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Showing posts from November, 2019

Health Care Dysfunction Makes it to the Presidential Debate

In last night's debate which included leading candidates from the Democratic Party for its presidential nomination, as reported by Mother Jones, Senator Bernie Sander (D-VT) said (per Mother Jones). the current health care system is not only cruel, it is dysfunctional The video is here. So the concept of health care dysfunction has officially made it to the big time. You Heard It Here

Cutting the Gordian Knot: Why a “Public Option” Won’t Work

In addition to it being time for patients to refuse use of EHR's in their care, is it time for clinicians to refuse forced use of same? - "Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians"

At my Nov. 12, 2019 post "Google’s ‘Project Nightingale’ Secretly Gathers Personal Health Data on Millions of Americans - Time to Refuse Use Of EMR's In Your Healthcare?" (https://hcrenewal.blogspot.com/2019/11/googles-project-nightingale-secretly.html) on a massive clinical data project by Google and Ascension Health, I wrote: ... I believe invasive healthcare data trafficking projects like

Google’s ‘Project Nightingale’ Secretly Gathers Personal Health Data on Millions of Americans - Time to Refuse Use Of EMR's In Your Healthcare?

I have long written that leadership of EMR technology by the wrong people will create exceptionally adverse outcomes, clinically speaking.  The same appears true socially.  In fact, adverse social outcomes (especially with regard to societal power structures) is one of the pillars of the domain of Social Informatics, the field that studies social impacts of new information & communication

The Managers' Coup d'Etat in Health Care Appears Complete - a Study of Top Health Care "Influencers"

Introduction: the Managers' Coup d'Etat As we wrote in 2006... in 1988, Alain Enthoven, an original member and driving force of the Jackson Hole group, published a short manifesto about "managed competition." (Entoven AC. Theory and Practice of Managed Competition in Health Care Finance. Amsterdam: North Holland, 1988.) This is now not easy to find (but see Amazon here). In this volume,

How Can We Promote Evidence-Based Medicine Under a Regime that Insists on Its Power to Say "2+2=5"?

Introduction: Evidence-Based Medicine We have consistently advocated for Evidence-Based Medicine (EBM), which is about medical-decision making based on critical review of the best applicable evidence from clinical research informed by knowledge of biology and medicine, of the patient's biopsychosocial circumstances, the patient's values, and of ethics and morality. Since EBM depends on the