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U.S. Maternal Mortality Rate is Not Really Decreasing—Data Selection Has Changed
I’ve often written in my Substack posts about the inexcusable rate of maternal mortality in the U.S. So it surprised me to find a National Public Radio…
Jul 22
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Rural Doc Alan
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U.S. Maternal Mortality Rate is Not Really Decreasing—Data Selection Has Changed
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Florida's New Advanced Birthing Centers and C-sections
Roni Rabin, a reporter on healthcare issues for The New York Times, recently wrote about the new law in Florida allowing the establishment of “Advanced…
Jul 15
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Rural Doc Alan
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Florida's New Advanced Birthing Centers and C-sections
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Upcoding Is Not the Problem with Medicare Advangage Plans
I’ve written before here on Substack about my personal assessment of Medicare Advantage (MA) plans. My recommendation was to abolish all MAs and return…
Jul 8
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Rural Doc Alan
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Upcoding Is Not the Problem with Medicare Advangage Plans
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Snapshot Legislation
Today the public has a much bigger picture of the high rates of maternal mortality, preterm birth, still birth, and neonatal death in the U.S.
Jul 1
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Rural Doc Alan
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Snapshot Legislation
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June 2024
Preventing Stillbirths
Back in 1983 I had some success treating infections with a couple of moms who had had preterm stillbirths.
Jun 24
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Rural Doc Alan
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Preventing Stillbirths
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Stillbirths: Discussion About Fetal Movement
I’ve recently read a ProPublica article on stillbirths. Officially a stillbirth is the death of an unborn child after more than 20 weeks of gestation…
Jun 17
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Rural Doc Alan
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Stillbirths: Discussion About Fetal Movement
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Turning Back the Clock on TV Commercials
I remember with fondness the TV ads from my younger days, especially the car ads. OK, OK, I like old cars. Ed Sullivan was brought to us by…
Jun 10
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Rural Doc Alan
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Turning Back the Clock on TV Commercials
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The Loneliest Career
To paraphrase Voltaire, it is dangerous to be right when those in power are wrong.
Jun 2
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Rural Doc Alan
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The Loneliest Career
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May 2024
How to Bring Down the Cost of Healthcare
Some of you may be old enough to remember the World War II posters “Uncle Sam Needs You.” Well, today there is a war going on over the cost of…
May 27
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Rural Doc Alan
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How to Bring Down the Cost of Healthcare
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Rural Obstetrics Readiness Act (S.4079) Introduced in Senate
As a member of the American College of Obstetricians and Gynecologists (ACOG), I received an email drawing my attention to S.4079, titled the Rural…
May 20
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Rural Doc Alan
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Rural Obstetrics Readiness Act (S.4079) Introduced in Senate
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Pregnancy Related Depression
I recently read a thoughtful MedPage article by Julia Zuckerberg, a fourth-year MD/MPH student. She asks why we don’t check for post-traumatic stress…
May 12
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Rural Doc Alan
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Pregnancy Related Depression
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PSA Screening Revisited
Last week I wrote about the controversy surrounding PSA screening tests and said I would write this week about the difference between screening and…
May 6
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Rural Doc Alan
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PSA Screening Revisited
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