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Using More and More Medical Care
Recently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
Rural Voters Elected President Trump. Is He about to Ruin Their Local Hospitals?
It’s not an easy time to be a small, rural hospital. Insurance companies aren’t willing to pay generously for your services, given your measly market share. You are increasingly forced to compete against large integrated healthcare systems – conglomerations of urban, suburban and rural providers armed with big marketing budgets and specialized (generously reimbursed!) services….
HIV – The Epidemic Isn’t Over
We have great medications to treat HIV infections today, but the best medicine is to not need medicine – to not get infected in the first place. But according to an article in JAMA, HIV transmission is rising among gay and bisexual men, compared to the rest of the population: …
The Future of Disease – in One Picture
Here are some projections on what illnesses Medicare enrollees are experiencing now, and what they will be experiencing 20 years from now, courtesy of the Brookings Institute:

Would Jesus’ Politics Be More Like Trump’s Or Nancy Pelosi’s?
To my liberal friends, Donald Trump’s polices are a moral abomination (not to mention, his own personal behavior which, of course, I just mentioned). To my conservative friends, Donald Trump and his policies are, quite literally, a godsend (as the press secretary made clear). Flip the topic to Nancy Pelosi, and you’ll find a similar divide….