Governor Matt Meyer announced Delaware’s application for up to $1 billion from the federal Rural Health Transformation Program, part of a $50 billion national effort. The plan assembles 15 projects aimed at transforming healthcare delivery in Kent and Sussex counties, home to nearly 40% of Delaware’s population. Core goals: expand access, lower costs, and strengthenContinueContinue reading “Delaware Rural Health Overhaul”
Tag Archives: health
Paris Holiday Gone Sideways: Apple Watch Sends SOS
A Split Second in ParisCrossing a street near the Louvre, I had no time to react before an inebriated Parisian ran a red light and struck me in the pedestrian lane. My Apple Watch immediately detected the impact, sent an SOS message to my three children (my emergency contacts) and summoned an ambulance. I lostContinueContinue reading “Paris Holiday Gone Sideways: Apple Watch Sends SOS”
The US ‘Healthcare’ System is a Mess
A recent and important PBGH white paper reveals the fundamentally chaotic and arbitrary nature of U.S. commercial healthcare pricing, demonstrating that provider rates have no correlation to quality and vary dramatically without logical justification 😳 Key Findings The study analyzed data from five major employers (including Boeing, Qualcomm, and Denver’s city/county government) across multiple geographicContinueContinue reading “The US ‘Healthcare’ System is a Mess”
Longevity Update – Supplements
On my trip to Paris, I found myself in an extended conversation about longevity and health strategies with a lovely person I met on my first day! It reminded me how much interest (and confusion) exists around supplements to extend health span. I’ve been digging into the data for several years and offer this conciseContinueContinue reading “Longevity Update – Supplements”
The “Perfect Storm” in Healthcare
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”
If AI Can Diagnose, What Are Doctors For?
Dr. Dhruv Khullar’s New Yorker article, “If A.I. Can Diagnose Patients, What Are Doctors For?,” explores how large language models (LLMs) such as ChatGPT are transforming medical diagnostics, blending compelling anecdote with wide-ranging critique. The article opens with the story of Matthew Williams, whose mysterious gastrointestinal illness eluded eight clinicians but was quickly explained byContinueContinue reading “If AI Can Diagnose, What Are Doctors For?”
Dr. Bot: Why Doctors Can Fail Us
And Why We Must Demand Responsible AI in Medicine It’s time to ask a hard question : Are medical errors really the third leading cause of death in the U.S. Every day, clinicians, no matter how skilled, work against a tide of fatigue, outdated knowledge, limited time, and systemic biases. The cost is measured inContinueContinue reading “Dr. Bot: Why Doctors Can Fail Us”
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”
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”
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”
Dr Bob, Brain Mechanic 