Wednesday, January 31, 2018

The inevitable downgrading of burdensome, destructive EHRs back to paper & document imaging

In recent days, I've posted about current articles on the destructive nature of today's vastly over-complex, burdensome EHR technology. These posts included "Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records" at http://hcrenewal.blogspot.com/2018/01/physicians-harassed-by-onerwhelming.html
and "Medical Economics: Highly experienced physicians lost to

Long EURCHF

We have entered long EURCHF trade at 1.1615 with stop loss at 1.10 and take profit at at 1.22. We expect SNB policy to remain it current policy for extended period of time, while we expect that CHF will be used as a funding currency.

Tuesday, January 30, 2018

Burnout Returns to Center Stage

A recent Mayo Clinic Proceedings guest editorial, by Yale University physician Kristine Olson, asks the question--to some of us it's far from a rhetorical one--whether burnout among her fellow physicians is in fact "A Leading Indicator of Health System Performance?"

Seems to me that her gist is: yes, it surely must be just such an indicator. If she's right, then our system's performance is in a

Physicians Harassed by Overwhelming Levels of Messaging From Electronic Medical Records

In yet another example of the clerical overload caused by bad health IT, physicians find themselves drinking from a fire hose through cybernetics. This, in the field of dermatology, let alone critical care specialties:


Physicians Overwhelmed by Messaging From Electronic Medical Records
MedicalResearch.com Interview with: Matilda W. Nicholas, MD, PhD
Duke Dermatology
January 29, 2018https://

Sunday, January 28, 2018

Medical Economics: Highly experienced physicians lost to medicine over bad health IT





The title of the article is actually "Physicians leaving profession over EHRs", but that title omits the real impact of the phenomenon: seasoned physicians, along with their medical expertise, judgment and experience, are lost to the pool of people entrusted to provide care thanks to poorly designed and badly implemented IT:



http://cci.drexel.edu/faculty/ssilverstein/cases/
Bad Health IT

Wednesday, January 24, 2018

Short EURNOK

We have entered short EURNOK trade at 9.6225 with stop loss at 10.00 and take profit at at 9.30.

We believe that under-valued NOK will gain more fair value against EUR with the help of rising oil prices.

Tuesday, January 23, 2018

More on the Opiate Abuse Epidemic: Where Again Does the Finger Point?

In a recent blog post we pointed to conservatives' efforts to implicate Medicaid funding as somehow causative of, or at least promoting, the opiate "crisis." After all, funding for medications means people will use, and sometimes abuse, those medications. Meds they might otherwise ill be able to afford. (Implied solution: cut Medicaid.)

We also alluded to some of the logical fallacies in such

Saturday, January 20, 2018

Not just bad health IT, but SPECTACULARLY bad health IT

I define bad healthcare IT as:

... IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards

Thursday, January 18, 2018

Will the New Conscience and Religious Freedom Division of the US Department of Health and Human Services Help Health Care Professionals Challenge Morally Objectionable Acts - Like Bribery, Fraud and Other Criminal or Corrupt Practices?

For a long time we have argued that health care corruption is a major cause of health care dysfunction. We have documented numerous cases in which health care professionals were exposed to or involved in actions, including fraud, bribery (also known as kickbacks), and other corrupt or criminal practices, to which they likely had moral objections. We have also noted that in such situations,

Big Bang Theory of Health Care: Ever Since 1967

Hold on to your hat: it all comes together now. Looking at events in our nation's capital, in a strange fever dream, The Big Bang Theory just came to me. No, call it the Big Fecal-Bang Theory, as I read about how our national leadership proceeds from one inanity to the next.

But when it comes to health care, and wiping out the safety net using false premises, inanity kills. So this is worth

Tuesday, January 16, 2018

Where I can find a good MQL developer

MetaQuotes Language 4 (MQL 4) is a programming language that is used to program Expert Advisors, Custom Indicators, Scripts and even libraries for Metatrader 4 trading platform. It is not a simple programming language and if you do not have any programming knowledge it might be hard to learn the language.

However, it does not mean that you will not be able to automate your trading strategy. In order to do so, you can rent an MQL 4 developer. The best resources are:


  1. Upwork � a leading freelancing platform where you can find experts from many different fields including MQL developers

  2.  MQL5.com � a platform specially dedicated to MQL developers

  3. Freelancer -  another popular freelancing platform

Monday, January 15, 2018

"Hot Spot For User Entry Error": Hawaii missile alert: How one employee �pushed the wrong button� and caused a wave of panic

A short post.

I believe this WaPo story vividly demonstrates issues I've
seen in what Australian colleague Dr. Jon Patrick & I call "bad health IT."

We came up with the simple-to-comprehend terminology "Good health IT/Bad health IT" in his living room in Sydney after my presentation to the Health Informatics Society of Australia in 2012 on health IT trust (http://hcrenewal.blogspot.com/2012/

Sunday, January 14, 2018

How To Challenge Health Care Corruption Under a Corrupt Regime?

Introduction: the Corruption of Health Care Leadership as a Major Cause of Health Care Dysfunction

For a long time we have argued that health care corruption is a major cause of health care dysfunction. As we wrote in August, 2017, Transparency International (TI) defines corruption as


Abuse of entrusted power for private gain

In 2006, TI published a report
on health care corruption, which

Wednesday, January 10, 2018

Know the most common types of trading on the market

Know the most common types of trading on the market

Before embarking on the financial market, it is very important to know the different types of transactions. Sea Day, Swing or Position Trade and even medium and long-term transactions (Buy & Hold). These terms may seem very complicated at first. But soon you will see that there is a fundamental difference between them: the time you are going to negotiate. understand:

Every investor has a plan for their investments. And it is precisely this plan that will help you define your strategy, as well as the time needed to operate in applications such as the stock market and the currency. In this way, it is essential that you prepare to work as precisely as possible. It's about taking calculated risks and knowing when to expect results.

Among the most common transactions (short-term transactions) are those of the currency. And these negotiations are classified in: Day Trade - they last less than 24 hours; Swing Trade - take two to five days and trade position - in the short term because they last a few weeks or even months.

All of these definitions and terms that you can know in today's article. Do it and take a step forward towards your financial independence!

Good reading!
What is the day trade

As we have seen, day trading is always closed the same day, but it can only last a few minutes or hours. This is the shortest of the types of trading. The purchase can be at the opening of the financial market and the sale at closing, or even with a difference of seconds: both are called day trade.

Since this is a fast-paced term, the trader needs a lot of knowledge and experience. In addition to speed, it is also common to operate with day trading to obtain small quantities. This is because the final sum can bring an interesting return. Then summarize and see some details:

The characteristics of the day trading: several short-term trading (less than 24 hours) at the same time, they need very liquid assets, require dedication, the profits are fast and the benefits of each operation can be small, but the result final very good. Knowledge in technical analysis and extensive experience on the part of the investor are essential.
Swing Trade

negotiation types 2

Swing trading is also one of the most common types of stock trading, but it is a longer term transaction. The merchant who uses the swing trade trades on average within two to five days. No more than that. The idea is to stay in position until the time set to achieve the goals.

In this context, the swing trader usually performs fewer transactions in parallel. Factor that does not eliminate the need for equal liquidity of assets as in day trading. Other prerequisites are mastery of technical analysis, patience, discipline, availability to accompany graphics and trends.

The characteristics of swing trading: less short-term trading (two to five days) at the same time, they need very liquid assets, require dedication, patience and discipline, perhaps greater consistency of results and knowledge is essential in technical analysis.

Trade position

At the point of negotiation, negotiations can last for a few weeks or even months. Since the objective is to increase profitability compared to other types of transactions, the investor keeps few open orders at the same time. Liquidity is important, but it's not essential like the day and the swing trade. Here, the term to use is larger.

The characteristics of the trade position: few transactions can be open at the same time (weekly), liquidity is not the most important factor, requires patience, discipline and emotional control, there may be more fundamentalist coherence See in this publication other alternatives to increase investment wealth.
Medium and long term

types of trading 3

Now, check the other modes of operation, different from the types of trading we saw above:

Medium term: longer term negotiations, one to five years. It is advisable to have some experience of the market and notions of technical and fundamentalist analysis.

Long term: also known as Buy & Hold, it includes five-year operations. They are used by investors looking to supplement their retirement in the future. It is important to know the fundamentalist analysis.
Costs and risks

In both the stock market and the Forex, the manual day trader must have enough time to negotiate. And, as he will perform several operations a day, this will result in significant costs with corrections and other fees. The incidence of income tax is also higher for day trading operations. Day trader pays 20% IR instead of 15% normal. On top of that, you still have to face the daily risk of not being able to buy or sell your assets.

Already in swing trading, operations are smaller and, as a result, the capital, costs and risks involved are also lower. Therefore, the movements of the graphs are easier to analyze because there is a longer time (but not much!) For that. Remember the importance of managing the risk well, apply the stops by hand, follow the strategy and keep a cool head. The same thing applies to position trading.
How to choose my trading types?

types of trading 4

Have you noticed how the operating period is the main difference between the types of trading? And also how each of the modalities requires specific skills of the trader? Therefore, to choose the one that best fits your profile, make a clear assessment of your lifestyle.

What is the time available to invest? How much risk do you want and can you run to achieve the desired results? It is only with these answers that you will be able to reach an affirmed definition. Remember that it is up to the investor (trader) to establish his own strategy and chart the way forward in his investments.

Friday, January 5, 2018

Ill-Informed, Incompetent* Health Care Leadership: the Case of President Trump's Interview in the New York Times

[* - see discussion of definitions below]

On December 28, 2017, the New York Times published an impromptu interview by reporter Michael S Schmidt with President Donald J Trump at one of Mr Trump's private golf clubs. Excerpts from the transcript appeared here. An analysis of 24 points made by the president appeared in the Washington Post. A number of commenators later weighed in on the

Monday, January 1, 2018

A Remedy for Corruption


Do I really have a remedy for corruption? I wish I did. But,
I have lately found an effective balm for the sickening discouragement that it
is easy to feel when confronted day after day with another instance of the medical
industry�s price-gouging corruption, purposeful distortions, and callous
disregard of patient welfare. That
remedy is a new podcast from Australia: Ray Moynihan�s The

Making the Revolving Door Great Again: Recent FDA Commissioner Dr Scott Gottlieb Joins the Pfizer Board of Directors

It has been less than six weeks since our last post on the revolving door. That post emphasized cases of the outgoing revolving door, that ...