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Fight Aging! Newsletter, April 30th 2018
In conclusion, in the Framingham Heart Study population, in the last 30 years, disease duration in persons with dementia has decreased. However, age-adjusted mortality risk has slightly decreased after 1977-1983. Consequences of such trends on dementia prevalence should be investigated. Recent Research on the Benefits of Exercise in Later Life https://www.fightaging.org/archives/2018/04/recent-research-on-the-benefits-of-exercise-in-later-life/ A sizable body of work points to the ability of older individuals to continue to obtain benefits through regular physical activity, and particularly in the case ...
Source: Fight Aging! - April 29, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Cornelis (Cees) Wortel, Ichor Therapeutics Chief Medical Officer, on Rejuvenation Research and Its Engagement with the Established Regulatory System
Ichor Therapeutics is the most mature of the US-based companies that have emerged from the SENS rejuvenation research community in recent years. You might recall a number of interviews back in the Fight Aging! Archives with founder and CEO Kelsey Moody. He has his own take on how our community should proceed from laboratory to clinic: he is very much in favor of demonstrating (a) that the formal regulatory path offered by the FDA can work for the treatment of aging, and (b) that - given the right strategic approach - rejuvenation therapies can attract the attention, collaboration, and backing of Big Pharma entities in the ...
Source: Fight Aging! - April 23, 2018 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

The Insys Net Gets Wider
In mid-March 2018, five New York City doctors were arrested and charged with accepting bribes and kickbacks from Insys Therapeutics to prescribe high volumes of Subsys, a fentanyl-based cancer pain medicated spray. The five doctors – Gordon Freedman, 57, of Mount Kisco; Jeffrey Goldstein, 48, of New Rochelle; Todd Schlifstein, 49, of Manhattan; Dialecti Voudouris, 47, of Long Island City and Alexandru Burducea, 41, of Little Neck – all practiced in Manhattan and pled not guilty in federal court to an unsealed indictment charging them with several charges, including conspiracy. The five doctors allegedly collected tens...
Source: Policy and Medicine - April 19, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

The Myth That Refuses to Die: All Health Care is Local
By PAUL KECKLEY In 1980, industry healthcare planners imagined a system where the centerpiece was a hospital in every community and a complement of physicians. Demand forecasting was fairly straightforward: based on the population’s growth and age, the need was 4 beds per thousand and 140 docs per 100,000, give or take a few. In 1996, the Dartmouth Center for the Evaluative Clinical Sciences published the Dartmouth Atlas on Health Care quantifying variability in the intensity of services provided Medicare enrollees in each U.S. zip code. They defined 306 hospital referral regions (HRRs) that remain today as the basis for...
Source: The Health Care Blog - March 28, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Paul Keckley Source Type: blogs

Health Care ’s Pigs and Pokes
By ROBERT MCNUTT, MD & NORTIN HADLER, MD Take the example of a middle-aged woman undergoing chemotherapy for breast cancer. Month after month she receives a bill for $16,000. This purchases a monthly infusion of one chemotherapeutic agent.  Much of the bill is paid by her insurance, but her personal checking account will cough up about $1000 per month until she pays down her deductible. The invoice, however, is an illusion. The amount is not the actual number of dollars required to pay for services and materials rendered. Most of the money is diverted in accordance with contractual agreements between the hospital and ...
Source: The Health Care Blog - March 18, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

On the Non-Effectiveness of Cost Effectiveness Analyses
By ROBERT MCNUTT, MD & NORTIN HADLER, MD Take the example of a middle-aged woman undergoing chemotherapy for breast cancer. Month after month she receives a bill for $16,000. This purchases a monthly infusion of one chemotherapeutic agent.  Much of the bill is paid by her insurance, but her personal checking account will cough up about $1000 per month until she pays down her deductible. The invoice, however, is an illusion. The amount is not the actual number of dollars required to pay for services and materials rendered. Most of the money is diverted in accordance with contractual agreements between the hospital and ...
Source: The Health Care Blog - March 18, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

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

A Three Part Discussion of Mitochondrial Hormesis as an Approach to Slow Aging
This three part interview covers the induction of greater numbers of free radicals in tissues as an approach to slow aging. I can't say as I think this is a way to obtain large gains in health and longevity, much greater than those possible through exercise and calorie restriction. Both of those approaches essentially work in a similar way, being beneficial stress responses that include free radical signaling among their mechanisms. Little of the work on recreating these responses via pharmaceutical or genetic means does all that much better in terms of extended healthy life. The background is quite interesting, however. ...
Source: Fight Aging! - March 1, 2018 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

Genetic Testing and Non-High Risk
A person can be considered medically high risk due to their or a family member ' s medical history. If you are considered medically as high risk, you get popped into the category of give them lots more medical attention and ' lovely ' tests.Now withthe progress of genomic testing, its no longer a big expensive, rare proposition. However, why do we only test the high risk people? These are the people who already know they are high risk. But that leaves a lot of people who don ' t know they are high risk and could be. This doesn ' t make sense. Some new research asks if it wouldn ' t it make more sense to test more peop...
Source: Caroline's Breast Cancer Blog - February 10, 2018 Category: Cancer & Oncology Tags: breast cancer cancer prevention genetic testing ovarian cancer Source Type: blogs

Insurers, Not Legislators, are the Gatekeepers to Care, and a Call to Deep Six the Term "Worried Well."
Over onPete Earley's blog, there is a post titled:Senators ’ Letter To SAMHSA Is Misguided: Dr. McCance-Katz Is Doing What Congress DemandedPete is on the Interdepartmental Serious Mental Illness Coordinating Committee,  a group operating under the Department of Health and Human Services. He is an extraordinary writer and a tremendous mental health advocate.  His post inspired me to rant at him (Me rant?  Shocking, I know...) and Pete and I are both posting my response.  I can't begin to capture the essence of his post on the controversy over the NREPP website, nor will you need to understand that to ...
Source: Shrink Rap - February 1, 2018 Category: Psychiatry Authors: Unknown Source Type: blogs

Insurers, Not Legislators, are the Gatekeepers to Care, and a Call to Deep Six the Term " Worried Well. "
Over onPete Earley ' s blog, there is a post titled:Senators ’ Letter To SAMHSA Is Misguided: Dr. McCance-Katz Is Doing What Congress DemandedPete is on the Interdepartmental Serious Mental Illness Coordinating Committee,  a group operating under the Department of Health and Human Services. He is an extraordinary writer and a tremendous mental health advocate.  His post inspired me to rant at him (Me rant?  Shocking, I know...) and Pete and I are both posting my response.  I can ' t begin to capture the essence of his post on the controversy over the NREPP website, nor will you need to understand that...
Source: Shrink Rap - February 1, 2018 Category: Psychiatry Authors: Unknown Source Type: blogs

Insurers, Not Legislators, are the Gatekeepers to Care, and a Call to Deep Six the Term "Worried Well."
Over onPete Earley's blog, there is a post titled:Senators ’ Letter To SAMHSA Is Misguided: Dr. McCance-Katz Is Doing What Congress DemandedPete is on the Interdepartmental Serious Mental Illness Coordinating Committee,  a group operating under the Department of Health and Human Services. He is an extraordinary writer and a tremendous mental health advocate.  His post inspired me to rant at him (Me rant?  Shocking, I know...) and Pete and I are both posting my response.  I can't begin to capture the essence of his post on the controversy over the NREPP website, nor will you need to understand that to ...
Source: Shrink Rap - February 1, 2018 Category: Psychiatry Authors: Dinah Source Type: blogs

The UPMC-Highmark Brawl Spills Into Philadelphia ’ s Backyard
By TORY WOLFF The UPMC/Highmark rivalry continues to open new fronts in Pennsylvania. Highmark’s response to UPMC is differentiated in two ways: first, Highmark is using a coalition-building strategy and, second, it is controlling its exposure to big in-patient assets; in contrast, UPMC is building an integrated, single-brand system and happily taking over hospitals (and building more) along the way. When UPMC and Highmark make major investments in a region, local systems will be caught in the capex arms and feel the pressure to affiliate. Credibly threatening to respond in kind may defuse the arms race. But unaffiliated...
Source: The Health Care Blog - January 22, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Highmark UPMC Source Type: blogs