Marilyn M. Singleton. MD

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MedCity Influencers

I’m sorry for your loss

In Law and Order re-runs after some tragedy has occurred, prior to grilling the victim’s family the police officer quickly states the obligatory phrase, “I’m sorry for your loss.” It is sterile, meaningless, and as heartfelt as the streaming digital “Thank you” at the automated gas pump. Fortunately, genuine compassion has been given another reprieve. […]

MedCity Influencers

Obamacare: Sold to the highest bidder

The Affordable Care Act is like the television show Storage Wars, where unclaimed items in storage lockers are auctioned off after a quick peek through the door. People bid top dollar and hope for the best. Some find a goldmine, but the unseasoned bidders usually receive a Pandora’s Box. Let’s look at some of the […]

MedCity Influencers

Obamacare is about your money, not your health

“Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly, and applying all the wrong remedies.” Groucho Marx The politics of selling the Affordable Care Act (ACA) focuses on promising health and wellness. Somehow, having “coverage” is supposed to get you to a primary care doctor, who will keep you healthy. […]


The Medicare bundlers — or is it bunglers? — are coming!

My long-time self-paying patient opined that the end of fee-for-service payments (payment for what you get) was imminent. I lightheartedly asked her how physicians would be paid. Would they be housed in military barracks and given vouchers for necessaries? Perhaps she read section 3023 of the “Patient Protection and Affordable Care Act” (PPACA or “ObamaCare”), […]