Posted in Access to healthcare, advance-pricing, Economic Issues, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, Medical Practice Models, out-of-pocket costs, Patient Choice, Price Tansparency, primary care, Uncategorized

Wealth Extracting “Insurance” Bureaucracy vs Real Value-based Care: #DPC

From Dr. Lee Gross, Epiphany Health:

“New patient in the office today had a CT scan ordered by his urologist for presumed symptomatic kidney stones, which was denied by his insurance for 2 months. I ordered the study stat, cash pay. Done 30 minutes later, $220 cost paid by the patient. Stone identified, results given same day. Treatment and care plan initiated. Now that we have a diagnosis, the urologist has the insurance logjam relieved to proceed with a care plan if our conservative therapy is ineffective. Insurance is frequently an obstacle to health care.” #DPC

https://www.facebook.com/groups/DPCdocs/permalink/3473547759342175/

Posted in Disease Prevention, Economic Issues, Free Society, Free-Market, Government Regulations, Job loss, Liberty, Philosophy, Policy Issues, Poverty, Rule of Law, U.S. Security, Uncategorized, Unemployment, Wealth

Four Months of Unprecedented Government Malfeasance – Imprimis

The coronavirus lockdowns demonstrated our leaders’ ignorance of economic interdependence. After the riots, that ignorance has been shown to run far deeper. It is an ignorance about government’s most fundamental obligation: to safeguard life, liberty, and property. It is an ignorance about human nature and human striving.

https://imprimis.hillsdale.edu/four-months-unprecedented-government-malfeasance/

Posted in Uncategorized

A country level analysis measuring the impact of government actions, country preparedness and socioeconomic factors on COVID-19 mortality and related health outcomes – EClinicalMedicine

Findings:

Increasing COVID-19 caseloads were associated with countries with higher obesity (adjusted rate ratio [RR]=1.06; 95%CI: 1.01–1.11), median population age (RR=1.10; 95%CI: 1.05–1.15) and longer time to border closures from the first reported case (RR=1.04; 95%CI: 1.01–1.08). Increased mortality per million was significantly associated with higher obesity prevalence (RR=1.12; 95%CI: 1.06–1.19) and per capita gross domestic product (GDP) (RR=1.03; 95%CI: 1.00–1.06). Reduced income dispersion reduced mortality (RR=0.88; 95%CI: 0.83–0.93) and the number of critical cases (RR=0.92; 95% CI: 0.87–0.97). Rapid border closures, full lockdowns, and wide-spread testing were not associated with COVID-19 mortality per million people.

However, full lockdowns (RR=2.47: 95%CI: 1.08 and reduced country vulnerability to biological threats (i.e. high scores on the global health security scale for risk environment) (RR=1.55; 95%CI: 1.13–2.12) were significantly associated with increased patient recovery rates.

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(20)30208-X/fulltext#%20

Posted in Canadian Health System, Disease Prevention, emotional intelligence, outcomes measurement, Patient Choice, Patient Safety, Policy Issues, Prevention, Protocols, Uncategorized, Unsettled Science

The surgical mask is a bad fit for risk reduction|Shane Neilson, MD | CMAJ.JAMC

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As represented by our cinema and other media, Western society expects too much of masks. In the public’s mind, the still-legitimate use of masks for source control has gone off-label; masks are thought to prevent infection. From here, another problem arises: because surgical masks are thought to protect against infection in the community setting, people wearing masks for legitimate purposes (those who have a cough in a hospital, say) form part of the larger misperception and act to reinforce it. Even this proper use of surgical masks is incorporated into a larger improper use in the era of pandemic fear, especially in Asia, where such fear is high. The widespread misconception about the use of surgical masks — that wearing a mask protects against the transmission of virus — is a problem of the kind theorized by German sociologist Ulrich Beck.

The surgical mask communicates risk. For most, risk is perceived as the potential loss of something of value, but there is another side to risk, memorably formulated by Beck in his Risk Society. Beck states that risk society is “a systematic way of dealing with hazards and insecurities induced and introduced by modernisation itself.” For Beck, risk occurs not only in the form of threat and possible loss, but also in society’s organized management and response to these risks, which create a forwarding of present risk into the future. Furthermore, Beck writes of the “symptoms and symbols of risks” that combine in populations to create a “cosmetics of risk.” He suggests that people living in the present moment conceive of risk in terms of the physical tools used to mitigate risk while still “maintaining the source of the filth.”

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868614/#:~:text=Wearing%20a%20mask%20reinforces%20fear,%2C%20but%20somehow%20threatening%2C%20future.

 

Posted in Uncategorized

Watch “Doomsayers Keep Getting It Wrong” on YouTube

From the prediction of running out of oil by 2020, to rock & roll being gone by 1960, to the impending new ice age predicted in the 70’s, to the internet being no more important than the fax machine and 1 – 2 million deaths in U.S. from COVID19…the doomsday experts have a horrible track record!

Here are the details.

Posted in Education, Free Society, Government Regulations, Liberty, Philosophy, Policy Issues, Progressivism, Rule of Law, Uncategorized

Why George Orwell’s Quote on ‘Self-Censorship’ Is More Relevant Than Ever – Foundation for Economic Education

Welcome to Friday’s Philosophical Foray beyond Healthcare!

Government bureaus are not needed for mass censorship. You only need people in authority willing to acquiesce to the intimidation tactics of an idea-censoring, anti-free speech mob wielding their social & professional weaponry like pitchforks.

Rule One: Speak your mind at your own peril. Rule Two: Never risk commissioning a story that goes against the narrative. Rule Three: Never believe an editor or publisher who urges you to go against the grain. Eventually, the publisher will cave to the mob, the editor will get fired or reassigned, and you’ll be hung out to dry.

“The above is a quotation from George Orwell’s preface to Animal Farm, titled “The Freedom of the Press,” where he discussed the chilling effect the Soviet Union’s influence had on global publishing and debate far beyond the reach of its official censorship laws.

Wait, no it isn’t. The quote is actually an excerpt from the resignation letter of New York Times opinion editor and writer Bari Weiss, penned this week, where she blows the whistle on the hostility toward intellectual diversity that now reigns supreme at the country’s most prominent newspaper.”

https://fee.org/articles/why-george-orwells-warning-on-self-censorship-is-more-relevant-than-ever/