SGR is History- Finally!

I started to write a post about the house and the senate finally coming up with a way to get rid of the regularly occurring threat to implement major Medicare payment decreases mandated by the SGR.  Last night, appropriately at nearly the last minute the Senate passed the house bill to repeal the SGR and replace it with annual pay increased less than inflation rates.  It also plans a payment-for-quality pay approach in years to come.  When I looked at what has already been written I saw that Kenny Lin MD has already written what I wanted to say, just more eloquently on the AFP Blog.  Check it out:

The SGR is History, But Will Its Replacement Improve Care? by Kenny Lin MD

 

Bill Maher’s Illogical Thoughts on Vaccinations

I’m visiting my mother-in-law and so Friday night we watched Real Time with Bill Maher and I enjoyed watching satire of the news from the left side.  I recently visited my Dad and endured Fox Network’s Justice w/Judge Jeanine so Maher seemed like a Rhode’s Scholar in comparison to Ms. Pirro.  Much of what Mr. Maher…

Should Getting Old Be an Indication for Statin Therapy

I’ve been skeptical of the most recent American Heart Association and American College of Cardiology recommendations for statin use for prevention of coronary heart disease and stroke since they were released in Nov. 2013. Using the new calculator age over 60 for men or 70 for women, even with near prefect values for other risk…

Access to Healthcare: The US Income Disparity

In the U.S. our method of rationing healthcare is that if you have good insurance or lots of money you have access to good healthcare otherwise you don’t have access to good healthcare. I believe this is far more reality than the widespread U.S. perception that health care is rationed in countries with government funded universal healthcare.  A…

Why Wait Until 60 for your Shingles Vaccine?

In 2011 Merck received FDA approval to administer Zostavax (Herpes Zoster/ shingles vaccine) in patients age 50-59.  Since 2006 Zostavax has been approved for patients age 60 and older.  So why should you wait until 60 to get shingles vaccine? I wondered this and on reading the ACIP update on Zoster Immunization released this August…