Behind Aspen’s international skiing luster lies a deep, competitive hockey culture that makes for a tough beer league. A drive to win the bragging rights to the battered Pell Cup turns architects, bartenders, contractors, lawyers, teachers, ski bums, and friends into fierce, fist-throwing rivals…former pros, Division I college players, and old goats—or, more accurately, has-beens […]
HT – Marion Nestle – https://www.foodpolitics.com/2026/03/weekend-reading-the-hidden-cost-of-cheap-food/ Download the full report – https://yuka.io/en/report-food-price-composition-us/ Yikes.
Over the years when I invited friends over for dinner they got pretty excited. One day I asked a guest what’s with all the excitement? Chinese food! They were expecting something I really sucked at making. To this day I don’t make much Chinese/Asian stuff. I’d rather go out and eat something someone actually knows […]
When I finished reading The Writing Life by Annie Dillard I realized my writing will never achieve the level of the great ones. But I am OK with this just as I was OK with deciding not to pursue writing for a living. Too hard, too demanding, too much time spent writing words into the […]
Today Monday earlier this week Monday
Don’t get me started on this. Pretty soon all of the primary care in the United States will be mid-level practitioners, nurse, practitioners, or PAs. There is just too much bullshit and too many regulations, and not enough compensation. All the primary care is going to fall on the mid levels. And the MDs and DOswill be going into specialties, especially surgical specialties.
I know exactly how much the nurse practitioners know. Over the last 40 years I’ve taught them. And many are good. But for a GYN rotation doing 30 Pap smears is just not enough to be a women’s health practitioner, and that is all that is required here locally.
Almost all the specialists I go to, Cardiology, Dermatology, G.I., orthopedics, have so-called physician extenders. And every other appointment or more is with a PA or a nurse practitioner. The quality of care is not the same. But, but the physician practice bills at MD rates. The state of medicine is really pathetic.
I apologize for getting you “started”.