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Considering the devastating and deadly opioid problems in this country, this news release from DOJ describes particularly despicable behavior from an EHR vendor and pharmas. These problems are likely more widespread, but this EHR company got caught. The company admitted that it solicited and received kickbacks from a major opioid company in exchange for utilizing its EHR software to

Transparency International has just released its 2019 version of the Corruption Perceptions Index.  This version emphasized public sector corruption.  Once again, it appears the US has a worsening corruption problem.  Once again, the results are largely anechoic. Summary of the 2019 CPI Methods Per the TI summary The CPI scores 180 countries and territories by their perceived levels of

Mysteries still abound in the not so wonderful world of health care dysfunction, so once again, quick, the game's afoot... The current mysteries involve beneficial ownership.  Beneficial ownership questions are important to anti-corruption campaigners.  Beneficial ownership simply refers to "anyone who enjoys the benefits of ownership of a security or property, without being on the

US and Canadian medical education has a peculiar gray zone.  A substantial proportion of US and at least some Canadian doctors have received their medical degrees from offshore medical schools.  These are medical schools located in other countries, mainly the Caribbean, that exist only to train students for North American practice.  They are often owned by for-profit US or Canadian based

On Health Care Renewal, we have been decrying American health care dysfunction since 2004 (look here).  For years, the US consistently has had the most expensive health care system of any developed country.  For that exhorbitant price, it provides at best medicocre access to and quality of care. We have long contended that a major reason for health care dysfunction is perverse incentives,

Introduction: Conflicts of Interest in Health Care Our first post about conflicts of interest appeared on December 22, 2004, and was about "senior NIH scientists [who] were collecting hundreds of thousands of dollars in consulting fees and stock from industry."  We were not the first to be concerned about the problems resulting from financial relationships among health care professionals,

Today is the fifteenth anniversary of Health Care Renewal. As a reminder of where we began, below is a re-post of our welcome to the blog. Welcome to HCRENEWAL Health care around the world is beset by rising costs, declining access, stagnant quality, and increasingly dissatisfied health care professionals. Discussions with physicians and other professionals revealed pervasive concerns