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    Re: The scope of the standard of care in medicine has changed

    commentary on the role of medical malpractice suits in improving healthcare.

    A doctor’s view of the contraception controversy

    Your doctor’s exam room is getting overcrowded. Modern US health care means that, like it or not, you and your physician are sharing that once private space with an insurance executive constantly hissing in your doctor’s ears to move it along. You are also sharing it with pharmaceutical marketers,  lobbyists from the food industry….. special … Continue reading

    Modern Pediatrics Needs Healthcare to Evolve

    Why can’t the United States have a smarter health care system? That was the frustrating question that kept poking through my train of thought as I read a study from the most recent issue of Pediatrics, the official journal of the American Academy of Pediatrics (AAP).  The study, out of UCLA, examined the association between … Continue reading

    Raising Awareness of Corporate Influence on Healthcare

    Nestled in the emerging Affordable Care Act is a groundbreaking provision that will require pharmaceutical companies and other medical industries to report all direct payments or gifts over $10 that are made to physicians. It’s called the Sunshine Provision, and will take effect in January of 2012. Physicians have always had a complex relationship with … Continue reading

    Medicaid Cuts: A Misguided Journey Back to the Future

    See the original article at  http://www.huffingtonpost.com/maggie-kozel-md/medicaid-cuts-_b_898065.html I spent my formative years as a pediatrician in the US Navy, and so it happened that I was a seasoned pediatrician of nearly ten years before I had my first experience with Medicaid. I left the Navy for civilian practice in 1990.  Moving from the military system of … Continue reading


    Why Medicaid Cuts Hurt Us All

    I usually write about healthcare reform from a pediatrician’s viewpoint, but what grabbed my attention recently was a story my husband, Randy, told me about an adult in his practice – a patient on Medicaid. Randy is a neurologist in a private practice, and Medicaid patients come from every corner of Rhode Island to see … Continue reading

    Rethinking Healthcare Spending

    Recent attempts to fundamentally alter Medicare, and the public outcry that followed, provide a working template for how to view broader health care reform.  Everyone agrees that our healthcare system – and Medicare in particular – is financially unsustainable. Any step we take to address this requires a choice to either cut services or be … Continue reading


    Healthcare Reform: Doctors Shaping the Narrative

    With the roll out of the Affordable Care Act and perhaps more significantly the approach of the 2012 elections, public discussions of healthcare reform has been drowning in an alphabet soup of ACOs (not to be confused with the above ACA), CMS, SCHIP, and RUVs, just to name a few. The challenge is twofold. Most … Continue reading

    Healthcare Reform: We Need to Reframe the Questions

    One year after passage of the Patient Protection and Affordable Care Act, the debate roars on, in Congress and everywhere else. And these debates often revolve around a big question, even when it is left unspoken or implied: Is health care a basic human right? In 1990 I made a quantum leap from practicing in … Continue reading

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    Thursday, Feb 24th 6:30 PM Island Books 575 East Main Rd Middletown, RI


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