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Planned Parenthood, Community Health Centers, And Women’s Health: Getting The Facts Right
The current Planned Parenthood fight, one of the most disturbing battles over women’s health in recent years, has been riddled with inaccuracies. A particularly damaging one is the assertion that the nation’s community health centers could pick up the slack if Planned Parenthood is defunded.
I have worked with community health centers for nearly 40 years, and no one believes more strongly than I do in their ability to transform the primary health care landscape in medically underserved low-income communities. But a claim that community health centers readily can absorb the loss of Planned Parenthood clinics amounts to ...
Source: Health Affairs Blog - September 2, 2015 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Equity and Disparities Featured Health Professionals Long-term Services and Supports Organization and Delivery Population Health Public Health Quality Community Health Centers family planning funding Health Polic Source Type: blogs
A Food Safety Test We Have Yet To Pass
Back in 1987 The Wall Street Journal shocked health care consumers and awakened the U.S. clinical community with these headlines:
“Lax Laboratories: The Pap test misses much cervical cancer through labs’ errors” (Walt Bogdanich, November 2, 1987)
“Physician’s carelessness with Pap tests is cited in procedure’s high failure rate” (Walt Bogdanich, December 29, 1987)
“Medical labs, trusted as largely error-free, are far from infallible” (Walt Bogdanich, February 2, 1987)
“Risk Factor: inaccuracy in testing cholesterol hampers war on heart disease” (Walt Bogdanich, February 3, 1987)
It took this...
Source: Health Affairs Blog - August 20, 2015 Category: Health Management Authors: Robin Stombler Tags: Featured Public Health Quality FDA Food Laboratory Alliance food safety Food Safety Modernization Act FSMA Source Type: blogs
HPV Myths – BUSTED
There’s an awful lot of misinformation out there about HPV and the HPV vaccine. Let’s see what I can do to clear up the confusion. Here are eight myths I find myself having to continually address with my patients. Let’s bust ’em!
Myth#1 – HPV is forever
Wrong. 90-95% of the time, HPV infections clear without any treatment. For those women with persistent HPV infection, we have pap smears to detect and treat precancerous lesions (dysplasia) years before they become invasive cancer.
Myth #2 – If I’ve had the HPV vaccine, I don’t need Pap smears.
Wrong again. While the HPV vaccine is h...
Source: The Blog That Ate Manhattan - August 17, 2015 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: HPV HPV & Cervical Cancer abnormal pap Cervarix Gardasil HPV Vaccine Source Type: blogs
What is the diagnosis in this woman with an enlarging neck mass?
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 78-year-old woman is evaluated for a rapidly enlarging neck mass that has been present for 4 weeks and is associated with neck discomfort, dysphagia, and hoarseness. The patient has had Hashimoto thyroiditis and hypothyroidism since age 24 years and has been taking levothyroxine since that time.
Physical examination reveals an older woman in severe distress. Temperature is 39.4 °C (102.9 °F), blood pressure is 145/75 mm Hg, pulse rate is 110/min, and respiration rate is 16/min; BMI is 23. Pulmonary examinati...
Source: Kevin, M.D. - Medical Weblog - August 15, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Endocrinology Source Type: blogs
Title X: The Lynchpin Of Publicly Funded Family Planning In The United States
The Title X national family planning program was created 45 years ago with broad bipartisan support. Today, Congress has Title X—still the only federal grant program dedicated entirely to family planning and related preventive health care—in its sights for severe funding cuts or even elimination.
The U.S. House of Representatives has proposed ending the program for the fifth year in a row, and the U.S. Senate is recommending a sizable reduction to Title X’s budget. In addition, while legislation aimed at defunding Planned Parenthood and its affiliates, whose health centers serve one-third of Title X clients n...
Source: Health Affairs Blog - August 10, 2015 Category: Health Management Authors: Kinsey Hasstedt Tags: Costs and Spending Equity and Disparities Featured Long-term Services and Supports Population Health Public Health Quality ACA family planning Planned Parenthood Title X Women's Health Source Type: blogs
Praluent, the Next Expensive "Game Changer," Blockbuster," "New Hope," - But Not Yet Shown to Benefit Patients
ConclusionsThe NEJM study was accompanied by an editorial by Stone and Lloyd-Jones(2) which documented that drugs previously shown to lower cholesterol were never proved to do any good for patients, and concluded,it would be premature to endorse these drugs for widespread use before the ongoing randomized trials, appropriately powered for primary end-point analysis and safety assessment, are available. After an FDA advisory committee recommended approval of aliromucab and another PCSK9 inhibitor in June, 2015, John Mandrola entitled a Medscape article,Dear FDA: Resist the Urge on PCSK9 DrugsHis reasons included lack o...
Source: Health Care Renewal - August 5, 2015 Category: Health Management Tags: aliromucab evidence-based medicine health care prices manipulating clinical research PCSK9 inhibitor Praluent Regeneron Sanofi-Aventis Source Type: blogs
Profit over Safety – Centers for Disease Control Names 271 New Vaccinations
Conclusion
How many vaccinations will be considered to be a sensible number? If all of the vaccinations currently under development are deemed a success, how many of them will be added to the schedule? As there is little research to determine which ingredients are in the vaccinations listed as “under development” by the CDC, many parents are concerned about their toxicity and how best to protect their children.
I will leave you with the wise words of Robert F, Kennedy Jr: “Vaccine industry money has neutralized virtually all of the checks and balances that once stood between a rapacious pharmaceutical industry and ou...
Source: vactruth.com - August 3, 2015 Category: Allergy & Immunology Authors: Christina England Tags: Top Stories Christina England Logical Centers for Disease Control (CDC) World Health Organization (WHO) PhRMA Robert F. Kennedy Jr. Source Type: blogs
TBT: Health Disparities in the LGBT Community and the Importance of Data
In light of Caitlyn Jenner’s 2015 Arthur Ashe Courage Award acceptance speech at the ESPYs last night we are running the post below for TBT. It first ran on Disruptive Women in June 2014.
Lesbian, Gay, Bisexual and Transgender (LGBT) individuals are becoming increasingly visible in our society. Unfortunately, they are subjected to discrimination and stigma similar to other marginalized groups such as racial and ethnic minorities and people with disabilities. The current political and social context and unique health care needs, impact the health of LGBT individuals, resulting in health disparities (poorer health ou...
Source: Disruptive Women in Health Care - July 16, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy TBT Source Type: blogs
How was Henrietta Harmed?
The HeLa LegacyI recently had the pleasure of meeting two of Henrietta Lacks’ descendants when I participated in a panel discussion with her granddaughter Kimberly Lacks and her great-granddaughter Veronica Spencer at Metropolitan Community College, Longview’s Spring Convocation on April 16th, 2015. The story of Henrietta Lacks was chronicled in the best-selling book The Immortal Life of Henrietta Lacks by Rebecca Skloot. This African-American woman, who died in 1951, is the source of the famous HeLa cells. These cells, obtained from a biopsy of Henrietta’s cancerous cervix, are unique; they are immortal ...
Source: blog.bioethics.net - June 14, 2015 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care syndicated Source Type: blogs
How Texas Lawmakers Continue To Undermine Women’s Health
For years, Texas has had the highest proportion of uninsured individuals overall, and for adult women specifically, of any state. In 2013, one in five Texans had no health insurance of any kind, including 2.1 million adult women.
Beyond limited access to health coverage, Texas consistently has lackluster health indicators — particularly with regard to sexual and reproductive health care. Yet, at seemingly every turn, state lawmakers continue to implement neglectful, or even hostile, policies that hinder access to affordable sexual and reproductive health care and information, especially among low-income Texas women a...
Source: Health Affairs Blog - May 20, 2015 Category: Health Management Authors: Kinsey Hasstedt Tags: Equity and Disparities Featured Population Health Abortion Access contraceptives HIV Medicaid Reproductive Health STI Texas Women's Health Source Type: blogs
Implementing Health Reform: Clarifying Requirements For Coverage Of Contraceptives And Other Preventive Services
The Affordable Care Act requires nongrandfathered individual and group insurers and group health plans to cover certain preventive services without cost sharing. Specifically, it requires coverage of:
evidence-based items and services given an “A” or “B” rating by the United States Preventive Services Task Force (USPSTF) with respect to the individual involved;
immunizations as recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control;
children’s preventive care and screenings as recommended by Health Resources and Services Administration (HRSA) guidelines;
Women’s prev...
Source: Health Affairs Blog - May 12, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage contraceptives Prevention Source Type: blogs
Top stories in health and medicine, May 6, 2015
From MedPage Today:
Extra Weight Good for Type 2 Diabetes Patients? Overweight patients with type 2 diabetes were less likely to die in a decade-long study than otherwise similar normal-weight patients.
CMS Touts Pioneer ACO Results. The “Pioneer Model” of an accountable care organization (ACO) saved Medicare about $385 million in its first 2 years, according to the Centers for Medicare and Medicaid Services (CMS).
Most Football Concussions Happen in Practice. High school and college football players suffer more concussions during practices than during games.
Frequent Aspirin Use Tied to Lower Cervical Ca Ris...
Source: Kevin, M.D. - Medical Weblog - May 6, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Source Type: blogs
Top stories in health and medicine, May 1, 2015
From MedPage Today:
ACP Prefers Cervical Cytology Over DNA Screens for Young Women. The American College of Physicians (ACP) said Pap smears should be the mainstay of cervical cancer screening in normal-risk women younger than 30, with molecular testing for human papilloma virus (HPV) reserved for older patients only.
FDA Wants Data to Support Antiseptic Claims. Following up on a promise made last year, the FDA is proposing new rules governing topical healthcare antiseptics that will require manufacturers to submit hard data on their safety and effectiveness.
U.S. Doctors Rush to Aid Nepal Relief Efforts. With the death ...
Source: Kevin, M.D. - Medical Weblog - May 1, 2015 Category: Journals (General) Authors: MedPage Today Tags: News OB/GYN Rheumatology Source Type: blogs
Health Affairs’ April Issue: The Cost And Quality Of Cancer Care
This study is part of Health Affairs’ DataWatch series.
Under the new pay-for-performance models, how do low performers fare?
Jessica Greene of George Washington University’s School of Nursing and coauthors studied the impact of a primary care provider compensation model—that of Fairview Health Service, a Pioneer accountable care organization in Minnesota—in which 40 percent of providers’ compensation was based on their clinic-level quality outcomes. The researchers examined providers’ performance data before the model and two years after implementation,
The best predictor of improvement was the primary care pr...
Source: Health Affairs Blog - April 6, 2015 Category: Health Management Authors: Chris Fleming Tags: Access All Categories Chronic Care Comparative Effectiveness Consumers Europe Health Care Costs Health Care Delivery Pharma Policy Quality Research Source Type: blogs
