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After an opinion piece in JAMA Internal Medicine once again showed the influence of drug company payments on physician practices, co-host Dr. Anish Koka comes clean about his relationship with Big Pharma. Anish and co-host Dr. Michel Accad discuss that potential conflict of interests but place it in the context of broader COIs in health care that

Anish Koka and Michel Accad have a fun chat with Professor Darrel Francis , from Imperial College in London and the UK’s National Heart and Lung Institute. Dr. Francis takes the “pro” side and Michel the “con” side in regards to evidence-based medicine. The Accad and Koka Report   podcast, hosted by two MDs, focuses on free-market approaches to

Anish Koka and Michel Accad discuss a “ white paper ” jointly written by Jeffrey Flier, former dean at Harvard Medical School, and Jared Rhoads, from the Dartmouth Institute, calling for some deregulation of the apparatus that rules the supply of physicians and their scope of work. We touch on the question of safety, patient sovereignty,

There precise rationale invoked by the courts to prevent Alfie Evans’ parents from transferring the child out of the UK is widely misunderstood. In many ways it worse than what many people imagine. Anish Koka and Michel Accad discuss this chilling case and the ethical doctrine that informs the courts’ decision. The Accad and Koka Report   podcast,

Anish Koka and Michel Accad have a free-wheeling and fun conversation with Dr. Saurabh Jha on the philosophical question of “what is normal.” The conversation was prompted by an editorial by John Ioannidis who thinks that “Big Data” could help clinicians get a handle on the vexing problem of normal values. Anish, Michel, and Dr. Jha discuss the

Anish Koka and Michel Accad take to task healthcare policy wonks who lament that the government can no longer mandate hospital systems to participate in new “value-based” payment schemes. These alternative payment plans have been a disaster from the get-go, but it seems that central planners never lose hope. The Accad and Koka Report   podcast,

Anish Koka and Michel Accad discuss a tweet and a paper claiming that pharmaceutical companies don’t even need to produce effective drugs anymore. All they need is “an effective marketing campaign” and billions of dollars in annual sales soon follow. This is a very dubious claim on the face of it, but Anish did some investigating of his own. The

Anish Koka and Michel Accad discuss the effects of public reporting of outcomes on the behavior of physicians, and the reactions to a paper that was just published on this topic.Anish shares a real-life experience of a patient of his who was a tragic victim of these misguided healthcare policies. The Accad and Koka Report   podcast, hosted by two

Anish Koka and Michel Accad discuss a blog post by obesity therapy guru Jason Fung, in which he pushes back against “debunkers” and self-appointed guardians of “science-based medicine.” They look at the question of science and pseudo-science and how it bears on actual medical care. The Accad and Koka Report   podcast, hosted by two MDs, focuses on

Anish Koka and Michel Accad have a terrific interview with G. Keith Smith , co-founder of the Surgery Center of Oklahoma and of the Free Market Medical Association . Keith recounts his pioneering experience and clearly makes the case that free markets are ethical, workable and, ultimately, unstoppable. The Accad and Koka Report   podcast, hosted