The U.S. Government’s decision to raise the fee to $100,000 for H-1B visas will impact healthcare for American citizens in several ways. H-1B visas are a type of visa that many foreign born physicians-in-training use to practice in the U.S. Previously, these visas cost $5000 and were generally covered by the hospital in which the physician … Continue reading H-1B visa changes hurt physicians and patients
Author: Dr. Joshua Usen
Over-the-Counter Continuous Glucose Monitor (CGM) Devices
Many people use glucometers to check their sugars to help keep their diabetes under control. Over the past several years, the use of the Continuous Glucose Monitors (CGMs) has increased. These devices allow for nearly moment-to-moment assessment of one's sugars. These have many benefits, including NOT having to poke one's fingers. A barrier has been … Continue reading Over-the-Counter Continuous Glucose Monitor (CGM) Devices
Statin Alternatives
Statins are the gold standard medicines for lowering cholesterol. Many have been available for over 30 years and have been extensively tested and studied. For several years, the most commonly prescribed medicine in the entire world was Lipitor (a statin). This is because they are very effective and generally safe. High cholesterol can cause plaques … Continue reading Statin Alternatives
Do you have a Healthcare Proxy?
A health care proxy allows someone you trust to make medical decisions if you’re unable to speak. It’s easy to set up—and one of the most important forms you’ll ever complete.
The Vaccine Schedule (according to Dr. Joshua Usen) Part 1
When things as demonstrably beneficial as vaccines have been saddled with unwarranted doubt, it can become necessary to overly simplify recommendations. Very bluntly, I know more about vaccines than 99% of people in the world. Your hesitation likely comes from information obtained from a dubious source (probably on-line) or a misunderstanding of how and why … Continue reading The Vaccine Schedule (according to Dr. Joshua Usen) Part 1
GLP Alternatives
Of course, diet and exercise are the cornerstones of weight loss and the GLP meds (Zepbound, Wegovy, Ozempic, etc) are very effective. But there are situations where it may not be feasible or desirable for patients to use them. And cost is a major barrier for many people. Here is a list of alternatives for … Continue reading GLP Alternatives
The Deductible
This is in regards to healthcare and health insurance. There are similar systems in other areas of business - including auto and home insurances. The deductible is the amount of money the patient has to spend before their health insurance begins paying. It might be easier to do example. Presume that you have a $2000 … Continue reading The Deductible
Capitation
What is capitation? Have you heard the term? Capitation is a payment arrangement used frequently in healthcare, where a provider (such as a doctor or hospital) receives a fixed amount of money per patient for a specific period of time, regardless of the number of services or treatments provided. From an outpatient doctor’s perspective, it … Continue reading Capitation
DR JOSHUA USEN 