Apologizing for Problems with Commenting

My apologies!I discovered a few days ago that our Google overlords had stopped notifying me about pending comments some months ago.  No indicator of the number of pending comments appears on my Blogger dashboard.  I just realized I had a large backlog of pending comments, most of which were spam, but some of which were…

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Making Abusive Contracts Great Again – Non-Disclosure Agreements, Which Have Bedeviled Employed Physicians, Go From Anechoic to Viral Courtesy Omarosa

Introduction: Confidentiality Clauses, Non-Disclosure Agreements, Non-Disparagement ClausesIn 2016, Dr Wally Smith and I published an article on how contracts employed physicians sign may threaten their patients and professionalism.(1)  At the time, we wrote,clauses in the contracts that physicians sign with their employers or that their employers sign with third parties may be part of a…

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Make Asbestos Great Again? – Trump Once Claimed "Movement Against by Asbestos was Led by the Mob," Now EPA Wants to Relax Asbestos Regulation

Introduction:  An Old Public Health MenaceThis is somewhat personal.  In the early 1980s, as a general internal medicine fellow, I gave a series of talks about important medical problems that generalist physicians often missed.  One was asbestos related disease.  Although asbestos had been heavily regulated since 1973, there were stilll large numbers of people exposed…

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Ill-informed, Mission-Hostile Health Care Leadership… in the White House and the US Department of Health and Human Services

Introduction – What Has Gone Wrong with the Leadership of Health Care OrganizationsA major focus of Health Care Renewal has been problems in leadership and governance of health care organizations, which we believe became major causes of health care dysfunction.  For example, we have discussed how leadership is often ill-informed.  More and more people leading…

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Spin it Again – Four More Go Through the Revolving Door From the World of Corporate Health Care to Top US Government Leadership Positions

While we were distracted by the daily onslaught of news, it appears that the revolving door continues to spin.This month there has been a flurry of transitions from big health care and health care related corporations to the federal government.  So it appeared to be time for another revolving door update.We start with a transition…

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Chipping Away at the Anechoic Effect: Now the New York Times Protests the Demise of the AHRQ National Guidelines Clearinghouse

Background: the Quiet Announcement of the Death of the ClearinghouseOn June 1, 2018, we wrote:Apparently as of late April, a terse announcement appeared on the website of the US AHRQ National Guideline Clearinghouse:The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will…

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A Physician Who Had Run Clinics Which Proselytized Patients is Now a Government Health Care Leader Positioned to Enforce Her Religious Beliefs on Patients and Citizens Who Do Not Hold Such Beliefs

Introduction: Physicians’ Values and Organizational MissionsPhysicians professional values require them to put the interests of their individual patients ahead of all else, including the physicians’ self interest.  The AMA Principles of Medical Ethics, for example, includesVIII. A physician shall, while caring for a patient, regard responsibility to the patient as paramount.Similarly, in health policy and…

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"Hope in a Bottle" – Components of Purdue Pharma Stealth Marketing Campaign for Oxycontin Revealed by Legal Documents from Tennessee

Introduction: Disinformation and Stealth Marketing Campaigns Back in the distant past the US government made some attempt to hold big health care corporations to account for misleading marketing practices.  We learned a lot about these practices from documents revealed in the resulting litigation, and in particular, about stealthy, deceptive systematic marketing, lobbying, and policy advocacy…

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Have They Finally Got to You? – the Firing of Dr Gu

Introduction – Dr Gu’s History of Activism Made Him Unpopular at VanderbiltWe first wrote in February, 2018, about the plight of Dr Eugene Gu, a surgical resident at Vanderbilt University Medical Center (VUMC).  Dr Gu has a history of political activism, resulting in being  blocked on Twitter by President Trump after Dr Gu criticized him…

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