BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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I was having lunch with a close friend of mine. He mentioned that he had accumulated a significant sum of money and did not know what to do with it. It was sitting in bonds, and inflation was eating its purchasing power at a very rapid rate.
He is a dentist and had originally thought about expanding his business, but a shortage of labor and surging wages turned expanding into a risky and low-return investment. He complained that the stock market was extremely expensive. I agreed.*
Posted on September 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Bank of England steps in to soothe markets. The Bank of England moved to quell the market panic caused by the British government’s recent announcement of major tax cuts, saying it would buy 65 billion pounds ($69 billion) worth of bonds and push off its plans to sell bonds to prevent “a material risk to UK financial stability.”
So, it looks like the central bank did manage to get investors to keep calm and carry on: The pound, which had been crashing, stabilized and bond markets across the globe rallied after the news came out.
Posted on September 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Re-Thinking Strategic Allocation
[By Dr. David Edward Marcinko MBA]
Many successful physician investors, retirement account managers or endowment fund administrators will establish a “strategic” allocation policy that is intended to guide long-term (greater than one-year) investment decisions.
Thinking Long Term?
This strategic allocation reflects the endowment’s thinking regarding the existence of perceived fundamental shifts in the market. Most endowments will also establish a target range or band for each asset class. The day-to-day managers then have the flexibility to make tactical decisions for a given class so long as they stay within the target range.
Terms
The term “tactical” when used in the context of investment strategy refers to the investor or manager’s ability to take advantage of short-term (under one year) market anomalies such as pricing discrepancies between different sectors or across different styles.
Assessment
Historically, tactical decisions with respect to asset allocation were derided as “market timing.” However, market timing implies moving outside of the target ranges whereas tactical decision making simply addresses the opportunistic deployment of funds within the asset class target range.
So, what do you think?
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
SE OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES
Posted on September 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Wall Street HIT with $2 billion in fines!
The three-martini lunch may dwindle to two after a dozen of the largest finance firms agreed to pay more than two billion dollars to settle probes from the SEC and CFTC.
Those regulators claimed that the banks failed to adequately manage employee communication.
And, for the second time in a decade, Regions Bank was found to have charged illegal overdraft fees, the government in a settlement that will require the bank to repay $141 million to customers and pay an additional $50 million in fees.
Posted on September 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Domestic Markets: The Dow and the S&P 500 both snapped six-day losing streaks after the Bank of England stepped in to calm investor fears about its teetering markets. That announcement helped crashing bonds recover in a big way, and the 10-year US Treasury yield (which moves inversely to prices) posted its biggest one-day drop since 2009.
On September 13, 2022, Representatives Ami Berra (D-CA-7) and Larry Bucshon (R-IN-8) introduced the Supporting Medicare Providers Act of 2022 (H.R. 8800), which aims to infuse the Medicare Physician Fee Schedule (MPFS) with a 4.42% funding increase for 2023. With a bipartisan coalition of 12 co-sponsors, the bill would have the practical effect of negating the impending 4.42% cut to the MPFS conversion factor. This Health Capital Topics article will review the bill, discuss its support, and examine its potential implications. (Read more…)
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Developing Leadership Ability
[By Dr. David Edward Marcinko MBA]
We have written about leadership and management before on this ME-P. It is an important and very popular topic; not only in healthcare but in most all industries today.
According to the Center for Creative Leadership there is a model for learning and development that blends experience, relationships and training.
It is referred to as the 70-20-10 model, where approximately:
70% of learning is provided through the use of challenging assignments and on-the-job experiences.
20% of learning is developed through relationships, networks, and feedback.
10% of the learning is delivered via formal training processes.
So, does your medical office, clinic, hospital or healthcare organization put most of its leadership development resources into training?
Is this akin to the medical teaching adage: “See one – Do one – Teach One“?
Assessment
Sometimes it’s easier to purchase external vendor training rather than develop the internal infrastructure to support business succession planning with stretch and / or rotational assignments, coaching, mentoring, and action learning. The weaker this internal support infrastructure, the more important the formal training will be, but it can’t be a close substitute for the lessons learned on the job and through feedback from peers, bosses and mentors.
Conclusion
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The Federal Reserve now owns $2.6 trillion in mortgages. That means about 24 percent of all outstanding residential mortgages in this whole big country reside in the central bank.
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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An index tracking US home prices posted a monthly drop in July for the first time since 2012, signaling the end of a decade long bull market that went sky-high during Covid-19.
Expensive West Coast metros—San Francisco, Seattle, and San Diego—saw the biggest declines.
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Porsche Mega-IPO
Out of the ashes of this year’s brutal IPO market rises Porsche. The Volkswagen-owned luxury automaker will list shares publicly on the Frankfurt Stock Exchange this week, and if it hits its valuation target of $75 billion, it would be Europe’s third-largest IPO ever.
The Porsche IPO is penciled in for September 29th. It’s likely to be one of the largest in European stock market history, and could well be the financial event of the year.
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Everyone wants to be a doctor – or get paid like one!
[By Dr. David Edward Marcinko MBA CMP™]
Most regular ME-P readers and subscribers know that I am a Jaguar automobile fan. Except perhaps for a Bentley or Rolls Royce, I think that Jags are the finest mass produced luxury vehicles on the planet.
Backstory
My regular car guy, Jimmie the mechanic, was removing a cylinder head from a late model Jaguar sedan when he spotted a world-famous heart surgeon in his garage; we have many such dignitaries on this side of town.
In fact, it is called “pill-hill” around here, for the many hospitals, medical clinics and physician offices. The heart surgeon was waiting for the service manager to come and take a look at his car.
The Query
Jimmie shouted across the garage, ‘Hey Doc can I ask you a question?’
The famous surgeon, a bit surprised, walked over to him. Jimmie straightened up, wiped his hands on a rag and asked, ‘So Doc, look at this engine. I also can open hearts, take valves out, fix’em, put in new parts and when I finish this Jaguar will work just like a new one.’
Salary Comparisons
“So how come I work for a pittance and you get the really big money, when you and I are doing basically the same work?”
The MD’s Answer
The surgeon paused, smiled and leaned over and whispered into Jimmie’s ear: ‘Try doing it with the engine running.’
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Assessment
Of course this story is a classic; oft repeated ad nauseam.
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Eric Topol on Replacing Clinicians with Algorithms
By Dr. David Edward Marcinko MBA CMP™
[Editor-in-Chief]
Recently, I wrote an ME-P questioning the need for a medical license in order to treat patients.
Boy, did I receive unkind private comments and phone calls on that op-ed piece!
The idea was not my own and, in fact, was proposed more than a decade ago by Shirley Svorny PhD, chairwoman of the economics department at California State University, Northridge. She holds a PhD in economics from UCLA
Her simple rationale was that licensure may be a barrier to competition and hence health care.
Now, we learn that Eric Topol MD, Director of the Scripps Translational Science Institute and [Editor-in-Chief of Medscape] is questioning whether doctors will be replaced by algorithms. He cites dermatology, optometry and pediatrics as first-mover smart-phone applications.
The idea was really precipitated by Vinod Khosla at the Rock Health Program on Health Innovation, when he said that 80% of doctors are going to be replaced by algorithms [Pareto’s rule].
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Video
And so, please enjoy this video presentation of Eric as he describes his healthcare vision of the future.
Of course, this flies in the face of all those projections about hundreds of thousands of doctor shortages over the next 10 years because of the Baby Boomer problem, the aging of the population, as well as the chronic disease burden.
And so, will doctors worker harder, or smarter, in the future? Will the lack of capacity be countered by improvements in efficiency? What will happened to provider reimbursement?
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on September 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Bitcoin, the world’s largest digital asset by market value, fell as much as 1.2% to trade around $18,878, failing to sustain an earlier advance. Ether, the second-largest cryptocurrency, also dropped. Most major digital assets were posting declines as of 1:45 p.m. in New York.
The downturn occurred as US stocks turned lower, with the S&P 500 on pace for a sixth session of losses. Global financial markets have been gripped by volatility as central banks continue to promise that they’re going to keep raising interest rates to fight inflation that’s proven stickier than many had thought.
Posted on September 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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AHIP: Botox Marked Up 78% in Hospitals Over Pharmacies
• Botox markups: 78% in hospitals, 17% in physician offices • Herceptin markups: 131% in hospitals, 40% in physician offices • Keytruda markups: 104% in hospitals, 21% in physician offices • Ocrevus markups: 59% in hospitals, 13% in physician offices • Opdivo markups: 112% in hospitals, 18% in physician offices • Prolia markups: 215% in hospitals, 49% in physician offices • Remicade markups: 124% in hospitals, 15% in physician offices • Rituxan markups: 85% in hospitals, 7% in physician offices • Tecentriq markups: 95% in hospitals, 25% in physician offices • Xolair markups: 76% in hospitals, 16% in physician offices
Notes: Drugs with the highest total spend in 2019, which are also commonly delivered through specialty pharmacies. The drug cost estimate in physician offices and hospitals does not include the cost of administering the drugs. Source: AHIP, “Hospital Price Hikes: Markups for Drugs Cost Patients Thousands of Dollars,” February 2022
Posted on September 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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US stocks closed lower as markets dim view of the UK’s new budget plan weighed on markets.
US bond yields soared with the 10-year up as much as 21 basis points.
The British pound declined to a record low against the dollar at one point early in the day.
US stocks ended lower amid turmoil stemming from the reaction to the UK’s new budget plan, which includes some of the steepest tax cuts in decades and has led to fears of worsening inflation and government budget shortfalls.
Finally, extending its losses after a historically bad day on Friday, when the tax plan was announced, the British pound currency plunged as low as $1.035 in the early hours of this morning, before recovering in the afternoon amid speculation that the Bank of England would make a statement about the currency moves, and bets that policymakers would have to raise interest rates on an emergency basis.
Posted on September 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The term integrative medicine was born from combining the practice of so-called “conventional” medicine and “complementary medicine.” Conventional medicine is what most doctors practice. This is also called “traditional Western medicine.”
Adding “outside-the-box” treatments such as chiropractic care, acupuncture, and other lifestyle recommendations like improving diet, supplements, herbs, exercise, stress management, and functional specialty labs results in the actual integration of the two disciplines. And we need both.
Posted on September 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Belgium’s Society for Worldwide InterBank Financial Telecommunications
A TIMELY FINANCIAL TOPIC
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By Staff Reporters
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Belgium’s Society for Worldwide Interbank Financial Telecommunications (SWIFT) runs a messaging service that facilitates transactions across 11,000+ financial institutions globally. Think of it as the “Gmail of global banking.”
Entities in every country except North Korea use SWIFT to shuffle trillions of dollars’ worth of funds across borders. And Russia is a SWIFT power user—as a major supplier of energy and other goods, it ranks sixth globally for payment messages sent on SWIFT. So if Russia were cut off from SWIFT, “the nation would essentially be severed from much of the global financial system,” the NYT wrote.
Posted on September 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The worst bond market decline since 1949 is set to disrupt the stock market, according to Bank of America.
The bank said soaring interest rates will unwind the most crowded trades in the stock market, including long US tech.
“Bond crash in recent weeks means highs in credit spreads, lows in stocks are not yet in,” BofA said.
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Specifically, ongoing bond market crash can lead to a credit event that would effectively unwind the long US dollar, long US tech, and long private equity trades, which have been widely held by investors for years. Those crowded trades have helped catapult mega-cap tech companies like Apple, Amazon, Alphabet and Microsoft into trillion-dollar behemoths that make up nearly 20% of the S&P 500.
Posted on September 25, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
A Private Investment in Public Equity
By Staff Reporters
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A private investment in public equity (PIPE) is a transaction in which a publicly traded company sells shares to accredited investors via a private placement.
In a PIPE transaction, an investor commits to buying a certain number of shares at a fixed price and, in exchange, the issuer provides a resale registration statement.
In a non-traditional PIPE transaction, the security price may be variable instead of fixed, and investors must pay before receiving the resale registration statement in return.
While PIPE transactions can be advantageous to both the firm and the accredited investor, most investors can’t participate, and the deal may dilute the shares of existing stockholders.
Posted on September 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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It’s useful to look at stock market levels compared to where they’ve been over the past few months. When the S&P 500 is above its moving or rolling average of the prior 125 trading days, that’s a sign of positive momentum. But if the index is below this average, it shows investors are getting skittish.
Momentum is the speed or velocity of price changes in a stock, security, or tradable instrument.
Momentum shows the rate of change in price movement over a period of time to help investors determine the strength of a trend.
Investors use momentum to trade stocks whereby a stock can exhibit bullish momentum–the price is rising–or bearish momentum–the price is falling.
The Fear & Greed Index uses slowing momentum as a signal for Fear and a growing momentum for Greed.
Posted on September 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The OTCQX® Best Market offers transparent and efficient trading of established, investor-focused U.S. and global companies.
To qualify for the OTCQX market, companies must meet high financial standards, follow best practice corporate governance, demonstrate compliance with U.S. securities laws, and have a professional third-party sponsor introduction.
Penny stocks, shells and companies in bankruptcy cannot qualify for OTCQX.
The companies found on OTCQX are distinguished by the integrity of their operations and diligence with which they convey their qualifications.
Posted on September 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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U.S. stocks closed sharply lower with the Dow Jones Industrial Average ending at its lowest closing value since November 2020. All three major benchmarks suffered another week of losses as bond yields rose in the wake of the Federal Reserve’s interest rate hike on Wednesday.
The Dow Jones Industrial Average shed 486.27 points, or 1.6%, to close at 29,590.41.
The S&P 500 dropped 64.76 points, or 1.7%, to finish at 3,693.23.
The NASDAQ Composite slid 198.88 points, or 1.8%, to end at 10,867.93.
For the week, the Dow dropped 4% while the S&P 500 slid 4.6% and the NASDAQ tumbled 5.1%, according to Dow Jones Market Data. All three major indexes declined for a second straight week.
Posted on September 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Bigger is NOT Always Better
[By staff reporters]
The size effect in finance literature refers to the observation that smaller firms have higher returns than larger firms, on average over long horizons. It also describes the contribution that firm size has in explaining stock returns.
Posted on September 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Swatting refers to a harassment technique most that entails generating an emergency law enforcement response against a target victim under false pretenses. Swatters do this by making phone calls to emergency lines like 911 and falsely reporting a violent emergency situation, such as a shooting or hostage situation.
Swatters often consider what they are doing to be a prank, but it can come with serious consequences. Swatting occupies law enforcement response teams, making them unavailable to respond to real emergencies. There have even been swatting incidents where law enforcement officers were shot, and in one case the victim of the swatting was shot dead by law enforcement.
In recent years, the US has tried to dissuade swatters by imposing serious penalties for the perpetrators, but swatting continues to be an issue. Swatting is often hard for law enforcement to address, since many swatters use sophisticated techniques to hide their identity. Swatters disguise themselves using techniques like caller ID spoofing, where they utilize software to make it appear as though they are a local caller when they could be anywhere in the world.
Posted on September 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Equity markets declined for the third straight day in the wake of the U.S. Federal Reserve‘s most recent increase to the benchmark interest rate.
The S&P 500 fell 31.94 points, or 0.84%, to 3,757.99, while the Dow Jones Industrial Average declined by 107.1 points, or 0.35%, to 30,076.68. The NASDAQ Composite dropped 153.39 points, or 1.37%, to 11,066.80.
All three indexes are on pace to end the week in the red, as investors worry continued rate hikes meant to combat high inflation, could result in a recession.
Posted on September 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Consumption smoothing is the economic concept used to express the desire of people to have a stable path of consumption. People desire to translate their consumption from periods of high income to periods of low income to obtain more stability and predictability. There exist many states of the world, which means there are many possible outcomes that can occur throughout an individual’s life. Therefore, to reduce the uncertainty that occurs, people choose to give up some consumption today to prevent against an adverse outcome in the future. In order for one to adequately and properly prepare for unforeseen circumstances that can occur in the future, we must start planning today, putting money aside for when these unforeseen circumstances happen.
Posted on September 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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Marking to Market (MTM) means valuing the security at the current trading price. Therefore, it results in the traders’ daily settlement of profits and losses due to the changes in its market value.
Suppose on a particular trading day, the value of the security rises. In that case, the trader taking a long position (buyer) will collect the money equal to the security’s change in value from the trader holding the short position (seller).
On the other hand, if the security value falls, the selling trader will collect money from the buyer. The money is equal to the change in the value of the security. It should be noted that the value at maturity does not change much. However, the parties involved in the contract pay gains and losses to each other at the end of every trading day.
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Examples of Mark to Market
An exchange marks traders’ accounts to their market values daily by settling the gains and losses that result due to changes in the value of the security. There are two counterparties on either side of a futures contract—a long trader and a short trader. The trader who holds the long position in the futures contract is usually bullish, while the trader shorting the contract is considered bearish.
If at the end of the day, the futures contract entered into goes down in value, the long margin account will be decreased and the short margin account increased to reflect the change in the value of the derivative.
An increase in value results in an increase in the margin account holding the long position and a decrease in the short futures account.
According to investopedia, for example, to hedge against falling commodity prices, a wheat farmer takes a short position in 10 wheat futures contracts on November 21st. Since each contract represents 5,000 bushels, the farmer is hedging against a price decline on 50,000 bushels of wheat. If the price of one contract is $4.50 on Nov. 21st. the wheat farmer’s account will be recorded as $4.50 x 50,000 bushels = $225,000.
Day
Futures Price
Change in Value
Gain/Loss
Cumulative Gain/Loss
Account Balance
1
$4.50
225,000
2
$4.55
+0.05
-2,500
-2,500
222,500
3
$4.53
-0.02
+1,000
-1,500
223,500
4
$4.46
-0.07
+3,500
+2,000
227,000
5
$4.39
-0.07
+3,500
+5,500
230,500
Because the farmer has a short position in wheat futures, a fall in the value of the contract will result in an increase in their account. Likewise, an increase in value will result in a decrease in account value. For example, on Day 2, wheat futures increased by $4.55 – $4.50 = $0.05, resulting in a loss for the day of $0.05 x 50,000 bushels = $2,500. While this amount is subtracted from the farmer’s account balance, the exact amount will be added to the account of the trader on the other end of the transaction holding a long position on wheat futures.
The daily mark to market settlements will continue until the expiration date of the futures contract or until the farmer closes out his position by going long on a contract with the same maturity.
I was interviewed on PBS Newshour about the insanity that is happening in the NFT (non-fungible token) market. You can watch it here. If you read my “I Kid You Not Crazy” article, then you know everything I have to say about NFTs and cryptocurrency. I can sum up my thoughts on NFTs in one sentence: NFTs, just like cryptocurrencies, are a technology of the future, but a speculative bubble induced by excess global liquidity in the present.
Posted on September 22, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Eric Bricker MD
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Dr. Sachin MD MBA Jain wrote an outstanding article on Value Based Care in the April 12, 2022 issue of Forbes stating that the Patient Must Come First in Value Based Care.
Posted on September 22, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The Federal Reserve hiked its key interest rate by 0.75% for the third time in a row as it races to get ahead of the galloping inflation that is sapping the earnings of American consumers. In its latest economic forecast, the Federal Open Market Committee said it now projects that the U.S. unemployment rate will climb from 3.7% to 4.4% — meaning hundreds of thousands more Americans will be without jobs.
The stock market did not respond well after the interest rate news was announced, with the Dow Jones Industrial Average dropping 522 points, or 1.7%, at the close. The S&P and NASDAQ saw similar percentage drops.
Posted on September 22, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Dr. David Edward Marcinko MBA
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World Gratitude Day is a timely opportunity to give your employees their deserved props—beyond an ordinary thumbs-up emoji. And, how you celebrate the day is limited only by your imagination.
Some people write thank you notes to those they appreciate. Some make a point of having “gratitude dinners” with family members. And others start a gratitude journal in which they record what they’re grateful for.
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We’re all human, and at Workhuman, they get that. Workhuman’s employee recognition solution, Social Recognition, helps foster employee appreciation—something that strengthens teams, reduces turnovers, and drives business forward.
Yep, a little “Thank you” goes a long way.
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AUTUMNAL EQUINOX 2021
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Today, in 2021, the autumnal equinox will also take place at 3:21 p.m. EDT and marks the moment the sun’s rays are shining directly on the equator. It’s called the equinox because daytime and nighttime are equal lengths. The winter solstice, which occurs on Dec. 21, will be the shortest day of the year and marks the start of winter.
Posted on September 21, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Chamath Palihapitiya, the billionaire investor who once claimed to be the next Warren Buffett, is winding down two of his special purpose acquisition companies (SPACs) and returning $1.5 billion to investors. It marks the symbolic end to the SPAC bubble that Palihapitiya is credited with instigating.
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Markets: Investors pre-gamed the Fed’s big interest rate decision coming this afternoon by sending stocks lower and Treasury yields higher; they’re sweating what’s expected to be the central bank’s third 75-basis-point hike in a row to tamp down inflation. Speaking of inflation, Ford’s stock had its worst day in 11 years after warning of $1 billion in extra supplier costs.
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Finally, the Justice Department charged 47 people for allegedly carrying out the single largest Covid relief fraud scheme to date. Feds say that by exploiting a program meant to feed needy Minnesota children, the defendants stole $250 million. Prosecutors say the fraud was committed by a network of individuals connected to the nonprofit Feeding Our Future and was overseen by the nonprofit’s founder, Aimee Bock. Feeding Our Future was one of a handful of organizations Minnesota trusted to oversee the distribution of meals to children in low-income families during the pandemic. Instead, prosecutors allege, the organization operated a “pay-to-play scheme” in which individuals submitted fake meal sites and children’s names, raking in government money with fraudulent invoices.
The popularity of special purpose acquisition companies (SPACs) has been soaring in recent years. There are 35 times as many SPACs operating in 2020 as in 2010, and these companies seem poised for greater exponential growth in the future.
While many experts are predicting a continued, rapid increase in SPACs, this article will also examine the factors that could possibly slow SPAC growth and diminish their future prospects. SPACs span several market areas, including biotechnology and healthcare; this article will review SPAC trends generally as well as healthcare SPACs in particular. (Read more…)
Personal health sensors and apps equip patients with personalised data so that they can become more proactive in managing their health. But what is still mostly the norm is that these sensitive data are governed by the companies providing these services; and they often profit out of it, oblivious to patients.
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But even though NFTs are still in their infancy, the technology might evolve in the future to become more compelling for patients to favor the agency it provides over their data.
Posted on September 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Jules Murtha
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Here’s What Doctors Need to Know
The Supreme Court of the United States (SCOTUS) has ruled that doctors must show intent to mis-prescribe opioids in order to face criminal charges.
Despite the drop in opioid prescriptions in recent years, opioid overdoses and deaths are on the rise, largely because of street drugs.
The CDC’s position is that physicians can better serve patients by focusing on when to initiate and continue opioid treatment, what type and dosage of opioid to use, and how to address risk of drug abuse when prescribing opioids.
Posted on September 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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U.S. stocks found their solid footing in the final hour of back-and-forth trading after all three major indexes logged their worst week in three months. The S&P 500 climbed about 0.7%, while the Dow Jones Industrial Average rose nearly 200 points, or 0.6%. The tech-heavy NASDAQ gained 0.8%.
In the bond market, the benchmark U.S. 10-year Treasury touched 3.5%, its highest level since 2011, while the 2-year Treasury note inched toward 4%.
Posted on September 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
An Audio-Video Presentation
[Submitted via Darrell Pruitt DDS]
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Conclusion
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During the pandemic, I engaged in telemedicine with my patients out of necessity. This platform was already destined to become part of the medical landscape even prior to the pandemic. COVID-19 accelerated the process. The appeal is obvious. Patients can have medical visits from their own homes without driving to the office, parking, checking in, finding their way to the office, biding time in the waiting room and then driving out afterwards. And patients could consult physicians from far distances, even across state lines. Most of the time invested in traditional office visits occurs before and after the actual visits. So much time wasted! Indeed, telemedicine has answered the prayers of time management enthusiasts.
Posted on September 19, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Russia’s Synthetic Drug Epidemic
The attached photo and video was passed on to us from an anonymous rogue DEA agent. Although in Russian, one can see a visual depiction of Krokodil’s effects.
Apparently the life expectancy of users of the drug is 2-3 years. We would not be surprised to see it show up in the USA very soon
Conclusion
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Posted on September 19, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Bitcoin just dropped 1.54% to $19,804, slipping from the 20,000 mark after losing $310 from its previous close. The world’s biggest and best-known cryptocurrency is down 58.9% from the year’s high of $48,234 on March 28th.
Ether, the coin linked to the Ethereum blockchain network, dropped 3.2 % to $1,422.1 losing $47 from its previous close.
Posted on September 19, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Conclusion
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After reading Peter Thiel’s book Zero to OneI was interested in hearing him talk and his presentation at UT Austin doesn’t disappoint.
From YouTube: Thiel is hailed as one of the most successful investors in the world. After co-founding PayPal, he went on to co-found Palantir Technologies and invest in Facebook, where he still serves on the board. He’s played major roles in dozens of successful companies and continually strives toward the next big thing. In “Zero to One,” he emphasizes the need for entrepreneurs to grasp for the ideas that nobody else has in order to truly innovate. This new way of thinking about innovation encourages burgeoning business leaders to carve their own lane in a heavily saturated race toward success.
“Zero to One,” based on a course Thiel taught in 2012 at Stanford University, urges readers to see the broad picture and look past traditional boundaries between…
Posted on September 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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One of the most philanthropic billionaires of all time is Berkshire Hathaway CEO Warren Buffett. The CEO recently made his annual gift to the Gates Foundation. Here’s what Bill Gates had to say of the gift and how much Buffett has donated to the foundation over the years.
On June 14, Buffett made donations of Berkshire Hathaway shares to several organizations. Buffett converted 9,608 Class A shares of Berkshire Hathaway into 14,412,000 Class B shares. The CEO then donated 11,003,166 Class B shares to the Bill & Melinda Gates Foundation, 1,100,316 to the Susan Thompson Buffett Foundation, and 770,218 shares each to the Sherwood Foundation, Howard G. Buffett Foundation and the NoVo Foundation.
After the donations, Buffett owns 229,016 Class A shares and 276 Class B shares of Berkshire Hathaway.
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