# malpractice (blogs) — RSS Amplifier Recent posts from the 2 feeds in the RSS Amplifier directory that cover malpractice. Page: Feed: --- ## [Twelve People, Three Hours, A $207 Million Medical Malpractice Verdict](https://anishkokamd.substack.com/p/twelve-people-three-hours-a-207-million) _2026-08-11 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ What the record in the largest malpractice verdict in Pennsylvania history actually shows ## [The Bridge to Nowhere: Medicare's GLP-1 Program Was a Rout, Not a Negotiation](https://anishkokamd.substack.com/p/the-bridge-to-nowhere-medicares-glp) _2026-08-01 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Like many physicians, I was excited to hear about the Medicare Bridge program from the Trump administration that promised to get cheaper GLP-1s to the Medicare population. ## [Scientifically Elegant Placebos](https://anishkokamd.substack.com/p/scientifically-elegant-placebos) _2026-07-27 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Eteplirsen, Elevidys, and now deramiocel — a pattern at the FDA ## [Scientifically Elegant Placebos](https://anishkokamd.substack.com/p/scientifically-elegant-placebos) _2026-07-27 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Eteplirsen, Elevidys, and now deramiocel — a pattern at the FDA ## [The Zero-Sum Trap: Why Medicare Will Never Pay Physicians Fairly](https://anishkokamd.substack.com/p/the-zero-sum-trap-why-medicare-will) _2026-07-19 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ The Physician Fee Schedule (PFS) was established by legislation passed in 1989 and went into effect in 1992. ## [Little League Nation](https://anishkokamd.substack.com/p/little-league-nation) _2026-07-05 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ That’s my son batting in the picture. ## [Little League Nation](https://anishkokamd.substack.com/p/little-league-nation) _2026-07-05 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ That’s my son batting in the picture. ## ["We Cannot Afford to Miss a Superiority Outcome"](https://anishkokamd.substack.com/p/we-cannot-afford-to-miss-a-superiority) _2026-07-02 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ How a securities lawsuit uncovered data manipulation at the heart of an FDA drug approval — and what happened to the regulator who acted on it ## [Fire the Regulator. Approve the Drug.](https://anishkokamd.substack.com/p/fire-the-regulator-approve-the-drug) _2026-06-21 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ The FDA fired its acting drug chief after she blocked approval of an immune-suppressing drug for children. ## [They Were Fixing the FDA. Then They Were Pushed Out.](https://anishkokamd.substack.com/p/they-were-fixing-the-fda-then-they) _2026-06-03 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ On January 12, 2026, the FDA approved Zycubo — copper histidinate — for Menkes disease. ## [CLI-first decentralized compute (Sponsored)](https://crawlproof.com/a/OYQpMkIt4iA5) _2026-06-03 · **Sponsored**_ Run and pay spare GPUs from the CLI — transcode, coinpay (DID+escrow), infernet (AI). ## [Pennsylvania Had a Functioning Medical Malpractice Market. Then It Didn't.](https://anishkokamd.substack.com/p/pennsylvania-had-a-functioning-medical) _2026-05-31 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ What eighteen years of NAIC financials reveal about a reform regime that worked, and the judicial order that ended it. ## [Follow up to MIS-C post: Response from a Pediatric Immunologist](https://anishkokamd.substack.com/p/follow-up-to-mis-c-post-response) _2026-05-17 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ A follow up FAQ ## [Did MIS-C Ever Really Exist?](https://anishkokamd.substack.com/p/did-mis-c-ever-really-exist) _2026-05-16 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ How a clinical syndrome with no specific test became a generation-defining pediatric emergency, and then quietly vanished ## [When the Data Doesn't Hold Up: Inside Replimune's Second FDA Rejection](https://anishkokamd.substack.com/p/when-the-data-doesnt-hold-up-inside) _2026-05-06 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ A small biotech, an oncolytic virus, and a four-year regulatory story that's now ending in a media campaign instead of a randomized trial. ## [The Economists Who Saw Medicare Coming](https://anishkokamd.substack.com/p/the-economists-who-saw-medicare-coming) _2026-04-25 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ What Buchanan, Tullock, and Hayek understood in 1962 that we're still pretending not to understand in 2026 ## [America Has Solved the Hardest Healthcare Access Problem Better Than Anyone Else — Here’s the Data](https://anishkokamd.substack.com/p/the-us-healthcare-system-has-basically) _2026-04-12 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ A bivariate analysis of 84,000 census tracts reveals that only 2% of Americans live beyond guideline-recommended access to emergency cardiac care. ## [Quantifying the Rural Access Problem: Emergency Cardiac Care as a Window into American Healthcare](https://anishkokamd.substack.com/p/quantifying-the-rural-access-problem) _2026-04-08 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ I was listening to a conversation between two critical thinkers I respect greatly: geneticist/technologist/blogger Razib Khan and Washington Post columnist Megan McArdle. ## [What VESALIUS Really Tells Us About the New Lipid Guidelines](https://anishkokamd.substack.com/p/what-vesalius-really-tells-us-about) _2026-03-20 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Andreas Vesalius, the 16th century Flemish anatomist, founded modern medicine on a simple but radical principle: look carefully at what is actually in front of you, not what received authority tells you should be there. ## [The Price of Progress](https://anishkokamd.substack.com/p/the-price-of-progress) _2026-03-14 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Bennie Solis was three years old when he changed medicine forever. ## [The Price of Progress](https://anishkokamd.substack.com/p/the-price-of-progress) _2026-03-14 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ Bennie Solis was three years old when he changed medicine forever. ## [Ship everywhere from one CLI (Sponsored)](https://crawlproof.com/a/bTnWAdqtAfDj) _2026-03-14 · **Sponsored**_ One codebase, hosted runners, encrypted credentials, and automated submissions across stores ## [How Vinay Prasad Came to Washington — And Why It Was Always Going to End This Way](https://anishkokamd.substack.com/p/how-vinay-prasad-came-to-washington) _2026-03-07 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ From UCSF outsider to CBER director: ten months of raising the evidentiary bar, and the forces that brought it to an end. ## [Paid in Full, Evidence Pending: The Coronary CT Plaque Volume Story](https://anishkokamd.substack.com/p/paid-in-full-evidence-pending-the) _2026-03-07 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ How plaque quantification technology collected federal reimbursement before anyone proved it changes patient outcomes ## [Why CT-FFR Doesn't Work — And Why Its Reference Standard Is Suspect Too](https://anishkokamd.substack.com/p/why-ct-ffr-doesnt-work-and-why-its) _2026-03-06 · Anish Koka MD (Cardiology) · Dr. Anish Koka's Newsletter_ When you build a derivative test on top of a shaky reference standard, the errors compound.