Obamacare Repeal vs. Reality

March 22, 2017 - 6:00am

The attempt by House Speaker Paul Ryan and other powerful Republicans to “repeal and replace” the Affordable Care Act (ACA or “Obamacare”) has run into a buzz saw of opposition from both sides. Most proponents of the American Health Care Act (AHCA) concede that the Act is “not perfect.” But there is “political reality” to consider—what can make it through the congressional sausage-making machine? Already Congress is telling us the most important consideration for them: staying in power.

Travel Ban Is Revealing—But Does Not Threaten American Medicine

February 10, 2017 - 6:00am

A 90-day ban on travel from seven countries has sparked tremendous outpourings of “worry” or outright opposition by some 33 medical organizations.

What If Sick People Lose Their Obamacare?

January 17, 2017 - 3:30pm

As Republicans contemplate repealing the Affordable Care Act (ACA or “Obamacare”) -- seriously, not just as a political gesture -- alarms are sounding about millions of individuals losing coverage.

The Case for Being Uninsured

December 7, 2016 - 6:00am

Republicans say they are going to “replace” Obamacare, but they will come up with something very similar and at least as bad if they start with the same misguided objective: “universal coverage.”

Quality and Value in Health-care Explained

November 16, 2016 - 6:00am

The congressional echo chamber, on both sides of the aisle, constantly talks about the great reform fad: “payment for value” and “quality” care. And the Medicare version called MACRA passed nearly unanimously, with cheers from the marbled halls of the AMA tower. Obamacare too constantly harps on “quality.”

Racism, Truth, and Politics in 2016

October 18, 2016 - 6:00am

In my abnormal human psychology class a half century ago, we studied Sigmund Freud’s neurotic defense mechanisms. While Freud has been discredited in many ways, his idea of projection seems obviously valid to me—not so much as a sign of a psychiatric illness, but as a political tactic: Accuse your opponent of what you yourself are doing. Maybe that’s a subset of “the best defense is a good offense.”

Zika: Crisis or Sentinel Event?

April 18, 2016 - 11:45am

According to the World Health Organization (WHO), Zika is, like Ebola, a Public Health Emergency of International Concern. Now the U.S. Centers for Disease Control and Prevention (CDC) has stated that it is “clear” that the Zika virus causes a serious birth defect, microcephaly (small head).

Is It Trump Who Got Caught in the Abortion Trap?

April 4, 2016 - 12:15pm

Trump foes are cheering Chris Matthews and MSNBC for setting the trap. They think they got what they most need: evidence that Donald Trump is “anti-woman."

The Zika Virus Disease Outbreak: What Should We Do?

February 9, 2016 - 9:15am

The latest public health panic is over a disease most Americans (even doctors) have never heard of. Zika virus disease (ZVD) is carried by the same mosquito, Aedes aegypti, as other Third World diseases, including dengue and chikungunya.

Who Has Constitutional Rights? Trump Raises the Question

December 15, 2015 - 1:00pm

Donald Trump’s suggestion to exclude Muslims from the U.S. has been called unconstitutional as well as offensive to many.

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