A Public Service Announcement to the Carney Administration:  Open Delaware NOW   By  Dr. Christopher Casscells   Date:  July 9, 2020 A lack of any specifics on the Phase 3 opening criteria and guidelines for conducting activities suggests that the Carney team is making them up as they go, just as the CDC was doing in the beginning of the pandemic.   That was acceptable then when little was known about the novel coronavirus, but unacceptable now that a great deal is known rega

As the pandemic of the coronavirus (Covid-19) evolves, some truths need to be spoken. Firstly , surgical masks do not protect the wearer of the mask. They protect others from the spittle that occurs with speech. That is why we wear surgical masks in the operating room. Secondly , gloves do not protect you if you touch your face, nose or mouth in particular. Thirdly , the death rate is minuscule compared to the swine flu (H1N1) of the previous decade. Fourthly , the new corona

Being a small state with a chronic shortage of hospital beds and a history of excessively long wait times in the emergency rooms, Delaware is at a higher risk for societal disruption than states with more diverse and extensive resources. As such, an epidemic of fear and anxiety might be worse here. Currently we are awash in a 24/7 media hysteria where there is a risk of panic. A rush on the emergency rooms with few available beds for admission to the hospital in Delaware woul

This memorandum is a discussion about the Certificate of Need (CON) process in the State of Delaware... Please download pdf file to read full report.

Congresswoman Nancy Pelosi spoke plainly and honestly when she said "You have to pass the bill to find out what's in it ". As we find out " what's in it" the level of frustration, disappointment, and anger has grown, especially since her statement openly acknowledges that ObamaCare was formulated and passed in the most opaque fashion ever done for a piece of major legislation. The element most obviously left out of the back-room deals was the physicians. So, my question is "W

Costs in any market, including health care, are reduced by raising productivity. The best way to achieve this is to release the forces of competition inherent in free markets. Proposed reforms of the Affordable Care Act (aka Obamacare) seek to do this on the demand side by incentivizing patients/consumers to shop for the best and lowest-priced care via, i.e., health savings accounts (HSAs) and cross-state-border sales of health insurance. However, less attention has been paid

When we plan a home renovation or car repair, typically we call a few businesses who give us estimates either over the phone or in person. Sometimes these initial consultations are free, other times there is a charge, but at least we know what to expect. We understand that additional problems may be found and we expect to be consulted on any additional charges that may result. Why can’t we do this with a hip replacement? Or an ankle X-ray? Or any other non-emergency medical c

9/11/2012   With the elevation of Paul Ryan to the national stage, the debate about national healthcare policy is front and center. At the core of the debate is affordability. The 2010 healthcare reform legislation known as the "Affordable Care Act", or "Obamacare" by its detractors, is at the center of the debate. The fundamental political promise is that all residents of the United States can have all the healthcare that they want, whenever they want, from whatever source t

From Adam Smith forward, the one major insight on which all economists can agree is “competition is good!” More effectively than government regulations or price ceilings or user permits, competition results in, as if by an “invisible hand”, lower prices and lower costs (more efficient production).   Is there sufficient competition in Delaware’s healthcare industry? Or are consumers being over charged and undersupplied?   Following is a simple analysis of Delaware’s major heal

The recently passed health care reform bill not fix health care. It intends to fix the insolvent governments bankrupt insurance products, Medicare and Medicaid, but probably wont do that either. It does raise taxes on everyone who pays taxes, currently 53% of the citizen population. It will not increase access to actual health care for anyone. It will ration delivery of health care, first to Medicare and Medicaid recipients, then in 8 years to everyone. It needs to be repeale