Health Medicine comes with a smile

Cardinal Bernardin to Trump on Health and the Lost Children.

Source: Wash Post 8/27/2018 For health professionals, committed to healing, providing health, and keeping families and communities whole, the many actions of President Trump are deeply offensive on multiple levels – but none more than the deliberate separation of immigrant children from their parents. According to the Washington Post, 528 children remain separated and 23 […]

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Why Is Lamar Alexander (R-TN) Confused?

Mike Magee The Medical-Industrial Complex in the United States is expert at feigning cross-sector competition while quietly signaling to members that there is plenty of graft and profit in the $4 trillion (20% of GDP) for all. The net output, more evident than it ever was in the days of ’90 era “Harry and Louise” […]

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Key Question For Catholic Hierarchy: “Is Celibacy The Problem?”

Mike Magee In the British Medical Journal in 1950, “expert” Dr. S.L. Simpson stated without evidence that “It is perhaps of clinical interest that for every one case of organic impotence that comes my way, I see at least 10 of psychological impotence.”  Three decades later I published a paper in the journal UROLOGY titled “Psychogenic […]

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When coders lose their jobs.

Mike Magee With health care now consuming close to 1 of every 5 dollars in America, it comes as no surprise that the sector is a major employer. No surprise either that many of those jobs deliver zero benefits when it comes to patient care. In fact, there are now 16 health care jobs for […]

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While You Were Sleeping – Majority of Physicians Now Support Single Payer.

Mike Magee During the dog days of summer, the Trump Administration has continued its attempts to dismantle the ACA, bit by bit. But in the process, they are inadvertently reinforcing  the foundations for more comprehensive reform supported not only by a majority of patients, but also now by a majority of their physicians. Consider last […]

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Will the Health Care Bubble Burst in 2019?

source Mike Magee In the dead heat of the summer of 2018, we’re experiencing an epic  “non-real fight” over “non-real work” with potential real consequences in 2019. The initial battle lines were drawn some months back when Jeff Bezos, Warren Buffett and Jamie Dimon recognized a unique opportunity to dip into the wasteful troughs of […]

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Number of Separated Children Now 4,100 and climbing!

As Health Commentary predicted this week, the number of missing children resulting from the Trump “zero-tolerance” policy would far exceed 2,300. New estimates by NBC News place the number at 4,100 and climbing. Will it be 5,000, 10,000, more? We don’t know. From NBC News: “Officials have said that at least 2,342 children were separated from […]

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ProPublica Has Mapped 97 Immigrant Children Retention Sites – Please Help!

1450 Children Here ProPublica has established an open source registry to identify and map all immigrant children retention sites. So far, 97 sites all over the US have been verified. The Trump administration says there are only 2,300 children out there. But the Walmart site in Texas has 1,450 alone. If you are caring for […]

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Doctors and Nurses – Called To “Bear Witness!”

Mike Magee Edmund Burke, a member of the British Parliament in 1787, stated “There are Three Estates in Parliament; but, in the Reporters Gallery yonder, there sits a Fourth Estate more important far than they all.” Even lacking formal recognition by the political system, Burke was acknowledging the “indirect but significant influence on society” of […]

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The Pharmacy Benefit Manger (PBM) Syndicate

Mike Magee “Syndicate: a self-organizing group of individuals, companies, corporations or entities formed to transact some specific business, to pursue or promote a shared interest. In most cases formed groups aim to scale up their profits.” Drug channel companies including Pharmacy Benefit Managers (PBMs) (like United Healthcare’s Optum, Express Scripts and CVS/Caremark) and distributors (like […]

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The House of Medicine Stands Tall – A Day of Reckoning.

 VIDEO   Mike Magee Last evening, the normally controlled Rachel Maddow could no longer contain her humanity when forced to report that the Trump administration has been placing innocent babies and and other young children in three  “tender age shelters” in south Texas. She broke down in tears and could not speak on camera. Long […]

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Does Maternal Health Care in America Deserve Its “Me-Too” Moment?

Mike Magee The U.S. birth rate dropped for the second year in a row, down 3% from the prior year, the largest decline since 2010. In 2017, there were nearly 4 million births, 500,000 fewer births than in 2007, even though there has been a 7% increase in women 20 to 39, prime childbearing years, […]

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Is it time for the “next” health care, or a total reboot?

Mike Magee This week’s big news is no big surprise. “Medicare’s Trust Fund Is Set to Run Out in 8 Years. Social Security, 16”, said the New York Times. We told you so, screamed the Republicans, anxious to fulfill Paul Ryan’s dream of taming endowments. We told you so, blared the Democrats, claiming this was […]

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Cutting Safety Net Sends Health Status Lower in U.S.

Mike Magee A Commonwealth Fund study in 2015 compared 13 nations on cost and quality. As most know by now, the U.S. finished near the bottom in quality measures and at the very top, by far, in cost. But the chart that drew my attention was the one above showing health expenditures vs. total spending […]

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How to gin up the Base: “Repeal and Replace” – again?

Mike Magee It’s been 11 months since Sen. John McCain (R-AZ) gave the thumbs down to repealing Obamacare. But get ready for another push at “Repeal and Replace!” That’s what’s circulating within the halls of Congress right now. This has little to do with over-riding the wishes of the majority of Americans, and more to […]

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Juul – Fun Facts!

Mike Magee Most everyone by now has heard about Juul, the leading brand name for e-cigarettes. But, for most of us, that’s where our knowledge begins and ends – except for a growing awareness that there’s a controversy brewing about risk, teenage use, school policy, and profiteering by Big Tobacco which is getting a piece […]

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You Are Your DNA – or Are You???

Source: U. of Utah Epigenetics Mike Magee Early in my career, embryology and physiology competed for my affection. What they had in common was functionality – one developmental with time dependent triggers and the other driven by feedback loops with humoral packets of information traveling through blood channels or along neurons. I viewed both processes […]

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Where will reform come next, and who will lead the way?

Mike Magee “On résiste à l’invasion des armées; on ne résiste pas à l’invasion des idées.”  – Victor Hugo. It’s useful for all health professionals  to reflect on the words of this 19th century French writer. The translation: “Greater than the tread of mighty armies is an idea whose time has come.” As the AEI […]

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DACA and the Health Benefits of a “Shot at Upward Mobility”.

Mike Magee A recent paper from the National Bureau of Economic Research, reported out in The Atlantic, began with the health outcomes in DACA children but ended with thoughts on why a teenage girl in Mississippi is 15 times more likely to give birth than her counterpart in Switzerland. DACA is a favorite topic of […]

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How to Prep One Pan (Detox) Dinners

If I’m being honest, I hate all the clean up in my kitchen after prepping real, whole foods for my family.  We do a ton of clean food cooking at our house which means a lot of dishes.  This immense cleanup seems to occur at least five nights a week…if not more.  Thankfully, my hubby […]

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What Uwe Reinhardt (or Angus Deaton) Would Say About HC Costs.

Mike Magee A March 13, 2018 article written by scholars from the London School of Economics and published in JAMA focused on an all too familiar subject – comparative health care costs in America. That article was accompanied by a number of editorial reaction pieces including the one written by Zeke Emanuel who generated the […]

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How Trump May Help Us Liberalize American Health.

Mike Magee In this week’s The New Yorker, David Remnick reflects on “Trump’s illiberalism” and its’ test of the resilience of  “sturdy-seeming American values” and the endurance of  “institutions that the President has scorned and threatened.” He sees active turnout in the 2018 midterm elections as part of the test, but also suggests that any […]

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Hospital Obsolescence or Hospital Reinvention?

Mike Magee Two weeks ago Zeke Emanuel asked the question “Are hospitals becoming obsolete?” In his New York Times Op-Ed he flagged the high water mark for the industry as 1981, a year when 6,933 hospitals nationwide admitted 39 million patients or 171 for every 1000 Americans. Thirty five years later, our population has grown […]

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The Basics of Pharma Kickbacks – Opaque & Complex

Mike Magee With great fanfare, the New York Times announced this week that UnitedHealthcare   “would stop keeping millions of dollars in discounts it gets from drug companies and share them with its customers.” For awhile, pharma, insurers, pharmacies and PBMs have been pointing fingers at each other over escalating costs. That’s become more difficult of […]

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The Simplification Movement in American Healthcare

CDC Obesity Map Mike Magee As the debate over health care in America rages on, the great lie oft repeated but never defended is that our system is exceptional and too complex to wrestle to the ground. That is the breech, reinforced over half a century that has left our citizens and now our entire […]

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Parkland Teens Teach “Positive Leadership”!

nbcnewyork.com Mike Magee At this time of year my wife and I always try to see the movies nominated for an Academy Award. Recently  we saw Darkest Hour, up for Best Picture as well as a Best Actor nod to Gary Oldman in his role as Winston Churchill. The film begins with Dunkirk and the […]

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Best Foods to Eat During the Winter for Detox (Seasonal Foods)

Winter is brutal on your body. I know it’s definitely brutal on mine! I’m tired of the cold temps, gray days and mud all over.  So I’ve learned to take extra special care of my body during this season of bugs, illness, close quarters, and crazy commitments.  My plan includes eating seasonal foods that support […]

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Health Coverage “Black Eye” Needs a #MeToo Wake-Up Call.

Mike Magee It came as no surprise to #MeToo’ers across the nation that Gen. John Kelly expressed “shock” about Rob Porter’s eye-blackening abuse of his first wife, of which he was informed months before; any more than they were taken aback that Mike Pence fell back on his now well-worn defense, “This is the first […]

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Hiding In America’s “Deep Poverty Problem” is Health Care.

Mike Magee Angus Deaton, the Princeton professor and Nobel Laureate who documented the tie between America’s raging prescription opioid epidemic and the first multi-year decline in U.S. life expectancy in our history, has done it again. This time it’s America’s poor in a New York Times Op-ed title “The U.S. Can No Longer Hide From […]

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