Tag Archives: Health Care

Cleaning Up In Hospitals

Germs on the hand

Germs on the Hand. Courtesy Talk is Cheap

5% of hospital patients develop an infection. And the majority of those infections are acquired from the hands of Health Care Providers.

Medicare pays 40% of the nation’s hospital bills. (This, in and of itself, is an argument for a single payer system – one single payer already pays 40% of hospital bills. And it’s the Government.) However, Medicare does not reimburse hospitals for their mistakes. It shouldn’t. If I borrow your car, and run out of gas, it’s my fault, not yours. Note that this is an example of the government doing something right.

Because of this policy decision, medical accidents went from being a source of hospital revenue to a massive financial drain. Medical institutions were forced into the business of disease prevention, at least once people were in their care.

According to the Committee to Reduce Infection Deaths statistics, (PDF) hospital acquired infections kill more people in America than AIDS, Breast Cancer and Auto Accidents combined. What is worse is that 5% of the patients in hospitals acquire infections in the hospital, and the vast majority of the patients that acquire such infections in hospitals get them from the hands of health care providers.

More details after the click.

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Health Care for all Americans

President Obama, 2010

President Obama

President Obama thinks that every American should have access to health care. Judge Henry E. Hudson in Virginia, however, ruled that compelling people to buy health insurance is unconstitutional. (NY Times, New York Magazine, CNN)

President Obama is obviously correct. President Bush and Senator McCain might actually agree. Pres. ush, who appointed Judge Hudson to the Federal District Court, said in Cleveland, Ohio, July, 10, 2007, (1, 2), “People have access to health care in America. After all, you just go to an emergency room.” Sen. McCain repeated this during his 2008 campaign for the Presidency (click here). While this implies a form of universal health care, Pres. Bush and Sen. McCain, miss the nuance that emergency rooms are not primary care facilities (click here). Emergency rooms are designed for EMERGENCIES. They are not equipped to handle primary care (click here).  (This is a ‘nuance’ big enough for an aircraft carrier to sail thru.)

Judge Hudson, however, may have a point. While it’s one thing to mandate that everyone have access to health care, it’s another to mandate that everyone patronize a set of investor owned or privately held enterprises.  It’s like saying that every child must go to school, and must also go to a private school.

But if both Pres. Obama and Judge Hudson are right, is there a common ground?

Let’s look first at the uninsured. Continue reading

Tiger Woods & Subprime Mortgages

Tiger Woods may be a great golfer. But I wouldn’t buy a mortgage from him. Here’s why.

(click to stream audio)

Economics II: Macroeconomics and Political Economy

The way for the government to stimulate the economy and to avoid or climb out of a Depression, as John Maynard Keynes wrote, and as President Franklin Delano Roosevelt proved with the New Deal, is to invest money and resources in infrastructure, not to lower taxes or put money in the hands of private businesses. This latter tactic, which New Jersey’s new Governor, Chris Christie1 is trying, was not proven to work by President Herbert Hoover and proven not to work by President George W. Bush.

Keynes’ basic analysis rests on two evident economic phenomena. One is the different effects on the Keynsian Multiplier of government revenues collected as taxes and government revenues not collected as tax-cuts. The other is the basic response of people to a “Deep Recession” or a Depression.2

If a Recession is a series of calendar quarters in which there is a decline in GDP, a “Deep Recession3” or a Depression is characterized by a recession in which there is a general reluctance to invest in new staff or new projects on the part of businesses and individuals. A portion of any income, tax refund, or tax cut is saved. Money is hoarded. Money spent by the government is obviously, spent. The Keynsian Multiplier of money spent directly by the government is greater than money provided to businesses by tax credits because the government spends money directly, while individuals and businesses spend what they must and hoard what they can. For example, for every $1 Million the government spends purchasing goods and services, $1 Million is added to the GDP. However, for every $1 Million of taxes the government cuts, there is $1 Million the government doesn’t spend, a chunk of that $1 Million is spent, and a chunk that $1 Million is hoarded.4 When the government spends directly, particularly on domestic infrastructure, the Multiplier is, in a word, multiplied.

Obama’s tax incentive to hire people, is partially neo-classical, supply-side economics of the type favored and proven ineffective by Hoover and Bush. However, to the extent that it generates jobs, it will help the people whos jobs are created, their families, and the economy.

Robert Reich, a Keynesian economist, said5,:

“The best and fastest way for government to prime the pump is to help states and locales, which are now doing the opposite. They’re laying off teachers, police officers, social workers, health care workers, and many more who provide vital public services. And they’re increasing taxes and fees. … We need a second stimulus directed at states and locales. “

Paul Krugman6 seems to agree. The only way to avoid a Depression is for the government to spend money. Lowering taxes doesn’t work when people are reluctant to spend. However, the government must create jobs that will reduce the deficit in the future.

Wars don’t do this. As President Bush demonstrated, wars create jobs that increase the deficit and deplete the economy by destroying capital, both human and physical. Investing in local clean, sustainable energy and rearchitecting the health care system in the United States, however, are ways to use government spending today to reduce future deficits.

Local Clean Sustainable Energy

Suppose we were to install a 50 kw photovoltaic solar array and a 2,500 liter (660.4 gallon) solar hot water heater system on every school in the United States. That’s approximately 100,000 of each.7 Suppose each solar electric system costs $7.50 per watt, or $375,000, and each solar hot water heater would cost $50,000. That’s $425,000 per school, at 100,000 schools that’s $42.5 Billion. .

Because these are powered by a natural process – sunlight – rather than non-renewable fuels, and because of relatively low maintenance costs and operating costs, these systems will pay for themselves quickly and last a very long time, they will pay for themselves over and over. The return on investment is between 10% and 16% for PV Solar and 20% to 33% for Solar Hot Water. This is outlined in Table 1, below.

Solar Electric and Solar Hot Water Heaters

Solar Electric

Solar Hot Water

Cost of each

$375,000

$50,000

Total Cost

$37.5 Billion

$5.0 Billion

Years to pay for itself

6 to 10 years

3 to 5 years

Useful Life

40 years

25 years

Annual ROI

10% to 16%

20% to 33.3%

Table 1.

The ROI is higher when you factor in the external benefits of clean, renewable energy – there is no pollution, and therefore are no health effects from pollution.

One way to use the deficit to stimulate the economy in a manner that is consistent with reduced long term deficits is thru the development of clean energy resources, such as solar electric and hot water systems on the nation’s public schools.

Health Care

In July, 2007, President George W. Bush said “People have access to health care in America. After all, you just go to an emergency room.8” While Emergency Rooms are well suited for acute conditions – emergencies – such as the traumas of car accidents, gunshot wounds, and broken arms, they are ill-equipped for chronic conditions such as hypertension, diabetes, cancer. If a person with diabetes was to go to the emergency room, the emergency room staff would say “We can’t help you. Come back when you’re in a coma, or you need your leg amputated.” Similarly, while the Emergency Room can’t manage hypertension, it can treat the heart attack or stroke suffered by a person with hypertension.

Assuming Pres. Bush’s statement is accurate, then the approximately 47 million, or one out of six, or 15.46% of Americans who don’t have health insurance only have access to health care in an emergency. This means that the Health Care System can handle non-emergency health care for five out of six Americans, but is not capable of meeting the non-emergency needs of one out of six, or 15.46% of Americans. This means we need about 15.46% more doctors, nurses, medical office staff, hospital staff, medical offices, and hospitals. For every 100 medical doctors practicing today, we need 115.46. For every 100 nurses, we need 115.46.

According to the Bureau of Labor Statistics, there were about 661,000 physicians and surgeons in the US in 2008 and are about 2.6 million Registered Nurses, RN’s, today.9 If this is sufficient for the 357 Million Americans who have health insurance, then we need an addtional 102,191 physicians and surgeons, and an additonal 401,960 nurses, and they need offices, examining rooms and other infrastructure. However, we can’t just push a button and create 102,191 physicians and surgeons and 401,960 nurses out of thin air. It takes nine years to train a physician and three years to train a nurse.10

Selected Demographic Information

Americans

With Insurance

Without Insurance

Total

Americans

257 M

47 M

304 M

Medical Professionals

Have

Need

Total

Physicians & Surgeons

661,000

102,191

763,191

Nurses

2.6M

401,460

3.0 M

Table 2

Another way to use deficit spending today to stimulate the economy and invest for the future is to build the medical infrastructure for the 47 million Americans who can’t afford or are without health insurance.

Paul Krugman on Banking, Securitization, and The Canadian Model

In his recent columns in the New York Times, Paul Krugman11 has discussed the banking industry, the banking debacle, banking reform, and the Canadian model for banking regulation and banking risk management. He quotes testimony by Jamie Dimon of JP Morgan Chase and Lloyd Blankfein of Goldman Sachs. In hearings of the Financial Crisis Inquiry Commission, Dimon basically said “this was business as usual.” Blankfein, however, said “it was an act of God.” While they disagreed about the cause of what happened, they agree with the solution: “Let bankers be bankers. If the government regulates banking, the economy will crumble.” It appears that we tried this deregulatory approach, and the economy crumbled.

“Securitization” of loans, in which bad loans are bundled with good loans and sold, doesn’t limit risk, it rewards risk. In terms Tiger Woods or a Wall Street banker should be able to understand, Securitization is like sexual activity and HIV AIDS. Suppose one person has 100 relations with 10 partners, 10 with each, one of whom is infected with the HIV AIDS virus. Suppose another person has one relation with each of 100 partners, one of whom is infected with the virus that causes HIV AIDS. Clearly the first person has a higher risk of infection. However, the second person is also at risk. In the case of securitization of “toxic assets” the bankers were rewarded to have relations with as many people as possible. They didn’t minimize risk. They spread it around.

The Canadian banking model limits risky loans, limits bank leverage, and limits securitization. This is what Obama must do. He must demand and enforce regulations that require transparency in banking, regulate derivatives, eliminate incentives for bankers to make bad loans, create incentives for bankers to make good loans; to practice what might be called safe banking

. Regulations, for example, like those mandated by Glass Steagal.

Patrick Henry once said. “Give me liberty or give me death,”

Today he might add, “Entrust my money with cautious bankers.

———— Notes ————-

1Faced with high unemployment and a lack of unemployment compensation funds, NJ Gov. Christie is proposing to cut unemployment benefits, and cut the unemployment tax used to fund unemployment benefits. Beth DeFalco, “Christie proposes to cut jobless benefits,” NJ Herald, 2/25/10, http://www.njherald.com/story/news/nj-jobless-benefits, and Athena D. Merritt, “Christie proposes fix for N.J.’s insolvent unemployment fund,” Philadelphia Business Journal, 2/25/10, http://www.bizjournals.com

2Discussed at length by Riddell, Shackelford, Stamos, and Schneider, Economics, Pearson – Addison Wesley, 2008, pg 365-368.

3I’m using the term “Deep Recession” in conjunction with “Depression” because there appears to be a general reluctance on the part of bankers, journalists, pundits, and others to use the term “Depression” in discussions of the state of the economy today.

4Acharya, Viral and Ouarda Merrouche, “Precautionary Hoarding of Liquidity and Inter-Bank Markets: Evidence from the Sub-prime Crisis,” July 3, 2009, at Stern.NYU.edu, http://pages.stern.nyu.edu/~sternfin/vacharya/public_html/acharya_merrouche.pdf.

5Reich, Robert, “Obama Needs to Teach The Public How To Get Out Of The Mess We’re In, But He’s Not”, 1/29/10, http://www.huffingtonpost.com

6Paul Krugman, the Princeton University Economist, and Nobel Laureate, writes a column for the New York Times.

7According to Statemaster.com there are about 94,260 elementary and secondary schools in the US. I rounded this up to 100,000 to simplify the math. http://www.statemaster.com/graph/edu_ele_sec_tot_num_of_sch-elementary-secondary-total-number-schools.

8On July 10, 2007, “Pennsylvania Progressive” reported then President Bush said: “People have access to health care in America. After all, you just go to an emergency room.” http://pennsylvaniaprogressive.typepad.com/my_weblog/2007/07/bush-on-healthc.html

Also reported on July 11, 2007 by Dan Froomkin in the “Washington Post,” in his column “Mock The Press”. http://www.washingtonpost.com/wp-dyn/content/blog/2007/07/11/BL2007071101146_5.html

9Bureau of Labor Statistics, Occupational Outlook Handbook, 2010-11 Edition,

Physicians and Surgeons. http://www.bls.gov/oco/ocos074.htm#outlook,

Registered Nurses, http://www.bls.gov/oco/ocos083.htm

10I’m assuming a 6-year Biomedical program and a 3 year Medical Residency for physicians and surgeons and a 2 year practical nursing program with a 1 year Residency for nurses.

11Krugman’s Recent columns in the NY Times include, “Bubbles and the Banks”, 1/8/10, “Bankers Without A Clue”, 1/15/10, “March of the Peacocks”, 1/29/10, and “Good and Boring,” 2/1/10. These can be found on the Internet at http://www.nytimes.com.

Barack Obama, a Systems Thinker in the White House

President Barack Obama.

President Barack Obama.

In his State of the Union Address <video, transcript Englsh, en español>, President Obama said “The best anti-poverty program is a world classeducation

.” He described a positive, or reinforcing, feedback loop. Education enables people to accomplish more, earn more, and better educate their children, who also accomplish more and earn more. It is one of the most important differences between the populations of New Jersey and West Virginia. This is described in detail in Thinking in Systems, by Donella Meadows<link>, (C) 2008, published by Chelsea Green<link>, ISBN 978-1-60358-055-7.

The President also asked for a better health care plan. I can answer that in five words: “Single Payer; Medicare For All” <linkjust approved by the California Senate. Medicare works for my octogenarian father. Health Insurance Care doesn’t work for a 20-something friend of mine. He just graduated from college. He has no job and therefore no medical insurance. If he was a full-time student he’d be covered on his parents’ insurance. A simple reform would cover recent graduates until they find a job that pays a living wage and provides health insurance benefits. Another would be by expanding Medicare to cover all citizens. This is much easier said than done. Our medical care system cannot adequately care for approximately 50 million people – one out of six. This can’t be changed overnight – we need to train more doctors and nurses, and build more hospitals, but it must be changed.

Image showing mountain strip mined for coal.

Mountain strip mined for coal. Chris Dorst, Charleston, WV Gazette.

Energy is another set of systems problems. No one who has seen a once pristine valley after strip mining or “mountain-top removal”  uses the term “Clean Coal.” Countries like Denmark, Ireland, Israel, Japan, and Sweden built their economies with education not extraction of natural resources. As the President alluded to, conservation and clean, renewable energy technologies – solar, wind, geothermal, hydro – can be implemented faster, at a lower cost, and with fewer negative economic externalities than traditional fuel intensive resource based technologies like fossil fuel and nuclear power. This suggests another of the differences between New Jersey and West Virginia – the “Blessings of Education” versus the “Resource Curse” <link> from which economies built on extraction of natural resources suffer.

Arklow at Sunset

Arklow Bank Wind Park, off Arklow Bay, Ireland. Image courtesy Oneworld.net, UK.

The President needs economic advisors who start think in terms of ecological economics <link1 / link2>, of metrics like the Genuine Progress Indicator, GPI <link>, rather than Gross Domestic Product, GDP <link>. Simply put, ecological economics is neoclassical economics with a better understanding of the long term and of costs. Spending one dollar – or one trillion dollars – to clean up a mess is not as good as allocating those resources to build factories, houses, libraries, museums – the infrastructure, culture, and community of a nation.

Obama and Holt on Health Care

President Obama

President Obama

Washington, DC, Nov. 7, 2009, 11:00 PM. The U. S. House of Representatives passed a health care bill that appears to profoundly change the system.

According to President Obama, (click here or  here)

Comprehensive health care reform can no longer wait. Rapidly escalating health care costs are crushing family, business, and government budgets. Employer-sponsored health insurance premiums have doubled in the last 9 years, …. This forces families to sit around the kitchen table to make impossible choices between paying rent or paying health premiums. … The United States spent approximately $2.2 trillion on health care in 2007, or $7,421 per person – nearly twice the average of other developed nations. Americans spend more on health care than on housing or food. If rapid health cost growth persists, the Congressional Budget Office estimates that by 2025, one out of every four dollars in our national economy will be tied up in the health system. This growing burden will limit other investments and priorities that are needed to grow our economy. Rising health care costs also affect our economic competitiveness in the global economy, as American companies compete against companies in other countries that have dramatically lower health care costs.

According to Rush Holt, D, NJ-12, (click here or here)

Rep. Rush Holt, D, NJ-12

Rep. Rush Holt, D, NJ-12

This bill would provide secure and stable health coverage regardless of whether you change jobs or are between jobs, ensure Americans will never be denied care if they get sick, and extend coverage to those not well served by the current system.

This is a historic vote and the furthest we have come toward providing affordable and quality health coverage to all Americans.

Once this bill becomes law, it immediately would eliminate cases where insurance benefits run out because of an expensive illness, would allow young adults to remain on their parents’ insurance through age 26, and would shrink the Medicare prescription doughnut hole.

The bill would strengthen and extend existing programs.  For example, those who have health insurance through their employers would benefit from caps on yearly out of pocket costs.  Under the legislation, Medicare would be intact, only better – recipients would benefit from free preventive care and better primary care.  Clickhere to read more about what the bill would do for you.

Reform would preserve the relationship between families and their doctors and shift to a focus on healthy outcomes and rewarding physicians for treating the whole patient.

Representative Rush Holt on Health Care Legislation

In an e-mail to supporters, Rush Holt, D, NJ-12 said,

Rep. Rush Holt, Ph.D.

Rep. Rush Holt, Ph.D.

I just now voted for the Affordable Health Care for America Act. I want you to know about this development and what the bill means for you. This bill would provide secure and stable health coverage regardless of whether you change jobs or are between jobs, ensure Americans will never be denied care if they get sick, and extend coverage to those not well served by the current system.

This is a historic vote and the furthest we have come toward providing affordable and quality health coverage to all Americans. Continue reading

Return To The Giant Pool of Money

The Giant Pool of Money is an outstanding radio documentary which explains, in United States Dollar - via Wikimedia Commons

large part, our current economic woes. If we have the chronology right, this episode of This American Life – now rebroadcast as “Return To The Giant Pool of Money” led to NPR’s creation of the blog Planet Money.  

Click here for other economic coverage by This American Life.

Why is this subject relevant at Popular Logistics? Because widespread poverty – or its effects, fear, limits on health care, housing, and food – constitute disasters, whether caused by a hurricane, indusstrial accident or by  failure.

Health Care: Medicare or Insurance Care

Here’s the choice, as I see it:  The “Public Option”

versus The Status Quo.

Medicare for All versus Health Insurance for Most – affordable to the healthy and employed, but rationed to five (5) out of six (6) Americans. As Will Rodgers might have said, “Five out of six ain’t bad; Unless you’re number 6, and excepting that the five get exposed to whatever it is that number 6 has got.

Health Care for all, versus Rationed Private Insurance Care that doesn’t cover 47 Million Americans that are over 18 and under 65, who’s taxes pay for Medicare for their parents and grandparents, their children covered by SCHIP, and for procedures given to charity care patients in hospitals.

In other words, “Health care By the People, Of the People and For the People,”

versus “Health care run By the Bean Counters Of the Insurance Companies For the Stockholders!”

Health Care – Medicare for All

I have a good full-time job. I buy the health insurance my Human Resources Dept tells me to buy. (This is not, by the way, a “free market” as described by Adam Smith, David Ricardo, John Maynard Keynes, Milton Friedman, and other neo-classical economists.) I pay enough that I could be driving a Hummer  about 2,400 miles per month (at current gas prices).

But my coverage is rationed by insurance company beancounters. When I need a doctor, I see one of their docs.  A complete physical is free once a year. It takes about two hours and 30 seconds – two hours waiting and 30 seconds in which the doctor says “You’re breathing. That’s good. You’re blood pressure is high, if it gets higher we’ll put you on meds.”

That’s ok, or what passes for ok. As long as I don’t get sick I’m ok. That’s why my blood pressure is high. I’m worried about getting sick. Or losing my job. Or losing my job and getting sick. In that case I’ll lose my house.

One thing I don’t worry about is that my father. He’s well over 80, and he has good health, and good health care. He’s on Medicare. It’s great. Efficient.  Government run. Not sexy like the Apollo Mission to the moon, but very important. And for the health care that my kids teachers get. They go to public school. The teachers are in the unions. And the health care is good. The kids too get good health care. My kids, my kids friends, even if their parents work but don’t get health care, then, thanks to Presidents Clinton and Obama, and despite the efforts and vetos of President Bush, they get health care.

But one of the things that really gets me, the thing that makes my blood boil – which is why I’ll need blood pressure meds – is that close to 50 Million Americans – one out of six – have no health insurance. And it’s people between the age of 18 and 65. People who work, or would work, if they could find jobs.  This is wrong on many levels. It’s not just that I have friends in that position, and that I was in that situation – working hard, falling backwards, no health insurance – barely able to afford food. According to Paul Krugman, in the New York Times, “many of the protesters who don’t want “Government Run Health Care” are on Medicare.” While that’s almost funny, it’s also very sad.

Nurse to Patient Ratios and Hospital-Acquired Infections

In response to Paul O’Neill’s opinion piece “Health Care’s Infectious Losses,” in the Times of July 6th, one letter stands out, which we here reprint in its entirety:

To the Editor:

Former Treasury Secretary Paul O’Neill leaves out a significant factor in his formula for reducing hospital-acquired infections and medical costs: making sure there are enough nurses taking care of patients.

For example, central venous catheter-associated bloodstream infections cost millions each year. A study by the Centers for Disease Control and Prevention found that this infection is more likely to occur when there are fewer nurses in the intensive-care unit, regardless of other infection control measures.

Infections are prevented by careful, constant monitoring and assessment of patients by the nurses in attendance. This cannot happen when nurses are assigned too many patients. Infection control is not just making rules — it’s about having the right number of professional nurses to carry them out.

Deborah Elliott,Deputy Executive Officer

New York State Nurses Association
Latham, N.Y., July 6, 2009

Medical care is by its nature labor-intensive. Nurses and other skilled staff act as force multipliers for physicians – and often make the difference between the mediocre medical care and excellent medical care. With respect to hospital-acquired infections, excellence and cost control are not in conflict.

Increase the ratio of nurses to patients – medical outcomes will improve – and what’s more, we’ll lose fewer nurses to burnout.

Letters | Cutting Hospital Infections to Cut Costs.

Disclosure: my wife is an R.N. and member of the New York State Nurses Association.

Mindgrowth: biofeedback devices for pain management and other uses

Mindgrowth, a U.S.-Canadian company – distributes biofeedback equipment  – with MindGrowth's GSR deviceand without tracking software – used for, among other things, pain management/reduction, treating PTSD, panic disorders, and other uses.The GSR2 (pictured below) is designed and manufactured in North America by Thought Technology, the largest manufacturer of biofeedback products in the world. There are more than 550,000 of the GSR2 in use worldwide, including the United States Veterans’ Administration medical system.

Biofeedback is no longer “experimental” – there’s no question that it works, not only for medical uses, but also in enhancing athletic performance and cognitive function. It has a substantial drawback in the context of the United States health system: once purchased, and used/learned, some people have lasting effects and never touch the equipment again – others need to return to the biofeedback equipment to “relearn” the original “lesson.” To keep this example simple – think of someone trying to unlearn a fear response to a particular stimulus – loud noises, for example.

Continue reading

How to fix GM? A 4 Point Plan:

President Barack Obama fired GM CEO Rick Wagoner. He was replaced by Fritz Henderson, who had been Vice Chairman and Chief Operating Officer. While I agree that Wagoner should probably have been fired, I think his replacement should have been someone from the outside. Promoting from within is a good thing when a company is doing well, but not when the company is collapsing. General Electric, for example, has always promoted new CEO’s from within. But GE was not in trouble when Welch took over, or when he handed the reins to Immelt. IBM was in trouble when the Board brought in Lou Gerstner, an outsider, to, as he put it, teach that elephant to dance. GM is in serious trouble. As an insider, Henderson may be too in step with the corporate culture to change anything.  As an outsider I can see what Henderson might miss.

So how would I fix GM?

  1. Every car, light truck, and truck that comes off the lot should be a diesel  electric hybrid. Like the Toyota Prius, and GM could license the technology from Toyota, but it should burn diesel fuel. That would pave the way to bio-diesel.
  2. Offer a 2 kw solar electric system with every car. This should be priced at $15,000, installed. It’s $10,500 after the economic stimulus plan’s 30% tax break. It would It would charge the batteries, or power a small home during daylight hours.
  3. Give everyone stock options, and limit salaries to $390,000 – less than the salary of the President of the United States.
  4. Demand that the government – my new management – take over the burden of health care for all my employees, my retirees, and every other citizen. Medicare works well for my father. It would work well for me!

Bob Coffield – Health Care Law Blog

Bob Coffield, an attorney specializing in health care law, is the proprietor of the Health Care Law Blog.

(Those of you paying close attention will notice that between the URL and the name  — the words are reversed. It’s the right address).

This is an excellent blog – but of the posts I’ve read so far, Coffield is a big-picture/systems guy, and very thoughtful. He’s asking good questions about health care policy and risk – and I didn’t see a single post that presupposed any legal knowledge. Haven’t yet had time to go through old posts to see if he’s followed issues of mass casualty incidents/disaster treatment, but I’m subscribing to his feed, and will try to keep an eye out.