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The Affordable Care Act and Quality of Care, Cost, and MD Availability
submitted by: admin on 10/16/2013
About 1/3 of office-based MDs declined to accept new Medicaid patients in 2011 according to an article in the journal, Health Affairs. Acceptance was directly related to financial reimbursement. In the state of Wyoming more than 99% of MDs accepted Medicaid patient; their reimbursement was 150% of that of Medicare. In the state of New Jersey, where...
The ALLHAT Study on Hypertension, Diuretics, and Lifestyle
submitted by: admin on 10/16/2013
The largest study ever done on how we should treat hypertension showed that thiazide diuretics and lifestyle are what was recommended. It exposes the mercenary nature of big pharma in promoting their new designer drugs that work no better than older approaches that are cheap.
The High Cost of Defensive Medicine
submitted by: admin on 10/17/2013
You can't really blame MDs for practicing defensively when they are trying to do the best job they possibly can for their patients and they don't want to be involved in a malpractice case if they make an error. In a study of 1200 orthopedic surgeons 96% admitted practicing defensively. This came to an estimated $2 billion cost annually. Many...
The Importance of the Doctor Patient Relationship
submitted by: admin on 10/17/2013
Drs. Welby and Kildare are now a thing of the past for the most part. Today's fragmented health care has lost the personal relationship between doctor and patient and is oriented to saving money and getting people back on their feet and back to work as quickly as possible. The personal relationship where a healer listens and cares has become "unaffordable"...
The Mammography Industry is Clinging to a Failed Test for Women Under Fifty
submitted by: admin on 06/18/2016
Let's face it. Mammograms are far from a perfect test, especially in women under the age of 50, and particularly in women with fibrocystic breasts. The United States Preventive Task Force no longer recommends screening women routinely for breast cancer with mammograms. There has been a flood of complaining from the American Cancer Society and the...
The Outrageous Cost of Health Care in America
submitted by: admin on 10/17/2013
We spend more on health care in the US than the next 10 countries combined and at the same time we're ranked last among industrialized countries. Go figure! The only way to "achieve" this is to treat health care as a business rather than a service. The $2.8 trillion we spend every year is great for the economy, but does not do much for...
Tired Medical Residents Make More Errors
submitted by: admin on 10/17/2013
A study on surgeons in training working hours and errors was published in Archives of Surgery in May of 2012 showing that sleep-deprived surgical residents had a 22% greater risk of causing medical errors than rested residents. Their average number of sleep hours was 5.5 but it ranged from 2.8 to 7.8 hours. They determined that these residents were only functioning...
Treating Depression Face-to-Face vs Telephone
submitted by: admin on 10/17/2013
Not everyone can get face-to-face consultations for treatment of depression for a wide range of reasons that include cost, convenience, transportation problems, fear, and access. A study published in JAMA in May of 2012 compared face-to-face visits with telephone consultations and found that more people could participate in telephone consultations, but that over...
US Healthcare Unimproved Over the Past Decade
submitted by: admin on 10/17/2013
US health care has failed to improve in most quality measures and there's been significant erosion in access to care and affordability. We rank last among all 16 industrialized countries with regard to deaths that might have been prevented with timely and effective care. This could account for 91,000 fewer deaths when compared to the country ranked...
US vs UK Health Care
submitted by: admin on 10/17/2013
UK health care has a lower incidence of most chronic diseases, Why? Lifestyle in England is healthier. There is less inflammation as a consequence.
Vitamin C for Cancer Treatment
submitted by: admin on 10/17/2013
Intravenous vitamin C for treatment of cancer was pioneered by Linus Pauling in the early 1970s and now, finally, there is mainstream literature having a second look at IV vitamin C in people with lymphomas. IV vitamin C is converted in to hydrogen peroxide by cancer cells and it kills them.
War on Street Drugs
submitted by: admin on 04/25/2024
We spend far too much money trying to punish for using or promoting illegal drugs. Legislation has not worked. It would be smarter to legalize drugs as this would at least cut out the middle people who are making a lot of money.
Weight Management
submitted by: admin on 10/17/2013
There are many causes for being overweight and the solutions offered that relate to diets, pills, and diet programs that don't work. Yet there are many areas that can work that are offered. The evaluation of someone who is overweight or obese is discussed.
What is Obamacare and is it the Answer to America's Health Challenges?
submitted by: admin on 10/17/2013
The Patient Protection Affordable Care Act, known as the Affordable Care Act (ACA) or "Obamacare," became law in March of 2010 is is the topic of considerable confusion. To begin with it is nearly 2700 pages long and is written in complex legal terminology that few understand; this includes, believe it or not, most of the US Congress!
The...
What is Real Health Care Reform?
submitted by: admin on 10/17/2013
What is real health care reform? It is not what happened with the Affordable Care Act of 2010. Our present level of health care will now be available to 30 million more uninsured people, but as far as health care itself is concerned, we lost ground. It will be difficult to maintain the same poor standard of care now existing (we are ranked 37th in the world by...
When is it Important to Take Your Medicine?
submitted by: admin on 10/17/2013
The AMA reports that noncompliance with regard to prescription medication is the cause of excessive hospitalization, morbidity, mortality, and overall healthcare costs. The article fails to address those patients who suffer from adverse drug events and their related costs. They state that health costs go up about $300 billion annually because of drug noncompliance,...
When is Telemedicine a Good Idea?
submitted by: admin on 06/16/2014
Telemedicine through website doctor services has become much more available over the past decade. There are about 30 million US users of these services and about 30% of MDs are now participating in electronic communication with their patients. The demand is rapidly growing. Ease of access, convenience and lower cost are all factors driving this kind of service.
The...
Why Defensive Medicine Won't Go Away
submitted by: admin on 10/17/2013
Defensive medicine leads to ordering too many tests that are often costly and potentially dangerous. It leads to skyrocketing insurance premiums but it tends to protect physicians from malpractice suits. What is needed is a more personal relationship between physicians and patients that includes patients in the decision-making process in assessment...
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