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End-of-Life Healthcare Sessions at ASBH 2017
Conclusion: Patients with LEP had significant differences and disparities in end-of-life decision-making. Interventions to facilitate informed decision-making for those with LEP is a crucial component of care for this group. THU 1:30 pm:  “But She’ll Die if You Don’t!”: Understanding and Communicating Risks at the End of Life (Janet Malek) Clinicians sometimes decline to offer interventions even if their refusal will result in an earlier death for their patients. For example, a nephrologist may decide against initiating hemodialysis despite a patient’s rising creatinine levels if dea...
Source: blog.bioethics.net - July 26, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The Most Important Questions About the GOP ’ s Health Plan Go Beyond Insurance and Deficits
By ROSS KOPPEL and JASMINE MARTINEZ Ending healthcare for those who need it will not make them or their problems disappear. On the contrary, the GOP plan will shatter American families and the economy. Nothing magical happens if we stop caring for the elderly, the ones who need vaccinations, the small infections that can be treated for $2 worth of antibiotics, the uncontrolled diabetics, and those with contagious diseases who clean our schools’ offices and homes. They don’t just get healthy. As George Orwell said in Down and Out in Paris and London, “the more one pays for food, the more sweat and spittle one is obli...
Source: The Health Care Blog - July 13, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

NIAAA Prostitutes Its Scientific Integrity and Helps Alcohol Industry Promote Drinking
This study could completely backfire on the alcoholic beverage industry, and they’re going to have to live with it,” Dr. Koob said. “The money from the Foundation for the N.I.H. has no strings attached. Whoever donates to that fund has no leverage whatsoever — no contribution to the study, no input to the study, no say whatsoever.” "What a bunch of crap!The money hashuge strings attached: namely, the money is to be used for a trialto examine the potential benefits of drinking! In other words, the alcohol industry doesn ' t need any further leverage because they have already won. They have succeeded in gettin...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 6, 2017 Category: Addiction Source Type: blogs

Ideological Blinders
Here ' s Eduardo Porter in the NYT giving an overview of why universal coverage is worth it from the societal perspective. It shouldn ' t take wonkery to establish that, but apparently it does.If you will look up at my banner, you will see that I have already known for some time that health care in the U.S. of A. istoo expensive. You don ' t actually need to tell me that. Funny thing though -- it ' s a lot less expensive in all those communist totalitarian dungeons in Europe and the Great White North that provide universal coverage to everybody. In fact, the U.S. government spends as much on health care as the British gove...
Source: Stayin' Alive - June 28, 2017 Category: American Health Source Type: blogs

Fight Aging! Newsletter, June 26th 2017
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more. This content is...
Source: Fight Aging! - June 25, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Medicaid Round Two: The Senate ’s Draft “Better Care Reconciliation Act Of 2017”
Although it differs in important details, the draft Medicaid provisions of the Better Care Reconciliation Act — the Senate’s version of Affordable Care Act “repeal and replace” —  share the vision of its House-passed counterpart, the American Health Care Act: to, as much as possible, shield the federal government from the cost of Medicaid. Like the House, the Senate would accomplish this goal by fundamentally altering the terms of Medicaid itself rather than by ending it and replacing its entitlement structure with a new, successor program as Congress did in 1996 when it replaced the Aid to Families with...
Source: Health Affairs Blog - June 24, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Featured Following the ACA Medicaid and CHIP Uncategorized ACA repeal and replace block grants Medicaid per capita cap Trumpcare Source Type: blogs

Will Senate Republicans Get 50 Votes to Repeal the ACA?
By DAVID INTROCASO THCB readers are well aware this coming week Senate Republicans plan to begin debate on passing their amended version of the House-passed American Health Care Act (AHCA), titled the Better Care Reconciliation Act.   As of today, June 23rd, immediate reactions by Republican senators to the June 22nd released discussion draft have been limited largely because members immediately left town after the draft’s release. The Congressional Budget Office’s (CBO’s) score, that will again be influential, is expected this Monday or Tuesday. Senate debate on the legislation will likely begin next W...
Source: The Health Care Blog - June 24, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA CBO David Introcaso Repeal Replace Senate Republicans Source Type: blogs

A Primer For Conservatives: Health Insurance is not Really Insurance
By MICHEL ACCAD, MD Is health insurance a plan to help healthy people mitigate against an unexpected illness, or an income subsidy to help the sick pay for medical care? Conservatives ought to have a clear answer to that question. Not long ago Congressman Morris Brooks from Alabama did not and found himself on the receiving end of liberal ridicule. By suggesting that those who take better care of themselves should pay lower health insurance premiums, Brooks implied that health insurance is indeed a type of insurance arrangement. After all, the risk adjustment of premiums is a practice proper to all other kinds of insurance...
Source: The Health Care Blog - June 23, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Examining How Senate Republicans Frame Their Health Care Bill
Discussion Draft of Senate Amendment to H.R. 1628 Help stabilize collapsing insurance markets that have left millions of Americans with no options. Short-Term Stabilization Fund: To help balance premium costs and promote more choice in insurance markets throughout the country, this stabilization fund would help address coverage and access disruption – providing $15 billion per year in 2018 and 2019; $10 billion per year in 2020 and 2021. Jason Chung writes: S. 106(h)(1) specifies that these amounts are intended to “fund arrangements with health insurance issuers to address coverage and access disruption…” Rand P...
Source: The Health Care Blog - June 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Jason Chung Senate Bill Source Type: blogs

Follow the Money: Non-Profit Hospital CEOs Quietly Collect Their Millions While US Health Care Reform Battle Rages
ConclusionsThe current inflamed discussion of " Obamacare " and Republican attempts to " repeal and replace " it focuses on the costs of care and how they affect individual patients.  Examples include concerns about health insurance premiums that are or could be unaffordable for the typical person; insurance that fails to cover many costs, and thus may leave patients at risk of bankruptcy due to severe illness; poor people unable to or who might become unable to obtain any insurance, and perhaps any health care.  Yet there is little discussion of what really drives high and ever increasing health care costs (whil...
Source: Health Care Renewal - June 22, 2017 Category: Health Management Tags: boards of trustees executive compensation health care reform hospital systems hospitals non-profit organizations Source Type: blogs

How to Speed Up the Development of Rejuvenation Biotechnology?
While it certainly seems a long time - and that we have come a long way - since the years in which SENS rejuvenation research was only an idea, and the research community was generally hostile towards the idea of treating aging as a medical condition, these are really still the early stages of the upward curve in the bigger picture. That curve leads to a mainstream research community as consumed by the effort to bring aging under medical control as it is presently consumed by work on cancer and stem cell science - and a public at large who support an end to aging just as greatly as they presently support an end to cancer. ...
Source: Fight Aging! - June 19, 2017 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Why Health Reform is a Risky Business for Politicians: Even Winning Can Cost You at the Polls!
By JEFF GOLDSMITH In August 1989, Chicago Congressman Daniel Rostenkowski, then Chairman of the “powerful” House Ways and Means Committee, narrowly escaped an angry mob of seniors in his own district who attacked his car with umbrellas. His crime: eliminating the gaping patient financial exposure built into the Medicare program in 1965 by raising taxes on the “high income” elderly.   In November, 1989 Congress rescinded the so-called Catastrophic Coverage Act, a bipartisan reform signed into law by Ronald Reagan just sixteen months earlier. In the spring of 1994, Bill and Hillary Clinton abandoned their famously ...
Source: The Health Care Blog - May 19, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Toward A New Model For Promoting The Development Of Antimicrobial Drugs
As global health leaders gather in Berlin from May 19–20 for the first-ever G20 Health Ministers’ meeting, one of the main topics of discussion is expected to be how to best fight the threat of antimicrobial resistance (AMR). This reflects the growing recognition that AMR poses a significant threat to human health. An influential 2014 report by the Review on Antimicrobial Resistance, commonly referred to as the O’Neill Commission, estimated that antimicrobial-resistant infections currently claim 700,000 lives worldwide each year, a figure that could rise to as high as 10 million deaths per year by 2050. Estimates...
Source: Health Affairs Blog - May 18, 2017 Category: Health Management Authors: Seth Seabury and Neeraj Sood Tags: Costs and Spending Drugs and Medical Innovation Population Health Antibiotics antimicrobial resistance Food and Drug Administration G20 O'Neill Commission Review on Antimicrobial Resistance Source Type: blogs

Universal Coverage Means Less Care and More Money
By JANE ORIENT, MD The reported success of the Affordable Care Act (ACA or ObamaCare) is based on enrollment numbers. Millions more have “coverage.” Similarly, the predicted disasters from repeal have to do with loss of coverage. Tens of thousands of deaths will allegedly follow. Activists urge shipping repeal victims’ ashes to Congress—possibly illegal and certainly disrespectful of the loved one’s remains, which will end up in a trash dump. Where are the statistics about the number of heart operations done on babies born with birth defects, the latest poster children? How about the number of babies saved by th...
Source: The Health Care Blog - May 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized enrollment numbers Jane Orient Universal coverage Source Type: blogs

Negotiated Rates: What No One Talks About in Health Care Legislation
Last week, the House of Representatives passed legislation for the American Health Care Act, the first step in repealing the Affordable Care Act, or as some would call it, Trumpcare versus Obamacare.  The American Psychiatric Association and the American Medical Association (and many other medical societies) oppose the new legislation.  An enormous concern is that the new legislation won't require insurance companies to cover preexisting conditions, or require coverage for mental health treatment or prenatal/maternity care.  Over the coming years, the new legislation is predicted to leave 24 million more Ame...
Source: Shrink Rap - May 7, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs