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Longevity and Long-Term Care: The Medical Crisis of the 21st Century : Part 2
Throughout the 20th century, most Americans saw “longevity” as a goal. If we took care of our bodies, we reasoned, we could “live longer and better.”
But in the 21st century, I suspect that some of us will learn to fear “longevity” the way we now fear cancer.
This is the second in a series of posts that will explore the anguish that some experience when they live into their late eighties and nineties–and how we, as a society, can address the hardships of “old, old age.”
Senile Dementia
Thanks to better diets, exercise, and advances...
Source: Health Beat - May 19, 2014 Category: American Health Authors: Maggie Mahar Tags: Knocking on Heaven's Door Alzheimer's Alzheimer's drugs Compassion and Choices fast medicine Long-term care longevity over-treatment pacemakers palliative care senile dementia slow medicine Uncategorized Consumer Reports Katy B Source Type: blogs
Some Authoritative Skepticism about the "Triumph" of Sovaldi to Add to Outrage about "Blood Money"
This report just appeared online in JAMA Internal Medicine [Ollendorf DA, Tice JA et al. The comparative clinical effectiveness and value of simeprevir and sofosbuvir in chronic hepatitis C viral infection. JAMA Inte Med 2014. Link here.] The review found again that there were major limitations in the available data, and so much of it was based on a network meta-analysis and simulation studies,The review was limited to patients with genotype 1, 2, and 3 infections, which account for most HCV cases in the United States. At the time of the review, no head-to-head trials of the direct-acting antiviral d...
Source: Health Care Renewal - May 7, 2014 Category: Health Management Tags: evidence-based medicine Gilead health care prices manipulating clinical research pharmaceuticals Sovaldi Source Type: blogs
HHS OIG 2014 Work Plan
The U.S. Department of Health & Human Services ("HHS") Office of Inspector General ("OIG") released its annual 2014 Work Plan. In addition, the OIG has posted a 25-minute video vignette featuring senior OIG executives discussing the OIG's top priorities for fiscal year 2014. The OIG annually publishes a Work Plan that summarizes new and ongoing reviews and activities that OIG plans to pursue during the applicable fiscal year.
As noted by The Beat at Cooley Health: The inclusion of an item in the OIG Work Plan does not necessarily mean that OIG will seek enforcement with regard to that item, or that all interest...
Source: Policy and Medicine - March 14, 2014 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
Suboxone Controversy: Brattleboro Reformer gets a C
In their story about buprenorphine, Suboxone, and opioid dependence, the Brattleboro Reformer gets it about 60% right. They describe the shortage of physicians certified to treat addicts with buprenorphine, correctly identifying most of the diversion of buprenorphine as desperate attempts at self-treatment. They lose points, though, for allowing an ill-informed legislator to suggest getting rid of buprenorphine altogether, without pointing to the example of Georgia, the former USSR republic, where the ban on buprenorphine resulted in the birth of krokodil, a nightmare drug now found in parts of the US.
Cost concerns
...
Source: Suboxone Talk Zone - March 8, 2014 Category: Addiction Authors: J T Junig Tags: Addiction Buprenorphine Public policy Suboxone treatment cost of suboxone film patient cap on suboxone safety of buprenorphine and suboxone suboxone regulation Source Type: blogs
Remote, quantally channelled kinetic agitation
There are several scientists acting like the proverbial sharp stick, constantly poking the balloons of alternative remedy quacks until they burst. They assess the latest nonsensical claims of so-called complementary medicine and then give it a good poke with the sharp end. I do wonder if they ever manage to guilt-trip their targets into giving up their often ludicrous claims of panaceas based on infinitely dilute solutions, candles, stones, touchless massage etc. Of course, if one patient avoids being conned and seeks professional medical help in their time of need rather than turning to quackery and deferring treatments t...
Source: Sciencebase Science Blog - February 22, 2014 Category: Medical Scientists Authors: David Bradley Tags: Science Source Type: blogs
Stamp Out Alzheimer's
This is a picture of the Alzheimer's commerative stamp that was issued in 2008.It did not raise money for Alzheimer's research.By Max WallackAlzheimer's Reading RoomLynda EvermanHelp Stamp Out Alzheimer'sAs all of us on the Alzheimer’s Reading Room know Alzheimer’s is one of the greatest and most costly medical and social problems facing our nation today.It is a cruel disease which extracts a tremendous physical, emotional, and financial toll from all it touches. We must continue our support for those with this disease and their care partners, but we must also fight to stop this disease by finding varied innovative way...
Source: Alzheimer's Reading Room, The - February 16, 2014 Category: Dementia Authors: Max Wallack Source Type: blogs
A huge list for Santa
I've been fairly ill, mostly GI tract and spinal issues, so being in a lot of pain 24x7, I have little to say. For those of us who celebrate the traditional Christ-mas holiday, maybe you and yours have a safe, sane and joyful Christmas and hopefully a healthy adn prosperous New Year, for everyone else, do whatever it is you do this time of year; shop til you drop, get drunk, etc....just don't go ragging on Christians who wish to remember the birth if our Lord and Savior Jesus Christ Anyway I have been killing time watching a lot of videos online, listening to long lost music and indulging in non zionist controlled news. Wa...
Source: Nightmare Hall - Welcome to my nightmare - December 21, 2013 Category: HIV AIDS Source Type: blogs
China Eyes Smoking Enhanced Smoking Cessation Programs
China has been lagging in smoking cessation programs due, in part, to the fact that cigarette sales account for a large percentage of government revenue. Moreover, there's not much of a national healthcare program so that the government doesn't bear the cost of the adverse health consequences of smoking. All of this may be about to change according to a recent article (see: China Eyes Smoking Ban). Here is an excerpt from it:
Chinese officials are exploring ways to curb smoking as deaths mount and medical costs rise, an effort that has generated one proposal to take apart the nation’s vast and politically c...
Source: Lab Soft News - December 16, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Delivery Medical Consumerism Medical Education Medical Ethics Public Health Informatics Source Type: blogs
Pro Publica tells the prisoners' health care story
Some part of the 18% of GNP spent by the United States on health care is the medical care given to prisoners in state and federal correctional facilities. A recent article by Christie Thompson at Pro Publica provides a summary of the problem:And as the elderly population in prison grows, so do their medical bills. Housing an inmate in a prison medical center costs taxpayers nearly $60,000 a year — more than twice the cost of housing an inmate in general population. I'm not sure if the medical cost accounting includes this, but there is also the additional cost of requiring prisoner patients in hospitals to be accomp...
Source: Running a hospital - December 4, 2013 Category: Health Managers Source Type: blogs
The Courier Tribune Strikes Again: When "Guest" Columnists Overstay Their Welcome
Just when I think I'm out, they draw me back in . . . I have read a lot of garbage in Asheboro’s Courier Tribune over the last nearly 20 years. But a “guest opinion” column written by Robert Morrison, the “colorful” (as dubbed by all the “right people”) former CEO of Randolph Hospital, and published on the day after Thanksgiving, pretty much sits at the top of the stinking heap. I am posting this response on Facebook, and tagging Judge Rob Wilkins, because Morrison’s “opinion” (containing a not-so-veiled, uber-despicable swipe at Rob) deserves a forceful response. But it won’t get one ...
Source: Dr.J's HouseCalls - December 1, 2013 Category: Pediatricians Source Type: blogs
The Courier Tribune Strikes Again: When "Guest" Columnists Overstay Their Welcome (Subtitled: Give Bob Morrison A Forum And He Will Demonstrate Why Asheboro "Died")
Just when I think I'm out, they draw me back in . . . I have read a lot of garbage in Asheboro’s Courier Tribune over the last nearly 20 years. But a “guest opinion” column written by Robert Morrison, the “colorful” (as dubbed by all the “right people”) former CEO of Randolph Hospital, and published on the day after Thanksgiving, pretty much sits at the top of the stinking heap. I am posting this response on Facebook, and tagging Judge Rob Wilkins, because Morrison’s “opinion” (containing a not-so-veiled, uber-despicable swipe at Rob) deserves a forceful response. But it won’t get one ...
Source: Dr.J's HouseCalls - December 1, 2013 Category: Pediatricians Source Type: blogs
Prescription Dollars Wasted By 913 Doctors
This kind of thing really pisses ticks me off. Everyone in the country is trying to do their part to help reduce medical spending. Most people really do try. Patients get generics, are taking better care of themselves, doctors think about costs when suggesting treatments, hospitals are trying to manage their costs in many ways, insurance companies are managing and lowering their overhead costs.Then we have a bunch of 913 loser doctors who prescribed name brand drugs without allowing for substitution by generic. Now I realize that some people need the name brand drugs because the generics are not the same for them. Bu...
Source: Caroline's Breast Cancer Blog - November 23, 2013 Category: Cancer Tags: doctors medication costs prescriptions Source Type: blogs
Physician Payment Sunshine Act: Open Payments Webinar CMS Avoids Hard Deadlines
The Centers for Medicare and Medicaid Services (CMS) provided two webinar sessions on Open Payments, the CMS program to implement the Physician Payment Sunshine Act. CMS describes Open Payments as "a national disclosure program designed to promote transparency by publishing the financial relationships between the medical industry and healthcare providers on a publicly accessible website." Open Payments requires applicable manufacturers and group purchasing organizations (GPOs) to report to CMS any payments or other transfers of value they make to physicians and teaching hospitals. The webinars presented technology-focused ...
Source: Policy and Medicine - November 21, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
The Harmful Health Effects of Sugar; Next Steps?
I have warmed to the idea that we need to develop some effective methods for controlling the consumption of sugar because of its harmful health effects and its semi-addictive nature (see: Some Salty Facts Keeping to a Healthy Diet, American Academy of Family Physicians Cozies Up to Coke, Hospitals Should Now Ban the Sale of Any Beverages with Added Sugar). Forbes recently published an excellent article on sugar, quoting a Credit Suisse report. (see: Sugar Linked To $1 Trillion In U.S. Healthcare Spending). Below is an excerpt from it:
It’s not new, but last month’s [PDF] Credit Suisse report on sugar ...
Source: Lab Soft News - November 11, 2013 Category: Pathologists Authors: Bruce Friedman Source Type: blogs
The mislead consumers - courtesy of big pharma
I wish to say a big "thank you" to Johnson & Johnson and their marketing departments for misleading so many patients and nursing homes on three of their drugs. For their efforts, they will pay $2.2 billion in fines."The settlement involves the schizophrenia drugs Risperdal and Invega, and the heart failure drug Natrecor, the company and Attorney General Eric Holder said. Johnson & Johnson and two subsidiaries "lined their pockets at the expense of American taxpayers, patients and the private insurance industry," Holder said." You think they would have learned from their $1.2 billion in fines in 2011. Oh but t...
Source: Caroline's Breast Cancer Blog - November 5, 2013 Category: Cancer Tags: insurance costs medication pharmaceutical manufacturers scammers Source Type: blogs
