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Misdirection in our Country at Large
Occupy Wall Street By Dr. Thomas Sowell The current Occupy Wall Street movement is the best illustration to date of what President Barack Obama’s America looks like. It is an America where the lawless, unaccomplished, ignorant and incompetent rule. It is an America where those who have sacrificed nothing pillage and destroy the lives of […]
Atlas Shrugged Part II
Atlas Shrugged’ Film Banks on Election Fever By DON STEINBERG, WSJ To a strict bottom-line capitalist, the new movie “Atlas Shrugged Part II” might not look like a model enterprise. “Atlas Shrugged Part I,” released last year, cost businessman John Aglialoro about $25 million (and 19 years) to bring to the screen. Its domestic box-office […]
Modernization can at times be very expensive and misdirected
I served my internship at Wayne County General Hospital. We were the first class of 36 interns to work in the new 500 bed orange and silver aluminum hospital in the form of a Grecian cross-a square center with four arms of equal length. The old hospital had the standard characteristic large 40 to 60 […]
Modernization can at times be very expensive and misdirected
In the 1980s, Dr. Eugene Robin, a Research Pulmonologist at Stanford, had a weekly column in the San Francisco Examiner. Having had a very distinguished career writing research papers, books, editing journals, chairing international symposia, he thought he’d try his hand in the popular press. In this column, he explored numerous areas of medicine for […]
Physician Assisted Killing
A patient with obstructive sleep apnea came in for his annual evaluation. He had been snoring for decades, but about six years ago, his wife noted that his snoring stopped abruptly in the middle of the night. She observed her husband and noted that his chest was still moving, as if he was breathing, but […]
The Mammography Debate Continues
Over-diagnosis and over-treatment WE RECENTLY NOTED THE U.S. PREVENTIVE SERVICES TASK FORCE ON MAMMOGRAPHY SCREENING ALONG WITH DR. ROBBINS CAUTIONS IN THE 1980’S – WE RETURN TO THE DEBATE: SEE THE HPUSA MARCH ISSUE. THERE ARE VALID CONCERNS ABOUT THE OVER-DIAGNOSIS AND OVER-TREATMENT OF “DUCTAL CARCINOMA IN SITU” (DCIS) AND SMALL, SLOW-GROWING INVASIVE BREAST CANCERS […]
Lean HealthCare requires defunding ObamaCare
Viewpoints: ObamaCare should be defunded – now Sally Pipes – Special to THE BEE – Friday, Apr. 01, 2011 Last week, the Obama administration’s top lawyer, acting Solicitor General Neal Katyal, asked the Supreme Court not to honor Virginia Attorney General Ken Cuccinelli’s request to fast-track his state’s constitutional challenge to the federal health care […]
Every industry is getting lean; we no longer have a choice
David J. Gibson, M.D. Director, Clearway Health Solutions You may have missed reading a thought provoking article from Thomas Freedman in the NYT yesterday. The article entitled Average Is Over (see attached below), is particularly relevant as it relates to the political debate that is evolving with a trajectory that is progressively being divorced from […]
A Medical Correlative
Many patients never learn or even suspect that the CT examination, the echocardiogram, or the magnetic resonance imaging study that they underwent was neither necessary nor indicated. Chaos in the Cockpit Herbert L. Fred, MD, MACP Tex Heart Inst J. 2012; 39(5): 614. PMCID: PMC3461665 On 1 June 2009, Air France Flight 447, an Airbus A330 en route […]
The Most Energetic Area of Lean Practice
James Womack: The Lean Movement With the current activity to increase the minimum wage, we need to review what James Womack said in 2008 when he was reflecting on the progress of the Lean Movement: “One critical indicator is our success in extending lean thinking to new industries and activities. In recent years I have […]