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All About the New Nutrition Label

nutrition label
In case you missed it, the U.S. Food and Drug Administration (FDA) announced the new Nutrition Facts label for packaged foods on May 20th. The current nutrition label is more than 20 years old and the FDA felt the change was necessary so that consumers have the most accurate...
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Game Changer-Evidence Supporting Treating Acute Venous Thromboembolism As An Outpatient

In the September 17, 2014 JAMA journal, a well documented evidenced-based review on the management of acute venous thromboembolism shows that in the majority of clinical cases the most recent guideline management strategy for this condition needs revision. What I am saying is...
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Reminiscing About PPACA -Obamacare Has Got To Go

    The Media has been awash this past two weeks with mostly bad news regarding PPACA (Patient Protection and Affordable Care Act).  That was the original acronym but it got punted after President Obama’s reelection to ACA (Affordable Care Act).  This was...
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Obamacare Court Case- An Example of Federalism At Work

        This week the news has been abuzz regarding the recent court outcomes related to the portion of  the Patient Protection and Affordable Care Act (lately just the Affordable Care Act) that is addressing the plain language dispute regarding subsidies...
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New Information Regarding Monitoring/Predicting Memory Loss Progression to Clinical Alzheimer’s Disease

  I am becoming a big fan of a site for doctors called Consultant 360. Just tonight I read a potentially ground-breaking article which indicates that there is a set of proteins that can be measured in the blood of subjects aged 70 years or older that when placed into an...
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Maryland Experiments With Capping Hospital Spending

The Centers for Medicare and Medicaid recently offered a waiver to Maryland in order to try to pursue their hospital payment model as a possible scenario for the rest of the nation.  It is based upon their current model which has been in place since the 70’s. Reportedly in...
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Further Follow-Up On The New Anticoagulants

From the HeartWire there was further follow-up of prior data looking at Pradaxa (dabigatran) versus Coumadin (warfarin) in mechanical heart valve patients. It would appear for now at least that the traditional treatment of warfarin is still in the driver’s seat in this...
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Moral Hazard Anyone?

This article is a response to a story in this Weekend’s Wall Street Journal (June 15-16, 2013) which explains that Detroit is quickly heading to bankruptcy. http://online.wsj.com/article/SB10001424127887324688404578545373282545626.html?mod=WSJ_hp_LEFTWhatsNewsCollection The...
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Can Hospital-Owned Practices Survive in The Long Run?

The following is a very well written and very relevant article by Arthur Gale, MD.  After the article, I have included my own brief commentary on the issue.  Please read on.
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How The Supreme Court Doomed PPACA To Failure

In this excerpt from Regulation: The Cato Review of Business and GovernmentThomas Lambert of the Cato Institute perfectly sums up why we have such expensive healthcare in the United States.  When third party payers (Medicare and Insurance companies) pay for nearly all of the...
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Internal Medicine News

This post is part of a segment called ‘What is Doctor Reading?’ where I aggregate interesting articles about medicine and provide a brief commentary.  The following are news pieces from the February 15th issue of Internal Medicine News. Print Edition Headline: FDA...
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