A “Perfect Storm” in the American healthcare system is developing, driven by mounting structural failures and stupid political decisions. The core issues include severe physician shortages, government cutbacks on Medicare and preventative services, looming loss of ACA marketplace subsidies, and major reductions in public health and child nutrition programs, all combining to reduce access, qualityContinueContinue reading “The “Perfect Storm” in Healthcare”
Category Archives: legislation
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”
America’s ‘AI Action Plan’
For better or worse, the Trump administration has released a sweeping AI Action Plan outlining 90+ policy actions aimed at securing U.S. dominance in artificial intelligence. Shaped by over 10,000 public comments, the 28-page plan focuses on accelerating innovation, expanding infrastructure, and strengthening global influence. Key concerns include dismantling of safety and ethical guardrails, favoredContinueContinue reading “America’s ‘AI Action Plan’”
Interesting Development, Long Overdue
Some doctors won’t be happy 🧐 But will they now just make everyone underpaid? For decades, the prices Medicare pays doctors for different medical services have been largely decided not by Medicare itself, but by a powerful industry group, the American Medical Association. An A.M.A. committee meets in secret to determine the difficulty and timeContinueContinue reading “Interesting Development, Long Overdue”
Summary & Analysis of Proposed AMA Resolution on ACIP — A-25 (2025):
Core Issue: This resolution is a strong, urgent response by the American Medical Association (AMA) and several major specialty organizations to recent actions taken by HHS Secretary Robert F. Kennedy Jr. involving changes to the Advisory Committee on Immunization Practices (ACIP)—a critical scientific advisory group within the CDC that helps set U.S. vaccine policy. KeyContinueContinue reading “Summary & Analysis of Proposed AMA Resolution on ACIP — A-25 (2025):”
Medical Aid in Dying Hearing
HB140’s public hearing in the Senate Executive Committee has been officially scheduled for Wednesday, April 9th at 2:00PM EST. To testify in person: Email me directly letting me know you want to participate. If you have already contacted me about testifying, no further action is needed. Arrive at the Capitol (411 Legislative Ave., Dover DE 19901) by 1:30PM on 4/9/25 andContinueContinue reading “Medical Aid in Dying Hearing”
Highly Recommended: Twenty Lessons
Narrated by John Lithgow, Timothy Snyder’s twenty powerful lessons from “On Tyranny” offer timeless wisdom for defending democracy. This book has become essential. Everyday people have applied these principles in their fight to preserve democratic values Snyder himself has expressed profound humility upon witnessing how these lessons have inspired brave individuals confronting authoritarian threats acrossContinueContinue reading “Highly Recommended: Twenty Lessons”
Draft Podcast Transcript & References
Understanding Patient Autonomy in Medical Aid in Dying AI-generated Audio Version Thank you Dr Biasotto for allowing me to speak today about Medical Aid in Dying. I’m going to shift the conversation more towards patient autonomy and choice and provide an overview of medical aid in dying. In my neurology practice, I see patients everyContinueContinue reading “Draft Podcast Transcript & References”
Analysis of Draft Legislation on Health Care Charges for Uninsured & Self-Pay Patients
Audio Version (34 minutes, listen to in your car or on your smartphone.) Summary The proposed Delaware legislation limits charges for uninsured and self-pay patients at Medicare reimbursement rates, aiming to protect patients from excessive medical bills and reduce medical debt. It applies to hospitals, clinics, surgical centers, and physician offices. 1. Legal Implications &ContinueContinue reading “Analysis of Draft Legislation on Health Care Charges for Uninsured & Self-Pay Patients”
Pros and Cons of HPV Vaccine Mandates
Medical & Political Aspects Medical Aspects Pros Prevents Cancer & Disease: The HPV vaccine protects against cervical, anal, and oropharyngeal cancers, as well as genital warts. Countries with high uptake have seen up to 89% reductions in cervical precancerous lesions. Highly Effective & Safe: Clinical trials and real-world data confirm near 100% efficacy in preventingContinueContinue reading “Pros and Cons of HPV Vaccine Mandates”
Dr Bob, Brain Mechanic 