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This category contains 26 posts

GOP candidates suggest OTC birth control pills – right idea, wrong reason

Four Republican candidates running for office this November have proposed over the counter (OTC) oral contraceptives as an answer to GOP opposition to contraception coverage under the Affordable Care Act (ACA). Apparently Corey Gardner, CO, Ed Gillespie, VA,  Thom Tillis, NC, and Mike McFadden ,MN, now have now seen the light and are invested in … Continue reading

An American doctor experiences an NHS emergency room

You know it’s going to be one of those days when one of the first tweets on vacation inquires about the closest hospital. Victor, one of my 11-year-olds, had something in his eye courtesy of a big gust of wind outside of Westminster Abby. He was complaining enough to let me flip his eyelid and … Continue reading

An OB/GYN’s opinion on the Supreme Court, Hobby Lobby, and contraception

The Supreme Court, in a 5-4 decision, sided with Hobby Lobby (and much of the religious right in the United States) and ruled that a closely held private corporation does not have to provide insurance coverage for certain birth control methods. Justice Alito, speaking for the majority wrote: “The owners of the businesses have religious objections … Continue reading

The VA tragedy exposes the dark side of medical metrics

The Veteran’s Administration is under fire for covering up deaths. Men and women who were eligible for care languished on impossibly long waiting lists and even worse when some died waiting for care their deaths were covered up. This is horrific and everyone wants to know how this tragedy could have happened? Veteran’s hospitals have … Continue reading

Does texting for wait times compromise emergency care?

On our recent road trip I was amazed by the number of billboards (from several health care systems and hospitals) advertising texting for emergency room (ER) wait times. My first thought was if you can text, how emergent is it? This was quickly followed by the concern that the option/advertising of texting about wait times might make the … Continue reading

10 changes to health care that could happen if Supreme Court retracts contraception mandate

The Supreme Court has taken up the contraception mandate. Despite the fact that the World Health Organization calls contraception a human right and the fact that every dollar spent here on contraception saves $4, in the United States freedom of religion means to some, “If you work for me and get insurance through my company … Continue reading

Insurance companies should stop paying for robotic hysterectomies

A new study confirms what previous studies tell us. That a robotic hysterectomy is not a safer or a more efficient way to remove a uterus for non-cancerous (benign) surgery than a traditional laparoscopic approach. This study (Rosero et al, Obstet Gynecol 2013) indicates that there is little difference between the two types of surgery … Continue reading

The “crack cocaine” of Canadian universal health care

Michele Bachmann, once again displaying her deep caring for the American people and her intricate understanding of the nuances of health care, voiced her last-minute opposition to Obamacare by stating the President is eager to “Get Americans addicted to the crack cocaine of dependency on government health care.” However inelegant her phrasing, I suspect she … Continue reading

To cut isn’t always to cure: knee surgery, health care, and our love affair with the scalpel

An article, just published in the NEJM, caught my attention not only for the study results, but because of what is says in a between-the-lines kind of way about the American health care system. The study looks at arthroscopic surgery for a torn meniscus in people over the age of 45 who also have arthritis … Continue reading

The FDA’s new restrictions on hydrocodone are unlikely to solve any problem.

America consumes 80% of the world opioid supply (99% of the world hydrocodone supply), but has about 5% of the world’s population. If you don’t think America has some kind of opioid problem, then move along because this rational, evidence-based, experience-laden way in which I’m going to discuss opioid use and misuse will not interest you. … Continue reading

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