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Are physicians ready for single-payer health care?
Single payer health care is enjoying a boomlet in public opinion. A Pew Research Center poll released in June 2017 found that, “Overall, 33 percent of the public now favors such a ‘single payer’ approach to health insurance, up 5 percentage points since January and 12 points since 2014.”  58 percent of those surveyed by Pew said that the government has a responsibility to ensure health for all, with a third saying it should be through a single national government program and 25 percent through a mix of government and private programs.  Another 33 percent said the government is not responsible to ensure health...
Source: Kevin, M.D. - Medical Weblog - March 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/bob-doherty" rel="tag" > Bob Doherty < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs

A Four Step Plan For the Value-Based Transformation of the Health Care System
By ALEX AZAR HHS Secretary Alex Azar spoke earlier this week at the American Federation of Hospitals, giving a widely reported speech that offered new details on the Trump administration’s plans for Accountable Care Organizations, the CMS quality measurement program, and a new drive for patient access to medical records. The full text of his remarks follows. – The Editors. It’s a pleasure to be here with all of you today. I want to thank Chip [Kahn] and all of the Federation’s members for inviting me to share our vision for HHS and America’s healthcare system, and how we hope to work with all of you to ma...
Source: The Health Care Blog - March 9, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Alex Azar Source Type: blogs

The Luxury to Choose
By TRAVIS BIAS, MD The 80 year-old woman lay on her mat, her legs powerless, looking up at the small group that had come to visit her. There were no more treatment options left. The oral liquid morphine we had brought in the small plastic bottle had blunted her pain. But, she would be dead in the coming days. The cervical cancer that was slowly taking her life is a notoriously horrible disease if left undetected and untreated and that is exactly what had happened in this case. We had traveled hours by van along dirt roads to this village with a team of health workers from Hospice Africa Uganda, the country’s authority o...
Source: The Health Care Blog - February 25, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Gardasil Hospice Africa Uganda vaccines Source Type: blogs

The Case of the Brew Master ' s Plot - Was the Veterans Affairs Secretary ' s Travel Spending Scandalous, or Was He Framed in a Plot to Oust a Political Moderate?
DiscussionDr David Shulkin, a holdover appointee of President Obama who was nominated to be Secretary of Veterans Affairs by President Trump, was alleged by the VA Inspector General to have committed various ethical violations involving a trip to Europe the Secretary took with his wife.  This appeared to be just the latest in a string of travel-related scandals by top officials of the Trump administration.When this was first reported, I was inclined to see Dr Shulkin as an entitled, and conflicted  former health care executive who ran afoul of the government ' s strict ethical standards.  (Dr Shulkin ' soffi...
Source: Health Care Renewal - February 19, 2018 Category: Health Management Tags: Donald Trump ill-informed management mission-hostile management political ideology politics Veterans Affairs Source Type: blogs

How to Cope with a Scary Medical or Mental Health Diagnosis
Most of us are sanguine about the fact that some things are out of our control. We know, for example, that we can’t avoid death or taxes or do much about how tall we’ll grow. For much of everything else, we figure out a way to deal with what happens in life — until we can’t, for one reason or another. A prime example is the emotional upheaval caused by receiving an unexpected and scary medical or mental health diagnosis. Having gone through this myself recently, here are some ways to help you cope. Get all the facts. After the initial shock, take a few deep breaths and resolve to learn as much as you can about ...
Source: World of Psychology - January 29, 2018 Category: Psychiatry & Psychology Authors: Suzanne Kane Tags: Anxiety and Panic Grief and Loss Health-related Inspiration & Hope Motivation and Inspiration Cancer Chronic Illness Coping Skills health scare Medical Care Mental Illness Resilience Source Type: blogs

Plastic surgeon quits and couldn ’t get a job at Chick-fil-A
I just got off the phone with Paul, a highly-sought-after plastic surgeon in New York. “I don’t want to be a doctor anymore,” Paul says. “What else can I do? I have lots of restaurant experience. I’ve worked in 15 restaurants during my life. It’s not easy, but I could do it. I did research on chains and franchises, and I chose Chick-fil-A. Three months ago I applied to be an owner/operator. I got through the first application and got declined the second round of applications. They are extremely picky. Nearly 20,000 apply, and only a few are chosen.” I’m shocked he was declined. “It wasn’t a crushing blo...
Source: Kevin, M.D. - Medical Weblog - January 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/pamela-wible" rel="tag" > Pamela Wible, MD < /a > Tags: Physician Surgery Source Type: blogs

Matthew Holt ’ s EOY 2017 letter (charities/issues/gossip)
Right at the end of every year I write a letter summarizing my issues and charities. And as I own the joint here, I post it on THCB! Please take a look–Matthew Holt Well 2017 has been quite a year, and last year 2016 I failed to get my end-of-year letter out at all. This I would like to think was due to extreme business but it probably came down to me being totally lazy. On the other hand like many of you I may have just been depressed about the election–2016 was summed up by our cat vomiting on our bed at 11.55 on New Years Eve. Having said that even though most of you will never comment on this letter and I ...
Source: The Health Care Blog - December 31, 2017 Category: Consumer Health News Authors: Matthew Holt Tags: Matthew Holt Charity Patient Activism Source Type: blogs

Smiling Improves Your Emotional and Spiritual Health
I’ve been fortunate to visit Thailand many times and after being here again, I’ve been asking myself: How is it that so many Thai people are quick to flash spontaneous and radiant smiles? Spend even a little time here and you’ll understand why Thailand is called “The Land of Smiles.” A cynical interpretation is that smiling faces are a fake show of happiness designed to captivate tourists. And of course, a smile can sometimes cover up one’s true feelings, such as nervousness, anger, or sadness. But from my own observations and after speaking with many savvy travelers, I’m convinced that the smiles are...
Source: World of Psychology - December 29, 2017 Category: Psychiatry & Psychology Authors: John Amodeo, PhD Tags: Friends General Happiness Mental Health and Wellness Mindfulness Psychology Relationships Spirituality Emotional Health smiling Spiritual Health Source Type: blogs

In Depth Review of CMS MACRA QPP Regulations
As we continue our coverage of the MACRA Quality Payment Program (QPP) rule, the following article provides a more in-depth look at the regulations promulgated by CMS. We drafted an initial summary when the rule was released in early November. Biggest surprise: cost category of MIPS In its proposed rule in July 2017, CMS proposed completely removing the cost domain from MIPS for 2018, despite the underlying statute requiring that cost account for 30% of the overall MIPS score by 2019. However, in the final rule, CMS shocked many when it reversed its position and finalized a cost domain weight of 10 percent for the 2018 p...
Source: Policy and Medicine - December 28, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Fight Aging! Newsletter, December 18th 2017
In this study, we asked people in an open-ended way about their desire for longer life: Would you like to have more time? What age would you like to become? This was something more specific than asking about a preference for survival without reference to any length of time; about one's plans for the future; or whether people see the future as open or limited, as in studies of future time perspective. Our attempt was to discover whether there were preferred temporal spans with which older adults framed their futures and plans. The two-question series about extra years and desired age ("How old would you like to becom...
Source: Fight Aging! - December 17, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Medgadget Sci-Fi Contest 2017: Meet The Winning Stories
Ladies and Gentlemen, this is the moment you have all been waiting for – the day that the winners of the Medgadget Medical Sci-Fi Competition are announced and their fantastic stories are published! First, we would like to thank Eko Devices, th...
Source: Medgadget - December 15, 2017 Category: Medical Devices Authors: Editors Tags: Exclusive Source Type: blogs

Idle Thinking on the Outcome when the Political Establishment Notices that Rejuvenation Therapies are Imminent
The political establishment is a plague upon the land; this is generally true of any era. We are fortunate to live in an age in which the level of impact is less brutal and more bureacratic than it has been, and in a region in which the level of wealth is high enough to allow most people to live comfortably despite the constant wars and vast waste of the powers that be. There is, importantly, sufficient space in our society left unpillaged and uncontrolled for technological development to take place at a fair pace. Technology determines near everything about our lives, the degree to which they are worth living, the shape o...
Source: Fight Aging! - December 14, 2017 Category: Research Authors: Reason Tags: Politics and Legislation Source Type: blogs

5 challenges of working in a county hospital
As a trainee at a large private health system (residency) followed by a NCI-designed comprehensive cancer (fellowship) in two large metropolitan areas in the United States, I was not prepared to face the challenges of working at a university setting affiliated with a county (public) hospital in more rural west-Texas.  After one and a half years of experience as a practicing urologic oncologist, these are the five challenges I have encountered: 1. Access to the latest technology. County (public) hospitals are typically more cash-conscious without access to large amounts of research money, wealthy donors, high-profile fundr...
Source: Kevin, M.D. - Medical Weblog - December 6, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/pranav-sharma" rel="tag" > Pranav Sharma, MD < /a > Tags: Policy Hospital-Based Medicine Surgery Source Type: blogs

Purging Healthcare of Unnatural Acts
BY UWE REINHARDT In tribute to Uwe we are re-running this instant classic from THCB’s archives. Originally published on Jan 31, 2017. Everyone knows (or should know) that forcing a commercial health insurer to write for an individual a health insurance policy at a premium that falls short of the insurer’s best ex ante estimate of the cost of health care that individual will require is to force that insurer into what economists might call an unnatural act. Remarkably, countries that rely on competing private health insurers to operate their universal, national health insurance systems all do just that. They allow...
Source: The Health Care Blog - November 21, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Trending Uwe Reinhardt Source Type: blogs

Changes to 340B Program Reduces Hospital Reimbursement for Pharmaceutical Products by 28.5%
Recently, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2018 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule with comment period (CMS-1678-FC), which includes updates to the 2018 rates and quality provisions, and other policy changes. CMS adopted many policies that will support care delivery; reduce burdens for health care providers, especially in rural areas; lower beneficiary out of pocket drug costs for certain drugs; enhance the patient-doctor relationship; and promote flexibility in healthcare. This final rule p...
Source: Policy and Medicine - November 14, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs