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How Should We Pay For Health Care In the U.S.?

By endodoc June 26, 2009 Health Care Systems/Delivery No Comments

The national debate continues to be a contentious one regarding just how we will pay for universal health care.  What seems clear is that at current costs, it will be…

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Why Does U.S. Medical Care Cost So Much? Lessons From McAllen, TX

By endodoc June 24, 2009 Health Care Systems/Delivery No Comments

I finally got around to reading the “hot” article in the June 1,2009 New Yorker magazine written by Atul Gawande.  The article which is entitled “The Cost Conundrum” with subtitle,…

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No Gain Without Some (actually considerable) Pain: More Bad News

By endodoc June 21, 2009 Health Care Systems/Delivery No Comments

Earlier today I wrote an entry emphasizing the simple fact that we cannot hope to come up with a satisfactory plan to make major improvements in the U.S. health care…

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U.S. Health Care Reform: Is It Possible to Gain Without Pain?

By endodoc June 21, 2009 Health Care Systems/Delivery No Comments

The recent media frenzy surrounding the current health care debates in Washington has driven me to take a slight detour back to health care issues (I had been focusing on…

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Barriers To Success In Managing Diabetes: How To Quantify What Success Means

By endodoc June 12, 2009 Diabetes Mellitus No Comments

In my last 2 entries (June 8 and June 11, 2009), I did my best to present the problem- a disconnect between what we know about preventing diabetes complications, and…

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Why Do Patients With Diabetes Still Develop Chronic Complications?

By endodoc June 11, 2009 Diabetes Mellitus No Comments

In my last entry (June 8, 2009), I began a discussion about why, given how much we now know about preventing diabetes complications, patients still get retinopathy, neuropathy, nephropathy, and…

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Now That We Know How To Prevent Diabetes Complications, So How Come So Many People Are Still Getting Them?

By endodoc June 8, 2009 Diabetes Mellitus No Comments

Last week I had a very interesting clinic in which the first 3 patients were teenagers with type 1 diabetes.  The first patient was a 16 year old boy with…

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