  See if you notice a trend in our healthcare system: I’m a psychologist, although I no longer have a clinical practice. My 27-year-old son is no longer covered by our insurance. He’s between jobs, so he has MediCal, California’s version of Medicaid. He’s been living…