MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'american healthcare'. Sat, 03 Sep 2011 02:57:41 +0100 http://www.medworm.com/index.php?rid=5062290&cid=t_418217_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F07%2F25%2Fneed-mental-health-treatment-in-2-weeks-fat-chance%2F This study demonstrates quite the opposite. Read the full article: Medical News: Barriers High in Mental Health Care (Source: World of Psychology) World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5062290 Mon, 25 Jul 2011 20:15:01 +0100 5062290 http://www.medworm.com/index.php?rid=4498275&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Faggressive-care-when-is-it-better-for-patients%2F2011.02.19 The recurring narrative among health reformers is that hospitals that provide more care raise health costs, but don’t necessarily improve quality. This has lead to a backlash against so-called “aggressive” hospitals and doctors, with upcoming financial penalties to match. But the situation, as always, appears to be more nuanced than that. In her column in the New York Times, Dr. Pauline Chen looks at one subset of patients who actually may benefit from aggressive care: Those who suffer surgical complications. The study, found no difference in the rate of complications for aggressive and nonaggressive hospitals. But when they looked at all the patients who had complications and examined their outcomes, the researchers found that regardless of the urgency of their operations, those pat... Better Health blogs http://www.medworm.com/rss/comments.php?id=4498275 Sat, 19 Feb 2011 17:00:29 +0100 4498275 http://www.medworm.com/index.php?rid=4433102&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Faccountable-care-act-unconstitutional-the-fate-of-americans-health%2F2011.02.03 A Florida’s judge’s ruling that the Accountable Care Act (ACA) is unconstitutional doesn’t resolve the underlying constitutional issue (which will ultimately have to be decided by the U.S. Supreme Court) but it has introduced new uncertainty for the $2.3 trillion health care industry, and emboldened the law’s critics to push even harder for repeal (not that they weren’t trying already). The Wall Street Journal’s (WSJ) health blog reports that “states and companies that are supposed to be implementing the law trying to figure out what to do next. The WSJ reports that the 26 states that are parties to the suit are considering whether to ask the Supreme Court to take up the case now, before it has fully wended its way through the legal system. The New York Times (NYT) quotes the... Better Health blogs http://www.medworm.com/rss/comments.php?id=4433102 Thu, 03 Feb 2011 20:00:00 +0100 4433102 http://www.medworm.com/index.php?rid=4414521&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhen-money-isnt-everything-to-doctors%2F2011.01.29 I recently pointed to a BMJ study concluding that pay for performance doesn’t seem to motivate doctors. It has been picking up steam in major media with TIME, for instance, saying: “Money isn’t everything, even to doctors.” So much is riding on the concept of pay for performance, that it’s hard to fathom what other options there are should it fail. And there’s mounting evidence that it will. Dr. Aaron Carroll, a pediatrician at the University of Indiana, and regular contributor to KevinMD.com, ponders the options. First he comments on why the performance incentives in the NHS failed: Perhaps the doctors were already improving without the program. If that’s the case, though, then you don’t need economic incentives. It’s possible the incentives were too low. But I don’t... Better Health blogs http://www.medworm.com/rss/comments.php?id=4414521 Sat, 29 Jan 2011 17:00:01 +0100 4414521 http://www.medworm.com/index.php?rid=4399529&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Feffect-of-autism-vaccine-fraud-not-easily-undone%2F2011.01.24 Eighteen percent of American believe that vaccines can cause autism, 30 percent remain unsure, and 52 percent of Americans don’t think vaccines can cause autism, according to public opinion polling done after research linking vaccines to the condition was reported as fraudulent. While 69 percent of respondents said they had heard about an association between vaccination and autism, 47 percent knew that the original Lancet study had been retracted, and that recently the research is reported as being fraudulent. The poll also found that 86 percent of parents who have doubts about the vaccine said that their children were fully vaccinated, compared to 98 percent of parents who believe vaccines are safe, and that 92 percent of children are fully vaccinated. The poll was conducted... Better Health blogs http://www.medworm.com/rss/comments.php?id=4399529 Mon, 24 Jan 2011 22:00:00 +0100 4399529 http://www.medworm.com/index.php?rid=4394443&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Famericans-are-quickly-rethinking-the-autism-vaccine-link%2F2011.01.24 Eighteen percent of American believe that vaccines can cause autism, 30 percent remain unsure, and 52 percent of Americans don’t think vaccines can cause autism, according to public opinion polling done after research linking vaccines to the condition was reported as fraudulent. While 69 percent of respondents said they had heard about an association between vaccination and autism, 47 percent knew that the original Lancet study had been retracted, and that recently the research is reported as being fraudulent. The poll also found that 86 percent of parents who have doubts about the vaccine said that their children were fully vaccinated, compared to 98 percent of parents who believe vaccines are safe, and that 92 percent of children are fully vaccinated. The poll was conducted... Better Health blogs http://www.medworm.com/rss/comments.php?id=4394443 Mon, 24 Jan 2011 22:00:00 +0100 4394443 http://www.medworm.com/index.php?rid=4377570&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhos-more-pessimistic-about-healthcare-reform-physicians-or-patients%2F2011.01.20 While public opposition to healthcare reform has diminished since its passage, physician opinions are still negative, especially among specialists who see their value to the healthcare system decreasing as reform emphasizes primary care. A survey reports that 65 percent of nearly 3,000 physicians in all specialties said the quality of healthcare in the country will deteriorate in the next five years. Seventeen percent of respondents believe the quality of healthcare will stay the same and 18 percent believe it will improve. Meanwhile, 30 percent of healthcare consumers believe that the quality of healthcare will improve. Physicians cited as reasons for their pessimism personal political beliefs, anger at insurance companies and a lack of accurate planning in the reform act. Other reas... Better Health blogs http://www.medworm.com/rss/comments.php?id=4377570 Thu, 20 Jan 2011 18:00:00 +0100 4377570 http://www.medworm.com/index.php?rid=4314007&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fnew-year-begins-with-a-baby-boom%2F2011.01.05 On January 1, Kathleen Casey-Kirschling became the first of the baby-boom generation to qualify for Medicare. She’s hardly alone: The baby-boom generation will cause enrollment in Medicare to soar. According to the Kaiser Family Foundation, Medicare enrollment will increase from 47 million today to 64 million in 2020 to 80 million people by 2030. At the same time, the ratio of workers paying into the program to support each Medicare enrollee will drop from 3.4 (2010) to 2.8 (2020) and then to 2.3 workers per beneficiary in 2030, denying the program the tax revenue needed to sustain it. What happens then? Well, the President and Congress would have a dismal menu of political and policy choices. They could impose huge tax increases, inflicting great harm on working families and the economy... Better Health blogs http://www.medworm.com/rss/comments.php?id=4314007 Wed, 05 Jan 2011 18:00:00 +0100 4314007 http://www.medworm.com/index.php?rid=4304876&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-secret-to-the-virginia-healthcare-decision%2F2011.01.03 Unconstitutional? How can the mandate to buy health insurance be unconstitutional? It must be some kind of misguided resistance to progressivism. Or maybe it’s someone finally taking a stand against a power-grabbing government program. But it’s actually about something else entirely. And if you don’t know what it is, you won’t understand why the Virginia court ruled the way it did. Here’s the secret: The U.S. Constitution grants to the federal government certain powers. These are things like raising an army, controlling currency and establishing courts. It also gives it the power to regulate interstate commerce, through something called the “Commerce Clause.” Everything else is the domain of the states. Notice that the Commerce Clause only gives the federal government po... Better Health blogs http://www.medworm.com/rss/comments.php?id=4304876 Mon, 03 Jan 2011 16:00:08 +0100 4304876 http://www.medworm.com/index.php?rid=4304877&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-best-book-on-health-care-reform%2F2011.01.03 The best book on health care reform — or surviving it — is the “The Innovator’s Prescription: A Disruptive Solution for Health Care.” The decade worth of research spent understanding, studying, and ultimately offering solutions to make the health care system more accessible, higher quality, and affordable is clear. Unlike other books, the authors, respected Harvard Business School (HBS) professor Clayton Christensen, Jerome Grossman, a doctor who also was the Director of Health Care Delivery Policy Program at Harvard Kennedy School, and Jason Hwang, another doctor and graduate of the MBA program at HBS, avoid the traps the plague most other solutions by taking a completely different perspective by looking at other industries where products and services offere... Better Health blogs http://www.medworm.com/rss/comments.php?id=4304877 Mon, 03 Jan 2011 14:00:00 +0100 4304877 http://www.medworm.com/index.php?rid=4298622&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbecoming-a-savvy-healthcare-consumer-a-difficult-science%2F2010.12.29 Dr. Kent Bottles is in the midst of a very thoughtful multi-part blog post under the heading, “The Difficult Science Behind Becoming a Savvy Healthcare Consumer.” Part I examined “the limitations of science in helping us make wise choices and decisions about our health.” Part II explores “how we all have to change if we are to live wisely in a time of rapid transformation of the American healthcare system that everyone agrees needs to decrease per-capita cost and increase quality.” Both parts so far have addressed important issues about news media coverage of healthcare. (more…) *This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=4298622 Wed, 29 Dec 2010 18:00:30 +0100 4298622 http://www.medworm.com/index.php?rid=4265736&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fan-animated-look-at-the-future-of-healthcare%2F2010.12.17 Mrs. Happy and I just returned from Disney World for our Happy family vacation. (It was either that or a Parkinson’s Cruise.) While at Disney’s Epcot Center, Mama and Papa Happy discovered what the future of healthcare in America will look like, and it has nothing to do with insurance. You’ve all seen that giant Epcot ball. Inside that ball is a slow-moving ride that takes you through thousands of years of history. At the end you choose your own future. I present to you this video showing the future of healthcare in America, courtesy of the Epcot Spaceship Earth and Mama and Papa Happy: A couple words of mention. They still think there will be doctors in the future, unless their reference to doctors was reference to future nurse practitioners known as Dr. Nurse. That... Better Health blogs http://www.medworm.com/rss/comments.php?id=4265736 Fri, 17 Dec 2010 20:00:00 +0100 4265736 http://www.medworm.com/index.php?rid=4258869&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-illusion-of-healthcare-reform%2F2010.12.13 The greatest minds are assembled to discern the answer in healthcare reform. Powerful interest groups are aligned to design solutions to protect their turf. Rubrics, formulas, slogans and taglines get designed, spun, pitched and thrown out. The burden of finding alignment, an answer, a plan that suits everyone seems insurmountable — unless we don’t. The idea of a fit for all is an illusion. Justice and equity are seen differently. We imagine some public consensus at our own peril. But honesty has been in short supply. To paraphrase Oprah: What do we know for sure? Some people want a relationship with a trusted doctor who knows them well. They want to pick the doctor, the neighborhood and the hospital they attend. Others want immediate access and have little trust or interest in a p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4258869 Mon, 13 Dec 2010 21:00:00 +0100 4258869 http://www.medworm.com/index.php?rid=4249059&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-virtue-of-unnecessary-care%2F2010.12.10 I case you didn’t hear the news, the American healthcare system is in financial crisis. One of the biggest culprits indicted in this crises is “unnecessary care,” with estimates ranging from $500 to $650 billion (total spending estimate is $2.6 trillion) going toward things labeled “unnecessary.” Personally I think this is an underestimate, as it doesn’t take into account the some big-ticket items: Brand name drugs given when generics would do. Antibiotics given for viral infections (and the additional cost due to reactions and resistance). Unproven costly care considered “standard of care” (PSA testing, robotic surgery, coronary stents). The unnecessarily high price of drugs. One of the main reasons I am an advocate of EMR is to measure and analyze care, eliminating tha... Better Health blogs http://www.medworm.com/rss/comments.php?id=4249059 Fri, 10 Dec 2010 17:00:19 +0100 4249059 http://www.medworm.com/index.php?rid=4125010&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fprogressive-healthcare-rationing-what-will-it-look-like%2F2010.11.01 In prior posts, DrRich introduced his readers to Ezekiel Emanuel, M.D., Ph.D., brother of Rahm, eminent medical ethicist, and one of the White House’s chief advisers on healthcare policy. Dr. Emanuel was one of the authors of that recent paper in the Annals of Internal Medicine which admonished American physicians that resistance is futile. He has also famously called upon American physicians to abandon the obsolete medical ethics expressed in the Hippocratic Oath. The reason the ideas (and pronouncements) of Dr. Emanuel are important is that he presumably will be a major “decider” in determining who will serve on the GOD panels, and how those panels will operate to advance his (and Mr. Obama’s) program of healthcare reform. So, before we leave Dr. Emanuel to his important duties, ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4125010 Mon, 01 Nov 2010 12:00:10 +0100 4125010 http://www.medworm.com/index.php?rid=4086269&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmedical-ethics-and-the-amish-bus-driver-rule%2F2010.10.20 Rachel Maddow, in a discussion related to the provision of abortion services, once proposed that we (society) should invoke the Amish Bus Driver Rule (ABDR) whenever medical professionals invoke their personal convictions in refusing to provide legal medical services. The ABDR goes like this: If you’re Amish, and therefore have religious convictions against internal combustion engines, then you have disqualified yourself for employment as a bus driver. (Presumably Ms. Maddow would not apply the ABDR to everyone, since it would disqualify, for instance, Al Gore from utilizing horseless carriages and other fossil-fueled contrivances.) The ABDR would do far more than merely render it okay for doctors to perform abortions and other ethically controversial (but legal) medical services. The... Better Health blogs http://www.medworm.com/rss/comments.php?id=4086269 Wed, 20 Oct 2010 16:00:58 +0100 4086269 http://www.medworm.com/index.php?rid=4027159&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmedicare-reimbursement-a-23-percent-cut-soon-to-come%2F2010.10.03   “It will never happen.” “They know better than to do it.” “They realize the disaster it would be if they let it pass.” That’s what I hear. I hear that the upcoming SGR adjustment, the one that will cut Medicare reimbursement by 23 percent, won’t go through. In case you missed it, the SGR is a formula coming from the Balanced Budget Act of 1997 that does automatic cuts to Medicare reimbursement. This year we witnessed a legislative game of chicken in congress, with both sides agreeing that it was a bad idea to screw physicians in a time that they are trying to fix healthcare. (more…) *This blog post was originally published at Musings of a Distractible Mind* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=4027159 Sun, 03 Oct 2010 16:00:13 +0100 4027159 http://www.medworm.com/index.php?rid=3983394&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpatient-empowerment-is-it-what-americans-really-want%2F2010.09.19 Empowered patient. Consumer driven healthcare. Transparency. Access to their full medical records online. Review the latest news and you’ll discover more books and articles recommending patients be advocates for themselves. The pitch? The only way to get the best care is to be thorough, informed, and always asking questions. This perspective is understandable because advocates have observed a healthcare system that provides inconsistent quality, too many preventable medical errors, and overtreatment resulting in unnecessary injuries and deaths. Even I’ve written a book saying the same thing, and I hate to write.  The public is urged to take charge of their health and their healthcare. When they have a problem, ask the doctor questions. Do research. If they need a proc... Better Health blogs http://www.medworm.com/rss/comments.php?id=3983394 Sun, 19 Sep 2010 14:00:00 +0100 3983394 http://www.medworm.com/index.php?rid=3924904&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fprimary-care-crisis-why-the-patient-centered-medical-home-will-fail%2F2010.09.01 Everyone understands the need for a robust primary care workforce in making healthcare more affordable and accessible while keeping those in our care healthy. With the aging of America and healthcare reform, even more Americans will need primary care doctors at precisely the same time doctors are leaving the specialty in droves and medical students shun the career choice. As a practicing primary care doctor, I’ve watched with great interest the solutions for the primary care crisis. And I’ve been utterly disappointed. Patients so far don’t like the patient-centered medical home (PCMH) as noted in Dr. Pauline Chen’s New York Times column. The changes recommended won’t inspire the next generation of doctors to become internists and family doctors. (more…)... Better Health blogs http://www.medworm.com/rss/comments.php?id=3924904 Wed, 01 Sep 2010 18:00:00 +0100 3924904 http://www.medworm.com/index.php?rid=3848869&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fcovertrationingblog.com%2Fpodpress_trac%2Ffeed%2F809%2F0%2Fsaveobamacareimplications.mp3 Why Big Health Insurance Supported Obamacare, Part IV In the past few posts (in particular, here and here), DrRich has shown why the health insurance industry embraced Obamacare, and indeed, took extraordinary steps to assure that Obamacare became the law of the land. This, of course, is especially interesting in light of the common perception that Obamacare constitutes a major defeat for the greedy health insurance industry. But the fact that big health insurance gave critical support to Obamacare is far more than merely interesting. It has major implications both to supporters of Obamacare, especially the ones who hope for an eventual single-payer outcome, and to opponents of Obamacare, many of whom hope to repeal it after the 2010 mid-term elections. For the health insurance industry to... Better Health blogs http://www.medworm.com/rss/comments.php?id=3848869 Mon, 09 Aug 2010 20:00:46 +0100 3848869 http://www.medworm.com/index.php?rid=3690840&cid=t_418217_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwill-physician-education-be-valued-in-the-future%2F2010.06.23 The future of American healthcare will not value physician education. Perhaps it’s time to abandon the medical school model and train millions of nurses instead at a fraction of the cost. This comment was left on my blog over at NP=MD: I don’t even compare NPs and MDs. Their models differ. One is not better than the other. The schooling — minus the residency — is nearly equivalent in terms of time spent. The problem is that NPs don’t get a long enough residency. If you take a NP and a MD, both with 20 years clinical experience, the MD does not know more than the NP. Sure, he had a few extra classes 20 years ago — which he doesn’t remember — but that’s about it. NPs aren’t trying to steal MDs’ meal tickets, they’re a... Better Health blogs http://www.medworm.com/rss/comments.php?id=3690840 Wed, 23 Jun 2010 14:00:00 +0100 3690840 http://www.medworm.com/index.php?rid=3581606&cid=t_418217_87_f&fid=39182&url=http%3A%2F%2Fcovertrationingblog.com%2Fpodpress_trac%2Ffeed%2F1514%2F0%2Fhillarystartedit.mp3 Here’s a Podcast of this post: __________ Part 1 of Limiting Individual Prerogatives __________ Have you ever wondered where Obamacare came from? From where, exactly, did those 2700 pages of undecipherable prose arise? It is clear that our Congresspersons never read it, let alone wrote it. At the President’s “Health Care Summit” in late February it seemed pretty plain, to DrRich at least, that the only people in the room who had read the bill carefully were Republican Congresspersons Ryan and Cantor. The proponents of the bill stuck to generalities, platitudes, and vignettes about recycling dead people’s dentures. When Ryan and Cantor used their knowledge of the bill to question the President about its details, they were admonished to stop using “props.... The Covert Rationing Blog blogs http://www.medworm.com/rss/comments.php?id=3581606 Mon, 19 Apr 2010 10:31:34 +0100 3581606 http://www.medworm.com/index.php?rid=3524101&cid=t_418217_87_f&fid=39182&url=http%3A%2F%2Fcovertrationingblog.com%2Fpodpress_trac%2Ffeed%2F1514%2F0%2Fhillarystartedit.mp3 Here’s a Podcast of this post: __________ Part 1 of Limiting Individual Prerogatives __________ Have you ever wondered where Obamacare came from? From where, exactly, did those 2700 pages of undecipherable prose arise? It is clear that our Congresspersons never read it, let alone wrote it. At the President’s “Health Care Summit” in late February it seemed pretty plain, to DrRich at least, that the only people in the room who had read the bill carefully were Republican Congresspersons Ryan and Cantor. The proponents of the bill stuck to generalities, platitudes, and vignettes about recycling dead people’s dentures. When Ryan and Cantor used their knowledge of the bill to question the President about its details, they were admonished to stop using “props.... The Covert Rationing Blog blogs http://www.medworm.com/rss/comments.php?id=3524101 Mon, 19 Apr 2010 10:31:34 +0100 3524101 http://www.medworm.com/index.php?rid=3524104&cid=t_418217_87_f&fid=39182&url=http%3A%2F%2Fcovertrationingblog.com%2Ffixing-american-healthcare%2Fsome-powers-of-the-immutables As DrRich helpfully pointed out in his last post, our new healthcare law (Section 3403) creates a new and apparently immutable entity called the “Independent Medicare Advisory Board,” whose job is “to reduce the per capita rate of growth in Medicare spending.”  This, in fact, is the right goal. For it is the rate of growth in healthcare spending (and not the absolute amount being spent) that threatens us with societal disintegration within the next couple of decades. But as DrRich has so expertly demonstrated, it is mathematically impossible to attribute this explosive growth rate in healthcare spending to waste and inefficiency. Most of that growth must necessarily be caused by healthcare expenditures that are actually producing some benefit (though, to be sure, s... The Covert Rationing Blog blogs http://www.medworm.com/rss/comments.php?id=3524104 Fri, 02 Apr 2010 13:45:41 +0100 3524104 http://www.medworm.com/index.php?rid=3524106&cid=t_418217_87_f&fid=39182&url=http%3A%2F%2Fcovertrationingblog.com%2Fwonkonian-rationing%2Fcovert-rationing-under-our-new-healthcare-law DrRich does not really hope to understand the new healthcare law in its entirety, at least, not anytime soon. It is breathtaking in its length and complexity, and indeed, in at least some parts its meaning is far beyond merely difficult to understand - it is fundamentally unknowable. For example, prior to the bill’s passage, opponents of abortion insisted that the bill would allow government funding for abortions, while proponents of abortion said it would not. DrRich has read that section, and thinks that one simply cannot be sure of what it actually says. (Now that the bill has passed, DrRich expects both of these two interest groups to completely reverse their respective opinions on what it means. Given the language of the bill itself, both will be able to do so with a straight fa... The Covert Rationing Blog blogs http://www.medworm.com/rss/comments.php?id=3524106 Sun, 28 Mar 2010 23:52:44 +0100 3524106 http://www.medworm.com/index.php?rid=1692710&cid=t_418217_118_f&fid=36984&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FHealthManagementRx%2F%7E3%2F359591141%2Fback-of-napkin-healthcare-reform-hmrx.html This is a blog post I've been meaning to write for a few months. You know what they say about the best laid plans...Impetus to finally write it arrived while watching a replay of healthcare-related testimony before the Democratic National Committee on CSPAN2.Unfortunately it's another sad rehash of problems with very few suggested solutions (although the next President's camp needs to hire farmer Ray McCormick from Vincennes, Indiana, as a policy advisor - his suggestions for improving access to care delivery and info include nifty, 'rogue' ideas like universal broadband availability).When I think about where our healthcare system IS and IS GOING my stomach gets all swirly and twitchy. I'm certainly not alone.82 percent of the American public believes US healthcare needs an overhaul.From t... Health Management Rx blogs http://www.medworm.com/rss/comments.php?id=1692710 Fri, 08 Aug 2008 15:27:00 +0100 1692710