Introduction - the New York Times Notes Trump's History of Impunity In today's New York Times, and article entitled "New Trump Charges Highlight Long-Running Questions About Obstruction" touched on former President Donald Trump's long history of gamesmanship on his part with prosecutors, regulators and others who have the ability to impose penalties on his conduct.in the context of the recent ..read more

 Influence of Hostile Foreign PowersThink about the implications of having hostile, authoritarian foreign powers trying to disrupt democracy by means overt and covert. Think about the accumulating evidence that this has been and is happening.Also, see our discussion last month about the importance of this topic.Trump/Russia Alignment[No collusion? - How many who helped Trump will turn out to be ..read more

Influence of Hostile Foreign PowersWe have previously posted lots of words about the anechoic effect: the lack of echoes produced by seemingly important stories about health care dysfunction.  It seemed as if such stories were taboo, presumably because even discussing them was seen as a threat to the rich and powerful who increasingly run health care.  Those involved in the leadership and ..read more

Influence of Hostile Foreign PowersReminders of how the US home-grown anti-democratic movement has been egged on by hostile foreign powers, chiefly Russia:- How tied to Russia much of the far-right in the US now are: "the most energetic Kremlin propagandist around today" tells Tucker Carlson "We'll happily offer you a job if you wish to carry on as a presenter and host!"https ..read more

At my May 4, 2023 post "A primer on EHR forensics" (https://hcrenewal.blogspot.com/2023/05/covid-related-court-slowdowns-are.html), I wrote concerning an attorney's court filing that "It is this Defendant’s position that the medical records are subject to the business record exception and therefore are authenticated by virtue of the exception. §90.803(6)":... I tend to give people, especially ..read more

More on what I consider a national phenomenon of patient's rights being curtailed by Big Medicine via abuse of EHRs and EHR information blocking.At my May 4, 2023 post "A primer on EMR forensics" at https://hcrenewal.blogspot.com/2023/05/covid-related-court-slowdowns-are.html, I noted that defense law firm La Cava Jacobson & Goodis PA attorney Marci L. Strauss entered into the court record the ..read more

 Introduction: Propaganda and Disinformation in Health Care and Elsewhere We used to write about propaganda and disinformation used to promote health care goods and services (stealth marketing campaigns), and advocate for policies favorable to private health care organizations (stealth health policy advocacy and stealth lobbying).  Some stealth marketing, lobbying and policy advocacy campaigns ..read more

At my April 26, 2023 post "It's bad enough EHRs cause clinician burnout. It's even worse they are being used by hospitals and defense lawyers to bury mistakes through discovery fraud and information blocking" (https://hcrenewal.blogspot.com/2023/04/its-bad-enough-ehrs-cause-clinician.html), I showed an email correspondence I'd had with the National Coordinator for Health Information Technology at ..read more

I have not written posts on this blog for a while now, in part due to being busy with EHR-related litigation work, and in part due to personal responsibilities occupying my time.However, the domain of EHR-related adversity continues at an unhindered pace, following paths I predicted a decade ago on this blog.To wit:At my Feb. 2012 post "Hospitals and Doctors Use Health IT at Their Own Risk - Even ..read more

This exchange I had with the Office of the National Coordinator for Health IT (ONC) at HHS should be of interest. It comes from my now-12-plus years experience as forensic expert in EHR-related litigation:-----------------------April 19, 2023 Micky Tripathi, Ph.D., M.P.P.National Coordinator for Health Information Technology Health and Human Services Washington, DC Dear Dr. Tripathi, I am a ..read more