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Double-Booking the Doctor is Half-Booking the Patient

A Country Doctor Writes

I wrote this in 2016, when my visits were shorter because that EMR was simpler. I get the feeling that non-providers think of this as something fairly ordinary, and even reasonable. Sometimes a patient does need a lot of non-provider time, for example to get undressed and ready for a Pap smear. Government.

Patients 130
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Governor’s 2025-26 May Revision Proposes Major Cuts to Healthcare and Undermines Medi-Cal Expansion Commitments

California Academy of Family Physicians (CAFP)

Key Health Care Budget Proposals: Proposed Medi-Cal Cuts and Enrollment Changes Medi-Cal, California’s Medicaid program, is typically funded through a partnership between the state and the federal government. To fill that gap, California has chosen to use state-only funds to provide certain Medi-Cal benefits to undocumented Californians.

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The Incredible Shrinking Exemption: FDA Final CDS Guidance Would Significantly Narrow the Scope of Exempt Clinical Decision Support Software Under the Cures Act

FDA Law Blog

The CDS Guidance interprets the “medical software” carve-out of the 21st Century Cures Act (2016) as it pertains to Clinical Decision Support (CDS) software functions. The guidance provides no rationale for hinging the device status of CDS software on the frequency with which medical information is collected.

Clinic 52
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Four percent. AMA PRA Category 1 credit(s) ™.

Illness 144
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Marijuana: Top Ten Reasons for Descheduling, Rescheduling or Not

FDA Law Blog

The three letters together provide the range of actions DEA may take: no rescheduling from schedule I (former drug officials), rescheduling to schedule III (Democratic state attorneys general), or descheduling altogether (Democratic senators). Letter 1 is signed by former DEA administrators and Directors of National Drug Policy.

Medical 59
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Aging and Homelessness: Margot Kushel

GeriPal

In what moral universe is a federal government deeply subsidizing my housing and not subsidizing that of my patients? I say with sarcasm, but that the government decided to subsidize home ownership and simultaneously designed a system where Black folks couldn’t be homeowners. We know what their income is. Margot: Yeah.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” 2015, 2016.