I am in a city with a curfew (enforced ?) where only pharmacies, supermarkets and those stores where someone from China sells all sorts of household stuff are open. Rome hasn’t reached the dread levels of Wuhan and Milan, but the Italian government is trying to get ahead of the curve. It is strange and alarming that there is little traffic (it is also impressive that Romans don’t obey the traffic code even when there is little traffic). People are really...
Read More »Turn Up the Humidity in Your House
This is coming from MEDPAGE TODAY, “Track the U.S. COVID-19 Outbreak in Real Time,” Comments Section (3 comments), March 11, 2020 with regard to COVID-19 “The mechanism of seasonal effect for seasonal respiratory virus spread is believed to be humidity, not temperature. In New York state which has 220 cases, fomites lose moisture where indoor humidity is low, allowing the lighter particles to stay longer in the aerosol. In Florida and Arizona, with 38...
Read More »A Sunday reflection
The BSing of the Red Death: and a K.I.S.S. model for the coronavirus pandemic A Reuters/Ipsos poll this past week found that only 2 in 10 Republicans, vs. 4 in 10 Democrats, say the coronavirus poses an imminent threat to the United States. In keeping with that lack of concern, fewer republicans are taking any steps to prepare, such as washing their hands more frequently. Anecdotally, from several GOPers in my neighborhood as well as from the proverbial...
Read More »Novel Coronavirus and Better Unsafe than Sorry
It is possible that a known pharmaceutical called remdesivir inhibits the reproduction of the Covid-19 coronavirus. It inhibits (some) RNA dependendent RNA Polymerases — the type of enzyme the virus uses to replicated its genome and express its genes. It is known that it is a potent inhibitor of the RNA dependendent RNA Polymerases used by the MERS coronavirus update: here is a good site for Covid-19 data. So what will be done with remdesivir ? What...
Read More »Medicare Could Use the VA’s Negotiation Results on Insulins and Other Drugs
VA-Like Negotiations on Insulin Prices Could Save Medicare Billions, MedPage Today, Zeena Nackerdien, February 21, 2020 I am going to dispense with the reasoning dissing the increased pricing of Insulin and go straight to a pricing strategy. Suffice it to say, the various versions developed of Insulin do not justify the pricing increases seen today. Recently, Philip Longman (“Best Care Anywhere”) was advocating for Medicare pricing for everyone using...
Read More »Five Charts, Graphs, Depictions to Help Explain What Voters are Thinking about Health Care – Election 2020
KFF Health Tracking Poll – February 2020: Health Care in the 2020 Election As SCOTUS decides (this last Friday) whether it will take up he ACA and its constitutionality in Texas v. United States challenging the constitutionality of the 2010 Affordable Care Act (ACA), theattitude of the public towards it has changed since the 2016 election. The February 2020 KFF Health Tracking Poll finds attitudes towards the ACA hit its highest favorability rating since...
Read More »Bargaining power, progressive maximalism, and Medicare for All
The HuffPo has reported on a minor dust-up between Bernie Sanders and Alexandria Ocasio-Cortez over the politics of Medicare for All (see here, here, here, also Paul Waldman here). The tl;dr summary is that AOC suggested that it is good politics for Sanders to insist on MFA, because this will give him more leverage in negotiations over a final bill, but that compromising on a public option is an acceptable outcome that would represent real progress. ...
Read More »Bronze ACA Plans are Terrible. Bronze plans are often the best Choice
Andrew Sprung writes about the ACA. I read him quite often as his posts are expert analysis of the ACA and healthcare. Mostly recently this commentary was posted by Andrew on the benefits of getting a Bronze plan as opposed to a Gold plan if facing large out of pocket expenses (premiums + deductibles). “XPOSTFACTOID” Mostly about the ACA: Obamacare to Trumpcare. Bronze plans are terrible. Bronze plans are often the best choice. In discussion of the ACA...
Read More »Suprise Billing To Be Resolved in February 2020 to be Enacted in 2022
I had wondered why the Senate (Schumer) had backed off on legislation controlling surprise billing. It turns out there is a House bill also and I am sure they are going back and forth on this. Recently, two bills have emerged in the House and one from the Senate. Medscape, “House Committees Advance Bills to Address Surprise Billing.” Of course if Congress’s butt was on the line, a solution would have been found quickly and enacted in 2020. At the end, see...
Read More »Doctor Surprise Billing
This doctor is a bit much; but, he gets a point across which I have been making also. The issue(s) Dr. ZDogg is describing about what commercial healthcare insurance is doing, Medicare Advantage plans, hospitals, and now doctors are doing needs to be told over and over again. Schumer and the Senate have to release the portion of the House Budget bill that dealt with Surprise billing. [embedded content] ZDoggMD reacts to ridiculous medical bills, MedPage...
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