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By Dr. Paul Kivela

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This is a list of thoughts and articles that are relevant to emergency medicine healthcare policy and the home of  “EM News You Can Use.”

Medically Sound

With Dr. Paul Kivela

Replace “Standard of Care” with “Reasonable Practice”

  February 12, 2016  |    drk

I always enjoy speaking to and reading Dr. William Sullivan’s work and opinions in the field of medical legal issues.  I think that he is truly a thought leader in emergency medicine.  His February 2016 article in Emergency Physicians Monthly is very thought provoking. In this article, he explores the use of the phrase “standard… Read More


Marijuana Use Up but Marijuana Abuse  Disorders steady...

  February 10, 2016  |    drk

This study compares prevalence and trends in marijuana use and marijuana use disorder from the National Epidemiologic Survey of Alcohol and Related Conditions with those from the National Survey on Drug Use and Health.  Over the past decade with the easing of state laws, the use of marijuana has increased by almost 20%.  However, based… Read More


Techies want to Uber-ize healthcare but maybe healthcare...

  February 10, 2016  |    drk

Healthcare is a beast and industry that is quite different from many others.  If you are an uber rider and your driver is rude or gets lost, you likely wont die.  Also where as Uber has stumbled with regulations, healthcare is probably the most regulated industry in the United States.  This article looks at whether… Read More


U.S. Doctors Spend Too Much Time Getting Sued...

  February 10, 2016  |    drk

The anxiety from medical malpractice claims can be overwhelming.  It is not uncommon or unheard of that doctors practice defensive medicine, are consumed with anxiety when they are sued, that lawsuits have lead to divorce, burnout, and even suicide.  A RAND article looked at The Doctors Company data and concluded that the average physician spends… Read More


Health spending increases 5.3% under ACA

  February 10, 2016  |    drk

The Affordable Care Act (ACA) whose primary goal is make healthcare more affordable and decrease costs increased 5.3% in 2014.  This is the largest increase since 2007.  While physician and hospital charges increased modestly, pharmaceutical spending increased dramatically at over 12%.  But spending from Medicaid increased also by 11% primarily through increased enrollment. The U.S.… Read More


Can Flu Vaccine Prevent Atrial Fibrillation

  February 9, 2016  |    drk

Atrial Fibrillation is a very common condition that can lead to strokes and other debilitating conditions.  This is a preliminary study that looks at a possible association between flu shots and decreased incidence of the development of atrial fibrillation.  This study was based on information from the Taiwan health study that took place over a… Read More


Health Care Industry Spent $243 Million in 2013...

  February 8, 2016  |    drk

Health Care Industry Spent $243 Million in 2013 Lobbying ObamaCare Over 2,400 individuals are registered as lobbyists for the health-care sector. It is important to note, however, that this number, and the total spent, is likely a fraction of what the industry is spending to influence the government on ObamaCare. Direct lobbying only covers a… Read More


New Alliance to Target Health-Care Costs – WSJ

  February 8, 2016  |    drk

Employers who for the most part pay the bill of healthcare should be the target of physicians thoughts about insurance companies’ inappropriate actions and coverage.  Employers are clearly getting tired of paying double digit increases for the cost of medical care for their employees. A Wall Street Journal article discusses the new alliance that is… Read More


There are still a large number of uninsured

  February 8, 2016  |    drk

The Patient Protection and Affordable Care Act (PPACA) and later shorted to the Affordable Care Act (ACA) and commonly referred to as ObamaCare professed to provide universal coverage for all Americans.  Unfortunately even with legal and financial mandates, there are still a tremendous number of uninsured Americans. This number does not include the number of… Read More


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