Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Health Reform: What Do Americans Really Want?

No Comments »

As part of their closing argument against health reform, Republicans argue that Democrats who vote for the bill will be ignoring the will of the American people, at their own political peril. Senate Minority Leader Mitch McConnell accuses Democrats of wanting “to plow ahead on a partisan bill Americans don’t want.” McConnell is correct that just about every recent poll shows that majorities of Americans dislike the current legislation. But supporters of the legislation counter that it really has more public support than a simple “for it or against it” poll would yield.

The Kaiser Family Foundation tracking poll finds that the country is evenly divided on the legislation, but large majorities support many of the major provisions in the bill. And when asked about the next steps for health reform:

32% said that Congress should “Move soon to pass the comprehensive legislation that has already been approved by the House and Senate.”

22% want to “Put healthcare on hold, so Congress can work on other priorities and try to deal with it later in the year.”

20% want to “Pull out a few key provisions where there is broad agreement and pass those, even though this won’t be comprehensive reform.”

19% want them to “stop working on healthcare” this year. Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

Obamacare: What Are The Real Costs?

No Comments »

By Stanley Feld MD, FACP, MACE

The traditional media is not discussing the economic consequences of President Obama’s healthcare reform program.

In these final days, traditional media is describing the horse race to the finish line for a deemed vote (“Slaughter rule”) vs. a partisan up and down vote on the Senate bill. The horse race is a distraction to avoid discussing the unintended consequences of the bill.

Congressman Paul Ryan is the Ranking Member of the House Budget Committee and senior member of the House Ways and Means Committee. His focus has been to bring fiscal discipline to federal spending. The House Ways and Means committee’s jurisdiction is tax policy, social security and healthcare. He has been addressing America’s long-term fiscal crisis and the dangers of explosive entitlement spending. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Sizing It Up: Two Patients, Two Healthcare Systems

No Comments »

Being at the American College of Cardiology Scientific Sessions in Atlanta, Georgia, USA, I had a unique opportunity to meet with an interventional cardiologist from “across the pond” in England: Sarah Clarke, MD.

Sarah is a Consultant Interventional Cardiologist at Papworth Hospital, Cambridge UK. Her undergraduate years were spent at the University of Cambridge, UK and postgraduate training was undertaken in the region. She attained an MD from the Univeristy of Cambridge. She was awarded a Fellowship in Interventional Cardiology at the Massachusetts General Hospital in Boston, and returned to take up her Consultant post in the UK in 2002. In 2006 Dr Clarke was appointed the Clinical Director of Cardiac Services at Papworth. Papworth Hospital is a 240ish-bed hospital that performs about 2,000 interventional cardiology procedures per year.

We thought it would be interesting to compare and contrast two heart patients — one with insurance and one without insurance — from our two health care systems, to illustrate how these patients obtain health coverage, might be managed, and how things look from the patient’s perspective. Read more »

*This blog post was originally published at Dr. Wes*

6 Reactions To The Healthcare Reform Plan

No Comments »

Since the 2000 Presidential election, and most especially since the world-changing events of October 17, 2004, I’ve known this: Don’t assume anything is over until it’s over. Still, I’m going to bed so I’m going to give you my six quick reactions to the healthcare reform plan, based on the assumption it’s about to get voted in:

UPDATE: I stayed up and it passed.

1.  It’s Historic. It is, but mostly because people keep saying that it is.  I mean the President of the United States has gambled most of what he’s got on this, so it’s one for the history books in that sense.  Still, a health care program that was truly historic would be something like taking all of the uninsured and just enrolling them immediately in Medicare.  This plan doesn’t come anywhere close to doing that.  Much of what is meant to deal with the serious problem of the uninsured doesn’t start for years, and is going to be handled through a complicated mechanism that may not even work.  I suspect the history-making part of this will have to do more with the political fortunes of the Democrats and President than American health care. Read more »

*This blog post was originally published at See First Blog*

Healthcare Reform And Pulling The Covers Over Your Head

No Comments »

My alarm clock  is set to “radio” and my radio is set to the local NPR station. Now, I’m not one of those people who leaps out of bed when the alarm goes off. Instead, I lie in bed slowly waking up to about 15 or 20 minutes of the morning news.

This morning however, the news just made me want to pull the covers over my head and never get out of bed. That’s because the focus was healthcare reform, and the amount of misinformation — and, yes, I have to say it: stupidity — out there about what the current proposals will or won’t do is making me literally sick to my stomach. Read more »

*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles