Jim McVeagh

Obamacare Wins (Maybe) - MacDoctor

Nov 08, 2009

The House of Representatives has just approved Obama’s healthcare bill 220 -215. The bill will now go to the Senate where the Democrats may have the numbers to pass the bill – assuming all Democrats and the two independents vote for it. Obama needs to get everything passed before the mid-term elections. It is highly [...] Related posts:

  1. Over My Dead Body The powerful Senate Finance committee has just voted down two...
  2. They Never Give Up I see the Democrats have reintroduced the “public option” (i.e....
  3. Insurance Claim Small businesses in the US are facing sharp rises in...
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Restraining Health Costs - MacDoctor

Nov 05, 2009

Brian Fallow provides an excellent look at the urgent need for cost containment in health and the problems this involves. He points out that rising health costs is a far bigger potential problem than superannuation. It is also far more difficult to solve as a simple shift in age eligibility would sort out most superannuation [...] Related posts:

  1. Co-payments The editorial in the Herald today in support of an...
  2. OECD Health “Healthcare NZ’s ‘biggest threat’ – OECD” blares the headline, which...
  3. Slashing Health I knew I would not be disappointed by the reaction...
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Doctors 4, Labtests 0 - MacDoctor

Nov 04, 2009

Latest update on the game of Auckland pathology football is Doctors 4, Labtests 0 as the DHB , supposedly playing for Labtests, scores an own goal. Last night, Counties Manukau DHB chairman, Professor Gregor Coster, said: “They led us to believe they had a quality and safety system in place from the outset. “It proved not to [...] Related posts:

  1. Doctors 2, Labtests 0 One month into the contract that is the score so...
  2. Playing Chicken Apparently, Auckland DHB is now going to play an expensive...
  3. More Labtests Conspiracy There’s an interesting development in the Labtests story. Adolf Fiinkensein...
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Abortion is Maddening - MacDoctor

Nov 03, 2009

This Month’s British Journal of Psychiatry carries a research paper that should make all doctors signing abortion certificates on the basis of mental health concerns, think twice. The paper elegantly demonstrates that abortion worsens mental health outcomes. Unfortunately, I can only link to this article, rather than the paper itself, which is behind a pay-wall. [...] Related posts:

  1. Bad For Your Health A Christchurch study has confirmed that women who have abortions...
  2. Abortion and Child Abuse My favorite curmudgeon, Garth George, writes today on how he...
  3. Right to be Informed Good on Ron Paterson for upholding a woman’s right to...
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Handwash - MacDoctor

Nov 01, 2009

The Sunday Star Times makes the rather obvious connection between the spread of the Superbug ESBL and the lax hand-washing practices of staff, particularly doctors. I will be the first to admit that we doctors are a slack bunch in general when it comes to hand-washing. “There are many excuses healthcare workers come up with for [...] Related posts:

  1. Knocking Back the Handwash I have to admire the inventiveness of orthopaedic surgeon Ian...
  2. Faster Than a Speeding Antibiotic… I see once again the “superbug” is in the news,...
  3. A Question of Dying Ron Paterson reckons that up to 85% of terminally ill...
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Spam Journalism #62 - MacDoctor

Oct 31, 2009

Spam Journalism: The spurious use of sensational headlines to add spice to an otherwise pointless article. Well, half the headline is ok… DHBs, union clash over plan to axe 20 doctors Plans to cut 20 resident doctor positions at Auckland hospitals will increase the pressure on remaining staff and threatens standards of patient care, a unionist says. But the [...] Related posts:

  1. Folding the Deck Chairs Waitemata, Auckland and Counties Manukau District Health Boards are complaining that...
  2. Mercenary Medicine The MacDoctor was doing locums (aka mercenary medicine) for about...
  3. Working Yourself to Death I find it quite amusing that a state sector inquiry...
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Twelve - MacDoctor

Oct 26, 2009

Have you noticed recently how every headline in the media is slanted to make whatever is happening in ACC look bad? ACC is clearly the current whipping boy and Nick Smith appears to be the Minister designated for denigration. This headline is a particularly egregious sample: ACC pulls fall plan support While superficially true, it obscures the [...]

Needle Point - MacDoctor

Oct 25, 2009

Obama has declared the Swine Flu epidemic in the US a national emergency. Swine Flu has been a public health emergency since April of this year, but making it a national emergency provides people like Health and Human Services Secretary Kathleen Sebelius quite sweeping powers to bypass most federal rules. I am a little curious as [...]

Faster Than a Speeding Antibiotic… - MacDoctor

Oct 24, 2009

I see once again the “superbug” is in the news, with poor old North Shore Hospital attempting to control an outbreak by splitting up their wards. Having worked in such an environment, I know exactly how frustrating that can be for nursing staff. Reverse barrier nursing (gloves, gowns, caps and overshoes to protect the nurse [...]