ReachOut Healthcare America
, a dental management services company, “built its business model on the premise that low-income parents often don’t have time or transportation to take children to the dentist. So mobile teams pack equipment in large cases, load up a minivan, head to schools and set up in gyms, libraries or classrooms.” Services are billed to Medicaid. ReachOut and other dental management services companies are increasingly backed by private equity firms. What could possibly go wrong
? [more inside]
posted by evilmomlady
on May 17, 2012 -
Consumer Reports May 2012: What to reject when you're expecting
(10 procedures to think twice about during your pregnancy; 10 things you should do during your pregnancy; 5 things you should do before you become pregnant
). Mentioned in particular is the conclusion found in a federal study: Babies Take Longer To Come Out Than They Did In Grandma's Day
."One big implication: Today's obstetricians may be rushing to do cesarean sections too soon because they're using an out-of-date yardstick for how long a 'normal; labor should take... The definition of a 'normal' labor — the range of times when a woman in labor reaches certain milestones — was laid down in the 1950s. Contemporary obstetricians still use that 'labor curve.'"
posted by flex
on May 11, 2012 -
A chronic public health disaster.
Complex trauma and toxic stress puts children into a state of reflexive fight, flight, or freeze responses to a perpetually threatening world. The traditional authoritative response only serves to reinforce those behaviours and, perhaps worse, has long-term health consequences:
With an ACE score of 4 or more, things start getting serious. The likelihood of chronic pulmonary lung disease increases 390 percent; hepatitis, 240 percent; depression 460 percent; suicide, 1,220 percent.
One doctor describes it as “a chronic public health disaster”. Remediating this problem is going to require listening, kindness, and parachutes.
posted by davidpriest.ca
on May 1, 2012 -
Since she is not truly an emergency patient, she is triaged to the back of the line, and other folks, those in immediate distress, get in for treatment ahead of her. She waits on a gurney in a cavernous green hallway.
The “chief complaint” on her chart at Grady Memorial Hospital, in Downtown Atlanta, might have set off a wave of nausea in a hospital at a white suburb or almost any place in the civilized world. It reads, “My breast has fallen off. Can you reattach it?
” (via Boing Boing
) [more inside]
posted by Joe in Australia
on Apr 24, 2012 -
Deep vein thrombosis
is generally a topic that comes up with regards to airline seating and other periods of prolonged immobility (previously
). Anna Brown
was a homeless woman and constantly on the move, so doctors in the emergency room thought that her complaints of leg pain were just drug-seeking behavior. Unfortunately, drug seeking is a major problem
in ERs in the United States. [more inside]
posted by gracedissolved
on Mar 31, 2012 -
Mary Brown, a 56-year-old Florida woman who owned a small auto repair shop but had no health insurance, became the lead plaintiff challenging President Obama's healthcare law because she was passionate about the issue.
Brown "doesn't have insurance. She doesn't want to pay for it. And she doesn't want the government to tell her she has to have it," said Karen Harned, a lawyer for the National Federation of Independent Business. Brown is a plaintiff in the federation's case, which the Supreme Court plans to hear later this month.
But court records reveal that Brown and her husband filed for bankruptcy last fall with $4,500 in unpaid medical bills. Those bills could change Brown from a symbol of proud independence into an example of exactly the problem the healthcare law was intended to address. [more inside]
posted by gerryblog
on Mar 10, 2012 -
In the summer of 2007 on the campaign trail Barack Obama took a clear stance
on the controversial subject of medical marijuana. “I would not have the Justice Department prosecuting and raiding medical marijuana users. It’s not a good use of our resources.”
As President in 2009 he took action to follow through on this promise by instructing federal prosecutors to “not focus federal resources in [their] States on individuals whose actions are in clear and unambiguous compliance with existing state laws providing for the medical use of marijuana.” The memo cited the “efficient and rational use” of the U.S. Department of Justice’s “limited investigative and prosecutorial resources,” as a motivating factor in the decision."
In the winter of 2012 Rolling Stone magazine takes a look back
on this subject and the record is surprising. "With more than 100 raids on pot dispensaries during his first three years, Obama is now on pace to exceed Bush's record for medical-marijuana busts. "There's no question that Obama's the worst president on medical marijuana," says Rob Kampia, executive director of the Marijuana Policy Project. "He's gone from first to worst." [more inside]
posted by furiousxgeorge
on Feb 19, 2012 -
combines best-in-breed technology with protocols designed to serve the President of the United States, offering unprecedented medical attention to a demanding audience. Thanks to Guardian, your medical care can finally look like the rest of your life[...]. Our innovative ReadyRoom™ strategy places essential equipment, medications and supplies where you live, move and work. Yet everything is hidden away until needed. [...]Before Guardian, this kind of medical protection was only available to one person. But now, presidential-level care can be yours — on your schedule and your terms." Don't miss the embedded video
. This appears to be in earnest.
posted by nobody
on Feb 10, 2012 -
It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little.
How Doctors Die
posted by Foci for Analysis
on Dec 5, 2011 -
"This is the true ‘bomb’ contained in Obamacare
and the one item that will have more impact on the future of how medical care is paid for in this country than anything we’ve seen in quite some time. Indeed, it is this aspect of the law that represents the true ‘death panel’ found in Obamacare—but not one that is going to lead to the death of American consumers. Rather, the medical loss ratio will, ultimately, lead to the death of large parts of the private, for-profit health insurance industry."
posted by the young rope-rider
on Dec 3, 2011 -
Yesterday, the Supreme court granted certiorari
to several of the challenges to the constitutionality of the Affordable Care Act. Here
's a great roundup of several news stories. I like the NPR
story for a quick summary of the issues. The Court will hear a total of 5.5 hours of oral argument, and a decision is expected by the end of the current term, in June.
posted by insectosaurus
on Nov 15, 2011 -
Effective January 1, 2013, United States insurers will now be required to make a variety of medical procedures and medications available without copay
as part of President Barack Obama's Affordable Care Act. Although the availability of prescribed birth control without copay is likely to have the widest effect, the plan also includes breast pumps for nursing mothers, an annual well-woman examination, and testing for gestational diabetes and the virus that causes cervical cancer, as well as other services related to women's health. [more inside]
posted by catlet
on Aug 1, 2011 -
The Oregon Health Insurance Experiment: Evidence from the First Year
(or, What Happens When You Give Poor People Health Insurance?) "We find that in this first year, the treatment group had substantively and statistically significantly higher health care utilization (including primary and preventive care as well as hospitalizations), lower out-of-pocket medical expenditures and medical debt (including fewer bills sent to collection), and better self-reported physical and mental health than the control group." [more inside]
posted by OmieWise
on Jul 11, 2011 -
The public’s experience is that we have amazing clinicians and technologies but little consistent sense that they come together to provide an actual system of care, from start to finish, for people. We train, hire, and pay doctors to be cowboys. But it’s pit crews people need.
- Atul Gawande’s commencement address at Harvard Medical School.
posted by AceRock
on Jun 1, 2011 -
"For the progress of humanity, work alone is not adequate, but the work should be associated with love, compassion, right conduct, truthfulness and sympathy. Without the above qualities, selfless service cannot be performed."
On Sunday morning
, Indian guru Sri Sathya Sai Baba passed away.
He leaves behind a massive empire
, several million mourning devotees worldwide,
an extensive religious philosophy
, a great deal of controversy
and a legacy of large-scale philanthropic projects in India, including free hospitals and mobile medical facilities
, a free university and schools,
and other efforts which included supplying clean water
to hundreds of rural villages. [more inside]
posted by zarq
on Apr 25, 2011 -
Coalition health reforms will spell the end for the NHS and lead to U.S. style system, claim researchers.
'Prof Allyson Pollock, from the Barts and The London School of Medicine, and David Price, senior research fellow at its Centre for Health Sciences, write in a paper published on BMJ.com that the legislation “amounts to the abolition of the English NHS as a universal, comprehensive, publicly accountable, tax funded service, free at the point of delivery”. They say the Government “has repealed the health secretary’s duty to provide or secure the provision of comprehensive care” in order to create a commercial market in care. Instead, under the new system the state "finances but does not provide healthcare", in “equivalent to Medicare and Medicaid schemes in the US”'. Meanwhile, Dr Kim Price, claims 'the UK coalition government's planned NHS and welfare reforms, and their use of 'nudge' theory, hark back to ideas on welfare and recession from the end of the nineteenth century
, according to studies by a University of Leicester historian whose research paper has recently been published in the Lancet'. [more inside]
posted by VikingSword
on Mar 23, 2011 -
injections have been used to reduce the likelihood of premature births in at-risk pregnant women for years. Up until now, the drug was custom-compounded by wholesale and specialist pharmacies, legally, but without federal approval. These injections cost between $5 and $15 a dose and were regularly reimbursed by insurance companies and Medicaid.
Last month, the FDA announced their approval
of a commercially produced version of the compound, to be marketed under the brand name Makena by a company called KV Pharmaceuticals.
No stranger to controversy and trouble, KV barely survived a rash round of layoffs and wrongful termination lawsuits
. Their former chief executive now faces criminal charges
surrounding the company's failure to notify the FDA that they were producing oversized morphine tablets. (He could also do for a shave, it appears.)
Now, KV has announced that the new drug will be available at a cost of $1,500 per dose
, bringing the total pregnancy term cost of treatment to $25,000-$30,000
, from its former cost of $250-$300, a 100-fold increase
—but it gets worse... [more inside]
posted by disillusioned
on Mar 9, 2011 -
South Dakota Rep. Hal Wick (R-Sioux Falls), is sponsoring a bill
] which would require all citizens to buy a firearm “sufficient to provide for their ordinary self-defense” within six months of turning age 21. Rep. Wick said he is introducing the bill to prove a point that the federal health care reform mandate passed last year is unconstitutional
] [more inside]
posted by T.D. Strange
on Feb 1, 2011 -
What should medicine do when it can't save your life?
Atul Gawande looks at the system of final-stage treatment for terminal patients, which, despite more than 40 years of a hospice movement
for better end of life care, often ensures that patients die exactly how they least want to: in a hospital, hooked up to machines. Gawande tries to envision how, "when the chemotherapy stops working, when we start needing oxygen at home, when we face high-risk surgery, when the liver failure keeps progressing, when we become unable to dress ourselves" medical care can focus on quality of life, rather than prolonging it. [more inside]
posted by ocherdraco
on Jul 26, 2010 -