Author Archives: drrjv

Faith in God-like LLMs waning

Is Faith in the supposed “God-like” powers of large language models (LLMs) waning as businesses and developers shift their focus to smaller, more nimble alternatives. This trend suggests a significant change in the AI landscape, with important implications for both the tech giants at the forefront and those, like Apple, that have taken a moreContinueContinue reading “Faith in God-like LLMs waning”

MAID in Delaware

There has keen interest in medical aid in dying (MAID) among the Delaware medical community with the passage of House Bill 140, as evidenced by the record downloads of the MSD HealthRealities podcast on MAID. Medical Aid in Dying: Insights From Both Sides of the Stethoscope https://www.podbean.com/ew/pb-ktbn5-1852672 Summary of HB 140 The recently enacted theContinueContinue reading “MAID in Delaware”

Tech Reading List

Lately, I’ve been tearing through some jaw-dropping books about the future of tech, AI, Nvidia’s wild ride, Apple’s journey from near bankruptcy to a trillion dollar plus organization, OpenAI’ and Sam Altman and the high-stakes China vs. America showdown. Take a dive into my handpicked recommendations for an eye-opening look at the forces shaping tomorrow’sContinueContinue reading “Tech Reading List”

Corporatization of U.S. health care

Here’s my summary of an article recently published in the New England Journal of Medicine, which explores the consequences of the corporatization of U.S. health care, examining its benefits and drawbacks, and how it affects patients, medical organizations, and society at large. Corporatization Explained Corporatization refers to the growing influence of large corporations and investors in health care,ContinueContinue reading “Corporatization of U.S. health care”

Understanding Liability Insurance

The system of liability and malpractice insurance is deeply flawed because incentives drive up litigation costs instead of resolving issues efficiently. While insurance companies give lip service to the legal profession, in actuality they enjoy the cycle of rising expenses (and increased revenue and profit.) To truly grasp the problem, it’s necessary to examine theContinueContinue reading “Understanding Liability Insurance”

Another Spike in Health Care Costs

Delaware Faces Another Health Care Cost Surge Delaware’ residents are bracing for another spike in health care costs next year, with projections showing an 8.5% increase in spending on hospitals, pharmaceuticals, and medical care for 2026. That’s bad news for Delawareans already shelling out over $10,500 a year—far beyond the pace of inflation. Why Should Anyone Care? WhenContinueContinue reading “Another Spike in Health Care Costs”

Public Health Dark Age

The United States is entering a period many are calling a new Dark Age for public health, as sweeping changes at the CDC and federal health agencies create unprecedented anxiety and disruption. While some argued the CDC needed reform, the recent shakeups, marked by mass firings, controversial new leadership, and abrupt data blackouts, represent the wrong approachContinueContinue reading “Public Health Dark Age”

Projection

Projection is a defense mechanism in which a person unconsciously (or in politics, maybe consciously) attributes their own unwanted thoughts, feelings, or impulses to someone else. For example, a person who feels hostile toward others might accuse others of being hostile toward them. This allows the individual to avoid acknowledging or dealing with those uncomfortable emotionsContinueContinue reading “Projection”

Healthcare or Profitcare?

Why the U.S. Healthcare System is a Mess The U.S. healthcare system consistently underperforms compared to other high-income countries. According to a Commonwealth Fund Report and article in Harvard Business Review, even the best U.S. states fall short when measured against nations like France, Germany, the UK, and Australia. Key Points Performance Gap: The U.S.ContinueContinue reading “Healthcare or Profitcare?”