BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on November 3, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
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By Health Capital Consultants, LLC
On October 23, 2025, both Democratic and Republican lawmakers expressed support during a Senate Health, Education, Labor, and Pensions (HELP) Committee hearing for reforming the 340B Drug Discount Program. Although senators acknowledged that any reform would necessitate an intentional, considered approach to mitigate unintended consequences, the bipartisan agreement (particularly during a government shutdown deadlocked on healthcare) indicates that changes to the program may be on the horizon.
This Health Capital Topics article outlines the 340B program, discusses issues that have made the program controversial, and discusses potential reform options. (Read more…)
Posted on October 22, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
Diwali, Deepavali or Dipavali
By Dr. David Edward Marcinko MBA Med
Diwali, Deepavali or Dipavali is the Hindu festival of lights, which is celebrated every autumn in the northern hemisphere.
One of the most popular festivals of Hinduism, Diwali symbolizes the spiritual “victory of light over darkness, good over evil and knowledge over ignorance”.
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During the celebration, temples, homes, shops and office buildings are brightly illuminated. The preparations, and rituals, for the festival typically last five days, with the climax occurring on the third day coinciding with the darkest night of the Hindu Lunisolar month Kartika.
In the Gregorian calendar, the festival generally falls between mid-October and mid-November.
Posted on March 14, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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What is Pi?
Pi is the ratio of the circumference of a circle to its diameter, or approximately 3.14.
What is Pi Day?
Pi Day occurs on March 14, because the date is written as 3/14 in the United States. If you’re a serious math geek, celebrate the day exactly at 1:59 a.m. or p.m. so you can reach the first six numbers of pi, 3.14159.
Posted on March 3, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Read Across America Day and Week for the year 2025 is celebrated / observed on Monday, March 3rd-7th.
Read Across America Day is held annually on a school day closest to March 2nd each year. The day promotes reading for children. The popular children’s author Dr. Seuss had his birthday on March 2nd thus original planners of the holiday wanted it to be near his birthday.
The National Education Association (NEA) was one of the main backers of this idea to have a special day to promote reading among the population and especially children.
Posted on February 20, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
UPDATE
By PayPal and Staff Reporters
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NOTE: Information provided by PayPal is not intended to be and should not be construed as tax advice. For questions about your specific tax situation, please consult a tax professional.
Payment processors, including PayPal, are required to provide information to the US Internal Revenue Service (IRS) about customers who receive payments for the sale of goods and services above the reporting threshold in a calendar year.
Will I have to pay taxes when sending and receiving money on PayPal – what exactly is changing?
The Internal Revenue Service (IRS) announced transitional reporting requirements for payments received for goods and services. These requirements will lower the Form 1099-K reporting threshold over a 3-year period from the previous threshold of more than $20,000 in goods and services transactions and more than 200 goods and services transactions in a calendar year. We’ve summarized the IRS thresholds for Form 1099-K below.
Posted on January 22, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
Stocks ended firmly higher on Tuesday, with the S&P 500 rising 0.88% and reclaiming the 6,000 point mark amid a pullback in Treasury yields and optimism over Donald Trump’s focus on deregulation, focused tariff strategies and the prospect of solid corporate earnings into the fourth quarter reporting season.
Tech stocks are likely to pace early gains in the Wednesday session, however, following the unveiling of a new AI joint venture called ‘Stargate’ that will include an initial $100 billion investment from SoftBank, Oracle Corp. (ORCL) and OpenAI.
Executive Order 14009, titled “Strengthening Medicaid and the Affordable Care Act,” includes several key components designed to increase access to affordable health care and reduce the number of uninsured Americans:
Reversal of Trump administration policies: The order sought to undo measures that limited ACA provisions or made healthcare less accessible.
Longer enrollment periods: The order encouraged states to lengthen enrollment periods and provided additional federal support. As a result, many states extended their enrollment windows to ensure broader access to affordable healthcare.
Restoration of pre-existing condition protections: Reaffirmed protections for individuals with pre-existing conditions and reinforced nondiscrimination policies in healthcare.
Immediate review of agency actions: The order directed various executive departments and agencies to review existing regulations, orders, and policies to ensure they align with the goal of strengthening Medicaid and the ACA.
xecutive Order 14070, titled “Continuing To Strengthen Americans’ Access to Affordable, Quality Health Coverage,” aimed to maintain and enhance Medicaid and the ACA. Key components included:
Enhanced marketplace subsidies: The order highlights the positive impact of the American Rescue Plan Act on access to coverage, including enhanced marketplace subsidies.
Extended postpartum Medicaid coverage: It provides options for states to extend postpartum Medicaid coverage.
New incentives for Medicaid expansion: The order includes new incentives for states to expand their Medicaid programs.
Posted on January 20, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
BREAKING NEWS
By Staff Reporters
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WASHINGTON: 8:15 am: The President Joe Biden administration just preemptively pardoned Anthony Fauci, MD.
“Our nation relies on dedicated, selfless public servants every day. They are the lifeblood of our democracy,” Biden said in a statement just hours before President-elect Donald Trump is sworn into office.
“The issuance of these pardons should not be mistaken as an acknowledgment that any individual engaged in any wrongdoing, nor should acceptance be misconstrued as an admission of guilt for any offense,” Biden said in a statement.
Academic Team of Internationally Known Contributors
D. E. Marcinko & Associates is one of the most academically published authorities on the topic of financial planning and private wealth management for physicians, nurses and medical professionals. We have published 33 major peer reviewed textbooks redacted in the Library of Medicine, Institute of Health and the Library of Congress, in four languages, with over 5,025 online white papers, web-posts and related publications. These cover a range of financial planning topics from medical malpractice, risk management and insurance, to investment policy statement analysis and endowment funding management, and to taxation, retirement, estate and legacy planning.
Financial planning, business and strategic management, FMV for practice and clinics and related “hard” topics are included.
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We also include “soft” subjects from investor psychology, ethics and lost fortunes to luxury spending, from understanding the middle-class millionaire to the political philosophies of physicians and the affluent. Our corpus of work is regularly consulted by doctors, medical, business, graduate and nursing schools, to elite advisors, private and investment bankers, wealth managers, venture capitalists, academics and the press.
Posted on January 10, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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China’s 10-year bond yield plunged to a record low this month, while the Chinese currency [yuan] traded in Hong Kong on Wednesday hit its weakest against the U.S. dollar in more than a year.
The People’s Bank of China is “trying to cool down the market by suspending government bond buying,” said Larry Hu, chief China economist at Macquarie.
And, the U.S. economy added a much larger-than-expected total of new hires last month, adding more upward pressure to wage inflation and likely stoking a further selloff in U.S. Treasury bonds.
The Bureau of Labor Statistics said 256,000 new jobs were created last month, well ahead Wall Street’s 164,000 forecast and the down-wardly revised 212,000 reading from November.
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Finally, Wall Street’s major averages are tumbling today as investors digested the hotter than expected jobs report. Early on and the S&P 500 (SP500) was -1.7%, the NASDAQ Composite (COMP:IND) was -2.2%, and the Dow (DJI) was -1.3%.
Posted on January 9, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
Mail: The National Postal Mail Handlers Union has said that the U.S. postal service will pause its operations on Thursday. UPS and FedEX pickup and delivery services are expected to be available, and UPS Store and FedEX office locations will be open too.
Stock market: The NASDAQ is set to close all of its equities and options markets to mark the national day of mourning on Thursday. It’s also set to mark the late president’s death with a moment of silence at 9.20 a.m. E.T. The bond market is set to close at 2 p.m. E.T. following a recommendation from the Securities Industry and Financial Markets Association.
Banks: As the national day of mourning isn’t a federal holiday, many businesses, banks, and services will be open. But it’s worth checking local store hours before going out.
The S&P 500 (^GSPC) closed up more than 0.1% while the Dow Jones Industrial Average (^DJI) added 0.25%, or about 100 points. The tech-heavy NASDAQ Composite (^IXIC) closed just below the flat line.
Posted on January 2, 2025 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Anthem Blue Cross and Scripps Health will part ways impacting thousands of patients.
Scripps Health and Anthem Blue Cross officially just parted ways on January 1st, 2025, leaving about 125,000 patients uncertain of what their healthcare and insurance will look like in 2025.
Posted on December 29, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
BREAKING NEWS!
Former President Jimmy Carter has died at the age of 100.
The 39th president of the United States was a Georgia peanut farmer who sought to restore trust in government when he assumed the presidency in 1977 and then built a reputation for tireless work as a humanitarian.
Today marks the anniversary of the 1941 attack on Pearl Harbor, which led to the US entering World War II
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Strategically situated between the US West Coast and the Asia-Pacific region, Pearl Harbor remains an important site to the US military 83 years after the attack. Pearl Harbor is home to one of the Navy’s four public shipyards, and it’s the largest industrial employer in Hawaii (they do maintenance on nuclear submarines there).
The Navy’s other three public shipyards are located in Portsmouth, NH; Norfolk, VA; and Bremerton, WA.
Posted on December 5, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
The CEO of UnitedHealthcare, Brian Thompson, was fatally shot in the chest on Wednesday morning outside the Hilton hotel in Midtown, the New York Post reported, citing police sources. WPIX reported Thompson, 50, was shot just before 7 a.m. near a hotel on 54th Street between 6th and 7th Avenues.
President-elect Donald Trump officially announced the nomination of Paul Atkins as the next chair of the Securities and Exchange Commission on Wednesday. Atkins, currently the CEO at Patomak Global Partners, served as SEC chair under the George W. Bush administration from 2002 to 2008. Unlike his potential predecessor Gary Gensler, who is set to leave office in January 2025, Atkins is seen as a pro-cryptocurrency official and currently serves on the advisory board for digital securities issuance platform Securitize.
Posted on December 2, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
How to Do it Like a Pro
Need help getting the best online deals on You may with these shopping tips for our ME-P readers and subscribers, and you’ll be ready for the biggest traditional online shopping day of the year.
Best of all, you can learn a few fun facts along the way!
Assessment
When you’ve learned everything you need to know, be sure to bookmark this Cyber Monday page and come back next year to again save on the best holiday gifts in 2025.
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Posted on November 28, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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A “wave of inclement weather through the eastern two-thirds of the country” could throw travel into chaos this week, according to the Weather Prediction Center. TSA predicts 30 million people will fly over the holiday, an 11.5% increase from last year, putting a strain on a US aviation system struggling to keep up with demand.
One positive? Thanksgiving gas prices could be the cheapest they’ve been since 2020. Whether you’re flying, driving, taking the train, or awaiting the arrival of those who are, here are some tips to get through the next few days with minimal stress.
A trader can gain by throwing away some of his/her initial endowment.
SAMPLE: There is an economy with two commodities (x and y) and two traders (e.g. Alice and Bob).
In one situation, the initial endowments are (20,0) and (0,10), i.e, Alice has twenty units of commodity x and Bob has ten units of commodity y. Then, the market opens for trade. In equilibrium, Alice’s bundle is (4,2), i.e, she has four units of x and two units of y.
In the second situation, Alice decides to discard half of her initial endowment – she throws away 10 units of commodity x. Then, the market opens for trade. In equilibrium, Alice’s bundle is (5,5) – she has more of every commodity than in the first situation.
The “throw away paradox” was first described by Robert J. Aumann and B. Peleg as a note on a similar paradox by David Gale.
Posted on November 1, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
Comcast popped 3.39% on the news that it is exploring a separation of its cable business. The network operator got a boost this quarter from the Olympics, but still lost 365,000 cable TV customers.
Peloton Interactive pedaled 27.82% higher after the bike maker beat earnings expectations and introduced a new CEO.
Carvana accelerated 19.23% on an impressive beat-and-raise earnings report that caps off the car seller’s incredible comeback.
Booking Holdings, owner of Kayak and Priceline, hit a record high after the travel company reported shockingly strong earnings. Shares rose 4.76%
What was down
Trading in shares of Trump Media & Technology Group was halted yet again today after the meme stock sank dramatically to start the day. Shares ended the trading session down 11.72%.
Estee Lauder plummeted 20.84% on a triple whammy of bad news: The cosmetics retailer missed earnings estimates, pulled its forecast, AND cut its dividend. Ouch.
Super Micro Computer continued to tumble today, declining another 11.97% as the fallout from the resignation of its financial auditor raises the threat of the semiconductor stock getting delisted from the Nasdaq.
eBay sank 8.18% after beating earnings expectations but issuing disappointing earnings guidance heading into the holiday season.
The SPX fell 108.22 (–1.86%) to 5,705.45; the Dow Jones Industrial Average® ($DJI) dropped 378.08 points (–0.90%) to 41,763.46; and the NASDAQ Composite®($COMP) lost 512.78 points (–2.76%) to 18,095.15 and has now fallen in two of the last four months.
The 10-year Treasury note yield (TNX) added two basis points to 4.28%.
The VIX rose to 22.6, the highest since October 8.
Posted on October 26, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
The Research Projects of the Laboratory for Quantitative Medicine
By Staff Reporters
According to Tom Goetz, new online decision tools like LifeMath.net, a project of Harvard University’s Laboratory for Quantitative Medicine, take advantage of cheap computer processing power to crunch data into personalized medical recommendations, making it far more relevant than generic advice (and thus much more likely to result in lasting change, addressing what doctors call “the compliance problem”).
These and other tools use technology for what it’s good at. They put the tools directly in our hands, and get us engaged in our health before we need the expertise of specialists. Of course, this is the stuff of participatory and Health 2.0 collaborative medicine.
Research Areas
There are five areas of focus for the project:
Laboratory and Quantitative Medicine
Binary Biology
Cancer Math
Preventative Math
Health Communications Technology
Assessment
For more information, please contact:
James S. Michaelson PhD
Department of Pathology
Harvard Medical School & Departments of Pathology and Surgery
Massachusetts General Hospital
Email:james.michaelson@gmail.com
Note: Thomas Goetz is the author of “The Decision Tree: Taking Control of Your Health in the New Age of Personalized Medicine.” He is also the executive editor at Wired Magazine.
Conclusion
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Posted on October 11, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
The Consumer Price Index rose 2.4% in the 12-month period that ended in September, while a gauge that strips out food and energy prices was 3.3%, the government said yesterday.
Stat: 7%. That’s how much employer health insurance premiums increased this year, after rising by the same margin last year. Family coverage this year costs roughly $25,500 for employers and employees. (the Wall Street Journal)
Celsius Holdings, makers of those disgusting energy drinks your 12-year-old cousin chugs, soared 14.42% after analysts from Stifel and Piper Sandler gave it a vote of confidence.
Crowdstrike enjoyed a rare bump 5.56% higher today after RBC Capital analysts named the company one of the top software stocks of 2025. Speaking of, Delta Air Lines announced it took a $380 billion hit last quarter due to the Crowdstrike outage. Shares of the airline sank 1.16% after earnings.
CVS Health rose 1.35% after an upgrade from Barclays analysts who think the company’s Medicare business should recover nicely.
GXO Logistics, a supply-chain management company, popped 14.11% on a report from Bloomberg that the company is exploring a potential sale.
Stocks down
10X Genomics, which sounds like the bad guys that accidentally release a military-grade virus in a zombie movie, fell 24.70% after it announced preliminary results that disappointed shareholders.
Toronto-Dominion Bank dropped 5.29% on the news that not only will the Canadian bank pay US regulators $3 billion in penalties, but its retail business growth will be limited in the US. All that for failing to stop drug cartels from laundering money.
First Solar sank 9.29% after Jefferies analysts cut their price target on the solar power panel maker, citing production delays hurting the company’s bottom line. The report sent shares of competitors Enphase Energy and SolarEdge Technologies tumbling 5.82% and 4.32%, respectively.
PayPal lost 3.27% thanks to a report from Bernstein analysts who downgraded the stock on fears that Venmo could lose market share to competitors.
The S&P 500® index (SPX) lost 11.99 points (–0.21%) to 5,780.05; the Dow Jones Industrial Average® ($DJI) fell 57.88 points (–0.14%) to 42,454.12; and the NASDAQ Composite® ($COMP) dropped 9.56 points (–0.05%) to 18,282.05.
The 10-year Treasury note yield (TNX) rose three basis points to 4.1%, the highest since July 31 and closing in on the 100-day moving average.
The CBOE Volatility Index® (VIX) was flat at 20.87.
PepsiCo cut its full-year organic revenue guidance as consumers reduced their spending on drinks and snacks, and the company posted “its second straight quarter of weaker-than-expected sales,” CNBC reported.
Posted on October 2, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Humana, the country’s second largest Medicare Advantage insurer, is aggressively culling its plan offerings after several quarters of spending more than expected on its members’ medical care, and getting hammered on Wall Street for it. The company will scrap Medicare Advantage plans in 2025 that currently cover about 560,000 members.
Markets: Stocks embraced the start of spooky season by falling yesterday, ending a hot streak as investors mulled the rising tensions in the Middle East.
General Motors: Reported slightly better-than-expected sales during the third quarter, thanks in part to increased sales of small crossovers and electric vehicles. The automaker reported a 2.2% decrease in sales, compared with a year earlier, an improvement over auto industry forecasts that projected a decline of more than 3% in the quarter.
Meanwhile:Nike’s beleaguered stock was up a bit ahead of its first earnings report since the company announced a CEO change. It withdrew its full-year guidance and postponed its investor day as longtime company veteran Elliott Hill prepares to take the top job at the sneaker giant. Instead, executives said Nike will provide quarterly guidance for the rest of the year. Shares of Nike fell about 7% in early trading Wednesday.
Posted on October 2, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
The FTC said it would allow Chevron’s $53 billion purchase of Hess, but it barred Hess CEO John B. Hess from sitting on Chevron’s board over his communications with OPEC.
Soon, students may not need an extra year of college to attain CPA licensure. The AICPA and NASBA have proposed a “competency-based experience pathway” to licensure—with no post-bachelor’s coursework required.
Energy was the top-performing sector in the S&P 500 today thanks to rising fears of fighting between Iran and Israel. APA Corp. rose 4.91%, Halliburton climbed 3.10%, and Occidental Petroleum gained 3.33%.
Defensestocks rose for much the same reason, with Lockheed Martin up 3.66%, NorthropGrumman trading 3.04% higher, and L3Harris Technologies up 3.03%
Hess Corp. and Chevron rose after the FTC declared that, as long as John Hess isn’t allowed to sit on the board, the two companies might be allowed to merge. Shares of Hess gained 2.34%, while Chevron climbed 1.68%.
New Fortress Energy popped 6.49% on the news that it has priced a public offering of 46 million shares at $8.46 per share. That will go a long way to helping the struggling energy stock rake in some much-needed cash.
ArcosDorados, the world’s biggest McDonald’s franchisee, jumped 14.56% after it renewed its agreement with McDonald’s, locking down a flat royalty rate for the next decade.
What’s down
Signet Jewelers fell 7.91% on the news that CEO Virginia Drosos, who has led the company to strong success over the past seven years, will retire.
HP sank 3.09% after Citi analysts downgraded the company based on lower PC and printer demand in the years ahead.
Disney received a rare analyst downgrade today from Raymond James analysts, who think that theme park attendance will continue to slow in the next 12 to 18 months. Shares dropped 2.14%.
Amentum Holdings plummeted 20.16% only a day after the engineering services company debuted on the S&P 500.
Here’s where the major stock market benchmarks ended:
The S&P 500® index (SPX)fell 53.73 points (–0.93%) to 5,708.75; the Dow Jones Industrial Average® ($DJI) declined 173.18 points (–0.41%) to 42,156.97; the NASDAQ Composite® ($COMP) lost 278.81 points (–1.53%) to 17,910.36.
The 10-year Treasury note yield (TNX) fell six basis points to 3.74%.
The CBOE Volatility Index® (VIX) jumped to 19.28, the highest in nearly a month.
The American economy is seemingly fairing so well that UBS has signaled a potential return to the glory days. The European finance giant believes Uncle Sam is inching closer to a ‘Roaring 20s’ scenario, placing the likelihood of an incoming booming economic cycle at 50%. The phrase goes back to the same decade a century ago, when massive economic growth prompted a construction boom and rising prosperity for families.
Posted on September 17, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Stocks were mixed yesterday as Wall Street waits for the Fed to cut interest rates tomorrow. The Dow Jones Industrial Average closed at a record high and the S&P 500 inched up. But the tech-heavy NASDAQ slipped, partly because Apple fell after analysts pointed out that demand for the iPhone 16 hasn’t equaled the kind of frenzy new models commanded in the past.
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Boeing seeks to hoard its cash. While dealing with a strike by 30,000 unionized factory workers that has shut down production of its 737 planes and could cost the company $500 million a week, Boeing has instituted a hiring freeze and other money-saving measures.
Posted on September 7, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
Telehealth has become all the rage following the Covid-19 pandemic, with about 17% of appointments going virtual, up from 1% in February 2020.
Stat: 350. That’s about how many small and rural US hospitals—out of roughly 1,800—are using free and cheap cybersecurity resources the White House rolled out this summer. (Nextgov/FCW)
Quote: “We’re being blinded.”—Meghan Curry O’Connell, chief public health officer for the Great Plains Tribal Leaders’ Health Board, on the reported lack of access Native American tribal epidemiology centers have to federal government health data (KFF Health News)
Read: Race is used in clinical algorithms that determine patient diagnoses and care for everything from kidney transplants to lung function. A growing number of health professionals argue it shouldn’t be. (Stat)
Bowlero climbed 6.68% after announcing impressive revenue growth and a positive fourth-quarter forecast.
Guidewire Software gained 12.36% thanks to a strong quarter for the insurance software provider.
Big Lots soared 8.73% after it faked out the market and delayed the announcement of its latest quarterly earnings for another week. Management is probably trying to find some loose change between the couch cushions to stave off bankruptcy.
What’s down
Broadcom sank 10.36% after beating earnings but failing to impress investors with revenue guidance for next quarter.
Super Micro Computer just can’t catch a break, and fell another 6.79% after a JP Morgan analyst downgraded the stock due to the sense of uncertainty hanging around it.
UIPath shed 6.04% even though the AI software provider beat top and bottom line expectations, forecast solid growth ahead, and increased its share buyback program.
Semiconductor stocks sank as a group, pulled lower by fears of slowing growth. ASML Holding dropped 5.38%, MarvellTechnology slid 5.28%, and KLACorporation stumbled 3.47%.
The S&P 500® index (SPX)dropped 95points (–1.73%) to 5,408.42, down 4.3% for the week; the Dow Jones Industrial Average® ($DJI) fell 410.34 points (–1.01%) to 40,345.41, down 2.9% on the week; NASDAQ Composite® ($COMP)declined 436.82 points (–2.55%) to 16,690.83, down 5.8% for the week.
The 10-year Treasury note yield (TNX) fell two basis points to 3.71%and was down 20 basis points for the week, but now, it has a six-basis point premium to the 2-year Treasury note yield, which fell 28 basis points this week.
The CBOE Volatility Index® (VIX) hopped to 22.21 after hitting 23.76 intraday, the highest since August 8.
Posted on September 6, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
TODAYSEPTEMBER SIXTH
By Staff Reporters
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National Read a Book Day on September 6th calls all book lovers to indulge in their favorite hobby, guilt-free. Bringing new worlds to life, books enlighten us and transport us on exciting adventures. They can challenge our perspectives on the human experience in ways unmatched by other media. In a world deluged by technology, National Read a Book Day encourages us to silence the noise and turn the pages for a while.
While National Read a Book Day is believed to have originated in the US, other details of the day’s history are unclear. What is clear, though, is Americans’ love for books! And, for many, this is a welcomed day because 81% of us don’t feel we spend as much time reading as we would like. So, today is the perfect opportunity to set aside a little time to catch up on our “to read” list.
The popularity of book clubs points to our ongoing love for books. They date back to the 1600s with women’s Bible studies. But, in the last few decades, reading has taken on a much more social element influenced, in large part, by Oprah Winfrey’s Book Club. Starting in 1996, Oprah’s Book Club recommended 70 books contributing to over $55 million in sales and has been credited with inspiring millions of people to read books.
Over 74% of Americans have read at least one book in the last 12 months. Sure, the busyness of life definitely gets in the way of our reading pursuits with many other activities competing for our time. Luckily, electronic platforms have made it easier for us to read on the go. Almost 20% of books consumed are now via electronic platforms. Whatever format you prefer, grab or download the book on the top of your stack and dive in!
Posted on September 4, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
Fundamentals of Physician Investing
By Daniel B. Moisand CFP®, and ME-P staff
It used to be that the only way to get investments and investment information was through paying commissions to a traditional broker. Then in the 70’s (specifically, May, 1975) the brokerage industry went through significant deregulation allowing for the discounting of commissions. Charles Schwab and Company, among others, was able to eliminate the advice component and offer trades at dramatically reduced rates. The full service brokerage business responded by emphasizing the scope of their services namely research and advice in order to compete. The demand for both has continued to grow, even though research information is now readily available through many sources. These brokerage firms continue to thrive despite their poor performance in analyzing tech stocks and the Enron and Global Grossing debacles. More recent debacles in 2008-09, the flash crash a decade ago and more recent developments are legion, as well.
Fundamental Flaws
The fundamental flaw with these firms is the array of conflicts of interest between the firm and its customers. While the incentive to trade has been well chronicled as a conflict, these firms have not let consumer’s demand for a better-aligned compensation arrangement go unnoticed. Fee-based account relationships have proliferated accordingly. In theory, this type of arrangement, usually a percentage of assets, gives an incentive for performance and service rather than trade activity. This certainly has merit. However, conflicts remain that should be considered.
Pay to Play
The practice of paying brokers, higher levels of compensation for in-house products was commonplace. Today, explicitly higher payouts still exist but are less common. Instead, many firms use the sale of proprietary mutual funds and other products as part of management’s compensation. Other forms of non-monetary compensation such as a better office can be used as incentive for the brokers. The greater profitability of these in-house offerings will keep this conflict around for some time.
Subtle Conflicts of Interest
Less obvious is the conflict between the investment banking arm, the research department, and the retail brokerage operations of a firm. Even firms with no proprietary funds to sell may grapple with this issue. Here, research is pressured to say favorable things about a particular company’s stock by the investment bankers in hopes of obtaining more of that company’s business. When a firm brings a company public odds are great that a “strong buy” rating will come with the IPO. Of course, the lesson remains – consider the source.
Assessment
Traditional brokers have a somewhat higher standard of accountability than the on-line firms as to their accountability. If you buy the stock of a company that goes bankrupt through an on-line broker you have little recourse. After all, that was your choice. If a full-service broker recommended the stock to you, that broker will have to defend the recommendation.
Conclusion
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Posted on August 9, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
MEDICAL EXECUTIVE-POST–TODAY’SNEWSLETTERBRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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Almost 40,000 seniors will be forced to change Medicare Advantage plans after yet another insurer decides to exit markets over cost concerns. Centene Corp announced it would be ending its Medicare Advantage plans in at least six states this year as the company faces cost pressures.
Hanesbrands surged 18.17% in spite of sales sagging faster than the waistband of your favorite old pair of undies. Shareholders liked that the company has become more lean and efficient after selling its Champions brand.
SolarEdge Technologies fell 3.05% despite beating revenue forecasts, but its bottom line was weaker than expected.
JFrog tanked 27.52% after beating profit estimates, missing revenue estimates, and guiding for a much worse third quarter and fiscal year than expected.
Here’s where the major stock market benchmarks ended:
The SPX rose 119.81 points (2.3%) to 5,319.31; the Dow Jones Industrial Average® ($DJI) climbed 683.04 points (1.76%) to 39,446,49; the NASDAQ Composite® ($COMP) rose 464.21 points (2.9%) to 16,660.02.
The 10-year Treasury note yield (TNX) rose to just under 4%.
Posted on August 1, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
Jerome Powell says September rate cut could be “on the table”
By Staff Reporters
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Jerome Powell isn’t known for being direct, but he made an exception yesterday, saying an interest rate cut could come “as soon as the next meeting” in September after the FOMC kept rates steady at the two-decade high they’ve been at since last July.
“We’re getting closer to the point at which it’ll be appropriate to reduce our policy rate,” he said. “But we’re not quite at that point.”
It’s a change from Powell’s other recent statements, which were hazier on the timing, though he did say the decision to cut rates still depends on inflation continuing to cool.
Posted on July 25, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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What it is: The NASDAQ Composite is an index composed of 2,500+ stocks as well as other equities such as American Depository Receipts [ADRs] and Real Estate Investment Trusts [REITs].
How it works: Unlike the DJIA, the NASDAQ weights by market cap (number of outstanding shares a company has multiplied by the share price), a setup that gives extra-large companies an extra-large impact. The NASDAQ is also heavily skewed toward tech companies, which account for nearly half the index’s total value.
Why it matters: As the world’s first electronic [e]-exchange, the NASDAQ has historically attracted more tech-focused companies. While the index tracks more stocks than the S&P and Dow combined, tech’s heavy influence means the NASDAQ doesn’t always illustrate how other industries are faring. The index can also be volatile because it includes more small, speculative companies.
And so, Big Tech and the NASDAQ suffered big losses yesterday after Tesla and Alphabet posted disappointing quarterly results the day before.
The Magnificent Seven tech stocks lost a combined $750 billion in market cap for their worst day ever, while the S&P 500 and the NASDAQ had their worst days since 2022—with the S&P ending its longest streak without a 2% dip since the financial crisis began in 2007, as per Bloomberg.
Posted on July 23, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
Standard & Poor’s 500 Stock Index
What it is: Investment company Standard & Poor’s maintains an index of 500 stocks from the largest companies listed on the NASDAQ and New York Stock Exchange. To be eligible for consideration, companies have to meet certain criteria—including a market cap of $8.2+ billion, a U.S. headquarters, and positive earnings for at least four consecutive quarters. They can be kicked out if they slip.
How it works: Companies are weighted by their market cap, specifically their float-adjusted market cap (which only counts shares that are theoretically available for retail investors to buy). That means the S&P skews toward larger cap companies, and tech stocks now account for over a quarter of the index’s total value.
Why it matters: With 500 stocks covering a broad range of industries, the S&P is widely considered the best indicator of large-cap stocks in the U.S. While the S&P’s weighting-by-market-cap method is more common than the Dow’s weighting by share price, it does introduce some risk that overvalued stocks will inflate the overall index.
Posted on July 19, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters [1 hours ago]
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People woke up to technological chaos this Friday morning as Microsoft suffered a massive, ongoing global IT outage, which is hitting airports, airlines, banks and broadcasters around the world. The problem appears to be with Microsoft 365 services and apps, which many companies and organizations rely on as part of their critical internet infrastructure. Perhaps most concerning of all, many states across the US have reported that their emergency 911 lines are down.
Microsoft said on X that it was aware of an issue impacting people’s ability to access 365 services late on Thursday. The latest update was issued around 4 a.m. ET/1 a.m. PT, when it said, “multiple services are continuing to see improvements in availability as our mitigation actions progress.” The company didn’t immediately respond to request for further comment.
According to CNET, the outage, which also took down the London Stock Exchange, has been linked to a faulty update from cybersecurity company CrowdStrike. The company handles the security of many Windows PCs and services around the world. The last time there was an internet outage this widespread was when a service called Fastly went down in 2021. It’s a reminder of how much of the internet is underpinned by shared infrastructure, which leaves it vulnerable to widespread issues such as this.
Nevertheless, this Medical Executive-Post remains strong; so far.
The approval expands the limited treatment options for Alzheimer’s as the drug, which will be sold as Kisunla and priced at about ~$32,000 for a year’s supply, will compete with a similar one from Biogen and Eisai that was approved last year. Both drugs target plaques in the brain called amyloids to slow the progression of the disease, representing a breakthrough after decades of failures to find new treatments.
Posted on July 3, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Reminder: The stock market will close early today and remain closed all day tomorrow so we can relax.
Markets: Stocks ticked up yesterday after Jerome Powell acknowledged progress on inflation while reiterating that he wasn’t quite ready for rate cuts—and new data showing the labor market remains hot helps explain why.
Stock spotlight: Tesla got supercharged after announcing that deliveries (sales) dipped last quarter compared to the year before…but not as much as Wall Street expected them to.
Posted on June 19, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
STOCK & BOND MARKETS ARE CLOSED
By Staff Reporters
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Stocks are on a seemingly unstoppable record-setting rally, but investor excitement appears to be taking a backseat in what could be a quiet, holiday-shortened week bifurcated by the Juneteenth observance on Wednesday.
The New York Stock Exchange and the NASDAQare closed on Wednesday, June 19 to commemorate the ending of slavery in the United States, as are U.S. bond markets. Juneteenth has been observed in Black communities since as far back as the 19th century, but it wasn’t until 2021 that President Joe Biden officially made it a federal holiday.
Posted on June 6, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Today is the 80th anniversary of D-Day, and this year’s event is especially poignant: It could be the last major commemoration that involves WWII veterans. People who were 20 years old when Allied soldiers stormed the beaches of Normandy France, on June 6th, 1944, are now 100.
Given the gravitas of this year’s anniversary, organizers are giving it a “last hurrah” feel, holding concerts, parachute drops, ceremonies, and parades in what will be the biggest D-Day commemoration in history. Fewer than 200 WWII vets have traveled to France, supported by aides, to take it all in one final time.
Posted on May 28, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
T+1 DayImplications
By Staff Reporters
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Starting today on May 28th, 2024, the settlement period for most securities traded on U.S. exchanges or over the counter will shorten from two business days (T+2) to one business day (T+1). For most investors, this event may have little or no impact. However, there are a few key things to know.
New shortened settlement period reduces risk.
The T+1 settlement period may benefit investors like you by reducing credit and liquidity risks present between the trade date and the settlement date. This is an industry-wide change for most security transactions and types, such as stocks, bonds, municipal securities, exchange-traded products, secondary market CDs, unit investment trusts, and certain mutual funds and limited partnerships that trade on U.S. exchange or over the counter. There will be no change to the settlement period for treasuries, options, or futures as they already use the T+1 settlement period.
Cost basis Implications
After T+1 goes into effect, any changes to your cost basis method will have to be made within one business day of the trade, not two.
Margin interest implications
If you place a trade in a margin account and then need to sell money market funds (“MMFs”) to cover your purchase, the funds will need to be available prior to or on the same day as the trade settlement to avoid being charged margin interest. For trades placed for bonds, equities and other securities, the MMFs will need to be sold by 4 p.m. ET the same day the purchase trade is placed.To avoid accruing margin interest:•MMFs will need to be sold by 4 p.m. ET to cover trading in the after-hours market that same day.•MMFs will need to be sold by 4 p.m. ET to cover purchases of Fixed Income securities that can be traded until 5 p.m. ET the same day.
Your next steps.
The new settlement period will automatically apply to any new trades executed on or after May 28, 2024. You may need to pay closer attention to how the shorter settlement time could affect your investment, trading, or tax decisions.
Posted on May 20, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Clinical Trials Day is observed on May 20th every year to mark the anniversary of the day in 1747 when James Lind conducted the first randomized clinical study.
On Clinical Trials Day, take a moment to recognize the accomplishments of clinical research professionals in public health and medicine by recognizing their efforts in clinical trials.
It is also a day to express gratitude to clinical research experts for their contributions to the advancement of public health through their work. The goal is to make this a primary focus for international communication activities, meetings, discussions, and celebrations of clinical research over this period as well.
Posted on May 16, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The Dow Jones Industrial Averagebriefly crossed 40,000 for the first time, a milestone that appeared implausible little more than two years ago when the Federal Reserve began raising interest rates to cool an overheated economy.
Gloom and doom forecasts abounded. When the central bank ended the era of low rates that prevailed in the years following the global financial crisis, economists predicted painful consequences: a U.S. recession and rising unemployment.
Posted on April 26, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Big Artificial Intelligence Spending Boosts Meta’s Cost Structure!
Meta [Facebook, FB] reported record Q1 revenue yesterday, but it was overshadowed by the billions the company is spending in its efforts to win the AI race and to try to make the metaverse happen. Investors were displeased with the company’s forecast that its spending will rise by $10 billion to support AI development, sending Meta’s stock price down 15% after hours.
Now, the metaverse is a vision of a virtual reality where people can socialize, work, play, and explore in immersive digital spaces.
But CEO Mark Zuckerberg urged them to keep the faith, saying, “We’ve historically seen a lot of volatility in our stock during this phase of our product playbook.”
Posted on April 24, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Tesla’s pivotal earnings call yesterday had the vibes of an undergrad at office hours begging for extra credit after failing every assignment all semester. The automaker whiffed on revenue targets, even after tempering expectations.
And, forthe first time since 2020, the EV-maker’s quarterly revenue dropped, falling to $21.3 billion, compared with $23.3 billion from the same period a year ago (analysts were expecting about $22b). Tesla’s profits sunk to a six-year low. The company said earlier this month that it only delivered 386,810 cars in the first quarter, down 8.5% from the same time in 2023.
On the bright side according to Morning Brew, despite the earnings miss, Tesla’s stock went up in after-hours trading, likely because the company vowed to accelerate the launch of more affordable models. It announced it was working on integrating ride-hailing technology into its app in a bid to take on Uber, and that the growth of its energy storage business is set to outpace that of its auto business this year.
That signal came amid broader concern that Tesla would move away from its traditional car making roots in favor of a business model focused on autonomous driving, robotics and AI-related technologies. It triggered an after-hours jump in Tesla stock that was cemented by a shareholder-friendly conference call from Chief Executive Elon Musk.
“I think we’ll have higher sales this year than last year,” Musk told investors, even as the group reiterated its forecast for “notably lower” vehicle deliveries for the current year.
Posted on April 17, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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If you need a reprieve to prevent the government from raiding your bank account, you’re not alone—the IRS expects 19 million people to file for an extensionthis year. The agency will automatically grant you a six-month extension, although it’s recommended you remit a payment by April 15th if you expect to owe money to avoid interest and penalties. The good news is you probably won’t have to fork over as much as Mark Cuban, who said he is sending the IRS $288 million today and is proud to pay his fair share.
The stock market is coming off its worst week of the year, and the road ahead is no less bumpy. A direct military confrontation between Iran and Israel has investors on edge about a wider regional war that threatens energy supplies. Amid the uncertainty, safe-haven assets are seeing major interest: The US dollar just had its best week in more than 18 months.
Posted on April 7, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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It’s not often a guy on a computer is the hero of the story. Andres Freund, a Microsoft developer, found a malicious backdoor in popular open-source software last week. Programmers scrambled to fix the problem but warned that if they hadn’t, it could have led to hundreds of millions of compromised devices and a catastrophic cybersecurity breach.
Freund told the New York Times that he first noticed an unusual error message while doing routine maintenance on the Linux operating system—a vital software used by banks, governments, and corporations around the globe. At first, he wrote it off, but a few weeks later, he noticed an application used to log into computers remotely was using a lot more power in the system than it was supposed to.
Posted on April 3, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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DEFINITION: A safety net hospital is a type of medical center in the United States that by legal obligation or mission provides healthcare for individuals regardless of their insurance status or ability to pay. This legal mandate forces safety net hospitals to serve all populations. Such hospitals typically serve a proportionately higher number of uninsured, Medicaid, Medicare, Children’s Health Insurance Program, low-income, and other vulnerable individuals than their “non-safety net hospital” counterpart.
But, some Safety net hospitals will soon learn how the government plans to reimburse them for nearly $10 billion resulting from underpayments from the federal drug discount program. The question is whether it will come at the expense of other hospitals. The Centers for Medicare and Medicaid Services [CMS] is poised to reveal a repayment plan to facilities in the 340B program, after the Supreme Court found the agency made illegal program cuts from 2018 to September 2022.
Posted on March 17, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
What is the Point?
At the ME-P, we love to educate and learn. So, here they are in brief.
In the Beginning
St. Patrick’s Day started out as a religious feast holiday celebrating the life of St. Patrick, a Christian missionary from Britain who is credited with bringing Christianity to Ireland.
And Today
Now, it’s a hodgepodge of non-religious celebrations of Irish culture, folklore and superstition. Oh, and let’s not forget [responsible] drinking.
Assessment
At the very least, you’re supposed to wear green, the national color of Ireland. If you want to get more involved, you could join one of hundreds of parades nationwide. The largest St. Patrick’s Day parade in the world is in New York City, with 150,000 marchers in a typical year. Other popular activities involve dyeing things green … everything from pancakes and beer to the Chicago River and the White House fountain.
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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
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on March 1, 2024 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Cyber villains have struck again, and they’re going after the US health system. Pharmacies and hospitals nationwide are coping with a debilitating cyberattack against the prescription processor Change Healthcare, owned by America’s biggest health insurer, UnitedHealth.
The health tech company noticed the breach last week and rushed to disconnect its systems, throwing a wrench into pharmacies’ ability to dispense pills. Change Healthcare said some of its services were still on pause, and it’s unclear if any patient info was stolen.