December 7th, 2009 by Happy Hospitalist in Better Health Network, Health Policy, Opinion
Tags: Crisis, Culture, Emergency Medicine, Health Insurance, Health Lifestyles, Healthcare reform, Internal Medicine, Personal Responsibility, Welfare
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I got an email today laying out the reality of our current health care debate. Is it a crisis of culture or a health care crisis. I am a firm believer in taking responsibility for one’s actions. I believe those who chose not to practice healthy lifestyles should pay more for the consequences of their actions than those who do. I believe the solution to our health care finance quandary lies not in controlling the cost of treating disease, but rather in upholding the personal responsibility all Americans have to themselves and their country.
What does the distribution of health care dollars look like among the American population? While we know that 50% of our population spends only 3% of health care dollars, we also know that 50% of our health care dollars are spent by 5% of our population, a population of chronic disease sufferers who’s diseases are, by and large, a direct result of the personal decisions they chose to make on a daily basis. For the most part, genetics alone is no longer an excuse. We knew very well that lifestyle directly affects the expression of disease by genes. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
December 5th, 2009 by DrStanleyFeld in Better Health Network, Health Policy, Opinion
Tags: Budget Neutrality, Costs of Healthcare, Finance, Healthcare reform, Hidden Costs, House Bill, Senate Bill
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President Obama said he will not sign a healthcare reform bill that was not budget neutral. You can view this statement at 3.50 minutes into this video clip.
The only way that can happen is if the healthcare expenses in both bills are hidden, unrealistic expense estimates are or expenses deflected to other areas in the budget. The Senate and House bill do both. Read more »
*This blog post was originally published at Repairing the Healthcare System*
November 30th, 2009 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
Tags: Government-run Healthcare, Healthcare reform, Spain, Universal Sentiment
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I’ve spent the last few days with much of our European team, today in Madrid, Spain.
Here are a few quick observations, as the American reform process continues.
1. Every country’s health care system has developed in the unique circumstances of its history. That is, the health care system of each country is the result of a collection of changes, fixes, restrictions, reforms, market developments and whatever else has happened over the last several decades. The result in each country are systems that work better or worse, but which in most all cases are very confusing to the people that work in them or get care from them. Read more »
*This blog post was originally published at See First Blog*
November 30th, 2009 by drval in Announcements, Health Policy, Quackery Exposed
Tags: Alternative Medicine, Bill, CAM, Healthcare reform, House, Integrative Medicine, Quackery, Senate, Snake Oil
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I’ve been warning folks about this for years - and alas, fake medicine and quackery has finally oiled its way into the healthcare reform bills. We are in the midst of a growing primary care shortage, and on the brink of vastly expanding health insurance coverage without increasing the supply of physicians and nurses. How will our country solve the supply/demand mismatch? Potentially by allowing people without appropriate training in science and medicine to become your “medical home.” That’s right - your next doctor or nurse may be someone with an online degree in snake oil salesmanship.
I know it’s hard to believe… But please read this press release (reproduced below) for more information - and call your Senator to complain. Maybe we’ll be able to get these sections removed before a bill passes? Read more »
November 29th, 2009 by DrRichardCooper in Better Health Network, Health Policy, Opinion
Tags: CMS, Dartmouth Atlas, Dual Eligible, Geography, Healthcare reform, Inequities, Medicare, Poverty
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In a recent Health Affairs blog, Wennberg and Brownlee lamented that op-eds, blogs, letters to members of Congress, broadsides in the press and now a report from the American Hospital Association decry the Dartmouth Atlas as a lot of “malarkey.” Once again they tried to defend their work by proving that race and poverty don’t matter, but they do. Even the “impartial” introduction by the editor of Health Affairs, a member of Dartmouth’s Board, couldn’t save the day: “Wennberg and Brownlee rebut claims that variations among academic medical centers are due to differences in patient income, race, and health status.” Wrong, again! That’s exactly what variations are due to. Read more »
*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*
November 25th, 2009 by Emergiblog in Better Health Network, Health Policy, Opinion
Tags: Annenberg School of Journalism, Healthcare reform, Poverty, Public Health, Socio-Economics, USC
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I was part of the USC Annenberg School of Communication and Journalism’s “Health and the Blogosphere” conference/brainstorming session last week. Bloggers and other health writers were invited to give input on a new professional training program, and I was honored to be a part of that group.
I took away so much more than I contributed. An unexpected focus (for me) was the idea of taking the blogosphere dialog about our own health (”my health”) and expanding that into a discussion about the health of our communities (”our health”).
But haven’t we’ve been doing that for the last year, health care reform having been debated ad nauseam?
Well, no. Read more »
*This blog post was originally published at Emergiblog*
November 19th, 2009 by drval in Announcements, Health Policy, Quackery Exposed
Tags: CAM, Harry Reid, Healthcare reform, Non-discrimination, S.3590, Senate, Senate Bill, Tom Harkin
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For those of you following the surprising healthcare reform bill mandate of Christian Science prayer as a medical treatment to be payed for by your taxes… I have good news. That was stricken from the merged legislation.
The bad news is that there is currently even more worrisome language in the S.3950 bill. Senator Tom Harkin has introduced language that would essentially require ineffective medical treatment systems like homeopathy to be paid for by government programs, and give people without legitimate medical training the right to become primary care physicians who would establish a “medical home” for patients. Read more »
November 18th, 2009 by DrToniBrayer in Better Health Network, Health Policy
Tags: Commonwealth Fund, Healthcare reform, Primary Care, Shortage
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A new study conducted by the Commonwealth Fund was published by Health Affairs and it showed that the U.S. lagged behind other nations in some very important ways that affect health and access to quality health care. The study surveryed over 10,000 primary care physicians in Australia, Canada, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, the United Kingdom, and the United States. The study found that:
- The vast majority (69 percent) of U.S. respondents report that their practices have no provisions for after-hours care, leaving their patients no choice but the emergency room. The U.S. was behind every other country surveyed on this finding.
Read more »
*This blog post was originally published at EverythingHealth*
November 17th, 2009 by KevinMD in Better Health Network, Health Policy
Tags: Cost, Finance, Healthcare reform, Internal Medicine, Pediatrics, Physical Exam, Primary Care, Technology
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By Rahul Parikh, MD
There is plenty to criticize in our bungling trek toward health reform. Leaders on the right, left and at 1600 Pennsylvania Avenue have sidestepped the crucial conversation of controlling the cost of care, in favor of partisan rhetoric about “death panels” and “rationing care.” Worse, the entire focus of reform has centered on spending billions of dollars on technology solutions that will only make marginal changes in the cost and quality of care Americans get.
I want to refocus the debate on what matters most: relationships. Let’s reinvest in the sitting down with, listening to, empathizing with and touching patients. Read more »
*This blog post was originally published at KevinMD.com*
November 16th, 2009 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
Tags: Congress, Healthcare reform, Insurance Companies, Self-Insured, Small Businesses
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Health care reformers say they want to improve the quality and affordability of health care.
It sounds good. But it’s not like there’s no one out there trying to do that. Employers of all sizes have been working on this problem for a long time, and they’ve come up with a great many interesting successes and failures.
So what’s the problem?
Well, it seems like reformers in Congress are completely uninterested in these things. Read more »
*This blog post was originally published at See First Blog*
