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Conservative Viewpoint: The IPAB Is The Frightening Lynchpin Of Obamacare

In the speech President Obama gave responding to Congressman Ryan’s budget plan (the one in which he lured Ryan to sit in the front row in order to be publicly pilloried), the President did something DrRich did not think he would do before the next election. He openly invoked, and openly embraced, the Independent Payment Advisory Board (IPAB) as the chief mechanism by which Obamacare will control the cost of American healthcare.

“IPAB” might be a new term to many Americans, but DrRich pointed his readers to this entity, within a few weeks of the passage of Obamacare, as the lynchpin (and a very scary lynchpin at that) of the whole enterprise.

Until President Obama’s recent “outing” of IPAB, however, this new board has been almost entirely ignored by most commentators. Since the President’s speech, of course, many have written about it, either to celebrate it or to castigate it. (Of all these commentaries, DrRich most highly recommends the analysis provided by Doug Perednia at the Road to Hellth. In fact, DrRich recommends Perednia in general, as he is regularly producing some of the most insightful commentary, anywhere, on health policy.)

DrRich does not wish to simply repeat here all the observations that have lately been made by others regarding the IPAB. Rather, he will emphasize three particular features of the IPAB, features which are remarkable indeed, and which will tell us something very important about our Progressive leaders. Read more »

*This blog post was originally published at The Covert Rationing Blog*

Don’t Believe The Hype About SmartLipo, A Laser Liposuction Procedure

It frequently amazes me how patients can be wowed by technology and advertising hype. The attraction of newer technology in particular helps part many people from their money at times. The SmartLipo system is one of the laser-assisted liposuction systems on the market. I have blogged on it before having used it quite a bit a few years ago.

The system is being marketed with phrases like “almost anyone can be a good candidate for SmartLipo.” That is simply BS.

I saw an attractive young woman in the office who had had Smartlipo on her lower back. It looked like the Geiko Gecko had done it. Her smooth contour had been made irregular and discolored despite the fact that the surgery had happened quite a while prior. Her ribs had been a bit exposed by the loss of some of the fat that would normally have laid over them. Early lipo results do change, but this wasn’t something that was going to improve over time. I have seen worse but this was so unnecessary.

SmartLipo Led to a Dent

Why did this happen? Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Don’t Trust The Huffington Post On Medical Matters

The Huffington Post is one of the most prominent, and fastest growing, news sites, and as pediatrician Rahul Parikh puts it, “one of the most valuable pieces of real estate on the Internet these days.”

They have a prominent health and wellness section, but as you can read from Dr. Parikh’s piece, The Huffington Post is crazy about your health, readers be warned.

As with their approach to other topics, The Huffington Post accepts submissions from a wide variety of bloggers, some of whom, “mirror [founder Arianna Huffington’s] own advocacy of alternative medicine.”

With such influence, that can be problematic. Well documented are numerous pieces advocating against childhood vaccines, and perpetuating its mythical link with autism. And by accepting factually suspect pieces on the subject by celebrities, such as actor Jim Carrey for instance, it’s a powerfully dangerous platform for misinformation.

What Dr. Parikh simply asks for is fairness and accuracy from such an influential site, but in his words, they “take a back seat to sensationalism and self-promotion on the Huffington Post.”

Indeed.

*This blog post was originally published at KevinMD.com*

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