When was the last time your physician spoke with your dentist?
https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-20047475
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530469/
https://www.health.harvard.edu/diseases-and-conditions/gum-disease-and-the-connection-to-heart-disease
https://youtu.be/K1po2sFoYwg?t=1476

The Bedouin Rule
https://youtu.be/JB6OZDhvNZk

Digital Nomads
Google: digital nomad healthcare
https://www.google.com/search?q=digital+nomad+healthcare&oq=digital+nomad+healthcare&aqs=chrome..69i57.1138j0j7&sourceid=chrome&ie=UTF-8

Culture’s role in care
Dr. Diana Medina Galvan's culture and care story (Warning. Graphic Content.)
https://www.youtube.com/watch?v=C5Rbd1ZVXYk&t=424s

A word about time
https://alaskapolicyforum.org/2021/05/direct-care-lowers-health-care-costs/
https://www.aafp.org/dam/AAFP/documents/practice_management/payment/DirectPrimaryCare.pdf

Patient advocacy
https://www.kevinmd.com/blog/2015/07/the-physician-is-the-ultimate-patient-advocate.html

A word about physicians
https://opmed.doximity.com/articles/why-happy-doctors-die-by-suicide
https://www.webmd.com/mental-health/news/20180508/doctors-suicide-rate-highest-of-any-profession#1
https://emedicine.medscape.com/article/806779-overview
https://blogs.bmj.com/bmj/2018/08/31/michael-myers-the-complexity-of-physician-suicide/
https://www.npr.org/sections/health-shots/2018/07/31/634217947/to-prevent-doctor-suicides-medical-industry-rethinks-how-doctors-work

Dr. Pamela Wible's website
http://www.pamelawible.com/category/physician-suicide/

Americans, and future expats to America
Practicing Physicians of America
https://practicingphysician.org/
PBMs with Dr. Marion Mass
https://youtu.be/Cn2PaaFej28
Pulling Back Healthcare's Curtains with Dr. Marion Mass
https://www.youtube.com/watch?v=wqVEpIX-dQA

A special kind of stupid 
https://www.healthcare.gov/glossary/medical-loss-ratio-mlr/
https://www.propublica.org/article/why-your-health-insurer-does-not-care-about-your-big-bills
https://onlinelibrary.wiley.com/doi/10.1111/jori.12272
(“Analyses of annual changes in MLRs, claims, and premiums suggest that both compliant and noncompliant plans are sensitive to the ACA's bright-line MLR standard, and that changes in claims, rather than changes in premiums, are the primary way that administrators move their plans (upward or downward) toward the minimum MLR standard.”)

https://journals.lww.com/lww-medicalcare/fulltext/2014/04000/how_has_the_affordable_care_act_s_medical_loss.13.aspx
(“Individual insurers with 2010 MLRs >10 percentage points below the minimum exhibited the largest increases in MLRs, with changes occurring through increases in claims and indirectly through decreases in administrative expenses.”)

https://www.aeaweb.org/articles?id=10.1257/app.20180011
(“We model the impact of MLR regulation and show empirically that the 80/20 rule has, indeed, led insurers to have substantially higher medical claims costs—nearly one-for-one with their distance below the regulatory threshold.”)

https://content.naic.org/sites/default/files/JIR-ZA-40-01-EL_0.pdf
(“We find that managers of health plans with premanaged MLRs less than their required MLRs overestimate claims, thereby increasing reported MLRs and reducing or eliminating cash rebate payments.”)

What about countries with nationalized systems?
Make them an offer they shouldn’t refuse
https://dpcalliance.org/

Expats to America
https://money.cnn.com/2018/01/04/news/economy/undocumented-immigrants-health-care/index.html
https://www.cbc.ca/news/canada/british-columbia/undocumented-immigrants-health-care-1.3567310

Where to find a DPC physician
https://dpcalliance.org/directory
https://mapper.dpcfrontier.com/
https://www.facebook.com/groups/directprimarycare
https://sedera.wpengine.com/direct-care-finder-map/
http://www.dpcnews.com

Who’s providing care?
https://www.fs.fed.us/wildflowers/ethnobotany/medicinal/index.shtml

Language barriers
https://jeenie.com/

Knowing where to go when bleeding out
https://www.advisory.com/en/daily-briefing/2018/04/11/navy-medics
https://cookcountyhealth.org/videos/military-medics-get-trained-in-chicago/
https://www.bbc.com/news/av/world-us-canada-30243321

What about beyond catastrophic? (Stuff) is all over the house!

Noel Zuniga
https://njpcs.org/stem-cell-therapy-repairs-heart-attack-damage/
http://www.miamiherald.com/news/local/community/miami-dade/article1951658.html (Subscriber only)
https://www.youtube.com/watch?v=T1C3VJ4Cgg0

Logistics

ICE
https://en.wikipedia.org/wiki/In_Case_of_Emergency

Pack it in
https://www.boquetehealth.org/

About that will and relative
Living Wills
https://youtu.be/XvvLtlpJgLI

Estate Planning in Panama
https://youtu.be/SnuIbAm1rlc

Packing you up and shipping you—somewhere
https://www.aacargo.com/downloads/products/tlc-international-rates.pdf 

It’s not business. It’s personal.

Human Genome June 26 2000
https://www.pbs.org/newshour/spc/images/health/jan-june00/genome_6-26a.html
https://www.youtube.com/watch?v=slRyGLmt3qc
https://www.bloomberg.com/news/articles/2019-02-27/a-100-genome-within-reach-illumina-ceo-asks-if-world-is-ready

Genome
https://www.genome.gov/19016903/genomic-medicine-for-patients-and-the-public/
https://www.genome.gov/12011238/an-overview-of-the-human-genome-project/
https://www.nationalgeographic.com/magazine/2019/01/personalized-medicine-transforming-your-health-care/
https://techcrunch.com/2019/03/15/xgenomes-is-bringing-dna-sequencing-to-the-masses/
However . . .
https://www.statnews.com/2017/06/20/human-genome-not-fully-sequenced/

Gut Microbiome
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566439/

Proteomics
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117667/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC120780/
https://hupo.org/What-is-Proteomics

The PCP shortage
https://www.marketwatch.com/story/americas-1-million-doctor-shortage-is-right-upon-us-2016-04-01

Hurry up and wait
https://jamanetwork.com/journals/jama/article-abstract/2747688#:~:text=Relative%20value%20units%20(RVUs)%20were,practice%20expense%2C%20and%20professional%20liability.&text=RVUs%20were%20designed%20to%20provide,relative%20value%20of%20medical%20services
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872854/

The keyboard shuffle
https://www.reuters.com/article/us-usa-healthcare-burnout/counting-the-costs-u-s-hospitals-feeling-the-pain-of-physician-burnout-idUSKBN1DL0EX

But what of our north of the border friends?
https://paperzz.com/doc/7195217/toward-a-primary-care-strategy-for-canada
https://www.cmaj.ca/content/189/9/E375
https://pubmed.ncbi.nlm.nih.gov/28427444/
https://www.google.com/search?q=Canadian+GP+shortage&oq=Canadian+GP+shortage&aqs=chrome..69i57.4381j0j7&sourceid=chrome&ie=UTF-8

England's GP woes
https://www.gponline.com/10-minute-gp-consultations-disaster-says-rcgp-vice-chair/article/1463627
https://www.newstatesman.com/politics/health/2021/12/its-not-your-doctors-fault-you-cant-get-an-appointment
https://www.rcgp.org.uk/about-us/news/2021/september/chronic-shortage-of-gps-is-the-reason-patients-are-facing-long-waiting-times-for-appointments.aspx

Are we doomed to one-size-for-all care?

Cost savings
https://video.hint.com/dr-lee-gross-breaking-the-cost-curve
There are always alternatives
https://medium.com/@NeuCare/a-radically-patient-centered-proposal-to-fix-health-care-in-america-8e4df6130b4a
https://www.orlandomedicalnews.com/article/1427/saving-medicare-medicaid-while-preventing-federal-and-state-insolvency

FairCo$t Health Plan
https://podcasts.apple.com/us/podcast/fair-co%24t-health-plan-carl-schuessler/id1466182429?i=1000486128282
https://gritdaily.com/mitigate-partners-healthcare-costs/

Wait. A hospital saving money on employee healthcare?
https://www.youtube.com/watch?v=b26Ej9LWYHE

Hold my Sarsaparilla at the Gasparilla?
https://www.youtube.com/watch?v=LqChEXHoujw

Privacy

Patients lying more to their physicians
https://www.empr.com/home/features/an-uncomfortable-truth-why-patients-lie-to-their-physicians/
https://www.advisory.com/daily-briefing/2018/12/10/lying-patients#:~:text=8%2C%202020.,can%20negatively%20affect%20patients'%20health

CPT Codes
https://www.imohealth.com/ideas/article/cpt-101-a-quick-guide-to-current-procedural-terminology/

What happens in Vegas, stays in Vegas. But what if?
Medical records breach at Tampa General, USF exposes woman’s secrets
http://www.tampabay.com/news/health/medical-records-breach-at-tampa-general-usf-exposes-womans-secrets/2129083

It’s in the cloud
https://www.definitivehc.com/blog/most-common-inpatient-ehr-systems
https://www.ehrinpractice.com/largest-ehr-vendors.html

Who’s accessing your PHI?
Twila Brase, RN on Winning Healthcare Food Fights
https://youtu.be/tky02PUAfEU
https://www.reuters.com/article/us-health-privacy/anonymous-patient-data-may-not-be-as-private-as-previously-thought-idUSKCN1OK24O

It’s raining men, hallelujah. Maybe not?
https://www.hipaajournal.com/healthcare-data-breaches-in-2017/
https://www.propublica.org/article/small-scale-violations-of-medical-privacy-often-cause-the-most-harm

“Toto, we’re not in Kansas anymore.”
https://www.bbc.com/news/world-asia-47288219
https://www.reuters.com/article/singapore-cyberattack-idUSS7N1SV011

We’re from the government...
The slow-motion train wreck
https://www.federalregister.gov/documents/2016/10/19/2016-24908/onc-health-it-certification-program-enhanced-oversight-and-accountability
Reconsidering Constitutional Protection for Health Information Privacy
https://scholarship.law.bu.edu/cgi/viewcontent.cgi?article=1350&context=faculty_scholarship

The butler did it!
https://www.verizon.com/business/resources/reports/data-breach-digest/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7349636/

How about the US government’s record on protecting highly sensitive records?
https://www.opm.gov/news/releases/2015/07/opm-announces-steps-to-protect-federal-workers-and-others-from-cyber-threats/
https://www.opm.gov/forms/pdf_fill/sf86.pdf
https://www.youtube.com/watch?v=MpgnRnHyV84

Enter the ponytail and sandals crowd
https://www.latimes.com/business/lazarus/la-fi-lazarus-big-data-healthcare-20161011-snap-story.html

Gattaca: Best Sci-Fi movie ever?
https://www.depauw.edu/sfs/essays/gattaca.htm