A quick announcement of two talks I’m doing in the near future, both on health care. The first is called “Patient, Defend Thyself: Insurance Denials and the Resort to Force,” at the annual meeting of the Peace and Justice Studies Association (PJSA), Saturday, Oct. 11 at Swarthmore College. The second is a brief, untitled contribution to an Ethics Roundtable on access to health care, co-sponsored by the Association of Practical and Professional Ethics (APPE) and Felician University, Wednesday, Nov. 5, 1-2 pm on Zoom. The PJSA talk is on-ground and only open to registered conference attendees; the APPE/Felician talk is fully online and open to the public. Continue reading
Tag Archives: health
Statement to Princeton Town Council
Statement Urging Passage of a Municipal Resolution in Favor of the Immigrant Trust Act
Princeton Town Council
Princeton Municipal Building
400 Witherspoon St
Princeton, New Jersey
July 28, 2025
My name is Irfan Khawaja, I’m a resident of Princeton, and I support a municipal resolution in favor of the Immigrant Trust Act. I’ll be forwarding written statements to the Council from Flemington Borough Council member Trent Levitt, Bloomfield mayor Jenny Mundell, and former New Jersey state representative Sadaf Jaffer, all urging passage of such a resolution. I’ve asked several other mayors and local officials to weigh in, and my hope is that they will.
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The Oracle Speaks
OK, so let’s get this straight. TikTok had to be sold because given its Chinese ownership, it was a danger to our privacy, and on top of that, a danger to national security. But no worries, because according to business guru and data analyst Donald Trump, all-American Oracle had the technical capacity to “handle” the TikTok acquisition and handle TikTok itself. Nothing that a $100 billion Trump-inspired AI initiative couldn’t solve.
Meanwhile, back in 2022, Oracle acquired Cerner, the healthcare data company. It has now managed, as of just a few weeks ago, to get precisely its Cerner data hacked. So while Oracle could, at least in Donald Trump’s mind, handle TikTok, it couldn’t, in fact, manage to handle Cerner.
Continue readingNo More Tears
The Selena Gomez controversy may not be your idea of a top story right now, but I think it has a certain interest to it. As you may know, Gomez took to social media to post a video of herself sobbing about the recent ICE deportations. No sooner did she do so, but she was assailed for it. She tried to explain herself, only to invite further derision, then ended up deleting both the original post and one of her later explanations.
Of particular interest to me is this riposte to Gomez from Thomas Homan, acting director of ICE during Trump’s first term, and now the White House “border czar.”
We’ve got a quarter of a million Americans dead from fentanyl coming across an open border. Where’s the tears for them?
The border isn’t “open,” and the “quarter of a million” figure is phony. But I have a pretty direct answer to Homan’s question, and have special standing to answer it: If you want tears, look elsewhere. Continue reading
The Evil Demon in the OR
EVS Journal 8: More Scenes from Life on Call in the OR
Up to this point, what I have accepted as very true I have derived either from the senses or through the senses. However, sometimes I have discovered that these are mistaken, and it is prudent never to place one’s entire trust in things which have deceived us even once.
Descartes, Meditations on First Philosophy, Meditation 1
I’m on call in the OR for New Year’s Day, 8 am to midnight–an irritation after a long sleep-deprived week of work, including all of New Year’s Eve spent in the OR. I wake up on New Year’s Day, and decide, on a mere hunch or whim, to drive to the hospital mid-morning, pre-empting the phone call that calls me in to the hospital, operating instead (so to speak) on the premonition that if I go to the OR unbidden, there’ll inevitably be a case waiting for me to do, which I’ll then be in a position to “head off at the pass,” whatever that’s supposed to mean in this non-cowboy context. Continue reading
UHC, Denials, and Wrongful Death Revisited
The questions you ask determine the answers you get. If you ask the right questions, you have some hope of reaching the right answers. If you ask the wrong ones, you’ll likely reach the wrong answers. If you give up on asking, you get nothing but what you started with, so that if you begin in ignorance, you end there.
The debate about the killing of Brian Thompson threatens to begin and end either in misdirection or reinforced ignorance or both. Stuck between two competing brands of outrage–one exulting in Thompson’s death, the other outraged at the exultation–we’re in danger of losing the denials/reimbursement plot altogether. I know I’ve posted on this issue already, but think I’ve found a better way of saying what I was trying to say in that post, one that does a better job of asking the right questions than my last post did.* So here is UHC, Denials, and Death, Take 2. Continue reading
UHC, Denials, and Death
This post has been superseded by a new and improved version written a few days later (Dec. 18, 2024).
Let me just get straight to the point: I have a real worry about how people are reacting to the UHC killing. It’s not the usual worry that we’re being mean to Brian Thompson. It’s that a lot of what people are saying shows a misunderstanding of how the health insurance denials process works. I work in health care denials management on the provider side, and have in fact dealt with UHC‘s denials reps. I have no sympathy for them or for the insurance industry generally. UHC is the apex predator in an industry of predators. But on the whole, I don’t think it makes sense to say that insurance denials kill people. I’ll grant that excess mortality and morbidity are possible through an insurance denial, but death-through-denial is not the modal case of premature death or even close to it, and it’s a mistake to suggest otherwise. Continue reading
Lost Boys Redux
I encountered this article by chance today in The New York Times. Read it all the way through. I think it should resonate if you are, say, a fan of Notre Dame football, but especially if you profess concern for the welfare of boys in their struggles through the trench warfare of K-12 education. Continue reading
Coronavirus Diary (2): Against Ageist Fascism
I shouldn’t have to make this point in this, our post-Auschwitzean age, but just a quick PSA, FYI: age-based genocide (or even malice or discrimination) is immoral. And PS, a pandemic is not the time to be wishing death on the elderly. Call me crazy, but there’s no good time to be wishing death on anyone. And yet I’ve seen more than one instance, on Facebook and elsewhere, of people’s expressing genocidal or near-genocidal sentiments about the elderly. Genocidal sentiments aside, there’s been no shortage of ageist malice for “Boomers,” or “old people.” Paraphrase of a rant I saw in the comments section of a local newspaper:
The Boomers raised our rents, gouged us on tuition, saddled us with debts, dragged us into unwanted wars, pay us crap wages, and vote the wrong way: so good riddance to them; may they all drop dead.
Substitute “Jews” for “boomers” or “the disabled” in rants of this sort, and you have the logic of the Final Solution-by-viral-proxy. Continue reading
Coronavirus Diary (1): Flirting with Disaster
I had a sobering half-hour phone conversation today with my brother Suleman, a hospitalist at Valley Hospital in Ridgewood, New Jersey. Ridgewood lies just a few miles northwest of the current epicenter of coronavirus cases in New Jersey, Teaneck. My own county, Hunterdon, has just seen its first case. Continue reading
Policy of Truth 