Skip

302 posts tagged with healthcare.
Displaying 51 through 100 of 302. Subscribe:

"October is a fine and dangerous season in America"

Happy Political Clusterf*ck Day (U.S.)! In one corner: the first federal government shutdown since 1996, born of the House GOP/Tea Party faction's crusade to delay, defund, and destroy Obamacare (and the Democratic Senate and President's resolve to not do that). "Continuing resolutions" have ping-ponged between the two houses, fighting over language to cancel healthcare reform (plus a few other items, such as the implementation of Mitt Romney's entire economic agenda). National parks are closed, contractors are hamstrung, and 800,000 federal workers furloughed until Speaker Boehner drops the "Hastert Rule" and passes a bill the other branches can agree to. In the other corner, heedless of the chaos (though not without glitches of its own): the official rollout of the Affordable Care Act and its state insurance exchanges. The portal at Healthcare.gov is your one-stop shop for browsing, comparing, and purchasing standardized, regulated insurance coverage with premium rebates, guaranteed coverage, and expanded Medicaid for the poor (in some states). A crazy day, overall -- but peanuts compared to what might happen if the debt ceiling is breached in 16 days. [more inside]
posted by Rhaomi on Oct 1, 2013 - 2207 comments

Distance equation

  1. It is strange, in my opinion, that the insurance market has evolved so, that so few individuals understand the fundamentals of the medical insurance plans they are insured under."
  2. Among the 19% polled who are uninsured, nearly four in 10 don't realize the law requires them to get health insurance next year. Among young people, whose participation is seen as crucial for the exchanges to work, just 56% realize there's a mandate to be insured or face a fine.
  3. Health policy is an extremely personal and complicated topic... Observing historical patterns of attempted healthcare reform and backlash towards these reforms, we may begin to understand what is keeping such a prominent and promising nation from enlisting a social contract of health.

posted by four panels on Sep 26, 2013 - 172 comments

Because I Could Not Stop For Death Panels

The Collected Poems of the Affordable Care Act
posted by SkylitDrawl on Sep 25, 2013 - 13 comments

“It just got very, very old and all of us felt that we were whores."

More than half the population of small, rural Madras, Oregon (population: ~6059) and its surrounding community is served by one clinic: Madras Medical. At the beginning of 2006, the clinic's doctors and nurses decided to ban pharmaceutical reps from visiting their practice. No more free lunches. No more free drug samples. No more gifts. And yet.... "It's made us better doctors." (Via) [more inside]
posted by zarq on Aug 27, 2013 - 40 comments

A salt assault

How to Charge $546 for Six Liters of Saltwater - a brief story of the humble bag of saline solution given intravenously at ERs and hospitals, and how one unit of it can be marked up from 86 cents to $91 when given to patients
posted by Blazecock Pileon on Aug 27, 2013 - 69 comments

Fried Twinkies With a Side of Obamacare

A middle-aged man in a red golf shirt shuffles up to a small folding table with gold trim, in a booth adorned with a flotilla of helium balloons, where government workers at the Kentucky State Fair are hawking the virtues of Kynect, the state’s health benefit exchange established by Obamacare. The man is impressed. "This beats Obamacare I hope," he mutters to one of the workers. “Do I burst his bubble?” wonders Reina Diaz-Dempsey, overseeing the operation. She doesn't. If he signs up, it's a win-win, whether he knows he's been ensnared by Obamacare or not.
posted by reenum on Aug 26, 2013 - 63 comments

Sick Costs.

John Green: "Why Are Americans Health Care Costs So High?" A quick, handy little overview of common misconceptions on the US healthcare system. (SLYT)
posted by The Whelk on Aug 22, 2013 - 73 comments

'Paying Till It Hurts': Why American Health Care Is So Pricey

NPR's Fresh Air interviews Elizabeth Rosenthal about her year spent investigating the high cost of health care.
"Every part of the system needs to rethink the way it's working. Or maybe what I'm really saying is we need a system instead of 20, 40 components, each one having its own financial model, and each one making a profit." [more inside]
posted by arcticseal on Aug 11, 2013 - 105 comments

"We’re going from Bergdorf’s to Filene's here."

The New York Times is reporting that state health insurance regulators have approved 2014 prices for individual health insurance (SLNYT) in New York State that are on average 50% lower than 2013 rates. [more inside]
posted by medusa on Jul 17, 2013 - 149 comments

Only in America

American Way of Birth, Costliest in the World (SLNYT)
posted by MisantropicPainforest on Jul 1, 2013 - 104 comments

"We’re giving just enough to prevent them from dying."

Because of nationwide shortages, Washington hospitals are rationing, hoarding, and bartering critical nutrients premature babies and other patients need to survive. Doctors are reporting conditions normally seen only in developing countries, and there have been deaths. How could this be allowed to happen?
[more inside]
posted by the man of twists and turns on Jun 23, 2013 - 113 comments

All men are created equal (but some bits just cost more)

As part of the Affordable Care Act, The Centers for Medicare and Medicaid Services has released data that show significant variation across the country and within communities in what hospitals charge for common inpatient services. (via) [more inside]
posted by dubusadus on May 28, 2013 - 69 comments

The Oregon Health Insurance Experiment

The Oregon Health Insurance Experiment, an outgrowth of Oregon's 2008 lottery to allocate Medicaid slots to eligible residents, has released their second year of results (Previous discussions on the lottery and the experiment). The gist of the results are that they found statisitically significant reductions in catastrophic health care expenditures, improvements in the incidences of depression, and increased use of health care services. They found minimal (and not statistically significant) improvements in the rates of physical health indicators (diabetes and hypertension) they tracked. Because of ethical concerns, there are no other randomized controlled tests on this scale that study the effects of Medicaid and few on the effects of health insurance in general (the only significant one being a RAND study released 30 years ago). Because of the small amount of information available on the topic and the impending Medicaid expansion offered by Affordable Care Act, this study has drawn a lot of attention from political commentators. This will presumably be the last year these results will be published, as the state of Oregon was able to find extra money in 2010 in order cover the rest of its Medicaid-eligible population. [more inside]
posted by Weebot on May 3, 2013 - 20 comments

Texas Gets Its Report Card

While a bit parochial, this post reveals some things worth pondering if you are considering relocating to Texas...

The Texas Legislative Study Group released its 2013 “Texas on the Brink” report at the end of last week. The report is an annual study to determine Texas’ rankings among the 50 states and the District of Columbia on health care, education, and the environment. How’s Texas doing? Not so great: The state ranks 50th in high school graduation rate, first in amount of carbon emissions, first in hazardous waste produced, last in voter turnout, first in percentage of people without health insurance, and second in percentage of uninsured kids... - via The Texas Observer
posted by jim in austin on Apr 16, 2013 - 71 comments

How amazing is my thought!

Lewis Thomas (1913-1993) was a physician and essayist, writing gracefully on topics as varied as language, nuclear war, and our excellent health and deplorable health-care system (PDF). He believed that the existence of Bach vindicates humanity, that "ants are so much like human beings as to be an embarrassment", and that the Earth is perhaps best thought of as a cell. A three-time winner of the National Book Award, Thomas authored Lives of a Cell, which was voted the 11th-best nonfiction work of the 20th century by the Modern Library.
posted by seemoreglass on Apr 8, 2013 - 15 comments

Not So Evergreen

"India's supreme court has ruled against Swiss drug giant Novartis in a landmark case that activists say will protect access to cheap generic drugs in developing nations." [more inside]
posted by vidur on Apr 1, 2013 - 15 comments

We are powerless buyers in a sellers’ market

Bitter Pill: Why Medical Bills Are Killing Us. Summary: Inside the Cover Story. Related video: The Exorbitant Prices of Health Care [more inside]
posted by zarq on Feb 21, 2013 - 85 comments

this is why that is important

NSFWCORP presents This Is How You Healthcare: American Death in London by Sarah Bee:
The main things that keep me sane are the airy beauty and peacefulness of the hospital building, messages from friends and family far away on earth, the mundane magnificence of the staff: and the knowledge that all of this is free and taken care of and I do not have to fill in a single fuckforsaken form or bust one precious braincell worrying about how I might have to find money to pay for the futile care of my dying deadbeat dad.
[more inside]
posted by fight or flight on Feb 19, 2013 - 84 comments

Cat Bites Man. Hospital Charges $55k.

Call it the $55,000 cat bite.
posted by Kitty Stardust on Jan 28, 2013 - 205 comments

Abortion in America

The Geography of Abortion Access - Forty years ago Tuesday, the Supreme Court ushered in legal abortion for American women when it decided in Roe v. Wade. Today, states—particularly in the South and Midwest—are eroding that right by legislating hundreds of provisions intended to impede access with burdensome obstacles. To understand more fully the complex state of access to abortion services in America, The Daily Beast identified and confirmed the location of the country’s remaining 724 clinics and calculated the distance from every part of the country to its closest clinic. (more)
posted by Artw on Jan 24, 2013 - 26 comments

This is day-to-day, everyday life.

There are four states in this country where there is only one abortion clinic in the whole state, including Mississippi, which is facing the prospect of becoming the first state where abortion access is, effectively, gone. via
posted by roomthreeseventeen on Jan 19, 2013 - 53 comments

The Costs and Solutions to American Health Care

Three excerpts from David Goldhill's new book on American health care:

Part One: Focus on Health-Care Costs Causes More Spending

Part Two: Obamacare Math Doesn't Add Up to a Healthier U.S.

Part Three: To Fix Health Care, Turn Patients Into Customers [more inside]
posted by hopeless romantique on Jan 7, 2013 - 109 comments

Do Not Disturb: Grandma’s Having Sex

Adults over 50 are the fastest growing demographic for online dating sites, according to a recently [sic] study from UCLA’s department of psychology. Yet while older adults often value companionship over passion and marriage, experts say frisky behavior by seniors should never be underestimated. “I hesitate to generalize that they’re only having gentle, intimate moments,” says Melanie Davis, co-president of the national Sexuality and Aging Consortium. “Older adults can have really hot sex.” But not, typically, in long-term care facilities.
posted by Pirate-Bartender-Zombie-Monkey on Dec 21, 2012 - 34 comments

The Definitive Guide to the Medicare Debate

Jonathan Cohn compares the effects on Medicare from the Affordable Care Act with the proposals being promoted by Mitt Romney and Paul Ryan.
posted by reenum on Aug 23, 2012 - 27 comments

3D-Printed "Magic Arms"

Two-year-old Emma wanted to play with blocks, but a condition called arthrogryposis meant she couldn't move her arms. So researchers at a Delaware hospital 3D printed a durable custom exoskeleton with the tiny, lightweight parts she needed.
posted by Foci for Analysis on Aug 3, 2012 - 24 comments

Canadian medical professionals react in disbelief, shock and horror to how things work in the US

"I believed based on my politics that government mandated health care was a violation of my freedom." When a "die-hard conservative Republican" woman moves to Canada and encounters the universal healthcare there, hilarity ensues as cultures clash.
posted by MartinWisse on Jul 20, 2012 - 210 comments

Wait, wait...

But it is already too late. CNN has been carefully orchestrating its transformation into a shockingly efficient news distribution company. They have been planning to saturate every screen in reach with this story as fast as possible, and the producer’s initial go-ahead pulled the trigger. On the air, Wolf Blitzer is sending the coverage to the Courthouse steps. And as planned the reporter is putting her phone down to go on the air, which cuts herself off from the only CNN employee with access to the opinion. We’re getting wildly differing assessments: SCOTUSblog compiles first-hand accounts of the minutes between 10:06 and 10:15am on June 28, when CNN and FOX misreported and retracted that the mandate had been struck down.
posted by youarenothere on Jul 8, 2012 - 75 comments

Misconception #247: It's actually called Bidencare.

What's Obamacare? A studious Reddit user has read the mammoth 955-page Patient Protection and Affordable Care Act, and outlined the important points of what the new law actually does, with specific citations. While the recently-upheld law itself remains unpopular, most individual components of the bill enjoy widespread popularity among republican politicians and the public, despite the fact that both groups remain largely unaware of the bill's actual provisions. [more inside]
posted by schmod on Jul 2, 2012 - 82 comments

The end of "With this policy, I thee wed."

Obamacare: One Less Reason to Get Married. Erin Gloria Ryan of Jezebel writes: Insurance Marriages had become to the 21st century what shotgun weddings were to jokes about hillbillies. Back in 2004, the LA Times wrote about couples that married for insurance, couples who for varying reasons had not wanted to marry, but who had been driven to marriage by financial necessity. ABC News posted its own roundup of With This Policy, I Thee Wed-style couples in 2008, as did the New York Times. In 2008, 7% of couples who married reported doing so primarily for the insurance benefits. [more inside]
posted by Cash4Lead on Jun 30, 2012 - 61 comments

Tie game. Bottom of the 9th. Bases loaded. Two outs. Three balls. Two strikes. And the pitch...

In less than an hour, the Supreme Court will hand down its final judgment in what has become one of the most crucial legal battles of our time: the constitutionality of President Obama's landmark health care reform law. The product of a strict party line vote following a year century of debate, disinformation, and tense legislative wrangling, the Affordable Care Act would (among other popular reforms) require all Americans to buy insurance coverage by 2014, broadening the risk pool for the benefit of those with pre-existing conditions. The fate of this "individual mandate," bitterly opposed by Republicans despite its similarity to past plans touted by conservatives (including presidential contender Mitt Romney) is the central question facing the justices today. If the conservative majority takes the dramatic step of striking down the mandate, the law will be toothless, and in danger of wholesale reversal, rendering millions uninsured, dealing a crippling blow to the president's re-election hopes, and possibly endangering the federal regulatory state. But despite the pessimism of bettors, some believe the Court will demur, wary of damaging its already-fragile reputation with another partisan 5-4 decision. But those who know don't talk, and those who talk don't know. Watch the SCOTUSblog liveblog for updates, Q&A, and analysis as the truth finally comes out shortly after 10 a.m. EST.
posted by Rhaomi on Jun 28, 2012 - 1173 comments

'A childhood that began with a sort of cautious optimism quickly devolved into absolute horse shit.'

My mother became my daughter when I was nine years old. [more inside]
posted by the man of twists and turns on Jun 20, 2012 - 62 comments

NYMag: "A Life Worth Ending"

“Old age isn’t a battle, it’s a massacre.” A son’s plea to let his mother go.
posted by ThePinkSuperhero on May 21, 2012 - 63 comments

We gone be up here all day. We have a long wait.

One Hospital | Hundreds of Stories. A YouTube Playlist. Experience a day in the life of a public hospital (Highland Hospital) in Oakland, CA at a moment of profound change to the nation's economy and its healthcare system. [more inside]
posted by cashman on May 21, 2012 - 6 comments

"The dentist man got me"

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 - 42 comments

it's a big cold world out there but warm & cozy in here

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 - 66 comments

A hidden children's health crisis.

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 - 53 comments

My breast has fallen off. Can you reattach it?

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 - 103 comments

This is not a (necessary) test

Choosing Wisely encourages physicians and patients to discuss whether certain medical tests and procedures are unnecessary, especially those that can cause harm. The site offers nine lists of Five Things Physicians and Patients Should Question about the most appropriate care for a patient, including lists for cardiology and oncology. [more inside]
posted by kristi on Apr 5, 2012 - 33 comments

Where does it hurt?

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 - 60 comments

United States v. Health Care Reform

This morning marked day two of marathon proceedings in what's likely the most momentous and politically-charged Supreme Court case since Bush v. Gore: the effort to strike down President Obama's landmark health care reform law. While yesterday was a sleepy affair of obscure technical debate, today's hearings targeted the heart of the law -- the individual mandate that requires most Americans to purchase insurance by 2014. With lower courts delivering a split decision before today, administration lawyers held some hope that at least one conservative justice could be persuaded to uphold the provision, which amortizes the risk that makes universal coverage possible. But after a day of deeply skeptical questioning by swing justice Anthony Kennedy and his fellow conservatives [transcript - audio], the mandate looks to be in grave trouble, with CNN legal analyst Jeffrey Toobin going as far as calling the day "a train wreck" for the administration. But it's far from a done deal, with a third day of hearings tomorrow and a final decision not expected until June.
posted by Rhaomi on Mar 27, 2012 - 373 comments

Stag Party

The GOP’s woman problem is that it has a serious problem with women. Frank Rich on George Stephanopoulos's unanswered question, how the Republicans have shifted to being the party of misogyny since the 70s, and why Mitt Romney would be just as bad as Rick Santorum.
posted by Artw on Mar 27, 2012 - 160 comments

The magic wand of French health care

An intrepid American reporter tests out perineal re-education, a state-sponsored wonder of the French health care system. She plays a game she nicknames Pole Position (and a friend gets to play Cooter Pac-Man). Bonus: many gentle euphemisms for vagina (Earlier test here from the NYT).
posted by elgilito on Mar 14, 2012 - 30 comments

Heal Thyself!

America is Stealing the World's Doctors
posted by Renoroc on Mar 11, 2012 - 53 comments

hey, that's a funny coincidence

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 - 189 comments

Progress Stalled

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 - 128 comments

Insurance. The numbers just. Don't. Work.

Kevin Zelnio is a science writer with a degree in marine biology. He is the father of two children. And, like many in this country, he has no insurance. Earlier this week, his 6 year-old developed pneumonia.This is his account of what happened.
posted by Laminda on Feb 11, 2012 - 201 comments

Health Care for The Rest of Us

"Guardian 24/7 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 - 41 comments

How Doctors Die

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 - 54 comments

The Bomb Buried In Obamacare Explodes Today-Hallelujah!

"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 - 147 comments

Never Events

The term never event describes when something happens in a medical setting that should never occur. The list of never events (formally called "Serious Reportable Events) released by the NQF includes mistakes such as performing surgery on the wrong body part (or the wrong patient!), or patient suicide while under care. Despite their moniker, "never" events do happen. [more inside]
posted by Deathalicious on Nov 28, 2011 - 53 comments

Page: 1 2 3 4 5 6 7
Posts