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Over-the-Counter FIT Test for Colonic Cancer Looks Effective
A large very number of colonoscopies are performed yearly in the U.S. for cancer screening. For older male non-smokers, colonic cancer ranks with prostate cancer as a major cancer threat (see:Men and Cancer Risk). Here are some specific numbers about the frequency of gastroentestinal endoscopy (see:$4.4 Billion Gastrointestinal Endoscopic Market in the U.S. and Europe Projected for 2020):Gastrointestinal endoscopy is one of the most widely performed medical procedures in the world.It is projected that there will be over 75 million gastrointestinal endoscopic procedures performed in the U.S. and Europe com...
Source: Lab Soft News - January 24, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Cost of Healthcare Laboratory Industry Trends Medical Consumerism Medical Research Point-of-Care Testing Test Kits and Home Testing Source Type: blogs

Resist the Evil Fiction That Is Health Insurance
By MARGALIT GUR-ARIE It has come to pass. President Donald J. Trump. Are you scared? Are you planning to “resist” the policies you imagine President Trump will pursue by tweeting furiously with clever hashtags galore? Would you prefer to move my fastidious quotation marks from “resist” to “President”? This is after all, the first President in a very long time to take office without the blessings and financial support of established “world order” leaders. It must be rather disconcerting to proceed without clear guidance from our betters, especially seeing how well they served us over the last decades, and pa...
Source: The Health Care Blog - January 22, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Self-Collected HPV Testing for Cervical Cancer Screening
HPV infection is the cause of cancer of the cervix (see:HPV and Cancer). Here's a short quote from theNational Cancer Institute about the etiology of this neoplasm: Virtually all cases of cervical cancer are caused by HPV, and just two HPV types, 16 and 18, are responsible for about 70 percent of all cases. Cytopathologists have long known about this association and kept it in mind when screening cervical specimens. Here's another quote from the NCI addressing the relationship between Pap tests and HPV testing:HPV testing is used to look for the presence of high-risk ...
Source: Lab Soft News - January 16, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Cost of Healthcare Health Insurance Lab Processes and Procedures Laboratory Industry Trends Medical Consumerism Medical Research Test Kits and Home Testing Source Type: blogs

Health Insurance
I am very concerned about the potential changes in the national health insurance program that is in place. In principle I like the idea of national health insurance so that patient ' s are not victims of their health insurance company or are tied to jobs they hate just to keep their health insurance.I also like the idea of no pre-existing condition clauses, young adults can stay on their parents insurance longer, and no lifetime insurance caps. And I want all of these items to stay. I also want every American to be able to get health insurance if they want.I would like to see changes that help reduce costs of insurance and...
Source: Caroline's Breast Cancer Blog - January 13, 2017 Category: Cancer & Oncology Tags: being a patient changes health insurance Source Type: blogs

The Best-Laid Plans For Health Care
Editor’s note: These issues and more will be discussed at the 5th Annual Health Law Year in P/Review conference, to be held on January 23, 2017, at Harvard Law School in Cambridge, MA. The event is free and open to the public, but registration is required. Conference presenters will participate in a blog series to follow here on Health Affairs Blog. Stay tuned. In the meantime, you can check out last year’s Health Law Year in P/Review blog series here. “The best-laid plans of mice and men often go awry.” This phrase, adapted from the 1785 Robert Burns Poem “To a Mouse” and made as the source of the title o...
Source: Health Affairs Blog - January 5, 2017 Category: Health Management Authors: I. Glenn Cohen Tags: Drugs and Medical Technology Following the ACA Health Policy Lab Organization and Delivery Payment Policy Public Health 21st Century Cures Act Supreme Court The Health Law Year in P/Review Source Type: blogs

ACA Pregnancy Termination, Gender Identity Protections Blocked; Wellness Program Incentives Survive
Yesterday, January 1, 2017, several Affordable Care Act (ACA) rules were scheduled to go into effect. On December 31, however, a judge granted a preliminary injunction blocking parts of a nondiscrimination rule issued under ACA section 1557. On December 30, another judge refused to block a rule allowing employers to offer significant incentives for employees to disclose medical information in connection with workplace wellness programs. Judge Blocks Enforcement Of Ban On Discrimination Based On Gender Identity Or Pregnancy Termination On December 31, 2016, Judge Reed O’Connor of the United States District Court for the N...
Source: Health Affairs Blog - January 2, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Abortion employee wellness incentives Genetic Information Nondiscrimination Act HIPAA religious accommodation Religious Freedom Restoration Act transgender discrimination Source Type: blogs

ACA Round-Up: Robust Marketplace Enrollment, CBO On Defining Health Insurance, And More
As of December 19, 2016, the extended deadline for enrolling in coverage for January 1, 2017, 6,356,488 consumers were covered by plans selected on HealthCare.gov, the Department of Health and Human Services announced on December 21. This was over 400,000 more than last year when applications closed for January 1, 2016 coverage on December 17, 2015. This included 2,049,127 new consumers and 4,307,361 returning consumers. Over 2.3 million signed up between December 11 and 19. These numbers include neither state marketplace enrollees nor 2016 enrollees who will be batch auto-enrolled for 2017 over the next few days. In 2016,...
Source: Health Affairs Blog - December 22, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs

Breaking Down The Final 2018 Letter To Issuers
Editor’s note: The final 2018 Letter To Issuers In The Federally Facilitated Maketplaces, discussed below, was issued in conjunction with the final 2018 Benefit and Payment Parameters rule, discussed here and here. On December 16, 2016, the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) released its final 2018 Letter to Issuers in the Federally Facilitated Marketplaces (FFM). CMS releases a letter each year to insurers that offer coverage through the FFM or through state-based marketplaces that use the Healthcare.gov platform (SBM-FP), laying out the ground rule...
Source: Health Affairs Blog - December 19, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Payment Policy Source Type: blogs

The Most Exciting Medical Technologies of 2017
It is almost a tradition for me to publish predictions for the coming year. I do not mean to disappoint you this year either, so here you find some thoughts about the top medical technologies of 2017. 2016 was a rich year for medical technology. Virtual Reality. Augmented Reality. Smart algorithms analysing wearable data. Amazing technologies arrived in our lives and on the market almost every day. And it will not stop in the coming year. The role of a futurist is certainly not making bold predictions about the future. No such big bet has taken humanity forward. Instead, our job is constantly analysing the trends shaping t...
Source: The Medical Futurist - December 15, 2016 Category: Information Technology Authors: nora Tags: Future of Medicine 3d printing AI artificial intelligence diabetes GC1 genetics Healthcare Innovation nutrigenomics Personalized medicine robotics wearables Source Type: blogs

21st Century Cures Act Becomes Law, Improves U.S. National Mental Health Efforts
When President Obama signed the 21st Century Cures Act on December 13th, he signed into law one of the most sweeping efforts to provide additional programs and funding for health conditions and innovation in America, including cancer, Alzheimer’s disease, opioid addiction, medical devices, access to new drugs, and mental health. The Cures Act includes the major provisions of the Senate mental health compromise bill, Mental Health Reform Act of 2016, as well as a few additional provisions from the House’s over-reaching Helping Families in Mental Health Crisis Act of 2016 bill. While the bill goes a long way in h...
Source: World of Psychology - December 13, 2016 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: General Mental Health and Wellness Policy and Advocacy 21st century cures Helping Families in Crisis mental health reform act Mental Illness Source Type: blogs

A Vote To Reimagine Residency
I can’t say I knew much about medicine when I decided to become a physician. There were no physicians in my family. I had yet to learn about cells, anatomy, or antibiotics. I didn’t watch ER. I had no concept of health insurance, deductibles, or co-pays. But I understood fairness. And, as a young boy in Colorado, I watched loved ones—with addiction, cancer, and other ailments—suffer the misfortune of illness and the injustice of unmet medical needs. I saw in medicine an opportunity to find voice and to remedy the unfairness around me, to address failed policies. Medicine and Politics On November 8, I cast m...
Source: Health Affairs Blog - December 13, 2016 Category: Health Management Authors: Jarrad Aguirre Tags: Featured Health Professionals ACGME general medical education physicians perspective residency Source Type: blogs

No matter what Trump does to health care, we must accept an imperfect reality
Tom is a forty-three-year-old self-employed painter and father of two. He’s currently in remission from lung cancer, having been first diagnosed five years ago. At the time of his diagnosis, he did not have health insurance. Thankfully, for him, American law had finally made it illegal for health insurance companies to discriminate against individuals with preexisting conditions. Tom had to be offered insurance at community rates. And, this was a good thing for him. His medical expenses exceeded $100,000 annually for his first two years of treatment. No one deserves to go without care for a serious medical condition. ***...
Source: Kevin, M.D. - Medical Weblog - December 12, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/rocky-bilhartz" rel="tag" > Rocky Bilhartz, MD < /a > Tags: Policy Health reform Source Type: blogs

What ’s The Story With Obamacare?
States, patients, and voters are wrestling with the pros and cons of dramatic changes in public health insurance coverage, including extending, maintaining, or rolling back Medicaid expansion under the Affordable Care Act (Obamacare) — an often emotional topic of debate. The stories that are told about the effectiveness—or lack thereof—of coverage in improving health and health care usually relate compelling personal experiences, putting a human face on an otherwise abstract argument. Policies are not enacted in the abstract; they affect real people’s lives, and we should all be concerned with how polic...
Source: Health Affairs Blog - December 9, 2016 Category: Health Management Authors: Katherine Baicker and Amy Finkelstein Tags: Featured Following the ACA Insurance and Coverage Medicaid and CHIP Medicaid expansion Oregon Source Type: blogs

Does It Matter If You Get Along With Your Doctor?
By NATHAN MOORE, MD Seems like a silly question, right?  No one ever asks if you get along with the cashier at the grocery store or the barista at your neighborhood coffee shop.  For most folks choosing a doctor means finding someone in your area who’s taking new patients with your insurance, which usually isn’t too many.  Simply getting an appointment is hard enough, so expecting a pleasant experience and a good relationship with the doctor seems to be an unreasonable request, like asking for a unicorn who also speaks fluent Spanish. Many people don’t think patient-physician relationship is particularly important...
Source: The Health Care Blog - December 7, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized communication Doctor-Patient primary care Source Type: blogs

Breast Cancer Idiocy
First day of radiation treatment. I look like I ' m about to make a run for it which is accurate. Radiation is frightening to me. Something about not being able to see the laser, see the treatment and having this machine moving around you just scares me. I ' m sure I ' ll get used to it but right now.... I hate it. #radiation#radiationmondaysucks #stillfightinglikeagirlThis is a picture of Shannen Doherty, from ' 90210 ' , as she starts radiation for breast cancer. Why do I call this idiocy? Her business managers allowed her health insurance to lapse. She had to sue them. Can you believe that?What competent perso...
Source: Caroline's Breast Cancer Blog - December 2, 2016 Category: Cancer & Oncology Tags: breast cancer breast cancer bonds breast cancer treatment idiots Shannen Doherty Source Type: blogs