HealthCommentary

Exploring Human Potential

The U.S. Pharmaceutical Supply Chain – The Gray and Black Market

    Mike Magee With the U.S. Pharmaceutical supply chain, what you see is not what you get. As we saw last week there are roughly 4 1/2 billion prescriptions filled each year. Just under 50% of American residents have filled 1 prescription in the past 30 days. The 1st Tier drug supply chain above […]

Canada vs. U.S. Health Care – “You Can’t Handle The Truth!”

Mike Magee In the 2008 classic movie, A Few Good Men, Jack Nicholson explodes under the relentless pressure of prosecutor Tom Cruise, and yells “You can’t handle the truth!” A careful critical examiner of the US health care dilemma in 2017, in the shadow of our neighbor to the north, might easily draw the same […]

Uncoupling Scientific Progress From Human Progress: How Did We Arrive At This Place? A Three Part Series.

Source: studentblogs.med.ed.ac.uk Mike Magee A fundamental principle in human physiology and homeostasis is the negative feedback loop. When the body produces too much of something, a negative signal is transmitted back to the source which limits further production until peripheral over-production declines. These systems of checks and balances have evolved over the millennia to protect us […]

The Future of Physician Prescribing: An Historical Perspective

Mike Magee The right to prescribe medicines has been a privilege granted by our society with near exclusivity to physicians. It has been actively protected from encroachment by physician organizations usually on the basis that the physicians education and training is clearly superior to others and translates into better prescribing decisions. This privilege has also […]

The Three Pillars of the Medical-Industrial Complex – and the Physician. Part 5. Decoupling Research.

VIEW ENTIRE SERIES Mike Magee Historically, for a century since the Flexner report, some 40 premier academic health systems have been the masters and the model for American health delivery, constantly reinforcing the three-prong definition of the ideal senior level “thought leader” and successful academic physician – researcher, teacher, clinician. But in 2009, AHA president, […]

The Three Pillars of the Medical-Industrial Complex – and the Physician. Part 4. Inside the White House – Cost vs. Coverage.

VIEW ENTIRE SERIES Mike Magee When President Obama entered office in 2008, and made the political assessment that it was now or never for health care reform, he saw waste and excess everywhere he looked. As New York Times columnist, Steven Brill, explained in 2015, he found: an $86 billion expenditure annually for ineffective treatments […]

The Three Pillars of the Medical-Industrial Complex and the Physician. Part 3. Rapid Cost Escalation.

VIEW ENTIRE SERIES Mike Magee As we have seen, by the time the 1990’s arrived, prospects for the premier academic health systems were looking questionable. The educational enterprise was increasingly underfunded. Inpatient reimbursement continued to decline alongside admissions and length of stay. The massive faculty hirings of the 70’s and 80’s now left the institutions […]

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