I promise to try not to smoke, or drink too much, or eat too much, or be lazy. If I fail, you can cut my benefits. Sign here please. West Virginia recently approved a controversial change to its Medicaid program: a Member Agreement [NB: links to .pdf] that adds several "personal responsibilities" including attempting to avoid smoking, (illegal) drugs, heavy drinking and sloth (not sloths). It also includes clauses on compliance with doctors recommendations, keeping appointments, reading the written materials that doctors provide, and minimizing emergency department visits. Patients who don't uphold their end of the bargain will have some benefits reduced or eliminated (that'll learn them). Lube up the slippery slope arguments. Will it work? Is it fair? Want to hear more? And more (from NPR)?.
(Article .pdfs archived here and here. Interview .mp3 archived here if you can't access them through above links).
posted on Aug 25, 2006 - View this thread

[NewsFilter] A partial victory for public health over politics. Amazingly, the FDA has finally, after 3 years of wrangling, approved over-the-counter sale of Plan B, an emergency contraceptive pill. The victory is partial because you need to be 18 or older to purchase it without a doctor's note. If you're under 18, you need to still have documentation from your physician (or nurse practitioner). The politics behind the approval process were laid bare in this (sincerely) fascinating GAO report [note: links to .pdf file]. I also hope that OTC approval will avoid this.

Plan B previously discussed on MeFi here.
posted on Aug 24, 2006 - View this thread