The Transition to Single Payer: What Would Medicare Look Like?

Sanders plugs single payer

What if Bernie Sanders were elected President, and what if that was just the beginning of a Social Democratic revolution in America? Improbable, to be sure, but if we went to a single payer health care system, what might Medicare … Continue reading


The Role of the Emergency Physician in Aid-in-Dying

Aid-in-Dying legislation - impact on emergency medicine

Recently, the California Aid in Dying bill, SB 128, which was placed into legislative limbo because of resistance in the Assembly Health Committee, has been resurrected and will now be heard in a special Health Care session of the Legislature … Continue reading

Anti-vaxxers Take on Mandatory Vaccination of Schoolchildren in CA

Some of you may have heard of the efforts to recall Dr. Richard Pan, a pediatrician and State Senator in California who authored SB 277, a bill that eliminates personal preference exemptions from vaccinating children attending school, signed into law … Continue reading

Emergency Departments: Guilty as Charged ?

How much does ED care contribute to premium hikes?

A recent article in the Hartford Currant entitled “Health Insurers: Drug Costs, ER Use Driving Higher Rates” indicated that a representative of Connecticare blamed increasing ER use as a factor in the need for the health plan to raise premium … Continue reading

When the Hospital CEO Questions Test Utilization in the ED

Benchmarking ED Test Utilization

A client just wrote me to say: “Recently, a hospital administrator brought up the issues of over-utilization. I found some solid stats on CT use and found that we are near, or below, that benchmark, but I am curious to … Continue reading