Iâ€™m a retired internist with specialties in Hematology and Oncology and a degree in Public Health. Iâ€™ve worked for the government and been in private practice, both overseas in the third world as well as in the U.S.
In the U.S. patient care is under attack from meddling lawmakers, intrusive religion, the financial interests of insurers, big pharma, equipment manufacturers and providers. We have created a monster where the needs and desires of patients as well as the quality of care for medical problems are of secondary import to other interests. It is no accident that in the U.S. we spend far more than any other country per capita on health care and yet by standard health care indicators have a very mediocre quality of care.
The purpose of this blog will be to discuss these influences on the state of the medical art, critically (and skeptically) analyze medical advances, and look into the real cost effectiveness of medical innovation. Weâ€™ll try to cut through the publicity and analyze the often inflated rhetoric and spin.
Hopefully as we wade through the froth and bull weâ€™ll find significant evidence-based advances.