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Mike Magee It’s been 11 months since Sen. John McCain (R-AZ) gave the thumbs down to repealing Obamacare. But get ready for another push at “Repeal and Replace!” That’s what’s circulating within the halls of Congress right now. This has little to do with over-riding the wishes of the majority of Americans, and more to […]

The post How to gin up the Base: “Repeal and Replace” – again? appeared first on HealthCommentary.

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Mike Magee Most everyone by now has heard about Juul, the leading brand name for e-cigarettes. But, for most of us, that’s where our knowledge begins and ends – except for a growing awareness that there’s a controversy brewing about risk, teenage use, school policy, and profiteering by Big Tobacco which is getting a piece […]

The post Juul – Fun Facts! appeared first on HealthCommentary.

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Mike Magee A Commonwealth Fund study in 2015 compared 13 nations on cost and quality. As most know by now, the U.S. finished near the bottom in quality measures and at the very top, by far, in cost. But the chart that drew my attention was the one above showing health expenditures vs. total spending […]

The post Cutting Safety Net Sends Health Status Lower in U.S. appeared first on HealthCommentary.

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Mike Magee “On résiste à l’invasion des armées; on ne résiste pas à l’invasion des idées.”  – Victor Hugo. It’s useful for all health professionals  to reflect on the words of this 19th century French writer. The translation: “Greater than the tread of mighty armies is an idea whose time has come.” As the AEI […]

The post Where will reform come next, and who will lead the way? appeared first on HealthCommentary.

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Source: U. of Utah Epigenetics Mike Magee Early in my career, embryology and physiology competed for my affection. What they had in common was functionality – one developmental with time dependent triggers and the other driven by feedback loops with humoral packets of information traveling through blood channels or along neurons. I viewed both processes […]

The post You Are Your DNA – or Are You??? appeared first on HealthCommentary.

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Mike Magee A recent paper from the National Bureau of Economic Research, reported out in The Atlantic, began with the health outcomes in DACA children but ended with thoughts on why a teenage girl in Mississippi is 15 times more likely to give birth than her counterpart in Switzerland. DACA is a favorite topic of […]

The post DACA and the Health Benefits of a “Shot at Upward Mobility”. appeared first on HealthCommentary.

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Mike Magee A March 13, 2018 article written by scholars from the London School of Economics and published in JAMA focused on an all too familiar subject – comparative health care costs in America. That article was accompanied by a number of editorial reaction pieces including the one written by Zeke Emanuel who generated the […]

The post What Uwe Reinhardt (or Angus Deaton) Would Say About HC Costs. appeared first on HealthCommentary.

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Mike Magee In this week’s The New Yorker, David Remnick reflects on “Trump’s illiberalism” and its’ test of the resilience of  “sturdy-seeming American values” and the endurance of  “institutions that the President has scorned and threatened.” He sees active turnout in the 2018 midterm elections as part of the test, but also suggests that any […]

The post How Trump May Help Us Liberalize American Health. appeared first on HealthCommentary.

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Mike Magee Two weeks ago Zeke Emanuel asked the question “Are hospitals becoming obsolete?” In his New York Times Op-Ed he flagged the high water mark for the industry as 1981, a year when 6,933 hospitals nationwide admitted 39 million patients or 171 for every 1000 Americans. Thirty five years later, our population has grown […]

The post Hospital Obsolescence or Hospital Reinvention? appeared first on HealthCommentary.

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Mike Magee With great fanfare, the New York Times announced this week that UnitedHealthcare   “would stop keeping millions of dollars in discounts it gets from drug companies and share them with its customers.” For awhile, pharma, insurers, pharmacies and PBMs have been pointing fingers at each other over escalating costs. That’s become more difficult of […]

The post The Basics of Pharma Kickbacks – Opaque & Complex appeared first on HealthCommentary.

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