May 5th, 2011 by Steven Roy Daviss, M.D. in Health Policy, Opinion
No Comments »
The White House released its plan last week entitled “Epidemic: Responding to America’s Prescription Drug Abuse Crisis” [LINK to pdf of this 10-page plan]. Below are some of the elements in this plan that is part of the National Drug Control Strategy (like that has worked so well :-/).
The areas of this plan involve education of prescribers and users, monitoring programs, making it easy to dispose of controlled dangerous substances (CDS for short), and enhancing enforcement. The plan establishes thirteen goals for the next five years, and also creates a coordinating body, the Federal Council on Prescription Drug Abuse, to oversee and coordinate it all.
If any of our readers have comments on specific items (I’ve numbered them for ease of reference), including unintended (or even intended) consequences, please chime in.
- EDUCATION
- require training on responsible opiate prescribing
- require Pharma to develop education materials for providers and patients
- require professional schools and organizations to include instruction on balancing use of opiates for pain while reducing abuse
- require state licensing boards to include relevant ongoing education in their licensure requirements
- help ACEP develop guidelines for opiate prescribing in the Emergency Department [this should be a big help]
- increased use of written patient-provider agreements
- facilitate public education campaigns, especially targeting parents
- encourage research on low-abuse potential treatments, epidemiology of substance abuse, and abuse-deterrent formulations Read more »
*This blog post was originally published at Shrink Rap*
April 10th, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
No Comments »
President Obama’s has created an incentive program to encourage physicians to adopt functional Electronic Medical Records. The program’s $27 billion dollars (funded by President Obama’s Economic Stimulus package) will turn out to be a colossal failure and a waste of money.
Twenty seven billion dollars would provide $44,000 for 640,000 physicians. After the bureaucratic infrastructure is built the federal government will be lucky if one third of the money remains for bonuses to physicians.
Only 21,000 of 650,000 (3%) of physicians have applied to date.
Complex bureaucracies and complicated regulations never save money. These bureaucracies create bigger government, inconsistent policies, more complicated regulations and inefficiencies.
The best and cheapest way to create a universally accepted and functional EMR is for the federal government to put the software in the cloud and charge physicians by the click for the use of the Ideal Medical Record.
Upgrades in software to the Ideal Medical Record will be swift , inexpensive and instantly adopted. Read more »
*This blog post was originally published at Repairing the Healthcare System*
October 5th, 2010 by GarySchwitzer in Better Health Network, Health Policy, Health Tips, News, Opinion, Research, Video
No Comments »
We reviewed four stories on the Swedish mammography study that appeared in the journal Cancer last week. Three of the four stories gave a pretty clear indication that there were methodological concerns about the Swedish research (of the four reviewed, only HealthDay offered no such hint):
• 4th paragraph of AP story: “The new study has major limitations and cannot account for possibly big differences in the groups of women it compares.”
• 1st paragraph of LA Times blog story: “Critics charged that the study was poorly designed and potentially vastly misleading.”
• 2nd sentence of NY Times story: “Results were greeted with skepticism by some experts who say they may have overestimated the benefit.”
But none of the stories did a very complete job of explaining those potential limitations. Because of the confusion that must be occurring in the minds of women — especially those in their 40s — this is a time in which journalism must rise to the need and do a better job of evaluating evidence and helping readers make sense of what appear to be conflicting findings.
I was in Chapel Hill, North Carolina, when the study was published and had the chance to talk about it with former U.S. Preventive Services Task Force member, and a recognized thought leader on issues of prevention and especially of screening tests, Dr. Russell Harris, Professor and Director of the Health Care and Prevention Concentration of the University of North Carolina (UNC) School of Public Health. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
May 20th, 2010 by David Kroll, Ph.D. in Better Health Network, Book Reviews, Opinion, Research
No Comments »
This is going to be a quick welcome to Deborah Blum who has just moved her blog, Speakeasy Science, to ScienceBlogs.
Why quick?
Because I am only 22 pages away from finishing her latest book, The Poisoner’s Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York.
This engaging tale of the race of science and medicine against chemical poisonings for profit and punishment features the true story of NYC chief medical examiner Charles Norris and toxicologist Alexander Gettler.
Of course, the other actors are arsenic, methanol, chloroform, thallium, and radium, among others. In the teens through the mid-1930s, long before benchtop atomic absorption spectrophotometry and LC/MS instruments, Norris and Gettler devised methods to detect poisons in human tissues with high sensitivity. These advances led to the prosecution of some, the absolution of the wrongly-accused, and revealed that our own government poisoned citizens who dared to challenge Prohibition. Read more »
*This blog post was originally published at Terra Sigillata*
March 15th, 2010 by EvanFalchukJD in Better Health Network, Health Policy, Opinion
1 Comment »
Why has health care reform run into so much trouble?
Well, it could be because people think reform plans will affect them in ways they aren’t going to like. Or because people don’t believe politicians in Washington who say that spending huge amounts of money will actually save money. Or because confusing mixed messages and ever-shifting sales pitches create a lot of anxiety about what’s really going on. It could be all of those things.
Or, it could be something more….sinister…. Read more »
*This blog post was originally published at See First Blog*
The White House released its plan last week entitled “Epidemic: Responding to America’s Prescription Drug Abuse Crisis” [LINK to pdf of this 10-page plan]. Below are some of the elements in this plan that is part of the National Drug Control Strategy (like that has worked so well :-/).
