April 12th, 2010 by GruntDoc in Better Health Network, Health Policy, News, Opinion, Research
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Educating individuals about the costs of healthcare could save money and lead to a more efficient use of the healthcare system, report policy researchers at Tufts University School of Medicine and Boston University School of Public Health.
You mean that people, when faced with facts about cost (and their end of it), choose the less-costly option? When did this start? Oh, yeah — we do it all the time — except in medicine, where our costs will bankrupt the country.
*This blog post was originally published at GruntDoc*
April 4th, 2010 by GruntDoc in Better Health Network, News, Opinion, True Stories
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There’s a nice WSJ article on how forward treatment of combat casualties has become possible. Kudos to these deployed doctors, and to the military that invests the time, money and effort to make things like this happen:
Dr. York, an interventional radiologist who usually performs surgery at the U.S. Naval Medical Center in Portsmouth, Va., is especially skilled at treating internal injuries. His type of surgery—using X-rays and imaging equipment to guide catheters through veins to perform micro-operations—is comparatively rare in emergency rooms. But in the cramped Kandahar hospital, it is critical to saving lives.
via Wounded Soldiers Have Increased Odds of Survival – WSJ.com.
Probably the world’s only front-line (literally) interventional radiologist.
HT: He who shall not be named.
*This blog post was originally published at GruntDoc*
March 26th, 2010 by GruntDoc in Better Health Network, Health Policy, Opinion
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Much of the ongoing healthcare reform debate has focused on unnecessary healthcare expenses—specifically, medical bills that rack up without demonstrably improving people’s health. According to Peter Orszag, the director of the Federal Office of Management and Budget, about $700 billion, or 5 percent of the U.S. gross domestic product, is wasted on unnecessary care, such as extra costs related to medical errors, defensive medicine, and just plain fraud.
At the center of this discussion are “unnecessary” ER visits for minor conditions—colds, headaches, and feverish babies—that could be handled more cheaply in doctors’ offices. If we could only convince patients to take their stubbed toes to urgent care clinics or primary care offices instead of ERs, the thinking goes we could save a load and help fix this whole healthcare fiasco. But there are a few problems with this logic. See:
Are most emergency room visits really unnecessary? – By Zachary F. Meisel and Jesse M. Pines, Slate Magazine
It’s a short, well-written article. It makes some good points and being an EM doctor I happen to agree with most of them, specifically that a lot of money is spent in medicine on procedures of uncertain (at best) benefit. The fix is probably correct, too, though I don’t see Americans jumping on changing their sedentary, easy lifestyles (that includes me.)
*This blog post was originally published at GruntDoc*
March 23rd, 2010 by GruntDoc in Better Health Network, News, Research
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NEW YORK (CNNMoney.com) — Despite the growing shortage of family doctors in the United States, medical centers last year offered higher salaries and incentives to specialist nurses than to primary care doctors, according to an annual survey of physicians’ salaries.
Primary care doctors were offered an average base salary of $173,000 in 2009 compared to an average base salary of $189,000 offered to certified nurse anesthetists (CRNAs) according to the latest numbers from Merritt Hawkins & Associates, a physician recruiting and consulting firm.
To be fair, they found the highest paid advanced practice nurses, or CRNAs, and compared them to the average family practitioner (FP) salary. I wonder how many FP’s retrain into a specialty field?
*This blog post was originally published at GruntDoc*
March 16th, 2010 by GruntDoc in Better Health Network, News, Opinion
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I have a confession: I’ve been risking my life.
Yes, still driving a Prius.
I do buy that accelerator pedals can be mechanically jammed by a floor mat (though there’s clips on my car to hold it in place), but this unintended acceleration ‘panic’ is just that. (If for no other reason that there’s now a flurry of cases of this, and none before it was the freak-out du jour). Read more »
*This blog post was originally published at GruntDoc*
