When Reddit Comes For Healthcare

We all know the impact Reddit has on the financial world. But how will Reddit’s impact appear in the medical world? There are many factors that predict how a similar movement across Reddit’s healthcare platforms would look.

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There’s a Vaccine For That

The COVIDization of healthcare will usher in new trends in healthcare, the most promising of which is the widespread use of vaccines to treat a range of medical conditions, advancing the trend towards customized treatment.

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Rise of the Medical Licensing Boards

Mostly used to oversee licensing and disciplinary issues, each state’s board holds a unique relationship with the state’s attorney general’s office, and can provide medical context for healthcare legal policies.

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A New Approach to the Opioid Epidemic

The opioid epidemic is defined through statistics, which has influenced our approach to resolving it – with little success. We should now change our approach and look at the epidemic as a sequence of decisions.

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The Pandemic is a Perception

Healthcare data has proven to be of little value to both policy makers and to the public. Instead of data, we should monitor subjective metrics like fear and resiliency to predict the course of the pandemic.

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Healthcare is a System

An obvious statement that most would agree with. Yet few understand systemic thinking in healthcare, which requires an understanding of the complex patterns of behavior that define interactions in healthcare.

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COVID-19’s ‘Miracle’ Drugs

Another day, another miracle drug. Or so it seems. As seemingly every day we hear about new drugs touted as the next miracle, only to be shelved after a few weeks. We explore this trend, and examine the popularity of the drugs used to treat COVID-19 patients.

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Vaccines Versus Variants

The latest pandemic narrative pits the newly discovered, highly infectious COVID-19 variants against the efforts to vaccinate as many people as possible. But this conflates two largely disparate aspects of the pandemic, and skews our perceptions of future successes.

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Prospect Theory in Healthcare

Healthcare is irrational and patients behave irrationally. Yet we continue to develop healthcare models assuming that patients are rational. Behavioral economists have already devised models to adjust for irrationality, which healthcare needs to incorporate.

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Echo Chambers in Healthcare

Our senses are our world. So what we perceive is what we believe. With the perceptions gleaned during a patient encounter determining the healthcare beliefs we hold. We analyze how perceptions form to see how they diverge in healthcare.

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Familiarity Biases

History may not repeat itself, but it does rhyme. And the tendency to seek the familiar out of the new creates a familiarity bias. That when applied to healthcare leaves us flat-footed when addressing new problems, diseases, and trends.

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Obesity is Complicated

Obesity is a complex medical condition treated through both behavioral changes and medical intervention. But to truly help patients cope with the disease, we have to understand how patients perceive their relationship with food.

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COVID-19’s Honor System

The vaccine roll-out has been predictably unpredictable, with chaos now the norm. With all the uncertainty around when many will receive the vaccine, the system has largely come to depend upon people responding honestly about their eligibility.

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J&J COVID-19 Go-To-Market Strategy

Market entry may be a sprint, but market dominance is a marathon. And those who end up winning the market are those who best understand the market. J&J may not have the best vaccine, but they have the best understanding of the market.

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Persistent Racial Biases

The fault is not in our stars, but in ourselves. In the subtle, implicit biases we continue to carry across many healthcare interactions. What may initially appear as a slight shift in perception, once repeated, soon magnifies into significant disparities.

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Did The Pandemic Improve After Inauguration?

If perception is reality, then does the perception that the pandemic will improve under Biden create the reality that the pandemic is now under control? We examine what changed with the new administration to determine what is real and what is perception.

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Healthcare Is A (Positive) Right

The pandemic has shown that public health and individual rights have an uneasy relationship. But this does not have to be so. We evaluate the concept of rights to determine the optimal relationship between the two.

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Healthcare Trends

Financial traders will tell you that market trends are more powerful than any one trading strategy. Similarly in healthcare, we find broad healthcare trends to be more impactful than any one clinical behavior for a patient’s overall health.

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The Future of Healthcare Law

COVID-19 has changed much about healthcare. Its greatest change may come in how we structure and interpret healthcare law. We study the history of healthcare law to better understand the future of healthcare laws that balance individual rights with public health.

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Intellectual Burdens In Healthcare

Liberty is the foundation of American culture. But liberty in healthcare often handicaps patients who are less educated about their health. Creating a paradox in which added liberties produce intellectual burdens among those most vulnerable.

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Eliminating the X Factor

The Department of Health and Human Services has eliminated the X-waiver requirement for physicians who prescribe opioid addiction medicine. We study the Government’s role during the vaping epidemic to understand the likely consequences of this decision.

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How Healthcare Gets Extreme

Healthcare is a balance, weighing different causes and effects, like an internal opportunity cost. But when the law simplifies the complexity of medicine, a disparity forms between healthcare and law creating extreme legal interpretations devoid of clinical context. A pattern we may see in the upcoming pandemic litigation.

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The Vaccine Is Not The Savior We Believe – But That Is Okay

The vaccine has arrived and the roll-out has begun, with many of the high-risk already vaccinated. But we should remain cautious, for what will bring an end to the pandemic is not the vaccine, but consistently maintaining the social distancing parameters, despite the perception that the worst is over.

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Can India Do The Impossible?

Within days India will begin one of the largest vaccine roll-outs in the world. Despite the enormous challenges that lie ahead, there are many reasons to believe India can pull it off. And if successful, India may prove to be an ideal case study for other nations to emulate.

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Special Report: Amicus Curiae Brief (USA v. Walmart Inc.)

Healthcare litigation surrounding the opioid epidemic has led to a slew of high-profile legal cases – with implications extending throughout healthcare. Yet regulatory policies arising from these cases run contrary to principles of good patient care – creating more harm than good. Out of concern for patients unduly affected, we wrote an amicus curiae brief for the latest civil action taken against Walmart by the Department of Justice.

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Experiencing COVID-19 Firsthand

While most of the world was relaxing over the holidays, we at Daily Remedy were struggling with COVID-19. And we soon learned that reporting on COVID-19 is far different than experiencing the disease firsthand.

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Has COVID-19 Made Us Smarter?

Living through a pandemic has undoubtedly made us more aware of our health and healthcare policy. But as we struggle to find meaning through it all, we must ask – has the experience made us more intelligent as patients?

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The Vaccine is Here

The vaccine is here – and everything seems to be going wrong. We discuss some of the obstacles encountered and identify the root cause underlying the mistakes that transpired and the inevitable mistakes to come in the future.

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COVID-19’s Mental Constraints

The pandemic has proven how complex the relationship between healthcare policy and economics can be. However, the mental constraints may be more impactful than the economic constraints. And to study the full impact of COVID-19, we should develop new ways to study COVID-19’s mental constraints.

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Mindfulness in Medical Decisions

Healthcare is a series of decisions, one after another. But most decisions are made reflexively, reiterating familiar patterns of thought. Being mindful of each decision optimizes overall decision-making, knowing when to rely on reflex judgments and when to deliberate further.

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Water, Water Everywhere

The editors write a heartfelt note thanking the readers for their support of the healthcare content and for their participation in the monthly surveys.

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Do the Previously Infected Need a Vaccine?

The vaccine roll-out is well on its way, and already the early rifts are starting to form. But the ensuing ethical debates have yet to manifest. Among them is the question of whether those previously infected need to take the vaccine. A question many remain silent on for now – which will change once the vaccines become available.

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Telemedicine and Trust

Telemedicine may be the future of healthcare. Exactly how that future will manifest varies widely. But predicting the future based upon the present will lead to incorrect predictions. So rather than follow the technology, we follow the patterns of trust among patients and the public to predict the future of telemedicine.

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Microfinance in Modern Healthcare

Microfinance has changed the world for good, helping millions support their healthcare costs. But the future of modern healthcare depends less on the financial aspects of microfinance, and more on the sense of commitment and community – the non-financial aspects – to improve patient outcomes.

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When Will COVID-19 Functionally End?

The year 2020 is finally coming to an end, but the end of the pandemic seems nowhere in sight. While COVID-19 may never be truly eliminated, we might be able to control the virus well enough to return to normalcy at some point in 2021 – assuming certain variables fall in our favor.

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When Healthcare Law and Ethics Conflict

Most assume law to be a reflection of the ethics within a society. But in healthcare, law and ethics are often conflicting, putting healthcare providers in difficult situations, compromising patient care to follow the law. But is a law really a law if it violates the ethics of patient care?

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The Pace of Healthcare

All things move at their own pace. A statement more likely to be made by a philosopher than by a healthcare policy expert. But healthcare works best when it works at a specific pace, with the optimal cadence maximizing progress while minimizing risk, both real and perceived, expected and unforeseen.

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Vaccine True Efficacy

The pandemic has accelerated the adoption of consumerism principles throughout healthcare. But not everybody is adopting these principles uniformly. And the differences may affect vaccine distribution and adoption, prolonging the pandemic. But a start-up based approach of introducing the vaccine may help discover these differences earlier and improve long term adoption.

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COVID-19 & The Future of Online News

The recent lockdowns and ongoing restrictions have brought about an increased interest in health and science news online. But a closer analysis underlying the increased readership reveals unique behaviors and trust preferences among those reading such articles – behaviors and preferences that may go on to predict the future of news consumption online.

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Quantum Healthcare

Quantum mechanics has been applied to many fields of science, including biology, leading to recent breakthroughs among longstanding problems within the field. Applying these principles in healthcare can similarly lead to profound shifts in how we approach healthcare and improve upon many problems seen in clinical practice – including our inability to handle conflicting patient information.

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Marketing Virality

A hospital executive struggles to balance the accurate reporting of viral incidence rates with the business needs of his hospital – and soon finds himself balancing the ethics of medicine with the ethics of healthcare marketing.

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Great Expectations

Bob the pharmacist prides himself on his dedication to his patients, and his commitment to his job. But when he feels corporate pressure to measure and document every task done, he begins to lose his sense of pride.

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Patient Schematics

For many physicians, their patients come to symbolize many things. For this particular physician, the patients appear as different symbols – with each symbol representing a special relationship with each patient.

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A Vaccine Mandate By Any Other Name

A rose by any other name would smell just as sweet. And a vaccine mandate by any other name would be just as resisted. As we come closer to a publicly available vaccine, we come closer to the inevitable collision between the public perception of the vaccine, and the government efforts to increase participation in taking the vaccine. While the government has promised not to impose mandates in the traditional sense, there are signs that the government will try to influence public participation by offering financial incentives. We caution against this, and hope the government works to increase participation by building confidence instead – starting by surveying the public and quantifying confidence across different communities through a vaccine confidence index.

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Improving Healthcare By Minimizing Substitution Costs

Healthcare is set to change in novel, unprecedented ways in the years to come. But how we envision these changes is as important as what we seek to change – particularly when it comes to socializing healthcare under a one-payer model. Whether competition is good or bad for patients is not the issue. Rather, we should frame the debate around aspects of competition that are good for patients, by studying the substitution costs patients incur in their local healthcare markets. Optimizing the substitution costs per patient will define competitive behaviors that are beneficial for patients, and define the optimal mix of payers and providers within each local healthcare market.

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Waiting

A mesmerizing short story about a family reminiscing over a loved one as they wait patiently, and at times impatiently, in the surgical waiting room. We follow three family members – Betty, Leroy, and Melody – as they each cope with the angst of waiting while their beloved Jonathan undergoes a life altering surgery.

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Can Walmart Help Solve the Opioid Epidemic?

To stave off a pending criminal investigation, Walmart has filed civil action against the Department of Justice requesting clarification on the interpretation of the Controlled Substance Act. A law notorious for its lax interpretations that seems to change in every legal proceeding. But in seeking clarification, this case has the potential to establish a consistent framework for jurisprudence that – if developed properly – can find a balance between individual patient rights and the common good.

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Modeling the Dissemination of Opioid Settlement Funds

Legal settlements are known for quantifying medical burdens through static economic models, a problem the federal government acknowledges underrepresents the full scope of medical harm to individual patients. We propose a unique model that disseminates funds to patients based upon the relative burdens the epidemic has inflicted in each community. A model that represents the full, but disproportional extent of harm among communities across the country.

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Healthcare Has A ‘Clear & Present Danger’ Problem

State medical licensing boards have become more proactive than ever in overseeing physician behavior and enforcing punishments. But the legal tactics often used are based upon antiquated, misapplied statutes that have been overused to the point of being superfluous. This is most apparent in the ‘clear and present’ phrase used in nearly every punitive measure against physicians. But where did this phrase come from? And what are the consequences of its overuse – and certain abuse – on physicians?

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Implicit Healthcare Nudges

Nudges have recently grown in popularity within healthcare as the field continues to integrate principles of behavioral economics. But nudges have proven to be inconsistently effective, and at times even a nuisance, limiting the overall effectiveness of nudges to date – even leading some to discredit the value of nudges in healthcare altogether. But nudges do indeed hold value, though the value of the nudges resides in how the nudges are constructed – as effectively designed nudges target implicit behaviors instead of the explicit prompts that we have traditionally seen.

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Legal Fluency v. Patient Rights

Beneath all the headline grabbing criminal cases, lawsuits, and settlements that epitomize healthcare litigation lies a more fundamental legal battle – the legal fluency arising from aggregated, templated legal arguments versus the disenfranchised patient with unique, individualized medical needs. A battle that will define the lasting implications of healthcare litigation – determining whether the legal strategies used to win court cases truly reflect the patients represented in the cases.

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Defining Medically Appropriate

A term often used, but poorly defined – yet subject readily to manipulative, self-serving interpretations. Generally assumed to be behavior consistent with accepted standards of medical practice, medically appropriate is the reference standard that we all agree to – in principle – yet when we apply it in practice we find widely disparate meanings. We attempt to understand the term from the evolving history of government responses to observe how changing dynamics over time can predict changing interpretations of the term in the future.

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Trumpism Lives on in Healthcare

The elections may be over, and the current administration is likely on its way out, but the core ideals of Trumpism will live on, influencing the events of 2021 – particularly the healthcare policies of 2021. But now that Trumpism is no longer the political belief holding power, how will those beliefs impact a cohesive COVID-19 response? French historian Alexis de Tocqueville warned Americans about the ‘tyranny of the majority’, providing eerily prescient insights that can help to understand the evolution of Trumpism, and accordingly, help to prepare a unified approach to COVID-19.

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Success In The Age of COVID-19

Hope springs eternal as we transition into a new administration with a new, and hopefully more scientific approach to the COVID-19 pandemic. With promises of new interventions, mandates, and vaccines, we have every reason to feel confident in the upcoming administration’s success. But what is success in the age of COVID-19? What constitutes objective success when the parameters are fundamentally subjective? We believe success is a ratio of subjective metrics referenced against one another, providing an objective frame of reference across different populations.

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Gaming Therapy

DEA Agents Martin and Jennings find themselves in the middle of another physician investigation, analyzing data to determine what they can charge this latest physician with. But Jennings soon comes to realize that healthcare has particular attributes that make it more complicated, and quite different, from the traditional drug deals he was trained to analyze. Attributes that define cooperation and non-cooperation through the decision-making between patient and physician. Attributes, that when studied closely, redefine criminality in the clinical setting.

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A Framework For Medical Jurisprudence

Underlying all the political rancor of late is a pending matter that will have monumental implications on healthcare. The Supreme Court is set to rule on the Constitutionality of the Affordable Care Act. But what determines Constitutionality for a field of legal interpretation, medical jurisprudence, that has been neglected for decades? How will the Justices analyze healthcare law when no recently developed frameworks exist through which we can analyze such laws?

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The Heuristics In Our Medical Decisions

The study of medical decision-making is woefully underdeveloped relative to other fields of decision-making, such as quantitative finance and criminal sociology. But to better study trends in healthcare behavior, we must extrapolate behaviors seen in other disciplines to glean potential similarities – and improve our understanding of healthcare behavior. How do day trading skills relate to vaping mortality? How do the false attributions along the crime curve relate to prescribing patterns?

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Trust Is Inherent To Healthcare

Trust is an essential aspect of healthcare – and without trust, healthcare breaks down into a series of facts, data points, and guidelines. But as legislators and policy makers weigh the future of healthcare, they should keenly note that healthcare cannot be adjudicated without trust – and to separate trust from healthcare would be to violate the natural rights of those practicing the art of medicine.

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There Is A Doctor On The Ballot

To celebrate Election Day, Daily Remedy unveils a short story about a physician entering the world of politics. Dr. Kapoor, a bright, young physician, decides to leave a promising career as a physician to enter politics in his native Iowa. While campaigning, he encounters a senior political journalist who seems baffled and then incredulous that a young physician would turn away a career of clinical medicine for a life of politics.

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Narratives – The Future of Healthcare

In today’s healthcare, technology and data reign supreme. But as we move forward, first through and then beyond the COVID-19 pandemic, we will realize that the future of healthcare is defined by patient narratives. Narratives built upon implicit patient biases that determine everyday decisions. And over the course of time, the narrative the patient tells navigates the course of behavior – and when taken in aggregate, navigates the future of healthcare.

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Predicting the Election by Anticipating Voter Behavior

The election is only days away and the uncertainty has never been greater. Politics has never been as polarizing and a major COVID-19 upsurge has never seemed as imminent. Pundits across the political spectrum have postulated how all these factors will influence the overall election. But we predict the election will hinge less on the political dynamics, and more on individual heuristics, or thought patterns that influence behavior. We believe COVID-19 will influence Democratic voter behavior disproportionately more than Republican voter behavior – making a Trump victory far more likely than the polls would indicate.

NOTE: Daily Remedy takes pride in its journalistic integrity and political objectivity. We do not endorse any candidate nor any political party, and all perspectives are derived from internal research and data analysis.

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Virtue In Healthcare

Healthcare is founded on the principles of virtue. In the Oath of Hippocrates, healthcare is defined as an art to be practiced with dedication and love – attributes all physicians aspire to attain. More modern interpretations of healthcare attempt to define the role of virtue in patient care through straightforward guidelines and statutes. But we should see virtue as a complex characteristic rather than a simple metric.

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Perception & Corruption – Healthcare in Today’s Prisons

One of the hallmarks of modern healthcare is the emphasis on documentation. But anything that is emphasized is inevitably over-emphasized – and the accentuated importance placed upon documentation has distorted healthcare to the point that it has become defined by documentation. No where is this more evident than in federal prisons across the country – where healthcare is less about health and more about careful documentation.

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Impending Militarization of COVID-19

The COVID-19 vaccine is now only weeks away from being available. But having a vaccine ready and having access are two different things, as the administration and distribution of the vaccine will be overseen by the military – through a program called Operation Warp Speed, a collaboration between the Department of Defense and the Department of Health and Human Services. But is the American public ready for the impending militarization of COVID-19 in the coming months?

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Undue Burdens of Healthcare Law

Healthcare laws attempt to adjudicate complex patient behaviors into standardized statutes. But in simplifying fundamentally complex concepts into standards, we inevitably find errors of approximation – that manifest as undue burdens upon select patient populations.

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Complexity Will Define the Future of Healthcare

We live in an increasingly complex world – defined by the principles of complexity which emphasize interactions and feedback loops within a constantly changing system. Principles that have revolutionized most industries across the world, but curiously has not entered into the world of healthcare. But those who can master complexity in healthcare will determine its future.

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The Psychology of Time

Time is never time alone, it always has an accompanying perception. And the changing perception of COVID-19, as we trudge our way through, has created a growing disconnect between what we know we need to do, and what we want to do. A disconnect that will define the timeline of COVID-19 for months to come.

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The Law of Unintended Consequences

Predictions, projections, and misleading conclusions seem to define COVID-19 policies. But as we continue to pursue solutions that can hopefully temper the pandemic, we need be aware of the law of unintended consequences – which may end up defining the lasting legacy of the government’s response to the pandemic.

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The Story of Pain

In the quantified world of healthcare, we continue to rely upon numbers and data to diagnose and treat patients. And we have applied a similar approach to our study of pain. But pain is fundamentally subjective, both logical and illogical, both rational and irrational. And to truly understand pain, we must study how pain has been perceived throughout history – and follow along the story of pain.

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A Framework to Understand Uncertainty in Healthcare

Today healthcare is seen as more a science than an art, but the progenitors of healthcare saw it as both a science and an art, in equal terms. The science of healthcare refines what we know, but the art of healthcare elucidates what we do not know. And what we do not know, what is uncertain, is far more impactful in healthcare than what we do know.

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When Science Speaks, Who Is The Speaker?

When science speaks, who is the speaker? Can science maintain the objectivity and credibility needed to impact patient behavior if it finds itself mired in the middle of political rhetoric?

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Quality In Healthcare – A Relationship, Not A Metric

In healthcare, we often conflate the validity of a process with the success of its outcome. And in today’s world of quality driven healthcare, conflating quality as an outcome instead of a process leads to a fundamental degradation of quality in healthcare. That is because quality is a relationship, not an individual behavior.

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A Patient Named Candide

A satirical tale inspired by the novella, Candide by the French philosopher Voltaire, reimagines Candide as a patient in today’s healthcare system.

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Fractals May Be The Missing Piece To COVID-19 Projections

Uncertainty and complexity have been the two most prominent features of COVID-19, confounding those who seek to understand and predict its behavior. But fractals, geometric patterns built upon infinitely complex mathematical models, can improve our current understanding of the dissemination patterns that define the behavior of COVID-19.

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Crime & Deterrence – The Constitutional Crisis of the Opioid Epidemic

As the opioid epidemic continues to affect lives across the country, law enforcement steps up their efforts to curtail the devastation. But they may have stepped too far and encroached upon the civil liberties of healthcare providers prompting a Constitutional crisis.

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Healthcare is a Game of Incomplete Dominance

Healthcare should be studied within the framework of the economic discipline, Game Theory, in which different perspectives or decisions have differing benefits to patients, but with no one perspective or decision being the absolute best.

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Healthcare Is Dialectic

Healthcare is defined by strongly held views that quickly develop and come into conflict with opposing views that form just as quickly. Recognizing how such interpretations form, and the underlying pattern of thought, may help to develop potential solutions.

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The BOP In The Age of Corona

A gritty tale of life inside a federal prison as inmates face and attempt to understand COVID-19 risks.

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Observer Bias Defines How We Look At Ourselves

Observer bias defines the reality we create and the narratives we tell, which may impact how we see the future.

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The Perception of COVID-19 Can Impact The Presidential Election

Perception can be greater than reality, but can the perception of COVID-19 impact the reality of the election results this coming November?

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Abortion Laws Are Fundamentally Unconstitutional

Abortion laws should be restructured to be less restrictive in nature and more affirmative – as per our founding father, James Madison.

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Imagination in Healthcare

Is imagination in healthcare important to you?

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A Moment of Duality

A medical short story inspired by the late, great WEB DuBois.

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News Briefs

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Demographics affect healthcare outcomes

Demographic shifts and societal changes are intensifying pressures on health systems and demanding new directions in the delivery of healthcare. We are getting older. Ageing populations in both emerging and developed nations are driving up the demand for healthcare. According to the United Nations, the world’s population is expected to increase by one billion people […]

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