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Mom Knows Best: Overcoming Life’s Hardships
Life bruises. For others, it cripples. And, for a select few, it empowers.
As we marvel at others’ resilience during uncommon adversity, what lessons are applicable to our lives?
On a gloomy October day, the doctor’s diagnosis numbed us. “Pancreatic cancer,” he spat out. My aunt and I recoiled. The word — cancer — buzzed in our ears. Shoulders slumping, our mist-filled eyes met. We were dazed; cancer happens to others. Not our familial matriarch.
Grim-faced and sullen, we staggered to Mom’s hospital room. And here, in a sterile hospital room, Mom’s resilience transcended our raw, unfiltered emotions...
Source: World of Psychology - July 14, 2016 Category: Psychiatry & Psychology Authors: Matthew Loeb Tags: Brain and Behavior Caregivers Family General Grief and Loss Inspiration & Hope Parenting Personal Relationships Cancer Courage Forgiveness Grace grieving Mom Motherhood pancreatic cancer diagnosis Resentment Resilience Source Type: blogs
About the death panels . . .
(This is a repost from a while back but I want to re-start a discussion.) Uwe Reinhardt wrote the following:The . . . opponents of cost-effectiveness analysis [include] individuals who sincerely believe that health and life are “priceless” — for them, cost should never be allowed to enter clinical decisions. It is an utterly romantic notion and, if I may say so, also an utterly a silly one. No society could ever act consistently on such a credo.Yes, believe it or not, the James Madison Professor of Political Economy at Princeton University does not believe that human life is infinitely precious. Of course he's going ...
Source: Stayin' Alive - July 1, 2016 Category: American Health Source Type: blogs
Still No Questions Asked - Journalists Fail to Challenge Talking Points Used to Justify Million Dollar Plus Executive Compensation at New York Non-Profit Hospitals
ConclusionSadly, the ever rising compensation of top health care managers seems to inspiring less, rather than more skepticism in the media. No more is it true that nearly all articles that try to delve into executive compensation at all at least quote some experts who are skeptical of current practices.The Journal News series included no such attempts at balance. In my humble opinion, while it reported on useful facts, the opinions it contained leaned towards propaganda for managers' current privileged position in health care. Despite all the blather about how top hospital executives deserve millio...
Source: Health Care Renewal - June 29, 2016 Category: Health Management Tags: boards of trustees conflicts of interest executive compensation hospital systems hospitals perverse incentives Source Type: blogs
Time To Fix The Black Hole In Medicare Data
Every year, the Medicare program pays for nearly 500,000 hip and knee replacement surgeries for America’s seniors. At the same time, approximately 25,000 patients undergo procedures to remove and replace a previous artificial joint, sometimes because it failed before the end of its expected useful life. Remarkably, and largely due to inadequacies in the systems that collect data through routine billing, the Medicare program is unable to identify product failures and patient safety problems, or to measure and promote high-value care with medical devices. This problem is serious, but can, and should, be fixed.
A number...
Source: Health Affairs Blog - June 29, 2016 Category: Health Management Authors: Ben Moscovitch, Josh Rising, Gregory Daniel and Joseph Drozda Tags: Costs and Spending Health IT Health Policy Lab Health Professionals Medicare Public Health Quality Alternative Payment Models Congress medical device safety medical devices unique device identifier Source Type: blogs
The World’s Greatest Health Care Plan
Wherever we look around the world today, we almost always find that normal market processes have been systematically suppressed in health care. As a rule, no one ever sees a real price for any medical service. No patient. No doctor. No employer. No employee. Further, we have not replaced the price system with an alternative that would allow people to make rational health care choices.
As a consequence, in virtually every health care system in the world, people face perverse incentives. When they act on those incentives, they do things that make costs higher, quality lower, and access to care more difficult than otherwise w...
Source: Health Affairs Blog - June 16, 2016 Category: Health Management Authors: John Goodman Tags: Costs and Spending Featured Insurance and Coverage Organization and Delivery Payment Policy ACA replacement Bill Cassidy Pete Sessions Politics Source Type: blogs
How Patient Groups Have Begun To Influence The Value And Coverage Debate
In 2015, two issues related to medicine could be relied on to generate headlines: drug pricing and the proliferation of new value frameworks that claimed to define the value and even the price of drugs in seemingly easy-to-understand ways. In none of the high-profile skirmishes on pricing or frameworks was the voice or perspective of patients and patient groups very much in evidence. But that is beginning to change, in an evolution of a broader shift in the role that patients are playing in the research and development (R&D) enterprise.
A New Culture of Engagement
Patients and patient organizations are becoming ever mo...
Source: Health Affairs Blog - June 10, 2016 Category: Health Management Authors: Margaret Anderson and Kristin Schneeman Tags: Costs and Spending Health Professionals Organization and Delivery Quality clinical research patient use of evidence venture philanthropy Source Type: blogs
Obama’s Misguided Reversal On Social Security Expansion
In a speech this week, President Obama called for an expansion of Social Security, saying “it’s time we finally made Social Security more generous, and increased its benefits.” Obama was undoubtedly influenced to some degree by the developments in the Democratic primary, where both Bernie Sanders and Hillary Clinton have expressed support for some form of expansion. This represents a reversal in part for Obama. While he had always supported increasing payroll taxes on higher-earning Americans, he had also previously supported a change in the way benefits were adjusted each year that would have reduced the growth ...
Source: Cato-at-liberty - June 3, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs
Playing the China Card Wisely Is Obama's Last Best Chance to Sell the Trans-Pacific Partnership
The Trans-Pacific Partnership is the economic centerpiece of the Obama administration’s much ballyhooed “strategic pivot” to Asia, which – in 2009 – heralded U.S. intentions to extricate itself from the messes in Iraq and Afghanistan and to reassert its interests in the world’s fastest-growing region. After six years of negotiations, the comprehensive trade deal was completed last year and signed by its 12 charter members earlier this year. But the TPP must be ratified before it can take effect – and prospects for that happening in 2016 grow dimmer with each passing day.
One would assume TPP ratification a...
Source: Cato-at-liberty - June 3, 2016 Category: American Health Authors: Daniel J. Ikenson Source Type: blogs
Is High Prescription Drug Spending Becoming Our New Normal?
This report concluded there was value in these therapies but also raised concerns about whether their effects will translate into lower rates of heart attack and stroke. Further, ICER concluded that a discount of 67 percent off the drugs’ list price would better represent their overall benefit. ICER’s assessment is still in draft form and it remains unclear whether the report will have any effect. Nevertheless, such work is a step in the right direction.
Other entities are developing alternative methods to evaluate prescription drugs. The American Society for Clinical Oncology has sought comment on its proposed val...
Source: Health Affairs Blog - May 17, 2016 Category: Health Management Authors: Leigh Purvis and Crystal Kuntz Tags: Costs and Spending Drugs and Medical Technology Featured Payment Policy Quality Big Pharma Biosimiliar Comparative Effectiveness FDA PCSK9 inhibitors Sovaldi specialty drugs Source Type: blogs
Datapalooza: MACRA, EHR Reform and Working with Doctors – Not Against Them
BY ANDY SLAVITT
There’s a bit of a checklist for speaking at Datapalooza. Thank Niall. Mention Todd Park. Remark at how big the event has gotten compared to last year. Recap how much progress has been made. Refer to yourself as a “data geek” . Also, have in my notes “Good not to follow Farzad or Aneesh” . Perhaps even make some news with an announcement or grant or contest. Several of my colleagues did this and I share their excitement.
But I’m not going to make news. Instead, I’m going to relay a bit of my personal experience with health care innovation and technology as my goal is to leave this job with not...
Source: The Health Care Blog - May 12, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Anheuser Busch "Smart Drinking" Initiative is a Complete Farce
Last December, Anheuser-Busch InBev (AB InBev) announced its commitment of more than $1 billion over ten years to promote "Smart Drinking," whose major purported purpose is to "reduce the harmful use of alcohol" by reducing "binge drinking, underage drinking and drink-driving." The company claims that this represents "Doing Right, While Doing Well." A major goal is to reduce the "harmful use of alcohol" by at least 10% in six cities within 10 years.The Rest of the StoryThe truth is that this initiative is essential a huge scam designed to promote alcohol use, to divert attention away from the alcohol industry's culpability...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 3, 2016 Category: Addiction Source Type: blogs
Fight Aging! Newsletter, April 11th 2016
In this study we expanded the study by investigating associations of the rest blood parameters with age, and associations between generations, aiming to seek candidate factors associated with familial longevity. Associations of blood parameters in centenarians (CEN) with their first generation of offspring (F1) and F1 spouses (F1SP) were analyzed.
In this study, using association and further comparison analyses we identified several blood parameters that may contribute to longevity. First, total cholesterol (TC) and triglyceride (TG) increased with age until 80 years, but decreased in centenarians, indicating that l...
Source: Fight Aging! - April 10, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Finishing up on the QALY thing . . .
Fortunately, just as I was beginning to lose the thread, Thomas A. Farley comes along in NEJM to make my point for me. A small explainer is needed -- in order to compare the benefits of various health-related interventions, we need a "common currency." It's not enough just to look at life extension. On the one hand, some interventions don't necessarily extend life at all, but they still have value because they relieve pain and disability. Others may extend life, but with very poor quality.So Quality Adjusted Life Years are a commonly used measure of benefit. They're controversial and I actually buy some of the criticisms. ...
Source: Stayin' Alive - April 7, 2016 Category: American Health Source Type: blogs
Don’t Let the Talking Points Fool You: It’s All About the Risk Pool
Most people are healthy most of the time, and as a consequence, health care expenditures are heavily concentrated in a small share of the population: about 50 percent of the health care spending in a given year by those below age 65 is attributable to just 5 percent of the nonelderly population. The lowest spending half of the population accounts for only about 3.5 percent of health care spending in a year.
Deciding how much of total health care expenditures should be shared across the population and how to share it is the fundamental conundrum of health care policy. There is more risk pooling the larger the share of healt...
Source: Health Affairs Blog - March 15, 2016 Category: Health Management Authors: Linda Blumberg and John Holahan Tags: Costs and Spending Equity and Disparities Featured Insurance and Coverage Medicaid and CHIP Medicare community rating Employer-Sponsored Insurance experience rating guaranteed issue and renewal health savings accounts high-risk pools Source Type: blogs
CMS Releases Final 2017 Letter To Issuers In The Federally Facilitated Marketplaces (Updated)
Implementing Health Reform (March 3 update). On March 3, 2016, the Office of the HHS Assistant Secretary for Planning and Evaluation (ASPE) announced that the ACA has resulted in gains in health insurance coverage of 20 million adults through February 22, 2016. This includes 2.3 million young adults who gained coverage under the ACA provision allowing young adults to remain on their parents’ coverage through age 26, and 17.7 million non-elderly adults who have gained coverage between the beginning of open enrollment in October 2013 and the present. The report shows continued progress since ASPE released its last estimat...
Source: Health Affairs Blog - March 3, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Alaska Medicaid expansion QHPs Supreme Court Source Type: blogs
