Introduction: Transparency International's 2017 Global Corruption Barometer US Results Last month, Transparency International (TI) relea...
Heads They Win, Tails We Lose - Non-Profit Hospital Executives Paid Generously After They Were Shown the Door
On Health Care Renewal, we have been decrying American health care dysfunction since 2004. For years, the US consistently has had the most ...
One Barely Noticed Settlement by Pfizer Suggests the Futility of Polite Protests about Health Policy
A few days ago we noticed just one more marcher in the parade of legal settlements. But it was once again a huge health care corporation, a...
In US, More than One-Third Think Government and Business Leaders are Corrupt, Media Shrug
We have noted (most recently here), that health care corruption, particularly its global nature and its presence in developed countries l...
Perpetual Revolving Motion: Yet More Transits Through the Health Care Revolving Door
The pace of people spinning through the US federal revolving door seems unprecedented. Most were people going from the health care corporat...
Give Us Those Old Time Conflcts of Interest: Stephen Parente, Key Opinion Leader for UnitedHealth and Redeemer of Former CEO William McGuire to Assistant Secretary of HHS
This latest revolving door case echoes scandals of long ago. Background: CEO Dr William McGuire and the UnitedHealth Affair A long time ago,...
The Ultimate Version of Ill-Informed Health Care Leadership: Dumb, Incoherent, Confused, Perhaps Psychotic Things President Trump Says and Does About Health Care Policy
The controversy over the Affordable Care Act, aka "Obamacare," still goes on in the US. The ACA, which is still the law of the la...
Worst Health Care Revolving Door Case So Far, Version 2.0? - From President of Lilly USA to US Secretary of Health and Human Services?
Last week, we discussed what appeared to be the most egregious case of the health care revolving door seen so far. A health care corporate ...
Worst Health Care Revolving Door Case So Far? - From Lobbyist to Acting Secretary of Department of Health and Human Services
Once again, you just cannot make this stuff up. Last week we posted our latest revolving door roundup, one of many we have done during the T...
Round and Round It Spins - Our Latest Health Care Revolving Door Roundup
Sorry about the bad pun. We have accumulated a remarkable number of stories of people transiting the revolving door from working for health...
Latest Legal Settlements Suggest Hazards of Making Pharmaceutical Regulation More Lenient, as is Apparently Favored by New FDA Leader
The new US Food and Drug Administration (FDA) commissioner Dr Scott Gottlieb is promoting making the agency's mechanisms to approve new ...
More Dumb Things Leaders Say About Health Policy
These days, legislative efforts to change US health care, especially to "reform and replace" the Affordable Care Act [ACA or ...
"The Censorship That It is" - Now Threatens US Government Health Agencies (DHHS, CMS, CDC)
On Health Care Renewal we discus the dark side of health care, particularly of the leadership and governance of health care, that has enable...
The Shame of US Health Care Dysfunction: Hookworm Returns to Alabama
An article just published online(1), and reported so far in only one major media outlet (the Guardian, based in the UK) showed how hookworm,...
Information technology-naive defense lawyers vs. "strident critic of electronic health records"
A tale from the trenches. In recent years, as a result of the 2010 IT-related injury and 2011 death of my mother, I have engaged myself as a...
Who Guards the Guardians? - From DeVry at a Time of Alleged Fraud to Anti-Fraud Enforcement for the Department of Education
There seems to be another fox ready to guard the already flustered educational, including medical educational hen house. Dr Julian Schmoke t...
A Stealth Marketer Goes Through the Revolving Door to ... the President's Council of Economic Advisors?!
Stealthy, deceptive systematic marketing, lobbying, and policy advocacy campaigns on behalf of big health care organizations, often pharmace...
Health Care Non-Profit Organizations Ignored Conflicts of Interest or Potential Corruption Generated by Mar a Lago Fundraisers, But Drew the Line at Supporting Nazi Sympathizers
Leaders of big health care organizations have long made excuses for rampant conflicts of interest in health care. Usually, their rationales...
Can We Challenge Health Care Corruption Under Morally Failed Government Leadership?
Introduction: Health Care Corruption An important theme of Health Care Renewal has been health care corruption as a cause of health care dys...
What the US "Health Care Reform" Debate Did Not Address
It looks like the bizarre process in the US Senate ostensibly to "repeal and replace Obamacare" (aka the Affordable Care Act, or A...
The Mysterious Demise of World Health Networks - Fugitive Kazakhs, the Trump Organization, Dodgy Visa Applications, Oh My
A common justification for a market fundamentalist approach to health care is the promise of innovation. Providing market-based incentives ...
Who Benefits from our Current Health Care Dysfunction? - Mallinckrodt's Leadership Maintains Impunity After Well Publicized Opioid Settlement
The Latest Mallinckrodt Settlement Jeff Sessions, the current US Attorney General, is ginning up a lot of press coverage of his recent crack...
Inexact Sciences
Thoughts on the place of science in an era of false conviction Some recent articles, noted by a few of us in journals regularly monitored by...
Gutting the Health Care Corporate Strike Force
Health care corruption is a severe problem in the US, and globally. For years, we have ranted about the US government's lackadaisical - ...
More Dumb Things Politicians and Political Appointees Say About Health Policy
As we previously discussed, the fierce debate about whether to revise, or "repeal and replace Obamacare", more formally, the Affor...
A $1.7 Million/ Year CEO of a Safety Net Hospital - Alleged to Have Hired a Dangerous Surgeon, Paid Unethical Bonuses, and Associated with Organized Crime
We have long contended that a major reason for health care dysfunction is perverse incentives, including those that allow top health care le...
Follow the Money: Non-Profit Hospital CEOs Quietly Collect Their Millions While US Health Care Reform Battle Rages
In Washington, DC the health care policy wars continue, with a few Republican senators working behind closed doors on a bill to "repeal...
Health Care Corruption No Longer a Taboo Topic?
We have been going on about the ruinous effects of health care corruption, the role of impunity in enabling worsening corruption, our lack ...
Trumping Up a Health Care Charity - Trump Organization Received Increasing Revenue from a Children's Cancer Care Charity
While health and health care are clearly not central interests of the current US President, Donald J Trump, we have noted some disturbing st...
"The Most Complicated Piece of Health Care is the Revenue" (Say What?) - The Shameless Managerialism of a Hospital CEO
Introduction Managerialism, in my humble opinion, is one of the major reasons why the US health care system is so dysfunctional. We have lo...
Robert Martensen's A Life Worth Living
Robert Martensen, A Life Worth Living: A Doctor's Reflections on Illness in a High-Tech Era (New York: Farrar, Straus & Giroux, 2008...
Evidence-Based Policy Making? - Dumb Things Politicians Say About Health Care Policy
There have been multiple legislative attempts at major health care reform in the US. Typically, such attempts feature considerable public d...
Will the Current Crises Finally Prompt America to Address How it is Haunted by Corruption and Impunity?
There is one tiny silver lining in the political storm clouds swirling over the US. Some of the issues about which we have been ranting on ...
Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical Records
Channeling Lyndon Johnson on Walter Cronkite, in clinical medicine, when you've lost Boston (including MGH), you've probably lost th...
Massive ransomware cyberattack in U.K. Hits 16 Health Institutions, many doctors reported that they could not retrieve their patients’ files, but not to worry - no patient information was looked at or compromised
Perhaps doctors and nurses are clairvoyant? Who needs records, anyway? Cyberattack in U.K. Hits 16 Health Institutions New York Times DAN ...
Don't Know Much About Health Care, Health Care Research or Quality - Yet Appointed New Director of Agency for Healthcare Research and Quality (AHRQ)!?
The Agency for Healthcare Research and Quality (AHRQ) is a US government agency, part of the Department of Health and Human Services (DHHS),...
New HHS Secretary, rather than singing unabashed praise for EMRs like his predecessors, states the obvious. However, the "solutions" are the usual boilerplate.
In the past, politicians on both sides of the aisle have generally sung unfettered and uncritical praise for electronic medical records and ...
Through the Revolving Door, Darkly
While the rare appointments to top health care positions by the Trump administration deservedly get considerable media coverage, lower level...
Health Insurance For Me But Not for Thee? - How Legislators Tried to Rig the Repeal of the ACA to Keep Their Own Health Insurance Affordable
The turmoil swirling around the new Trump administration has flushed into the open some things that the public heretofore was probably not m...
Pontifications About Health Care Reform Written by Insiders Who Benefit from the Status Quo - Worse Than We Think
Perceptions that the US health care system is dysfunctional and needs major reform go way back. A timeline from the Tampa Bay Times noted P...
Pittsburgh Post-Gazette: "Medication errors in hospitals don’t disappear with new technology". Government: "It's the doctors' fault." I am cited.
The Pittsburgh Post-Gazette published an article on EHR problems yesterday entitled "Medication errors in hospitals don’t disappear wit...
"A Radical Idea for Health-Care Reform: Listen to the Doctors" - Oops, I Mean Listen to the Corporate Executives, Directors, and Lobbyists
It has been the season for health care reform in the US since at least the Nixon administration. We have endlessly discussed the unholy tri...
Part of the Solution, or Part of the Problem? - Health Care Corporate CEOs on Physician Burnout
Physician burnout is in the news again. Late in 2015, an article by Shaneyfelt and colleagues in the Mayo Clinic Proceedings showed an incr...
An eloquently expressed lesson from Nanaimo (Canada) on electronic medical records failure
Unfortunately, this eloquent piece on EHR failure expresses precisely the major problems with this experimental technology that generic medi...
Who Benefits? - From the Mayo Clinic Explicitly Putting Commercially Insured Patients Ahead of Some Government Insured Patients?
Amidst all the chaotic noise emanating from Washington, DC, little snippets of news keep slipping out reminding us that the US health care s...
A Beach Too Far - Ill-Informed, Conflicted Members of the "Beachhead Team" for the Department of Health and Human Services
ProPublica recently published an article describing the so-called "beachhead teams" sent by the Trump administration to various US...
Whose Costs? Who Benefits? - A Close Reading of a Hospital System CEO's Prescription for Controlling Health Care Costs
The attempt to "repeal and replace" the Affordable Care Act has suddenly made health care dysfunction a hot topic in the US. For...
Experts, anger, and the madness of crowds
We find ourselves in a most peculiar historical moment. Among other things--many other things--problems of health care policy, research, and...
Patient or Corporate Advocacy Organizations? - New Studies Shed Some Light
Introduction On Health Care Renewal we frequently discuss how people and institutions entrusted to promote patients' and the public'...
As US Attorney, Labor Secretary Nominee Enabled Drug and Biotechnology Executives' Impunity
The new Trump administration nominee for US Secretary of Labor is a former US Attorney for the southern district of Florida. In that role, ...
A Voice for Reason - Dr Mickey Nardo
We mourn the loss of Dr Mickey Nardo, chief blogger at 1BoringOldMan, a voice of reason, a defender of truth in health care. Dr Nardo was o...
Making Health Care Conflicts of Interest Great Again: A Consultant to Medicaid and Simultaneously to Medicaid Vendors for CMS?
President Trump campaigned on behalf of the neglected middle class, but at least in the health care sphere, those he has chosen for their ad...
Bad HIT in pharmacy: Hospital to pay half million dollar fine after pharmacist's drug theft
This is an example where bad health IT in an "infrastructure" system (as opposed to a clinician-facing system) led to a quite unfo...
More Health Care Professionals and Trainees Provoked to Resist - Dana-Farber Cancer Institute Protest of Leaders' Acquiescence to Trump's Muslim Travel Ban
The executive order by President Trump that temporarily banned immigration from seven predominantly Muslim countries provoked health care pr...
Health Care Professionals and Trainees Finally Provoked to Resist - Cleveland Clinic Protest of CEO's Acquiescence to Trump's Muslim Travel Ban
We frequently discuss the anechoic effect, the failure of cases illustrating problems with concentration and abuse of power, unethical and c...
Health Care Renewal Bloggers to Lead Session on Conflicts of Interest and Health Care Corruption at Society for General Internal Medicine Meeting
Bloggers D r Wally Smith and Dr Roy Poses will be leading a sub-session on conflicts of interest and health care corruption in a late breaki...
