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Rural Doc Alan

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

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Substack
PricingOnly free issuesPublishesWeekly
Issues163Founded4 years agoLast Issue15 days ago
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Latest Issues

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...

15 days ago
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)...

22 days ago

Medicare Advantage Plans Again

I’ve said many times there are only four groups of people who are happy with the Medicare Advantage (MA) plans. The first group is the private equity stockholders, the second group is the large insurance companies getting rich off of taxpay...

a month ago
2

Medicine Safety

In medicine, the terms off-label, slow-acting, and dosage are familiar names on their own, but there is an unrecognized link between these three terms which explains how in recent years much of what has gone wrong with the public conversati...

a month ago
1

Pregnancy Weight Gain Reconsidered

Note: As I work on developing my Pregnancy Your Way application, I run across pregnancy information that seldom makes it into the prenatal exam room much less to the pregnant woman herself. The whole point of my application is to put this k...

2 months ago

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  • Rural Doc Alan

    I am a retired obstetrician who in over 40 years of practice delivered 6000 babies with no maternal mortalities. My goal is to provide pregnant women and their families with the information they need to make informed choices in their pregnancies.

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