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The Future Of The Affordable Care Act In A Trump Administration
This segment originally aired on The Diane Rehm Show on November 14, 2016.
The HealthCare.gov website, where people can buy health insurance, is displayed on a laptop screen. AP PHOTO/ANDREW HARNIK
Republicans in Congress have voted more than 50 times to repeal the Affordable Care Act without success. Now, they have an ally in President-elect Donald Trump, who promised on the campaign trail to “repeal and replace” the law. But over the weekend, Trump seemed to soften his stance. He told the Wall Street Journal he would consider leaving in place some provisions, including one that prohibits insurers from denying covera...
Source: Disruptive Women in Health Care - November 15, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Affordable Healthcare Act Consumer Health Care Cost Coverage Policy Election 2016 Health Reform Source Type: blogs
Smoking Linked to One-Fourth of All US Cancer Deaths
For me personally, the noxious habit of smoking does not seem to exist any more. At home and when traveling to large cities in the U.S., I rarely see anyone smoking. And yet, here's an article that indicates that smoking is linked to one-fourth of all U.S. cancer deaths (see:One-fourth of US cancer deaths linked with 1 thing: smoking). Below is an excerpt from it:Cigarettes contribute to more than 1 in 4 cancer deaths in the U.S. The rate is highest among men in Southern states where smoking is more common and the rules against it are not as strict. The American Cancer Society study found the hi...
Source: Lab Soft News - November 15, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: General Healthcare Medical Consumerism Medical Education Medical Research Preventive Medicine Public Health Informatics Source Type: blogs
President Trump ’s Immigration Plans
Trump ’s victory in the Presidential election is a tremendous political upset. The biggest issue raised by Trump was immigration—and hedidn ’t waiver from his restrictionist position. Although the polling data doesn ’t show support forTrump ’s position and the election was not a blowout, depending on whether he wins the popular vote (unclear at this time) he and other restrictionist Republicans will take this as a mandate to follow through on his immigration promises. Trump ’s stump speeches were superficial but his immigrationposition paper was detailed and specific. Simply, it calls for a 20 percent to 60 p...
Source: Cato-at-liberty - November 9, 2016 Category: American Health Authors: Alex Nowrasteh Source Type: blogs
The Cost Of A Cure: Revisiting Medicare Part D And Hepatitis C Drugs
Two years ago, soon after the Food & Drug Administration (FDA) approved the first breakthrough treatment for hepatitis C, we wrote about the potential cost of a cure to Medicare Part D and its beneficiaries. For that piece, we used the best available data to estimate the number of people on Medicare who might seek treatment and the impact on Medicare spending. Here we revisit our earlier analysis using new data released by CMS, and consider both the ongoing impact of hepatitis C drugs for Part D and the broader implications for Medicare of new high-priced drugs entering the market.
Hepatitis C Drugs Have Driven Drug Sp...
Source: Health Affairs Blog - November 3, 2016 Category: Health Management Authors: Jack Hoadley, Tricia Neuman and Juliette Cubanski Tags: Drugs and Medical Innovation Medicare FDA Harvoni hepatitis C prescription drug prices Sovaldi Source Type: blogs
The Perversion of Fiscal Federalism: Daniel L. Hatcher ’ s, “ The Poverty Industry: The Exploitation of America ’ s Most Vulnerable Citizens ”
By DAVID INTROCASO
It’s not that we do not know that Medicaid and Medicare fraud is rampant. A 2012 estimate by the former CMS administrator, Donald Berwick, estimated the amount at $100 billion annually. Nor are we unaware, that drug companies routinely pay massive fines for illegal business practices: eight firms have paid in sum over $11.2 billion in civil and criminal fines since 2010. Beyond these issues what is possibly most disturbing about the numerous inter-related health and human services issues “The Poverty Industry” raises is Professor Hatcher’s detailed discussion of how state human ser...
Source: The Health Care Blog - November 1, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
A Nobel for autophagy, and the importance of fundamental research
Yoshinori Ohsumi has been awarded the 2016 Nobel Prize for Physiology or Medicine for his work on autophagy, a process of eukaryotic cells for degrading and recycling cellular components. Because of his research, we now understand the importance of autophagy in health and human disease. It is another example of the serendipity of science and yes, it is relevant to virology!
The word autophagy was coined by Christian de Duve in 1963 to describe a process that he and others had previously described: when stressed, cells would sequester portions of the cytoplasm in double-membraned vesicles called autophagosomes. These would ...
Source: virology blog - October 6, 2016 Category: Virology Authors: Vincent Racaniello Tags: Basic virology Commentary Information autophagosome autophagy Nobel Prize saccharomyces serendepity of science viral virus viruses yeast Yoshinori Ohsumi Source Type: blogs
Holier Than Thou Doctors
BY JIM PURCELL
I can recall it like yesterday. It was 2004, and I had become the CEO of Blue Cross & Blue Shield of Rhode Island. I was in the middle of my annual physical with my long-standing primary care physician, Dr. Richard Reiter (true). Dick Reiter is my age and is an old school doc. He caught my cancer before it got too serious, and had been yelling at me about things like cholesterol, stress, and exercise for years.
During a lull in the exam, I turned to him and asked, “Dick, I’m the CEO of Blue Cross. What do I need to know?” He paused, looking down. Then his cheek started to twitch. I ...
Source: The Health Care Blog - October 3, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACA Blue Cross Health Plans Jim Purcell Source Type: blogs
Statin Wars: Less-is-More versus Unlimited Medicine
By SARAH JHA, MD
It is the beauty of evidence-based medicine (EBM) that a scientist can at once be a Pope and a Galileo. His transmutation is as effortless as it is discretionary. If you think you’ve met Galileo – a rebel, a free thinker, a rocker of the establishment – the following week he is a Pope, castigating detractors, censoring critics, and celebrating uniformity. He changes by a roll of the dice. His change is decided by a quirk in hypothesis-testing known as statistical significance. If the p value is 0.051 he is Galileo, if the p value is 0.049 he becomes the cardinal. He is one day a raging skepti...
Source: The Health Care Blog - September 20, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Health Affairs ’ September Issue: Payment Reforms, Prescription Drugs, And More
The September issue of Health Affairs, a variety issue, includes a number of studies examining aspects of payment reform, the impact of certain ACA provisions, the value of some high-cost anticancer drugs, and more. It also includes a DataGraphic examining aging and health.
DATAWATCH: New evidence of rapid physician practice consolidation, 2013–15
In the past few decades, group physician practices have become more of the norm, and the proportion of physicians in larger groups has grown. David Muhlestein and Nathan Smith, with Leavitt Partners in Salt Lake City, Utah, looked at Medicare’s Physician Compare data for the ...
Source: Health Affairs Blog - September 7, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs Featured Health Affairs journal Source Type: blogs
Tentative Steps Away from the Gas Tax and towards a Better System
The state of Oregon recently began a pilot program with 1,000 drivers, which charges those drivers a fee based on the miles they drive, rather than a gas tax. Several states are looking closely at Oregon ’s experiment. This could mark the beginning of a major change to a much better way to finance our roads.The states care about Oregon ’s experiment because the gas tax is a lousy user fee that doesn’t come close to capturing the true cost a driver imposes on the state when he drives, whether via the wear and tear his vehicle causes to the highway, the congestion his presence on the road exacerbates, or the pollution ...
Source: Cato-at-liberty - September 6, 2016 Category: American Health Authors: Ike Brannon Source Type: blogs
Why Don ’t We Take Tanning As Seriously As Tobacco?
With our Back to School series highlighting how best to navigate through the college journey; we also revisit a series that ran last year in May covering the hazards of indoor tanning beds. The following is one of the posts that spoke to the risks and concerns as they relate to skin cancer. It’s Flashback Friday here at Disruptive Women in Health Care!
With May being Skin Cancer Awareness Month and in tandem with our event Wednesday co-hosted with the Congressional Families Cancer Prevention Program, The Hazards and Allure of Indoor Tanning Beds on College Campuses we are running a series on skin cancer. Be sure to ...
Source: Disruptive Women in Health Care - August 19, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Cancer Wellness prevent cancer foundation Source Type: blogs
Capping Co-Pays Doesn ’t Lower Drug Costs
By DEVON HERRICK
Politicians are concerned about your drug costs. Unfortunately, their proposals could actually raise drug prices and force you to pay more, albeit indirectly. For instance, presidential candidate Hillary Clinton proposes to cap your prescription drug co-pays at no more than $250 per month. Rising drug costs are now a political issue because the number of diseases and conditions that can be treated using drug therapy has grown tremendously over the past 25 years. Arguably, one of the main reasons patients visit their doctors is to obtain or renew prescriptions. When they visit their doctors’ offices, Amer...
Source: The Health Care Blog - August 18, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
School Choice Lawsuits Update: Summer 2016 Edition
As school choice wins in the court of public opinion, opponents have resorted to fighting it in the courts of law. Here are a few brief updates regarding pending lawsuits against school choice programs around the country.Colorado: Douglas County ’s School Choice Grant ProgramLast summer, the Colorado Supreme Court struck down Douglas County’s school voucher program with a plurality ruling that the law violates the state’s historically anti-Catholic Blaine Amendment, which forbids public money from being used at religious schools. District officials responded to the ruling by creating a new voucher program that...
Source: Cato-at-liberty - August 15, 2016 Category: American Health Authors: Jason Bedrick Source Type: blogs
Fight Aging! Newsletter, July 25th 2016
This study builds on preliminary findings from the first phase of the INTERSTROKE study, which identified ten modifiable risk factors for stroke in 6,000 participants from 22 countries. The full-scale INTERSTROKE study included an additional 20,000 individuals from 32 countries in Europe, Asia, America, Africa and Australia, and sought to identify the main causes of stroke in diverse populations, young and old, men and women, and within subtypes of stroke.
To estimate the proportion of strokes caused by specific risk factors, the investigators calculated the population attributable risk for each factor (PAR; an esti...
Source: Fight Aging! - July 24, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Another Set of Popular Science Articles on the Prospects for Aging Research
Science News recently lumped together a few popular science articles on aging research into a special issue on the subject. As the blurb notes, aging is very much neglected in comparison to its importance, and accepted despite the damage it does. Defeating aging should be the primary focus of medical research, given that it kills about twice as many people as all of the other causes of death put together, and is the root cause of an even larger proportion of disability, pain, suffering, and medical expense. That it isn't is just another sign that we humans are not good at priorities and common sense.
Everyone ages...
Source: Fight Aging! - July 22, 2016 Category: Research Authors: Reason Tags: Of Interest Source Type: blogs
