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Is Moving On After Cancer A Myth?
I am approachingmy ten year anniversary of the ten year mark after my breast cancer diagnosis. Am I supposed to celebrate? I think so but I am not sure how much of a celebration it is. It doesn ' t mean I can say it is gone for good. It just means that in the ten years since I was diagnosed with breast cancer and I am still here.Now I do know that is a good thing. But am I supposed to celebrate? But I don ' t feel like celebrating. I am not sure that I should celebrate. I certainly won ' t be having a party.The last ten years have been a growing time for me emotionally (and for my waistline). I have had many new experience...
Source: Caroline's Breast Cancer Blog - May 29, 2017 Category: Cancer & Oncology Tags: living with cancer Source Type: blogs

Putting the Health and Care in Healthcare
Red, white, and blue. The blue represents Americans’ collective mood. Is it our work-centric culture? Our reticence to discuss mental health? Our collective independence? Regardless the U.S. stands for Under Stress. But why are we so unhappy — at least compared to our Scandinavian brethren? Denmark and Norway top Forbes’ list of the world’s 10 happiest countries. The two countries pace CNBC’s list as well. By comparison, the stars and stripes check in at #15, lagging behind, umm, Costa Rica. The U.S. is an economic powerhouse; our personal incomes are steadily increasing too. But we are running, not walking...
Source: World of Psychology - May 26, 2017 Category: Psychiatry & Psychology Authors: Matthew Loeb Tags: Health-related Personal Policy and Advocacy Stress affordable care act Health Care Health Insurance Healthcare Reform life expectancy Medicine Single Payer unemployment uninsured universal health insurance Source Type: blogs

Evidence-Based Policy Making? - Dumb Things Politicians Say About Health Care Policy
There have been multiple legislative attempts at major health care reform in the US.  Typically, such attempts feature considerable public debate, including speechs, congressional committee hearings, sometimes progressing to debates by the House and Senate.  (For example, see thisFrontline chronology of the proceedings up to the passage of the Affordable Care Act, aka " Obamacare, " in 2009.)  Usually the discussion includes some real experts on health care policy, and some real health care professionals, and at least appears to reference some data about medicine, health care, and health economics. Whether p...
Source: Health Care Renewal - May 23, 2017 Category: Health Management Tags: health care reform postmodernism Source Type: blogs

Suppose It ’ s an Obligation and Not a Right?
By THE DARK GODDESS OF REPLEVIN Suppose we frame the current health insurance* debate in a different way? *It is about insurance. “Health insurance”=/=”health care,” although the former should lead to the latter. Rather than arguing whether American individuals have a right to health care (beyond what you can already find in EMTALA, and please God let’s not consider repealing that), because people get very huffy about this concept, can we ask a different question? Should we Americans collectively assume an obligation to “promote the general Welfare” by providing everyone access to ...
Source: The Health Care Blog - May 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized EMTALA Obligation Right Source Type: blogs

Health Insurance Benefits Should Be Equitable, Not Necessarily Equal
As policy makers grapple with potentially undoing or modifying the largest expansion of health insurance in a generation, the cost and generosity of benefits hold center stage. Traditional underpinnings of insurance plans—premiums, deductibles, copayments, and coinsurance—frequently create barriers to the optimal use of these plans by consumers. They also can exacerbate inequities in health care, by inhibiting the use of services known to benefit health. Novel approaches to insurance plan design to produce a more equitable and efficient distribution of health care expenditures are warranted. Following the princ...
Source: Health Affairs Blog - May 22, 2017 Category: Health Management Authors: Betsy Q. Cliff, Michael Rozier and A. Mark Fendrick Tags: Costs and Spending Featured Health Equity Insurance and Coverage health insurance benefits insurance plan design value-based insurance design Source Type: blogs

Medicaid: What Happens Now?
With public attention completely focused on the wild effort to reach closure on the private health insurance provisions of the American Health Care Act (AHCA) (H.R. 1628), it was easy to overlook (at least for a moment) the extraordinary nature of its Medicaid changes. Were these provisions to become law, the AHCA would represent the most sweeping federal policy shift since the program’s 1965 enactment. How The AHCA Would Affect Medicaid The AHCA would end the Affordable Care Act’s enhanced funding for the adult expansion population. More profoundly, however—and completely disconnected from the AHCA’s “repeal...
Source: Health Affairs Blog - May 17, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Medicaid and CHIP Quality ACA repeal and replace AHCA EPSDT Medicaid block grants Medicaid expansion Medicaid per capita cap medicaid work requirement Source Type: blogs

A Day at The Future of Artificial Intelligence and Machine Learning in Healthcare Conference
At the end of April leaders and innovators from the fields of artificial intelligence and healthcare gathered in Old Street—London’s digital tech hub, affectionately known as “silicon roundabout.” The event was hosted by Innovatemedte...
Source: Medgadget - May 10, 2017 Category: Medical Devices Authors: Tom Peach Tags: Exclusive Source Type: blogs

What ’s the difference between health care in the U.S. and Haiti? Not much.
“How long have you had the bleeding?” “About seven years,” my patient replies stoically. Ange’s angular face no longer retains the beauty of her youth. The sharp lines around her mouth speak of a long life packed into a brief 42 years. She is well dressed, but her manner of speaking betrays the poverty in which she exists. Ange has advanced cervical cancer — a completely preventable disease. In fact, cervical cancer can take as long as a decade to develop, during which time — in Ange’s case — any screening test might easily have determined that the abnormal bundle of cells on her cervix needed to be remov...
Source: Kevin, M.D. - Medical Weblog - May 8, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/vincent-degennaro-jr" rel="tag" > Vincent DeGennaro, Jr., MD, MPH < /a > Tags: Physician OB/GYN 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

Not Really Insurance: The Pre-Existing Condition Debate
By DAVID DRANOVE and CRAIG GARTHWAITE The recent debate over the potential repeal and replacement of the ACA, with the current focus on coverage for preexisting conditions, has drawn a great deal of attention to the concept of health insurance.  While our political leaders are constantly talking about it, few of them seem to understand the “insurance” component of health insurance. As a result, much of what they say about preexisting condition coverage is gibberish. We are here to set the record straight. At its most basic level, insurance provides protection against the risk of unexpected financial losses. We focus o...
Source: The Health Care Blog - May 6, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Free Rider Insurance Pre-Existing Condition risk Source Type: blogs

Dear President Trump, About That Health Care Law
By NIRAN AL-AGBA, MD I hope you read this letter. I doubt you will. I know you’re busy rebuilding Washington, reshaping the international order and doing a lot of other weighty stuff.  Full disclosure, I voted for you.  Not because you promised to repeal the Affordable Care Act, or because you tweeted at me about it, but because our healthcare system is hopelessly broken and requires an overhaul that does not simply convert over to a single payer system. Recently you were quoted in an interview with Reuters: “I loved my previous life… I had so many things going… this is more work than my previous life. I tho...
Source: The Health Care Blog - May 5, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A Health Plan CEO Daydreams
By MICHEL ACCAD, MD Jim was at his desk, looking weary. The last few weeks had been brutal.  Despite working twelve-hour days, he felt that he had little to show for it.  His annual board meeting was to take place the next day, and he expected it to be tense. With a replacement bill for the ACA about to be voted on, and with Trump in the White House, the situation seemed particularly precarious.  The board members had asked him to present a contingency plan, in case things in DC didn’t go well. As CEO of a major health insurance company, Jim was well aware that business as usual had become unsustainable in his l...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA health reform MICHEL ACCAD repeal and replace Source Type: blogs

Health Reform Must End the Harms of Prior Authorizations
By CRAIG BLINDERMAN, MD As the White House continues to push for a revised Republican proposal to replace the Affordable Care Act (ACA), one thing is for certain, many of the sickest Americans will continue to suffer as they are denied medications and other treatments under current health insurance strategies to save costs. Both the ACA, and the recently proposed MacArthur Amendment, do not address a well-established practice of health insurers’ use of restrictive prior authorization requirements to deny or delay coverage of medications and treatments to seriously ill patients. In my own practice caring for cancer patien...
Source: The Health Care Blog - May 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized ACA Cancer Insurers MacArthur Amendment Prior Authorization Source Type: blogs

Acupuncture: A point in the right direction, or a stab in the dark?
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicine, in Wester...
Source: Harvard Health Blog - May 3, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs

Health Datapalooza 2017 Day 1: Data Liberation, Sharing, and Analytics
Welcome to Medgadget‘s coverage of Health Datapalooza 2017, an AcademyHealth event, in Washington, DC. The now annual event was launched in 2010 by the Obama administration as a hackathon-style program where attendees were challenged to deve...
Source: Medgadget - May 1, 2017 Category: Medical Equipment Authors: Michael Batista Tags: Exclusive Source Type: blogs