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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

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An Escape Fire for Healthcare

Noreta Family Medicine

Bill Skelton, founder of the Acupuncture Clinic here in Columbia, SC, gave me the film to watch and said he thought that as a Direct Primary Care physician and owner of Noreta Family Medicine, I would appreciate it. I ended up opening Noreta Family Medicine in 2020, a Direct Primary Care (DPC). minutes long.

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Unexpected Praise for Direct Pay Practices from Dr. Vonnegut – A Book Review

Noreta Family Medicine

Given that I own Noreta Family Medicine, an independent Direct Primary Care office, I often felt the urge to stand up and shout “Yes! We learned about when insurance was introduced into the healthcare system, first with Medicare, then with HMOs. He gets it!” Prior authorizations and co-pays also failed to achieve the same goal.

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The US Healthcare System vs…….South Park ?!?!

Noreta Family Medicine

A few weeks later, I received a letter in the mail from the patient’s insurance company saying that their records indicated that the patient was not taking one of the diabetes medicines in that class, and that they recommended that I prescribe one of those medicines. I felt like I was in an episode of The Twilight Zone!

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Lung cancer screening in primary care: more pragmatic research needed

Common Sense Family Doctor

A 2020 meta-analysis of eight randomized controlled trials (summarized in a POEM in American Family Physician ) concluded that low-dose CT screening prevents one lung cancer death for every 250 people screened.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. There was an article in New York Times last week about rampant prescribing of psychedelics. Theora shared a wonderful article with us, what was the title again? Eric: Yeah.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. And it kind of lends you to think about also opioid use disorder and substance use disorder in the aging population, because again, you wrote an article in the… Was it Lancet? Jessie: Exactly. Eric: Yeah.

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