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 There seems to be a conflict between the Democrats, the Replicans and the States as to whether we can afford to expand Medicaid.  People believe that the Republicans think is costs too much and that the Democrats believe that we can save on fraudulent and unneecessary costs.  Dr. Len thinks they are both wrong.  How can our government say...

  The US government is filing a law suit against the drug company, Novartis, for giving $65 million kickbacks to physicians and pharmacists to prescribe Lotrel, Valturna, Starlix, and Myfortis over the past decade. These kickbacks were in the form of dinners at high end restaurants, cash, rebates, and discounts.  One extreme example is from...

  ObamaCare, or the Affordable Care Act, will bring 50 million new people into the Medicaid program, but who will pay for this and who will take care of them? Most MDs cannot afford to treat patients in Medicaid because reimbusement for services is far too low. The quality of care will drop and access to care will take time to take effect. We're...

The Patient Protection and Affordable Care Act (ACA) is a step in the right direction by providing healthcare for the poor, but it is a far cry from the Universal Healthcare that was supposed to be part of The Change We Need. It will benefit the very poor by making it easier to qualify for Medicaid (MediCal in California) because it is now possible to qualify...

Occupy Wall Street is now a global movement to stop the greed of corporate America that is oppressing 99% of the middle class and poor. The effects of this greed on health care are reviewed as Dr. Len points out that even though there are 30 million more Americans who'll quality for Medicaid, that the quality and extent of services are being soundly compromised....

  Hospitals have a financial incentive to not reduce complications because they are paid per each treatment and each lab or other test according to an article published in the April issue of the Journal of the American Medical Association. While this may not be what hospitals are overtly thinking, the problem is how motivated are they to reduce complications? Between...

  About 1/3 of office-based MDs declined to accept new Medicaid patients in 2011 according to an article in the journal, Health Affairs. Acceptance was directly related to financial reimbursement. In the state of Wyoming more than 99% of MDs accepted Medicaid patient; their reimbursement was 150% of that of Medicare. In the state of New Jersey, where...