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Category: Direct Primary Care

TeleNurse: Virtual Nursing is Growing

Posted on June 22, 2023June 22, 2023 by Devon Herrick

I have long been a fan of telemedicine. The first time I wrote about telemedicine was in 2007. The following quote is how I explained it to D Magazine in 2013:

“This is a daily occurrence in consumer markets, but is absent in healthcare markets because health plans [including Medicare and Medicaid] pay 89 percent of medical bills,” Herrick says. “You can talk to your attorney over the phone; he or she will bill you for his or her time. You can talk to your accountant over the phone. But most people don’t routinely consult with their physician over the phone because insurers are reluctant to pay for telephone consultations. Many health plans will only reimburse for physician visits if they are in-person—even though more than half of all contacts with primary care physicians could be done by email or over the phone.”

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Thursday Links

Posted on June 22, 2023June 21, 2023 by John C. Goodman
  • A (somewhat weak) defense of eating animals.
  • The US has been falling behind other countries in life expectancy. (77 vs 82 years for all high-income countries)
  • Possible reasons: we have more deaths by car crashes, gun homicides, suicides and overdoses.
  • George Halvorson: Medicare Advantage is saving money for the Medicare program – despite contrary claims.
  • Americans are the biggest consumers of high fructose corn syrup in the world. The reason:  sugar quotas make the price of sugar in the US really high.
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Is Homelessness the Result of Disease or a Lifestyle?

Posted on June 20, 2023 by Devon Herrick

A recent study commissioned by the California Department of Health and Human Services found that about 172,000 people are homeless in the state, accounting for nearly one-third (30%) of the total homeless population in the nation. Moreover, the idea that homeless people flock to California was dispelled by the study. It found that roughly 90% of the homeless in California were living there prior to becoming homeless. Housing advocates worry the homeless are undercounted because it doesn’t necessarily measure those who sleep in their cars or couch surf from one friend’s couch to the next. It presumably does not include the plethora of people living in old recreational vehicles parked alongside streets or roads. Advocates say those living in RVs do not consider themselves homeless, although living in a derelict camper on public property blurs the lines between homelessness and marginal housing.

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Tuesday Links

Posted on June 20, 2023June 19, 2023 by John C. Goodman
  • Every generation thinks people were nicer in the past. But it’s not true.
  • Evidence that colonoscopies aren’t worth it.
  • Claim: Frenemies can be hazardous to your health. (NYT)
  • Claim: Doctors are suffering from “moral injury.” (NYT)
  • Biden claim: “real income for the bottom half of earners is up by 3.4% since I took office.” Reality: real income for the bottom 25% has fallen 2.3%, while the second income quartile has fallen 3.9%.
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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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