This was a turbulent period in California medicine as the nation was dealing with abolitionists and slave holders. When the state society met in San Francisco in February, 1858, there was “debt; a lack of harmony,..too many living within their own cosmic bubble refusing to comprehend or see or help remedy a critical situation…” The […]

A Fortune 500 company reports that their health plan documents permit them to accept or reject assignments at their discretion. This simple maneuver has saved them millions of dollars. They report, “There is an abundance of evidence correlating fraud and abuse with assignments. . . We see this most commonly in the areas of chiropractic, […]

The government is now paying some hospitals “not” to train resident physicians. Uncle Sam has the uncanny ability to pay the same amount of money for providing a service as for not providing one. Some time ago a family physician mentioned to me that he always had an internist or surgeon take care of his […]