Tag Archives: Hot Topics

A futile quest, Why “performance” measurement is not working, Minnesota Physician The Independent Medical Business Journal, Kip Sullivan, April 2020 Intro: “Pay for Performance” is not a new catch phrase in the healthcare community, but it is one that has seen a recent spike in interest from the general public and healthcare world alike. The renewed interest is due to the Affordable Care Act (ACA) and initiatives within the Act that require hospitals and...

Competency by   Ken Melvin What is the first criteria when a Board of Directors goes looking for a new CEO? When the construction firm goes looking for a project manager? Of late, too often, US Politics seems to have a new standard for selecting officeholders. We have been, are, watching this horror of a Pandemic being mismanaged by elected incompetents. Incompetents who might have been promoted to yet higher positions if their incompetence hadn’t been...

The Henry Ford Hospital Group finished its observational study using HCQ, HCQ+AZT, and AZT in the treatment of Covid 19. At 4:30 AM (can’t sleep sometimes), I read it and this is difficult reading while yawning. The stats are within the text of the limited study. I am not going to put them in this brief recital of the study. My version is not all inclusive and I may have missed some issues or facts of importance. I invite you to read it and form your own...

Equivalence by Ken Melvin These two things are not the same. Giving a woman the right of choice doesn’t deny others that right of choice; makes no imposition on the rights of others. Denying a woman the right of choice imposes the will of others upon her. When is it lawful for some members of a society to impose their will upon others? What right has the State to impose its will upon its citizens? When it is the writ of law. A State can declare acts to...

Kind of a big deal because Oklahomans rejected Trunp’s Medicaid and Republican block grant-program which would be more vulnerable to cuts of Federal funding.  It is unfortunate Oklahoma did not get on board with the ACA Medicaid expansion as 100% of the costs of the Medicaid expansion from 2014 – 2016 and 90% there after. I could never understand the cold-hearted logic of states in not expanding Medicaid. Much of the costs of expanding Medicaid now would...

(Dan here…David offers a different sort of presentation from the normal for AB. Interesting?…) I’m going on vacation for a few weeks, so I am interrupting my normal blogging for something different. (I’m not sure if you — or anyone — is interested in my Marshall 2020 Project posts, but I’m doing it for myself — and its a good distraction from every day crazy ? Anyways… I’d love to answer your questions about coronavirus, elections, jobs, trade, the...

The US Presidential election as forecast by State polling: tending towards a Biden blowout? Last week I posted a projection of the Electoral College vote based solely on State rather than national polls (since after all that is how the College operates) that have been reported in the last 30 days. There has been extensive polling in the past week, so I have updated the map. Here’s how it works: – States where the race is closer than 3% are shown as...

Going Too Far Unfortunately, it was going to happen, and we who support the movement need to call out those instances where it goes too far.  I am talking about the justified Black Lives Matter (BLM) movement, mostly characterized by widespread peaceful protests even in small rural towns that never see such things, and with a solid majority of the American people currently supporting both the BLM and its main demands.  As it is, one should probably not...

From The Guardian: In 2010, the UN declared clean water to be a human right. Yet a decade later, millions of Americans lack basic indoor plumbing, more than 100 million are exposed to toxic chemicals in their drinking water, and water bills have risen by an average of 80% across 12 US cities, in a cascading crisis of water affordability. The Guardian is tackling the subject of the US water crisis with a landmark series, in partnership with Consumer...