Practicing Medicine without a License: When Patients and Politicians Play Doctor
The Health Care Blog » Health Policy
by Ryan Bose-Roy
4d ago
BY MICHAEL KIRSCH We’ve all heard the adage, leave it to the professionals.  It’s typically used when an individual has wandered out of his lane.  How many folks go beyond their knowledge and skills with home projects, for example, who must then hire a real professional to mop up the mistakes?  Luckily for me, the only tools that I – a gastroenterologist – know how to use are a colonoscope and an endoscope, so there’s no chance that I will be tempted to perform any plumbing or electrical tasks at home.   Although patients are not medical professionals, they routinely bring ..read more
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Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?
The Health Care Blog » Health Policy
by Ryan Bose-Roy
1w ago
BY ANISH KOKA Myopericarditis is a now a well reported complication associated with Sars-Cov-2 (COVID-19) vaccinations. This has been particularly common with the messenger RNA (mRNA) vaccines (BNT162b2 and mrna-1273), with a particular predilection for young males. Current guidance by the Australian government “technical advisory groups” as well as the Australian Cardiology Society suggest patients who have experienced myocarditis after an mRNA vaccine may consider a non-mRNA vaccine once “symptom free for at least 6 weeks”. A just published report of 2 cases from Australia th ..read more
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Can Missouri Pass The Muster
The Health Care Blog » Health Policy
by Ryan Bose-Roy
1w ago
BY MIKE MAGEE A case has been made that a logical approach to reforming America’s violent and racist leanings would be to adopt the values and practices of Health Care for All. These include a commitment to compassion, understanding, and partnership; extending the linkages between individual, family, community and society; addressing fear and worry for individuals and populations; and promoting an optimistic and equitable future for all Americans.  Nurses and doctors and pharmacists and other health professionals pledge oaths and spend years training to exhibit and practice these values ..read more
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Medicare Advantage UpCoding Has Been Eliminated by CMS Effective 2022
The Health Care Blog » Health Policy
by matthew holt
2w ago
By GEORGE HALVORSON Medicare Advantage now enrolls almost exactly half the people enrolled in Medicare — and has both significant fans and hardline opponents in the health care policy circles who disagree about its performance. The biggest attack point that comes from the critics deals with the issues of coding accuracy by the plans. The payment model for the program is capitation — and that capitation is based on the average cost of fee-for-service Medicare in every county. The people who designed the model believed that the country should use the average cost of fee-for-service Medicare in ..read more
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Fighting the Wrong (Culture) War
The Health Care Blog » Health Policy
by matthew holt
2w ago
By KIM BELLARD News flash from the culture wars: they’re coming to take our gas stoves! Well, actually, “they” are not, but the kind of people who got alarmed about it are a threat to our health, and to theirs. The gas stove furor started with a Bloomberg News interview that Richard Trumka, Jr, a Consumer Product Safety Commission commissioner. “This is a hidden hazard,” he said. “Any option is on the table. Products that can’t be made safe can be banned.” He was referring to the well known but little acknowledged fact that gas stoves emit various pollutants, especially nitrogen dioxide. Last ..read more
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The Danger of Stroking a Tiger
The Health Care Blog » Health Policy
by matthew holt
2w ago
By MIKE MAGEE On the evening of December 29, 1940, with election to his 3rd term as President secured, FDR delivered these words as part of his sixteenth “Fireside Chat”: “There can no appeasement with ruthlessness…No man can tame a tiger into a kitten by stroking it.” Millions of Americans, and millions of Britons were tuned in that evening, as President Roosevelt made clear where he stood while carefully avoiding over-stepping his authority in a nation still in the grips of a combative and isolationist opposition party. The Germans were listening as well and sent a different type of message ..read more
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Healthcare, Meet Southwest
The Health Care Blog » Health Policy
by Ryan Bose-Roy
1M ago
BY KIM BELLARD Customers experiencing long, often inexplicable delays, their experiences turning from hopeful to angry to afraid they’ll never get back home.  Staff overworked and overwhelmed.  IT systems failing at the times they’re most needed.  To most people, that all probably sounds like Southwest Airline’s debacle last week, but, to me, it just sounds like every day in our healthcare system. Southwest had a bad week.  All the airlines were hit by a huge swath of bad weather the weekend before Christmas, but most airlines recovered relatively quickly.  Southwest ..read more
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“All Men Would Be Tyrants.” History Reverberates!
The Health Care Blog » Health Policy
by matthew holt
1M ago
By MIKE MAGEE “We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.” This striking and sweeping statement of values, the Preamble to our Constitution, was anything but reassuring to the wives, mothers, sisters and daughters of the Founding Fathers. Abigail Adams well represented many of them in her letter to John Adams in ..read more
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Bad Backs & Deductibles
The Health Care Blog » Health Policy
by matthew holt
1M ago
It’s time again for me to use my bad back as a case study in why American health care has such crazy incentives.  About a month ago at the HLTH conference in Vegas, over the course of a few hours I developed debilitating leg pain. To quote from my earlier twitter  thread on my time in Vegas,  “After 3 days of excruciating pain, my wife insisted I went to the ER. The public policy person in me was horrified but we had already spent our deductible, so the cost was actually lower than paying cash for an MRI” What actually happened was that after 3 days of dreadful pain & inabil ..read more
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‘Breaking Down Interstate Barriers to Telehealth Delivery’ Tops ATA’s Priorities for 2023
The Health Care Blog » Health Policy
by matthew holt
2M ago
by JESSICA DAMASSA, WTF HEALTH Just one week before the ATA EDGE Policy Conference (12/7-12/9 Washington DC) we get a SNEAK PEEK at what’s topping the agenda – and the American Telemedicine Association (ATA)’s list of priorities for 2023 – to ensure that digital health and virtual care providers avoid the ‘telehealth cliff’ that could send us back to pre-pandemic scaling issues of both practice and reimbursement. Kyle Zebley, SVP of Public Policy at the ATA and Executive Director of ATA Action (the ATA’s affiliate advocacy organization) gives us the skinny on where policies currently stand at ..read more
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