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Bob's Words of Wisdom

Why is Idaho the 48th State in Mental Health?

As many of our readers may know that three years ago, I moved to New Meadows Idaho from Meridian as the neighborhood I lived in was becoming more congested with traffic and slowly but surely deteriorating and turning into something I didn’t want to deal with. As I told Kevin Miller many times, I needed […]

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John Livingston

Assessing Medical Risk

For the last several weeks I have been reviewing cancer survival statistics from patients that were treated for their disease during the pandemic. My eyes are glossing over from reading Meier-Kaplan curves. The Meier-Kaplan curve is a graphical representation of the survival function. It shows the probability that a subject will survive up to time […]

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John Livingston

Old Soldiers

One of the hardest aspects about retiring, I still hope to volunteer and hope to do mission work, is accepting the fact that I am increasingly becoming professionally less relevant. In some ways, this has crossed over into my personal life. Last Mother’s Day my granddaughter and I approached the maitre d at The River […]

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John Livingston

Racism in Medical Education

Higher education has become obsessed with “woke culture.” I graduated from Medical School at THE OHIO STATE UNIVERSITY in 1976. Already at that time “sensitivity training” and cultural awareness programs were starting up. These were not in the basic or clinical sciences but could be found in Public Health Departments. The Department of Engineering at […]

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John Livingston

Organized Medicine — Organized Corruption and Tuskegee Revisited

Organized medicine in all the modern Western Countries over the past 100 years has been at best progressive and in selected instances fascist in its application of moral and ethical standards. For conservatives, the predicate for any policy position or legal edict can be found in Biblical and Natural Law Principles. We look backwards to […]

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John Livingston

Our Medicaid System is Riddled with Fraud and Deceit

Where are the grown-ups? Where are our leaders? In 2020, early in the Covid Political Pandemic, Congress increased the Federal Governments Medicaid “match”. As one of the conditions for receiving these extra monies, States cannot disenroll Medicaid beneficiaries who become ineligible. Only those that die, leave a State or request to be disenrolled are dropped […]

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John Livingston

Why We Can’t Afford Healthcare

The day I retired I was honored to receive a phone call from Governor Otter asking me to serve on the new Idaho Health Insurance Exchange Board. I was not in favor of the Exchange, but I saw an opportunity moving forward to possibly “privatize the exchange” and put it in the hands of health […]

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John Livingston

Accountability and Perspective

The after-action reports and the Monday morning quarterbacking have yet to take place regarding our State’s Covid response. Maybe we are waiting until after the November general elections. Historically in the medical and nursing professions every death and every bad outcome is reviewed at the clinical level giving context to the analysis done at the […]

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John Livingston

The Parrot on the Shoulder of Medicine

I was blessed to practice surgery and medicine for 44 years. Almost half of that time was in the Navy, the other half in Boise. Twenty-five years ago, I was asked to help rebuild the trauma center at St. Al’s and I was lucky enough to recruit four outstanding surgeons from three outstanding medical schools. […]

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John Livingston

Corruption is Growing

Tonight, I am in San Antonio Texas at Ft. Sam Houston. I am teaching for the last time a course for military doctors and surgeons that I have been part of since 1983. We have military and civilian instructors. Several of the instructors work full time for the Center for Disease Control (CDC) and the […]

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John Livingston

Comorbidities and Unintended Consequences

As Chris Rock opined tonight “I’m still processing.” I just came back from teaching a military trauma course at Ft. Sam Houston. We had about 60 students from across the USA and several corners of the world. All surgeons or physicians who are currently serving in the military of their countries. The instructors were all […]

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News

Life Saving Legislation Introduced

CRISIS STANDARDS OF CARE LEGISLATION INTRODUCED! We are happy to report that, after much work and prayer, we were able to get legislation introduced this past week to limit the scope of “Crisis Standards of Care” …and to provide strong patient protections if we move again into health care rationing: Patients’ Living Wills have to […]

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