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Please join me in reminiscing about the changes we face today as physicians.

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PricingOnly free issuesPublishesWeekly
Issues166Founded4 years agoLast Issue7 days ago
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Latest Issues

The Woman Who Was Happy to See the Ceiling

A woman came into my clinic and told me she was having seizures. She did not know she was having seizures. Her husband had told her—he watched her at night and what he saw looked to him like seizures.

After a rudimentary workup, I conclude...

7 days ago
2

Putting the Medicare Advantage Puzzle Pieces Together

Note: I’ve written four previous posts about Medicare Advantage funding: the first about where the money goes, the second raising the issue as to whMedicare Advantage plan overpayments are not called fraud, the third about where the m...
14 days ago

Legislators Could Reduce Healthcare Costs by Reigning in Medicare Advantage—But They Don't

Note: My Substack page has become intermixed with my wife and writing colleague’s page. Substack provides no way to talk to a human being to get the problem fixed even though their chat system only made the problem worse. Has anyone else ha...

21 days ago
3
2

Medicare Advantage Plans Cost 452 Billion Dollars

Note to subscribers: I’ve written two previous posts about Medicare Advantage funding, the first about where the money goes and the second raising the issue as to why the vast amount of overpayments to companies involved in offering Medicar...

2 months ago
1
1

Why Medicare Advantage Is Not Called Fraud

In my previous Substack on government promoted waste and abuse, I wrote about the big variation in prosecuting who the various fraud units of our national and state government go after. In the spring of 2026, the Department of Justice (DOJ)...

2 months ago
1

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  • Rural Doc Alan

    I am a retired obstetrician who in over 40 years of practice has observed the practice of medicine removed from physicians by corporate intruders. I write about many aspects of how these changes have changed healthcare.

  • Alan Lindemann

    I am a retired obstetrician who in over 40 years of practice has observed the practice of medicine removed from physicians by corporate intruders.

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