Health Care Non-Profit Organizations Ignored Conflicts of Interest or Potential Corruption Generated by Mar a Lago Fundraisers, But Drew the Line at Supporting Nazi Sympathizers
Leaders of big health care organizations have long made excuses for rampantconflicts of interest in health care.  Usually, their rationales included something about the need to collaborate with industry to spark innovation.  However, some leaders may have been directly benefiting from such conflicts (e.g., academic leaders on the payrolls of drug, device and biotechnology firms, even on the firms 'boards).  Others may not have been, but were making millions in the current system, so why rock the boat?  Meanwhile, the risks these conflicts posed ofhealth care corruption were not a subject of polite conve...
Source: Health Care Renewal - August 20, 2017 Category: Health Management Tags: Cleveland Clinic conflicts of interest Donald Trump health care corruption Source Type: blogs

Can We Challenge Health Care Corruption Under Morally Failed Government Leadership?
Introduction: Health Care CorruptionAn important theme ofHealth Care Renewal has beenhealth care corruption as a cause of health care dysfunction.Transparency International (TI) defines corruption asAbuse of entrusted power for private gainIn 2006,TI published a report on health care corruption, which asserted that corruption is widespread throughout the world, serious, and causes severe harm to patients and society.the scale of corruption is vast in both rich and poor countries.Also,Corruption might mean the difference between life and death for those in need of urgent care. It is invariably the poor in society who are af...
Source: Health Care Renewal - August 13, 2017 Category: Health Management Tags: Donald Trump health care corruption Source Type: blogs

What the US " Health Care Reform " Debate Did Not Address
It looks like the bizarre process in the US Senate ostensibly to " repeal and replace Obamacare " (aka the Affordable Care Act, or ACA)may be ending, at least for now.  I can only hope that further discussion of health care reform will let sanity prevail, and start to address the major issues that have led to the massive dysfunction of US health care, but were not discussed during the latest kerfuffle (and not even discussed much in the real debate that preceded the introduction of the ACA.)OnHealth Care Renewal we have discussed some of the issues that have received much less attention than the Senate proce...
Source: Health Care Renewal - July 31, 2017 Category: Health Management Tags: health care reform Obamacare ppaca Source Type: blogs

The Mysterious Demise of World Health Networks - Fugitive Kazakhs, the Trump Organization, Dodgy Visa Applications, Oh My
DiscussionAs we have previously discussed, based on the doctrines ofneoliberalism ormarket fundamentalism, the US health care system is increasingly dominated by for-profit corporations.  The practice of medicine is increasinglycorporate.  Hospitals and hospital systems are increasingly owned by for-profit corporations.  Health insurance is increasingly provided by for-profit companies.  Drug, device and biotechnology companies have been almost entirely commercial for a long time.  And touted as  sources of innovations, there are entrepreneurial start-ups everywhere offering new products and s...
Source: Health Care Renewal - July 27, 2017 Category: Health Management Tags: crime Donald Trump market fundamentalism marketing neoliberalism public health Steward Health Care Source Type: blogs

Who Benefits from our Current Health Care Dysfunction? - Mallinckrodt's Leadership Maintains Impunity After Well Publicized Opioid Settlement
DiscussionMallinkcrodt made settlements of four legal cases since 2010, involving kickbacks to physicians, various deceptions, and anti-competitive behavior.  The settlements never involved severe enough penalties to the company to really affect its bottom line, never required admission of responsibility, or any accountability by top executives whose huge remuneration were doubtlessly based on the revenues brought in by bad behavior.  Yet US Attorney General continued the Kabuki performance by proclaiming he would " hold them accountable. "  Sessions just slapped the company on the wrist again, wit...
Source: Health Care Renewal - July 20, 2017 Category: Health Management Tags: Acthar antitrust deception executive compensation impunity kickbacks legal settlements Mallinckrodt Questcor restraint of competition Source Type: blogs

Inexact Sciences
Thoughts on the place of science in an era of false convictionSome recent articles, noted by a few of us in journals regularly monitored byHCR bloggers, provide real food for thought in our New World Order of alternate facts, fake news and truthiness.In a recent number of the still intrepidly pay-wall-free Guardian,  development economist John Rapleysummarizeshis new bookTwilight of the Money Gods. This summary is the best we in the colonies can do until this month's UK publication of the full volume makes it to our shores. (Rapley, a true globalist, both an academic and a public intellectual experienced at ...
Source: Health Care Renewal - July 17, 2017 Category: Health Management Source Type: blogs

Gutting the Health Care Corporate Strike Force
DiscussionSo the Trump administration proposes two part time attorneys to drain the health care corporate swamp.  That seems like bailing out the Titanic with teaspoons. But should we expect anything else from an administration that is being increasinglyidentified with corruption and impunity itself?We have frequently discussed outrightcorruption in health care as one of the most important causes of health care dysfunction.  Transparency International (TI) defines corruption asAbuse of entrusted power for private gainIn 2006,TI published a report on health care corruption, which asserted that corruption is widesp...
Source: Health Care Renewal - July 13, 2017 Category: Health Management Tags: deferred prosecution agreement Donald Trump health care corruption impunity legal settlements US Department of Justice Source Type: blogs

More Dumb Things Politicians and Political Appointees Say About Health Policy
As wepreviously discussed, the fierce debate about whether to revise, or " repeal and replace Obamacare " , more formally, the Affordable Care Act, continues in the US.  The legislators in the US House of Representatives, and then the US Senate who have written " repeal and replace " bills have done so without any obvious input from health care professionals, health care policy experts, or patients, much less legislators from the opposition party, and so far have impeded any consideration of these bills by legislative committees.  Nonetheless, many of the politicians involved in the debates, a...
Source: Health Care Renewal - July 7, 2017 Category: Health Management Tags: health care reform ill-informed management logical fallacies Source Type: blogs

A $1.7 Million/ Year CEO of a Safety Net Hospital - Alleged to Have Hired a Dangerous Surgeon, Paid Unethical Bonuses, and Associated with Organized Crime
We have long contended that a major reason for health care dysfunction isperverse incentives, including those that allowtop health care leaders to become rich by putting money ahead of patient care.  We have presented case after case supporting this point,most recently including a collection of generously compensated top executives of non-profit hospital systems whose pay seemed disproportionate to their personal achievement, and unrelated to their hospitals'clinical outcomes or quality of care.Such cases, with their recitations of monetary amounts and repeated public relations talking points, can be rather dry. ...
Source: Health Care Renewal - June 29, 2017 Category: Health Management Tags: crime executive compensation fraud hospital systems hospitals mission-hostile management perverse incentives Source Type: blogs

Follow the Money: Non-Profit Hospital CEOs Quietly Collect Their Millions While US Health Care Reform Battle Rages
ConclusionsThe current inflamed discussion of " Obamacare " and Republican attempts to " repeal and replace " it focuses on the costs of care and how they affect individual patients.  Examples include concerns about health insurance premiums that are or could be unaffordable for the typical person; insurance that fails to cover many costs, and thus may leave patients at risk of bankruptcy due to severe illness; poor people unable to or who might become unable to obtain any insurance, and perhaps any health care.  Yet there is little discussion of what really drives high and ever increasing hea...
Source: Health Care Renewal - June 22, 2017 Category: Health Management Tags: boards of trustees executive compensation health care reform hospital systems hospitals non-profit organizations Source Type: blogs

Health Care Corruption No Longer a Taboo Topic?
We have been going on about the ruinous effects ofhealth care corruption, the role ofimpunity in enabling worsening corruption, our lack of good ways to challenge these problems, and our ongoing inability to even discuss what amounts to taboo topics (which we dubbed the "anechoic effect. " ) But as  corruption, and crime are increasingly linked to the most powerful leaders in the US, it becomes harder to deny that we have a huge problem with corruption in general, and thus maybe it becomes harder to deny we have a huge problem with health care corruption (see also our posts onconflicts of interest,crime, and...
Source: Health Care Renewal - June 14, 2017 Category: Health Management Tags: anechoic effect Donald Trump health care corruption Source Type: blogs

Trumping Up a Health Care Charity - Trump Organization Received Increasing Revenue from a Children's Cancer Care Charity
While health and health care are clearly not central interests of the currentUS President, Donald J Trump, we have noted some disturbing stories about the effects of his leadership on health care.  Most importantly, prior to the election, a story appeared alleging that Mr Trump licensed his name, and actively supported the Trump Network, which sold dodgy vitamin supplements to gullible consumers based on the results of urine tests of unproven, at best, accuracy (lookhere). While Mr Trump is controversial, to say the least, on multiple levels, never in modern history can I recall a president who was alleged to have bee...
Source: Health Care Renewal - June 7, 2017 Category: Health Management Tags: boards of trustees cancer Donald Trump health care corruption health care foundations mission-hostile management Source Type: blogs

" The Most Complicated Piece of Health Care is the Revenue " (Say What?) - The Shameless Managerialism of a Hospital CEO
IntroductionManagerialism, in my humble opinion, is one of the major reasons why the US health care system is so dysfunctional.  We have long discussed how people whom we first called "generic managers" have taken over health care.  Increasingly, health care organizations, including hospitals, pharmaceutical companies, health insurance companies, government agencies, etc are now led by people with management training, but not necessarily with any training or background in medicine, biomedical research, epidemiology, public health, or health care policy. We began noting how suchgeneric managers often pri...
Source: Health Care Renewal - June 2, 2017 Category: Health Management Tags: generic management generic managers managerialism mission-ignorant management Source Type: blogs

Robert Martensen's A Life Worth Living
Robert Martensen,A Life Worth Living: A Doctor's Reflections on Illness in a High-Tech Era (New York: Farrar, Straus& Giroux, 2008).    In recent years, doubtless because of the anxious disquiet of so many who have witnessed experiences of their friends and families, books examining “end-of-life issues” have become so numerous as almost to constitute a little genre of their own. At first glance, Dr. Martensen’s book appears to fall neatly within this category. The emergency physician and medical historian recounts numerous memorable patient stories, discusses technology o veruse at end ...
Source: Health Care Renewal - May 30, 2017 Category: Health Management Source Type: blogs

Evidence-Based Policy Making? - Dumb Things Politicians Say About Health Care Policy
There have been multiple legislative attempts at major health care reform in the US.  Typically, such attempts feature considerable public debate, including speechs, congressional committee hearings, sometimes progressing to debates by the House and Senate.  (For example, see thisFrontline chronology of the proceedings up to the passage of the Affordable Care Act, aka " Obamacare, " in 2009.)  Usually the discussion includes some real experts on health care policy, and some real health care professionals, and at least appears to reference some data about medicine, health care, and health economics....
Source: Health Care Renewal - May 23, 2017 Category: Health Management Tags: health care reform postmodernism Source Type: blogs

Will the Current Crises Finally Prompt America to Address How it is Haunted by Corruption and Impunity?
There is one tiny silver lining in the political storm clouds swirling over the US.  Some of the issues about which we have been ranting onHealth Care Renewal are no longer so easily dismissed.  We have long harangued about the ruinous effects ofhealth care corruption, the role ofimpunity in enabling worsening corruption, our lack of good ways to challenge these problems, and our ongoing inablity to even discuss what amounts to taboo topics (which we dubbed the "anechoic effect. " )  In response, we have been called alarmists, nay-sayers, and worse.  Now the parade of crises created by the Tru...
Source: Health Care Renewal - May 19, 2017 Category: Health Management Tags: anechoic effect health care corruption impunity Source Type: blogs

Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical Records
Channeling Lyndon Johnson on Walter Cronkite, in clinical medicine, when you've lost Boston (including MGH), you've probably lost the health IT war.Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical RecordsMay 12, 2017By Drs. John Levinson, Bruce H. Price and Vikas Sainihttp://www.wbur.org/commonhealth/2017/05/12/boston-electronic-medical-recordIt happens every day, in exam rooms across the country, something that would have been unthinkable 20 years ago: Doctors and nurses turn away from their patients and focus their attention elsewhere — on their computer screens.By the time the doctor can...
Source: Health Care Renewal - May 18, 2017 Category: Health Management Tags: healthcare IT dissatisfaction Healthcare IT failure Massachusetts General Hospital MGH texting while driving Source Type: blogs

Massive ransomware cyberattack in U.K. Hits 16 Health Institutions, many doctors reported that they could not retrieve their patients ’ files, but not to worry - no patient information was looked at or compromised
Perhaps doctors and nurses are clairvoyant?  Who needs records, anyway?Cyberattack in U.K. Hits 16 Health InstitutionsNew York Times DAN BILEFSKY and RAPHAEL MINDER MAY 12, 2017https://www.nytimes.com/2017/05/12/world/europe/uk-national-health-service-cyberattack.html LONDON — An extensive cyberattack hit Britain’s National Health Service on Friday,blocking doctors from gaining access to patient files, causing emergency rooms to divert patients and stoking fears about hackers ’ ability to wreak havoc on vital public services.Spanish and Portuguese companies, including Telef ónic...
Source: Health Care Renewal - May 12, 2017 Category: Health Management Tags: cyberattack healthcare IT risk healthcare IT utopianism NHS no information was looked at or compromised Patient care has not been compromised ransomware Source Type: blogs

Don't Know Much About Health Care, Health Care Research or Quality - Yet Appointed New Director of Agency for Healthcare Research and Quality (AHRQ)!?
The Agency for Healthcare Research and Quality (AHRQ) is a US government agency, part of the Department of Health and Human Services (DHHS), whosemission is toproduce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that theevidence is understood and used.It is known for providing grants for sophisticated clinical and health services research, some that uses complex statistical methods, often informed by the the precepts of evidence-based medicine and medical decision makin...
Source: Health Care Renewal - May 11, 2017 Category: Health Management Tags: AHRQ DHHS managerialism Source Type: blogs

New HHS Secretary, rather than singing unabashed praise for EMRs like his predecessors, states the obvious. However, the " solutions " are the usual boilerplate.
In the past, politicians on both sides of the aisle have generally sung unfettered and uncritical praise for electronic medical records and other health IT systems.Perhaps letters like this one from Jan. 2015, from near 40 major US medical societies bemoaning the injurious effects of health IT on medical practice, have finally had an effect: http://mb.cision.com/Public/373/9710840/9053557230dbb768.pdfFirst page preview of Jan. 2015 medical societies complaint letter to HHS about health IT.  Full letter athttp://mb.cision.com/Public/373/9710840/9053557230dbb768.pdfIn any case, this recent article caught me by surp...
Source: Health Care Renewal - May 6, 2017 Category: Health Management Tags: big data datapalooza healthcare IT burden healthcare IT difficulties healthcare IT dissatisfaction interoperability ONC Tom Price MD Source Type: blogs

New HHS Secretary, rather then singing unabashed praise for EMRs like his predecessors, states the obvious. However, the " solutions " are the usual boilerplate.
In the past, politicians on both sides of the aisle have generally sung unfettered and uncritical praise for electronic medical records and other health IT systems.Perhaps letters like this one from Jan. 2015, from near 40 major US medical societies bemoaning the injurious effects of health IT on medical practice, have finally had an effect: http://mb.cision.com/Public/373/9710840/9053557230dbb768.pdfFirst page preview of Jan. 2015 medical societies complaint letter to HHS about health IT.  Full letter athttp://mb.cision.com/Public/373/9710840/9053557230dbb768.pdfIn any case, this recent article caught me by surp...
Source: Health Care Renewal - May 6, 2017 Category: Health Management Tags: big data datapalooza healthcare IT burden healthcare IT difficulties healthcare IT dissatisfaction interoperability ONC Tom Price MD Source Type: blogs

Through the Revolving Door, Darkly
While the rare appointments to top health care positions by the Trump administration deservedly get considerable media coverage, lower level appointments sneaking through therevolving door do not.  So we hereby present our latest roundup of same, in chronological order by first coverage.Lance Leggitt from Health Care Lobbyist at Baker Donelson to Chief of Staff for the Secretary of Health and Human ServicesThis appointment first appearedin StatPlus on March 2, 2017 but was behind a paywall.  It was more recently covered in the New York Times in along article about revolving door appointments not specific to healt...
Source: Health Care Renewal - May 2, 2017 Category: Health Management Tags: conflicts of interest DHHS health care corruption regulatory capture revolving doors US Department of Justice Source Type: blogs

Health Insurance For Me But Not for Thee? - How Legislators Tried to Rig the Repeal of the ACA to Keep Their Own Health Insurance Affordable
The turmoil swirling around the new Trump administration has flushed into the open some things that the public heretofore was probably not meant to see....We have been writing a lot lately about how the insiders who run large health care organizations, and benefit mightily therefrom, try very hard to control the health care policy discourse, and keep us distracted from their wizardry behind the curtain.  Again, these days the curtain is likely to get blown away.Sarah Kliff just reported in Vox about a provision newly inserted into the proposed American Health Care ActWednesday night, text leaked of a new Republican am...
Source: Health Care Renewal - April 26, 2017 Category: Health Management Tags: deception health care reform oligarchy US Congress Source Type: blogs

Pontifications About Health Care Reform Written by Insiders Who Benefit from the Status Quo - Worse Than We Think
Perceptions that the US health care system is dysfunctional and needs major reform go way back.  Atimeline from the Tampa Bay Times noted President Theodore Roosevelt's proposal for a national health service in 1912.  Nonetheless, as we have discussed endlessly, most attempts at reform failed, and health care dysfunction seems to be getting worse.One big problem may be that we don't understand how much discussion of health care reform is driven by those who benefit from the status quo. A Personal AnecdoteWhen I began my academic career in 1983, I was often in the audience for talks about how to fix health ca...
Source: Health Care Renewal - April 17, 2017 Category: Health Management Tags: Amgen conflicts of interest deception health care reform Institute of Medicine Mayo Clinic Merck National Academies public relations Source Type: blogs

Pittsburgh Post-Gazette: " Medication errors in hospitals don ’t disappear with new technology " . Government: " It's the doctors' fault. " I am cited.
In conclusion:While I wish the Pittsburgh Post-Gazette article was longer, in its limited space its author did touch upon the major relevant issues well regarding the PA Patient Safety Authority study and its implications towards national Health IT policy.ONC's Dr. Andrew Gettinger's responses, however, seems to reflect an unwillingness of he and the government to acknowledge Bad Health IT.  His repsonses also appear to show a lack of appreciation of the complaints about EMRs from nearly 40 medical societies.  " It's the doctors fault " for not training enough.He does acknowledge that better IT would be...
Source: Health Care Renewal - April 10, 2017 Category: Health Management Tags: Andrew Gettinger MD Donald Rucker Healthcare IT experiment healthcare IT risk ONC Pennsylvania Patient Safety Authority Pittsburgh Post-Gazette Siemens Healthcare Steve Twedt Source Type: blogs

" A Radical Idea for Health-Care Reform: Listen to the Doctors " - Oops, I Mean Listen to the Corporate Executives, Directors, and Lobbyists
It has been the season for health care reform in the US since at least the Nixon administration.  We have endlessly discussed the unholy triad of health care dysfunction: rising costs, declining access, and stagnant quality.These days, with all the furor over whether Obamacare should be repealed and replaced, let alone, or improved, it is still the season for health care reform.  Last weekan article by David Ignatius in the Washington Postentitled " A Radical Idea for Health Care Reform: Listen to the Doctors, " appeared.   Since onHealth Care Renewal we are all about trying to uphold physicia...
Source: Health Care Renewal - April 7, 2017 Category: Health Management Tags: boards of directors conflicts of interest deception disinformation health care reform propaganda Source Type: blogs

Part of the Solution, or Part of the Problem? - Health Care Corporate CEOs on Physician Burnout
Physician burnout is in the news again.  Late in 2015, an article by Shaneyfelt and colleagues in the Mayo Clinic Proceedings showed an increase in the proportion of physicians reporting at least one symptom of burnout to 54.4% in 2014(1), up from the 45.5% they reported in 2012(2).  A March 28, 2017,post in the Health Affairs blog based on the latest article warning about burnout and suggesting how to address it got considerable attention.Background - Physician BurnoutHowever, physician burnout is hardly new.  As wewrote in 2012 about the predecessor the 2012 Shaneyfelt article, this is just the latest in a...
Source: Health Care Renewal - April 2, 2017 Category: Health Management Tags: burnout conflicts of interest corporate physician generic management governance leadership managerialism mission-hostile management physicians Source Type: blogs

An eloquently expressed lesson from Nanaimo (Canada) on electronic medical records failure
Unfortunately, this eloquent piece on EHR failure expresses precisely the major problems with this experimental technology thatgeneric medical managers and other medical bureaucrats are unwilling to hear, and/or unable to fully comprehend.At my May 31, 2016 post "HIT Mayhem, Canadian Style: Nanaimo (Vancouver Island) doctors say electronic health record system unsafe, should be shut down, non-medical PR hacks say it's perfectly safe" at http://hcrenewal.blogspot.com/2016/05/hit-mayhem-canadian-style-nanaimo.html, I wrote:... To hell with doctors and nurses and their concerns about horrible health I...
Source: Health Care Renewal - March 24, 2017 Category: Health Management Tags: generic management Healthcare IT experiment Healthcare IT failure healthcare IT risk Mismanagement Nanaimo Vancouver Island Source Type: blogs

Who Benefits? - From the Mayo Clinic Explicitly Putting Commercially Insured Patients Ahead of Some Government Insured Patients?
Amidst all the chaotic noise emanating from Washington, DC, little snippets of news keep slipping out reminding us that the US health care system remains monumentally dysfunctional, and that the dysfunction serves the interests of the system's insiders.Putting Commercially Insured Patients FirstOn March 15, 2017, the Minneapolis Star-Tribune first reported that the CEO of the august Mayo Clinic had stated in a late 2016 speech to Clinic personnel that henceforth the institution would preferentially accept patients with private insurance over those with public (Medicaid or Medicare) insurance under certain circumstances.whe...
Source: Health Care Renewal - March 20, 2017 Category: Health Management Tags: discrimination executive compensation Mayo Clinic Medicaid Medicare mission-hostile management Source Type: blogs

A Beach Too Far - Ill-Informed, Conflicted Members of the " Beachhead Team " for the Department of Health and Human Services
DiscussionThe purpose of the " beachhead teams " dispatched to the DHHS is still obscure.  It seems likely that  the team is meant to have a major early influence on operations of the Department, which has very important health care regulatory responsibilities, sponsors major biomedical and health care research programs, and administers the major government health insurance programs.  Given that, why the Trump administration chose thes particular team members is more obscure.  None have apparent experience as health professionals or as medical or health care researchers, and many do not seem t...
Source: Health Care Renewal - March 15, 2017 Category: Health Management Tags: conflicts of interest DHHS Donald Trump revolving doors Source Type: blogs

Whose Costs? Who Benefits? - A Close Reading of a Hospital System CEO's Prescription for Controlling Health Care Costs
The attempt to " repeal and replace " the Affordable Care Act has suddenly made health care dysfunction a hot topic in the US. For example, today, in my local paper, the Providence Journal, Dr Timothy J Bainbeau, the CEO of the Lifespan Health System,  the biggest regional health systemweighed in on the problem of high and increasing health care costs.  A close reading of his commentary suggests how the leadership of big US health care organizations needs to think about whether their actions have become more of the problem than a source of solutions.The CEO's Diagnosis and Prescription Dr Babi...
Source: Health Care Renewal - March 10, 2017 Category: Health Management Tags: CEO disease executive compensation market fundamentalism neoliberalism perverse incentives Source Type: blogs

Experts, anger, and the madness of crowds
We find ourselves in a most peculiar historical moment. Among other things--many other things--problems of health care policy, research, and clinical practice more and more resemble those of society at large. There's a general sense everywhere that, whatever the outfit, the Wrong Guy is in charge of it. Then like a snake eating its tail, we argue endlessly about the details.It's enough to give one a migraine, bigly. Whether we're talking DC, the Oscars, or (OMG) yet another health care reorg: if only we could get rid of the Gang That Couldn't Shoot Straight. But replace [fill in the blank] ... with what?Let's loo...
Source: Health Care Renewal - March 5, 2017 Category: Health Management Source Type: blogs

Patient or Corporate Advocacy Organizations? - New Studies Shed Some Light
This study analyzed public records (US Internal Revenue Service form 990 tax reports, annual reports and website) on the largest US based patient advocacy organizations, that is, those with revenues of at least $7.5 million.  Its goal was to determine how well these organizations disclose conflicts of interests, and how they have COIs, and what policies they have to mitigate their effects.Its main results were that:-Disclosure was modest.  88% of organizations disclosed their donors, 52% disclosed approximate amounts of donations, but only 5% disclosed exact amounts.  74% provided some information about the ...
Source: Health Care Renewal - March 3, 2017 Category: Health Management Tags: conflicts of interest deception health care corruption institutional conflicts of interest patient advocacy groups Source Type: blogs

As US Attorney, Labor Secretary Nominee Enabled Drug and Biotechnology Executives' Impunity
The new Trump administration nominee for US Secretary of Labor is a former US Attorney for the southern district of Florida.  In that role, he seemed to uphold the ideas that certain big corporations, particularly big pharmaceutical and biotechnology corporations, are too big to jail, and that top executives of big corporations should not be held accountable for their corporations'actions.He had central involvement in three bigsettlements of charges of corporate misbehavior which held no individuals accountable for enabling, authorizing, directing or implementing the bad behavior.  The settlements imposed only mo...
Source: Health Care Renewal - February 21, 2017 Category: Health Management Tags: bribery Bristol-Myers-Squibb deception Donald Trump Genzyme GlaxoSmithKline impunity kickbacks legal settlements manipulating clinical research Sanofi-Aventis Source Type: blogs

A Voice for Reason - Dr Mickey Nardo
We mourn the loss of Dr Mickey Nardo, chief blogger at1BoringOldMan, a voice of reason, a defender of truth in health care.  Dr Nardo was one of the principles in the famous re-analysis of Study 329, and has campaigned for rational use of clinical evidence in psychiatry.For further details, see the apparentlyfinal post on 1BoringOldMan. We look forward to the prospect of the blog being transformed into a book.Please consider signing this petition that Dr Nardo supported:Stop False Reporting of Drug Benefits& Harms by Making FDA& NIH Work Together (Source: Health Care Renewal)
Source: Health Care Renewal - February 20, 2017 Category: Health Management Source Type: blogs

Making Health Care Conflicts of Interest Great Again: A Consultant to Medicaid and Simultaneously to Medicaid Vendors for CMS?
President Trump campaigned on behalf of the neglected middle class, but at least in the health care sphere, those he has chosen for their advice or considered for nomination seemed to be more the corporate class.Tomorrow, Ms Seema Verma, nominated by the Trump administration to be director of the Center for Medicare and Medicaid Services (CMS), one of the most powerful US government health care positions, will have an opportunity to appear before a Senate committee.  Ms Verma, unlike some other people President Trump has considered for health care leadership or advisory positions,  does seem to have a background ...
Source: Health Care Renewal - February 15, 2017 Category: Health Management Tags: CMS conflicts of interest Donald Trump Medicaid Source Type: blogs

Bad HIT in pharmacy: Hospital to pay half million dollar fine after pharmacist's drug theft
This is an example where bad health IT in an " infrastructure " system (as opposed to a clinician-facing system) led to a quite unfortunate outcome for the community.Bad Health IT ( " BHIT " ) is defined as IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards avoiding IT-related mishaps) that in...
Source: Health Care Renewal - February 12, 2017 Category: Health Management Tags: Abington Memorial Hospital bad health IT bad phamacy IT DEA healthcare IT risks US Attorney ' s Office Source Type: blogs

More Health Care Professionals and Trainees Provoked to Resist - Dana-Farber Cancer Institute Protest of Leaders' Acquiescence to Trump's Muslim Travel Ban
The executive order by President Trump that temporarily banned immigration from seven predominantly Muslim countries provoked health care professionals and trainees to challenge another health care leader whom had not been so challenged previously.We recently described how professionals and trainees protested the decision by Cleveland Clinic CEO Toby Cosgrove not to cancel a fund raising event a Mar a Lago, the resort owned by President Trump, even though Mr Trump's ban had resulted in the deportation (since reversed) of a Cleveland Clinic physician trainee, and Cleveland Clinic health care professionals and trainees had c...
Source: Health Care Renewal - February 9, 2017 Category: Health Management Tags: anechoic effect boards of directors Bristol-Myers-Squibb conflicts of interest Donald Trump Harvard Medical School logical fallacies Source Type: blogs

Health Care Professionals and Trainees Finally Provoked to Resist - Cleveland Clinic Protest of CEO's Acquiescence to Trump's Muslim Travel Ban
We frequently discuss theanechoic effect, the failure of cases illustrating problems withconcentration and abuse of power, unethical andcorrupt behavior, and faulty leadership and governance in health care to generate much public discussion, much less outrage.  In particular, physicians and other health care professionals seem very reluctant to discuss such cases, perhaps fearing disapproval or retaliation by colleagues or bosses.  But they times they are a changin'.Dr Delos (Toby) Cosgrove had been accused of multiple conflicts of interest the first decade of the century.  These charges seemingly generated ...
Source: Health Care Renewal - February 5, 2017 Category: Health Management Tags: Cleveland Clinic conflicts of interest Donald Trump mission-hostile management Source Type: blogs

Health Care Renewal Bloggers to Lead Session on Conflicts of Interest and Health Care Corruption at Society for General Internal Medicine Meeting
Bloggers D r Wally Smith and Dr Roy Poses will be leading a sub-session on conflicts of interest and health care corruption in a late breaking session during theannual meeting of the Society for General Internal Medicine in Washington, DC. The session will be on advocacy related to important health policy issues that are now most salient in the current political context in the US.  The official session title is still pending.  The session will offer multiple sub-sessions on the most pertinent issues. The meeting goes from 19 - 22 April, 2017.  Our session will be on Thursday, 20 April, at 11:30 AM....
Source: Health Care Renewal - February 2, 2017 Category: Health Management Tags: conflicts of interest health care corruption Source Type: blogs

Will Trump's Leadership Picks Smack Down Health Care? - A Drug Company Lobbyist, an Entrepreneur Who Wants to Weaken Drug Testing, and a Mysterious Billionaire Who Settled Fraud Charges
President Trump in hisinauguration speech promised to reach out to " struggling families " and to benefit " American workers and American families, " and promised all Americans " you will never be ignored again. "  Yet the Trump transition team, and now presidential administration continues to consider individuals for health care policy leadership roles remarkable for theirconflicts of interest, which often did not merely arise from small financial transactions but from their roles as corporate insiders, and in some cases, association with dubiously ethical practices.  They are parti...
Source: Health Care Renewal - January 27, 2017 Category: Health Management Tags: conflicts of interest Covidien Donald Trump executive compensation fraud Medtronic revolving doors Source Type: blogs

Making Research Suppressed Again - US Secretary of Health Candidate Accused of Suppressing Clinical Research at Behest of Campaign Donor
This report is greater than 5 years old. Findings may be used for research purposes but should not be considered current. 'In particular,Gary Beck, a policy assistant to the congressman, first reached out to the federal research agency about the study in July, emails show.'I have been in contact with representatives from Arbor Pharmaceuticals based in Georgia in regard to some issues they have with the study that is linked below,'he wrote, adding that the company told him'the study might be outdated'and they wanted it removed from the website.' I wanted to get in touch with you to get a better grasp on the situation and wh...
Source: Health Care Renewal - January 20, 2017 Category: Health Management Tags: BilDil CHF conflicts of interest evidence-based medicine health care corruption Nitromed suppression of medical research Source Type: blogs

Sympathy for the Devil - Mr Trump's Adviser on FDA Leadership Prefers Corruption to Boredom
Please allow me to introduce myself I'm a man of wealth and taste I've been around for a long, long year Stole many a man's soul and faith- Keith Richards, Mick JaggerMr Peter Theil, a Silicon Valley billionaire, apparently a man of wealth and taste, has become a major adviser to the transition team for US President-Elect Donald Trump about candidates for important government positions, including the leadership of the US Food and Drug Administration.  As we notedhere, Mr Theil apparently supported the candidacy of one Jim O'Neill, one of Mr Theil's business associates, for this position, despite Mr O'Neill's apparent ...
Source: Health Care Renewal - January 18, 2017 Category: Health Management Tags: conflicts of interest Donald Trump FDA health care corruption Source Type: blogs

Bozos on the Trump Health Care Bus: An Evidence-Denying Advocate, Former CEO of a Company Which Committed a $1.7 Billion Fraud, and An Internet Troll
Normally, the sorts of people who are responsible for health policy for the US government are not the most flamboyant in the world.  Government advisers and officials show up on theHealth Care Renewal,  an equal-opportunity offender, usually because ofconflicts of interest issues, particularly therevolving door.  But left unsaid is that even those we criticize are usually well-informed, capable and sane.We live, however, in interesting times.  Over the past few days, a number of stories about advisers for the Trump transition have appeared that go beyond the usual.  I will present them in approxima...
Source: Health Care Renewal - January 11, 2017 Category: Health Management Tags: crime deception disinformation Donald Trump FDA fraud generic managers HCA ill-informed management impunity kickbacks Source Type: blogs

Heath IT Mismanagement: MD Anderson to cut about 1,000 jobs due to " financial downfall officials largely attributed to its EPIC EHR implementation project "
At numerous posts on this blog I link to stories of health IT expense putting hospital financial stability at risk, e.g.:"What is more important in healthcare, computers, or nurses and other human beings? Southcoast Health cutting dozens of jobs on heels of expensive IT upgrade" athttp://hcrenewal.blogspot.com/2016/04/what-is-more-important-in-healthcare.html"Lahey Health: hospital jobs lost, but computer vendors prosper" athttp://hcrenewal.blogspot.com/2015/05/lahey-health-hospital-jobs-lost-but.html,"Monetary losses and layoffs from EHR expenses and EHR mismanagement"(http://hcrenewal.blogsp...
Source: Health Care Renewal - January 9, 2017 Category: Health Management Tags: Ayla Ellison Becker ' s Hospital Review EHR layoffs EPIC healthcare IT cost MD Anderson Mismanagement Source Type: blogs

If You See Something, Say (and Do) Something - Don't Just Grumble to Your Friends About Health Care Dysfunction
During the US presidential campaign, and after its results, I have heard from a lot of people who were unhappy. They were unhappy with the choice of candidates, their policies, or or their qualifications or character.  They were unhappy about media coverage, about the political parties'leadership, etc, etc. But most of them only expressed their unhappiness to a small group of friends.Similarly, while blogging forHealth Care Renewal over the years, I have heard lots of people who are unhappy about the issues we cover, mainly as they affect health care, but also as they affect the larger political economy, for example:-...
Source: Health Care Renewal - January 3, 2017 Category: Health Management Source Type: blogs

Follow the Money: Nominee for Secretary of Health and Human Services Traded Health Care Stocks and Owned Tobacco Stocks While in Congress
ConclusionsMr Trump's ongoing behavior does have some silver linings.  It is making the public more aware of the dangers of conflicts of interest andcorruption, not just in health policy or health care. And it is also making the public aware how we have to follow the money, all the money that flows around our new plutocrat-in-chief to be, and his rich and well connected cronies.If we cannot restrain the increasing pile of conflicted and possibly corrupt political appointments, we will be in for much worse than the health care dysfunction Health Care Renewal has been lamenting for more than 10 years.  (Source: Health Care Renewal)
Source: Health Care Renewal - December 29, 2016 Category: Health Management Tags: conflicts of interest DHHS Donald Trump health care corruption tobacco US Congress Source Type: blogs

DeVry Education Group, Owner of American University of the Carrbbean and Ross University Schools of Medicine, Settles Allegations of Deceptive Marketing
The parade oflegal settlements made by large health care organizations just keeps stepping along.  The latest entry in it wasDeVry Education Group, which owns two for-profit offshore (from the US and Canada) medical schools:American University of the Caribbean School of Medicine, andRoss University School  of Medicine.The CaseIn early 2016, we first discussed the deceptive marketing charges against DeVry University and DeVry Education Grouphere.  The charges have now been settled. The lede of the AP story about the settlement (via ABC News) was:DeVry University and its parent company are paying $100 million ...
Source: Health Care Renewal - December 21, 2016 Category: Health Management Tags: deception DeVry Inc legal settlements marketing offshore medical schools Source Type: blogs

Suppose the Pope Condemned Health Care Corruption - and Hardly Anyone Noticed?
DiscussionRecently, Ibecame just a bit more optimistic that health care corruption would start getting the attention it deserved.  That may have been premature.  The world seems to becoming ever more friendly tomarket fundamentalism orneoliberalism.  The notions that every human activity, including medicine and health care, should be conducted as a business, and that in business, revenue come first is likely to be helped by the election of an ostensibly billionaire businessman to the presidency of the US.  That said president-elect once called Pope Francis " disgraceful " after the Pople quest...
Source: Health Care Renewal - December 16, 2016 Category: Health Management Tags: bribery conflicts of interest health care corruption market fundamentalism neoliberalism Pope Francis Source Type: blogs

Despite Long Record of Misadventures, Johnson and Johnson to Receive Award for " Ethical Leadership?! "
What does it take for a big pharmaceutical/ device/ biotechnology company to get an ethics award?Reported by Sheila Kaplan at Stat (but for subscribers only), and first noticed by Carl Elliott and justdiscussed on his Fear and Loathing in Bioethics blog, it appears that the giant Johnson and Johnson pharma/ device/ biotech company will get an award in " ethical leadership " from and " organization called Fellowships at Auschwitz for the Study of Professional Ethics, or FASPE. "The Stat report, quoted by Dr Elliott, stated:FASPE Chairman David Goldman, an attorney in New York, said he wasaware of the pha...
Source: Health Care Renewal - December 14, 2016 Category: Health Management Tags: crime health care ethics Johnson and Johnson legal settlements Source Type: blogs