// author archive

Chris Rangel MD

Chris Rangel MD has written 207 posts for RangelMD.com

Socialized Medicine and excessive wait times.

 (a follow up to Part I) - A 22 year old English woman died from a rare (but treatable) brain tumor after waiting almost 13 weeks for an MRI of the head. Dr. Luba had the following to say;
“The NHS used to be a much better system. The Tories cut funding greatly when they were […]

NHS kills young woman

Socialized health care kills patient with excessive wait times for MRI.
A 22 year old English woman collapsed and died from a rare brain tumor after having severe headaches for over a year and after no less than 5 visits to her physician. Her headaches were diagnosed as “stress related” and she received 6 physical therapy […]

Reefer Madness is Real?

Reefer Madness is Real! Everybody Overreact!
Researchers in the UK have found statistical evidence to associate marijuana use to an increased risk of psychosis. The absolute risk appears to be very small but the media got around this problem by hyping the exact relative risk numbers while being vague on the absolute risks (emphasis added).
“The […]

Inequality in health care delivery.

There will always be a two tier health care system.
Part of the liberal idea for universal health care is that because everyone will be guaranteed at least government provided health insurance then everyone will have the same access to and receive the same health care, thereby eliminating inequalities of health care access and delivery. Too […]

Incentives are good things!

The problem with employee physicians Part II - Alijor is right (see Part I). As the Canadian health service and the UK’s NHS have found out, incentive based work arrangements can be critical to the success of their systems.
There are good and bad points to being a salaried employee physician but let’s never underestimate the […]

Should Docs be Employees?

The problem with employee physicians - [NOTE: The following is based on my experiences as an internist and hospitalist]
So, you are nearing or at the end of your medical training and you can’t decide what type of job arrangement to enter into. Should you start your own practice, join a practice, or get hired as […]

The New Concept of the Alcoholic.

The clichéd idea of an alcoholic is usually a “wino” type (middle aged or older, male, usually homeless), a barfly (your official address is a bar), or an abusive husband or boyfriend in a “wife-beater” Tee-shirt (please see any “COPS” episode for examples). I think it’s safe to say that most Americans still believe that […]

Are video games to blame for mass murder?

Dr Phil: Mentally ill mass murderers are programmed by violent video games and movies - Appearing on Larry King Live on the day of the tragedy, psychologist and host of his own show, Phil McGraw had the following little gem to say about the etiology of mass murder (emphasis added).
“The problem is we are […]

Murder-Suicide and tragedy at Virginia Tech.

A young male armed with two handguns (reportedly either 22 and/or 9 mm caliber) and a ton of ammunition confronts his girlfriend whom he accuses of infidelity. He then kills her and an adviser. Two hours later (presumably, the same murderer) kills 30 more at a nearby lecture hall and then shoots himself before police […]

No wonder you can’t afford your health care!

Old and busted: Saving for future health care costs.
New Hotness: 65 inch Plasma 1080p HDTV! - In 2005 Americans were saving money at an average rate of NEGATIVE 0.5% meaning that on average we spent more money than we earned. Spent it on what? Here is a list (link via Fark.com) of the average household […]