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Showing posts from August, 2019

Johnson and Johnson's "Landmark" Opioid Settlement, or Just Another Chapter in the Story of Corporate Management's Impunity?

Introduction: our Chronic Narcotics Problem Narcotic addiction has plagued human societies for hundreds of years. [Print, 1880, opium den, London] So as I have written before, after seeing too many dire results of narcotic addiction during my training and early career, I was dismayed how narcotics were pushed as the treatment of choice for chronic pain in the 1990s, with the predictable

August, 2019, Update: How to Challenge Health Care Corruption Under a Corrupt Regime?

After a lull, a new report on conflicts of interest and corruption permeating the Trump administration has appeared, prompting us to again consider how one can challenge health care corruption under a corrupt regime. Background: Health Care Corruption As we wrote in August, 2017, Transparency International (TI) defines corruption as Abuse of entrusted power for private gain In 2006, TI

A Sale of One Residency Program - the Commercialization of Health Care and now Residents Treated Like "Assets"

We recently posted (here and here) about the decline and impending closure of a once major urban safety-net teaching hospital, the Hahnemann University Medical Center.  This was the final common pathway of a downhill progression for an over 170 year old institution. [Hahnemann Hospital in 1925] Since the 1990s, it had been a non-profit university academic medical center, which was then