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Newborn Denied Care For “Pre-Existing Condition”

Thanks to reader “m.scott” for alerting me to the latest Corporate Hall of Shame award. Blue Cross and Blue Shield (BCBS) of Texas is the winner for it’s egregious denial of care for a 10-day-old baby who was born with a congenital heart defect. Coverage for surgery to treat transposition of the great arteries was denied for — are you ready for this — a “pre-existing condition.” The baby’s parents had previously purchased coverage for their two other children, but were denied coverage for their newborn baby.

Denial of care for children will not be allowed when the new healthcare reform laws go into effect. Until then, it’s business as usual for the likes of BCBS of Texas.

*This blog post was originally published at EverythingHealth*

Sexual Addiction: Is It Real?

Tiger Woods, Jessie James, Michael Douglas, and Wilt Chamberlain (remember him?) are just a few of the celebs who admit to being plagued with “sexual addiction.” With rehab centers springing up all over, it would appear this condition is on the rise. But is there really a disorder called “sexual addiction,” or is it just bad behavior that finally gets caught? Is sexual addiction equivalent to alcohol dependency?

Experts who treat sexual addiction say it is a compulsive need to seek out and follow a certain type of sexual behavior. Acting out sexually is something the person does to avoid dealing with something else — a coping mechanism that is out of control. It is not really about sex — it is driven by shame.

OK, stop right there. Is it really an addiction? Does the person experience physical withdrawal symptoms if he isn’t watching porn or bedding new women? I can understand that some may have an unhealthy obsession with sex, but I’m getting sick of the “medicalization” of it all. Read more »

*This blog post was originally published at EverythingHealth*

A New Leader For The Centers For Medicare and Medicaid Services

President Obama likes to shake things up. He has named Dr. Donald Berwick to head the Medicare and Medicaid Agency known as the Centers for Medicare and Medicaid Services (CMS). This is a huge government agency with a budget of over $800 BILLION a year. That is more than most countries in the world have. Dr. Berwick would be a major force in implementing the new health laws and changing Medicare to be more efficient and cost effective.

The average person probably doesn’t know who Dr. Don Berwick is, but he is a big name in the healthcare industry. A pediatrician by training, he is the president of the Institute for Healthcare Improvement (IHI) and is a national leader on quality and patient safety. By telling stories that people can relate to, he is a transformational leader for reducing hospital errors and reducing variability in care. Read more »

*This blog post was originally published at EverythingHealth*

Perverted Economics: Eating Healthy Is Too Expensive

I watched a good documentary called “Food, Inc.” It was nominated for an Academy Award. The promo says “you’ll never look at dinner the same way” and they’re right. Since I’m a fan of Michael Pollan and have read “Fast Food Nation,” I was already a healthy-food fan, but seeing how agriculture and farming has changed over the last 40 years was still a shocker.

There’s no doubt that high-calorie, sugar-laden processed foods are contributing to serious health issues in America. And 10 billion animals are raised on factory farms under inhumane conditions.

So when I went to the grocery store today, I made a conscious choice to ask if Safeway had any grass-fed beef for a healthy stir fry I was making for dinner. The answer was “No,” so I journeyed over to Whole Foods where I bought a pound of grass-fed sirloin. The cost was a whopping $16.43.

I have to ask myself why grass-fed beef should be so much more expensive than corn-fed beef. There’s no way the average family could afford to eat the way we should. The impact on our environment and our health is suffering terribly because of these perverted economics.

*This blog post was originally published at EverythingHealth*

Healthcare Reform 101

It’s history — healthcare reform has finally passed. Yes, it’s a watered-down bill that leaves much to be desired, but it’s a start. After months of stops, starts, rhetoric, fear mongering, empty promises and long, heated debate, many Americans aren’t sure of what just passed. It will have different effects on different people and many of the provisions are delayed until 2014. Here are a few features of the new bill:

– Insurers will be prohibited right away from excluding children with pre-existing health conditions. Adults will have to wait until 2014 to be assured of coverage.

– Health plans will have to provide immunizations and other preventive health services for children and adolescents.

– Insurers cannot charge higher insurance premiums for woman and maternity care is covered.

– Most U.S. citizens and legal residents must purchase “minimal essential coverage” for themselves and their dependents, either through the employer or exchanges that will sell policies to individuals. By 2014 you will pay a tax penalty if you ignore this mandate. Read more »

*This blog post was originally published at EverythingHealth*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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