Tuesday, September 11, 2012

Tuesday Tidbits

The health reform law will make it easier for individuals to shop for, and compare, insurance.  That has touched off a wave of marketing as companies compete for markets they never aimed at before.

Mitt Romney is really struggling over health reform these days.  He wants to tack to the center, supporting things like coverage of pre-existing conditions, but the GOP base hates, with intense passion, anything to do with health reform.  Rick Santorum always said Romney was the worst possible person to go against President Obama on health reform because of Massachusetts -- but it may be true not only for that reason, but because Mitt Romney really isn't against every aspect of health reform.  But will he ever stand up to the right of his party?  When they got upset about his warming towards parts of the law, he immediately reaffirmed his vow to repeal health reform day one.  Meanwhile, former Obama health advisers issued a report that tells us what Romney/Ryan's Medicare plan would cost us -- and they now say they were being kind to Romney.  And then there's a new report from the Kaiser Family Foundation that also says it would cost seniors thousands.  It's fair to guess Governor Romney doesn't agree.

An Epidemic of Absence -- a new book on allergies and autoimmune diseases makes the case that getting rid of too much bacteria has weakened our immune systems.  I tend to buy this.  Why else is it that richer countries have higher incidence of Crohn's, MS, etc.?  Now, if only we could be cured by rolling around in the mud!

The US Preventive Service Task Force says testing for ovarian cancer is ineffective and generates too many false positives.  In fact, this isn't news -- the panel has been recommending against this test for years, as has the American Congress of Obstetricians and Gynecologists.  Hmm.

The government is beefing up suicide crisis lines for military and civilian.  Call  800-273-8255.  36,000 people die of suicide each year.  The goal is to save 20,000 of them. 

Every second counts when trying to open a blocked artery.  The technology is amazing, truly. 

Local health offices are going door to door, preaching better health.  Some say newsletters and dropping in isn't enough -- but isn't it better than nothing?

When children learn a musical instrument early on, they have long-term benefits, even years after they stop taking music lessons.

Steroids for children may stunt their growth.  This includes kids who use steroids for asthma.

And that's it for this morning.  Have a great day!  Jennifer

Friday, September 7, 2012

NY Times Puzzle Solved!

Pseudochromhidrosis.  Read about it here.  And if anybody asks you why Smurfs are blue, the answer is pseudochromhidrosis!  Jennifer

Finally Friday!

Another really long, short week.  Got some work done, but we have a docket of insurance appeals right now as long as your arm.  Sort of intimidating.  Just have to take them one step at a time, like life in general.  Anyway, the news first.

Interestingly, most of the talk about health care at the two conventions came in the form of personal stories of people who've been up against the system.  It's deeply personal.  Does the deeply personal have a place in politics?  I believe the distinction between personal and political is a construct, not a real distinction.  Our policies are driven by our personal experience.  Stories are remarkably effective tools for changing minds.

$750 billion per year on medical waste. Administrative crapola, fraud, duplication of tests, avoidable errors -- it's huge, and we should be focusing right there when we start talking about health care costs.  The Institute of Medicine says our system needs a complete overhaul.  Can you imagine going to buy a car and not asking what it will cost?  Why not ask about labs, surgery, CT scans?

Our friend Nina Bernstein has written about long-term care and the cost of Medicaid for the elderly in nursing homes.  The more we prolong our lives, the more some of us will need nursing home care.  How to pay for it, though?  Medicaid isn't all about moms and kids.  And the cost of providing long-term care to the baby boomers is pretty daunting.

The great Dr. Pauline Chen writes about safety net hospitals.  You know -- the County hospitals that you avoid under all circumstances?  The assumption is that, because they're run down, the care is awful, but it's not true. 

An interesting essay by a woman who doesn't like the phrase "cancer survivor."  Neither do the members of her support group.  Maybe cancer "treatment" survivor, she says, but not "cancer survivor."  Different take -- interesting.

What happens when a Catholic hospital merges with a non-religious one?  The merged entity has to follow the Catholic Directives, which means not even offering counseling on birth control.  We're having a heck of a battle in Connecticut about one such merger.  Thanks to the Permanent Commission on the Status of Women's Teresa Younger for fighting the good fight on behalf of us all.

And that it.  Check back later to the answer to yesterday's NY Times puzzle.  And have a great day!  Jennifer

Thursday, September 6, 2012

Thursday Themes

It's NY Times puzzle day.  A 17 year old begins to turn blue.  What's the diagnosis?  I can hardly wait for tomorrow to find out!

About 800,000 more Americans ran out of food in 2011 than in 2010.  As many as 5.5% of Americans skipped a meal - or a day of meals - due to running out of food last year.  And the GOP wants to cut food stamps?  Really?

A judge in New York has stopped Medicaid cuts to home care from taking effect.  Budget woes are not a legal basis for depriving people of services to which they have a right.

CalPERS -- the California teacher retirement system -- saved $27 million by coordinating medical care in a teaming of Blue Shield, a hospital group, and a large physician's group.  This is really interesting.  One of the main ways people are suggesting we could save money would be through better care coordination to avoid duplicate tests, medication conflicts and consistent treatment plans.  And lo and behold, it works!

There are bits of DNA that, before now, scientists believed was junk.  But now it's been shown that these bits of matter serve a useful purpose in how cells and organs behave.

Sorry -- that's all I have for you this morning.  Unless you want to hear about Bill Clinton's speech.  So have a good day and expect another slow news morning tomorrow, unless you want to hear about President Obama's speech.  Jennifer

Wednesday, September 5, 2012

Hump Day Headlines

I'm loving the fact that it's Wednesday already, although I have a lot on my plate today.  So let's start with the news:

The President's team came out swinging on health reform last night.  That may turn people off, but I say it's about time the President took credit for doing something that's been tried and failed for generations.  I don't tell you who to vote for, but I will tell you that, if we get to 2014, we will be able to buy insurance.  If that matters a lot to you, as it does to me, there's only one vote possible.  As Stacy Lihn approached the podium with her little Zoey, whose life was saved because of health reform, she reminded us that A President Romney has pledged to repeal that law -- and that could mean death for her child.  What could possibly matter more?  The Dems have adopted the name Obamacare -- and I say Obamacare is care for 30 million Americans.  It's saving lives.  How is that a bad thing?  Only to those would say anything to beat President Obama, like the super-PAC, Americans for Prosperity, which says Obama care is like care in Canada.  But in Canada, the country runs health care and under Obamacare, it's still in the hands of private insurance companies.  When it comes to health care, the real question is whether Americans will buy whatever they're told or whether they'll actually think for themselves.

Maine decided to do something drastic to bring down insurance premiums.  They cut mandatory coverages to make it cheaper.  Not one new insurer entered the state, and while prices went down for individuals, they went up for groups -- with the highest increase for older Americans.

UnitedHealthcare issued a report showing huge differences in the cost of the same care under Medicare -- same patient population, same payer -- The only way this goes away is if Americans learn to comparison shop for care just as they do for other things.

Would you be healthier without email?  There was an experiment in which people went 5 days without email.  They were more productive, relaxed -- but when they were allowed to go back to email, they did.  I'd love 5 days without email.  In fact, I'll take 5 hours!

One-third of Americans have high blood pressure -- only half of them are treated.  Blood pressure meds are relatively inexpensive.  So why don't people get tested and treated?  Awful.

A new study shows that prolonged efforts at CPR may have value, and it's wrong to stop too soon.  An extra 9 minutes saves lives.

And that's it for today.  Have a great day!  Jennifer

Tuesday, September 4, 2012

Tuesday Tidbits

Staying away from politics and conventions these days is easier said than done.  Thus, the short blog posts -- we're a nonprofit and while we do try to educate about health reform and Medicare, we try to stay out of electoral politics (although I do get into that stuff on my personal Facebook page if you're interested.

New diseases -- drug-resistant TB, a new tick-born heartland virusFarm use of antibiotics defies scrutiny Standford scientists question advantages of organic meat and veggies.  Relief of asthma at a priceUse of inhalers may affect growth.  Does any of that make any sense at all?

Trying a new line of attack in heart disease -- attacking inflammation.   This fascinates me.  Think of all of the inflammatory illnesses  -- and then think of a single cause.  Wouldn't that be something?

HHS has stated that it will not tolerate health discrimination in health care against transgendered.

A new program teaches doctors to treat addiction.

Kids with autism are bullies more than other kids.  As a fat kid, I sort of doubt kids with autism are bullied more than fat kids or Downs kids or any kids who are different.  But it all sucks.  Peter Paul & Mary's song Don't Laugh at Me comes to mind.

A rare infection prompts neti-pot warning.  Think twice, folks. 

That's it.  Have a great day.  Jennifer