September 12th, 2011 by PreparedPatient in Health Policy
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How do you calibrate care so that it is neither too much nor too little? In this collection of recent posts, health care professionals search for that “just right” level of care.
“I bet celebrities and other VIPs (as they’re known in hospitals) get some of the worst healthcare in America. And, when I mean worst, I mean the most,” says Jay Parkinson in a recent post. Parkinson explores what is publically known about Apple’s CEO Steve Jobs’ care and calls specific attention to “incidentalomas.” Parkinson describes these asymptomatic tumors, sometimes discovered by especially aggressive care, and suggests that they may be over-treated, leading to poor health outcomes.
Mark W. Browne asks, Is the health quality bar set high enough? Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
September 9th, 2011 by PreparedPatient in Health Policy, Opinion
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It’s official now. The government has proposed that descriptions of health insurance policies will resemble those nutritional labels on canned and packaged foods—the ones you look at to find out how much sodium there is in Birds Eye peas versus the A&P brand. Instead of getting the scoop on salt or sugar, shoppers will learn what they have to pay out-of-pocket for various medical services. They’ll also get some general information, like what services are not covered, and how much they’ll have to pay for maternity and diabetes care and breast cancer treatment, all organized in a standard format designed for easy comparison shopping. Insurers will have to translate common insurance jargon into plain English.
The health reform law requires these “Coverage Fact Label” disclosures, and tasked the National Association of Insurance Commissioners (NAIC) with creating them. The NAIC released some samples a few weeks ago. Theoretically, consumers armed with this information will choose wisely, and as free-market advocates say, their choices will regulate prices that insurers will charge. If consumers choose the low-cost plans, Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
August 31st, 2011 by PreparedPatient in Health Policy, Research
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It’s not just about money – Americans Face Barriers to Health Care Beyond Cost. A study released recently in Health Services Research found that while financial concerns prevent 18% of Americans from getting needed health care, more Americans – 21% – delay health care for nonfinancial reasons. These barriers include getting to the doctor, getting a timely appointment and taking time out of other responsibilities. Lead author Jeffrey Kullgren, M.D. adds what he believes is the crux of the issue: “We need to think about how to organize the existing resources we have in ways that are going to improve access to care.”
In Would You Lie to Your Own Doctor?, Connie Midey of The Arizona Republic reports on a common practice that can “compromise [doctors’] ability to diagnose and treat patients effectively.” The reason? Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
August 22nd, 2011 by PreparedPatient in Health Policy, True Stories
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Blue Cross just advised a twenty-six-year old woman I know that it will cut off payments for the physical therapy that was making it possible for her to sit at a keyboard for eleven hours a day. Her thirty sessions were up.
The young woman has an overuse injury to both of her arms that causes so much pain she can’t even mix up a salad dressing. “I am not getting any better,” she said. “To do that I would have to stop working or scale back the number of hours required by my job.” Those physical therapy sessions offer strengthening exercises that reduce swelling and inflammation and make it possible for her to keep working.
Shifting Medical Costs to Patients
One cannot entirely fault insurance companies for trying to clamp down on medical costs, but rather than actually lowering the underlying costs of medical services, their solution is to Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
July 24th, 2011 by PreparedPatient in Health Tips
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Living Beyond Pain
For people with severe chronic pain like Kelly Young and Teresa Shaffer—both of whom have become patient advocates—coping with agony is a fact of life. Young suffers from rheumatoid arthritis while Shaffer’s pain is linked primarily to another degenerative bone disease.
Chronic pain is one of the most difficult—and common—medical conditions. Estimated to affect 76 million Americans—more than diabetes, cancer and heart disease combined—it accompanies illnesses and injuries ranging from cancer to various forms of arthritis, multiple sclerosis and physical trauma.
Pain is defined as chronic when it persists after an injury or illness has otherwise healed, or when it lasts three months or longer. The experience of pain can vary dramatically, depending in part on whether it is affecting bones, muscles, nerves, joints or skin. Untreated pain can itself become a disease when the brain wrongly signals agony when there is no new injury or discernable other cause. Fibromyalgia—a disease in which pain in joints, muscles and other soft tissues is the primary symptom—is believed to be linked to incorrect signaling in the brain’s pain regions.
Finding a Doctor
The first step to deal with chronic pain is Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
