These are facts, not predictions.
Tweet: 2013 promises to be a dark year for Obamacare with scattered patches of light for certain population segments.
The Fog Index measures the level of reading difficulty of any document.
The formula for the index is as follows:
( (average number of words per sentence) + (number of words of 3 syllables or more) ) X 0.4 = Fog index
The Fog Index level 'translates' the number of years education a reader needs to understand the material. The "ideal" score is 7 or 8; anything above 12 is too hard for most people to read.
Definition of Fog Index
December 29, 2012 – When I’m having trouble understanding a piece of writing, I apply the Fog Index. This was the situation as I read “A Glimpse of the Next 100 years in Medicine” in the December 27 New England Journal of Medicine.
The following passage befogged me.
“The size and complexity of this multidimensional characterization will lead to far more complex diagnostic and prognostic categories than are currently in use. The multivariate categories of large populations will allow stratification of a kind seen only in the most recent genomically informed clinical trials. Massive data crunching will yield analytic or algorithmic formulas that will be useful for clinical purposes even though they defy easy summary in a language most of us can understand. Complex but empirically validated algorithms will be embedded in EHR systems as decision support tools to assist in everyday patient care. These management algorithms will evolve and be modified continuously in accordance with inputs from ongoing clinical observations and rom new research. Clinical support algorithms will be derived entirely from data, not expert opinion, market incentives, or committee consensus. The huge amount of data available will make it possible to draw inferences from observations that will not be encumbered by unknown cofounding.”
Why was I having troubling digesting these 157 words? Perhaps it was because of the high Fox Index.
The average sentence length was 22. 2 words. The number of three syllable words per 100 words was 30.1.
The Fog Index was 22.2 + 30.1 X 0.4= 20.9.
This means it would take 20.9 years of education to grasp the essence of what was being said. I suppose this is about right for New England Journal of Medicine readers. Four years of high school, four years of college, four years of medical school, and 5 years of post-graduate training adds up to 17 years of education. Still, I wonder if it could have been said more simply.
Tweet: If doctors go over the fiscal cliff, they may be unable to afford to see Medicare and Medicaid patients.
Meanwhile physicians in fear and in dread said,
When on TV from Hawai, there arose such a clatter,
Book Description: In this first book in a series of four, Richard L. Reece, MD. provides a unique view of the roll out, and run up, of the Affordable Care Act. Reece shows in this book the progress and facets of ObamaCare's marketers and messengers, as the day approached for the launch of health insurance exchanges - the single most public and problematic portion of the new law. This is a must read for anyone who wants to chronicle this attempt to organize more than one-sixth of the U.S. economy by adding layers of federal government control and regulations.
Reece has been writing about U.S. health care for more than 45 years. His knowledge and experience, added to his keen intellect and gift of subtle humor, make this book a valuable part of anyone's collection.
Purchase Direct Pay Independent Practice Medicine and Surgery [Kindle Edition] from Amazon.com