Dr. Tom

Dr. Tom: Healthcare update…
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Dr. Tom: Healthcare update…

Imagine developing a serious illness, seeking medical care, presenting your Medicare card and receiving it without denials or appeals or copays or deductibles. When your healthcare team suggests a medication that will likely cure your condition, you receive it at no cost.Such a scenario describes a system that would be more fair and empathetic, and…

Dr. Tom: Happy birthday, Medicare …
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Dr. Tom: Happy birthday, Medicare …

I am writing this on the 52nd anniversary of the official signing by President Lyndon Johnson of the legislation enacting Medicare, generally regarded as the most successful and popular U.S. government program ever. Just as many of us take inventory on our birthdays, this seems like a good time to consider what Medicare is and…

Dr. Tom: Globalism vs. Nationalism …
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Dr. Tom: Globalism vs. Nationalism …

The visit to Idyllwild by seven Rotarians from South Africa and Botswana last week was a great experience for all. Imagine hearing lions in your backyard at night instead of coyotes. But as different as some of our experiences are, the similarities were more numerous. One of the visitors was a university professor, a couple…

Dr. Tom: Character and beliefs …
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Dr. Tom: Character and beliefs …

Two interesting things happened last week — besides the other really interesting thing that I’m not going to talk about (much) — both of which revolved around people named Sanders. First, Bernie Sanders was widely condemned for questioning Russell Vought, the nominee for deputy director of the White House Office of Management and Budget. It…

Dr. Tom: The business case for a single-payer system …
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Dr. Tom: The business case for a single-payer system …

Imagine that you run a U.S. small business. You have long-term employees to whom you are loyal and vice versa. You have an anniversary coming up, but it is not one you look forward to because it is that time of year when you renew the health insurance you purchase for your employees and yourself….

Dr. Tom: The fate of our healthcare dollars, now and in the future …
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Dr. Tom: The fate of our healthcare dollars, now and in the future …

Medical care in the U.S. is so much more expensive than every other country. How can we fix that? A dollar in U.S. medical spending looks like this: 31 cents goes to hospitals, 20 cents to doctors and clinical services, other personnel get 15 cents, prescription drugs account for 10 cents, nursing care and home…