Ricky's Riffs:

Random Thoughts on Travel, Education, Health, and the World in General


Welcome to “Condition: Health News That Matters”

December 11th, 2017

For quite some time, I have been thinking about writing a book.  I believe I have a unique perspective on health and healing and that this perspective might be interesting and useful to others.  After all, I’ve been in practice for more than 30 years.  I’ve taught undergrad and graduate level coursework in the history and philosophy of science, as well as complementary and integrative medicine.  I’ve worked as a chiropractor in private practice, public health, and occupational (worker compensation) medical settings.  My experience has been broad and deep in the field of integrative health.  And I definitely have a point of view!

But the more I thought about my book, the more pause I took.  My friends have written books.  Some are established authors with reputable publishers, and are paid in advance for their work.  But most are people who—like me— want to write to express something they have been carrying within themselves; to articulate their unique perspective. Many in the latter group may spend years on the project, self-publish their work, and, at the end of this long process, have 20 or 30 of their friends and relatives buy the book.  The rest may go into storage, or be given away.  (Of course, there’s always the possibility that the book might become a great bestseller, and one might join the ranks Dr. Oz or Deepak Chopra. But there’s an even better possibility that those books will stay on the shelf.)Read the rest of this entry »


Book Review: “The Healing of America” by T.R. Reid

October 19th, 2017

Part of my frustration, as I watch the current health care debate, is realizing that most of those charged with reforming our economy simply do not understand the health care system. This holds true from the House of Representatives up to the Presidency.

The health care sector is one sixth of the US economy.  Those making decisions need to be educated about how this behemoth works. What are the cost drivers? Where are the inefficiencies? What are the relationships between interest groups—such as the pharmaceutical, medical device, hospital and insurance lobbies—and legislators in Washington, DC? Read the rest of this entry »


Bernie’s Big Adventure: Medicare-For-All, A Most Radical Proposition

September 27th, 2017

On September 13, 2017, Bernie Sanders—the Independent Democratic Socialist—stood with fifteen Democrats and introduced the “Medicare-For-All Act”, HR 676.  Bernie has been introducing varying versions of this legislation for many years; but without any co-sponsors.

My, how things have changed.

It appears that the Democratic Party is now a center left party.Read the rest of this entry »


The HAG Capisco: Best Chair in the World?

August 28th, 2017

Growing up, I remember my parents sitting in front of the television set in their big faux leather Lazy Boy recliners.  They would lean back and the foot supports would rise as they sank into their chairs dreamy soft cushiness.  Usually, after about twenty minutes, they would be asleep and when they finally trudged off to bed, it would usually be with aching backs.  Another chair related “injury!”Read the rest of this entry »


Book Review: “An American Sickness: How Healthcare Became Big Business And How You Can Take It Back” by Elisabeth Rosenthal

August 2nd, 2017

The Republican Congress has been doing its best to bring down the Affordable Care Act (Obamacare) and replace it with the cruel joke that would be known as “Trumpcare.” Despite the fact that only 17% of the public supports the Republican proposals, the GOP is still trying to burn the ACA to the ground.

It is in this environment that Dr. Elisabeth Rosenthal’s new book–An American Sickness–has arrived. The timing could not be better!Read the rest of this entry »


Book Review: “Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery”

July 12th, 2017

Crooked Book CoverI first heard about Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery from a patient of mine who was about to undergo his second spinal surgery.

“Wow, she really trashes chiropractic big time,” he let me know. “And I think the book is getting a lot of notice.”

So first, a disclaimer: I am a chiropractor.

But I am not one to shy away from criticism, so I immediately bought the book and started reading.  Granted, it was hard for me to take in the venomous barrage aimed at my profession. But I plowed forward.Read the rest of this entry »


A Doctor Examines Trumpcare – Ricky’s recent Interview with Michael Finney

July 9th, 2017

Dr. Ricky Fishman talks about the current battle in Congress over Trumpcare, the unpopular bill being pushed by the Republican majority.  He describes the  effects of this bill on millions who may lose their health insurance and discusses where he sees health care going.  He believes that, in the end, we will have a single payer system.  However, the powers aligned against this movement are enormous.  Have a listen!


Public Option: Next Step Toward Universal Health Care

April 29th, 2017

The Republicans have failed to “repeal and replace” the Affordable Care Act (ACA).  They stated this would be their first order of business upon coming into power.  Although they will surely continue their efforts, it is unlikely that they will succeed.

It is now time to move forward with real health care reform.Read the rest of this entry »


How the ACA is “Blowing Up” the Health Care System and Why That is a Good Thing

April 4th, 2017

The American Health Care Act (AHCA) was written, presented, lobbied for and rejected within the first 60 days of Donald Trump’s presidency. For eight years, the Republicans had made “repeal and replace Obamacare” their rallying cry.  Yet even with control of both the executive and legislative branches of the Congress, Republicans were unable to pass what was to be their “signature” piece of legislation. It died a messy death in the House of Representatives.

The rushed and poorly thought out bill was defeated by the Democrats as well as by the Freedom Caucus, the ultra-conservative wing of the Republican Party.

The bill’s defeat was a victory for the Democratic party, but also for America. The Affordable Care Act (ACA)—an important step on the path towards universal health care coverage for all Americans—was, for the time being, preserved.Read the rest of this entry »


Obamacare and the Shifting of the American Mind

March 20th, 2017

The first order of business for Donald Trump and the Republican party was to “repeal and replace” the Affordable Care Act (ACA), commonly known as Obamacare.

Obamacare was the signature piece of legislation of President Obama’s eight years in office.  In terms of historical significance, it has been compared to Social Security and Medicare. It was a big leap–and a messy one.Read the rest of this entry »