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Politicians Should Learn From Health Benefits Managers

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Barely a week after Massachusetts Governor Deval Patrick said he wants state controls on the price of health insurance, President Obama apparently wants to do the same at the federal level.  Both men must believe it’s good politics, because there are about 4,000 years of evidence that it’s not good policy.

But the trouble for reformers has never really been about policy.  It’s been about a fundamental misunderstanding of how people view health care and the very bad things that happen when you give people the impression you’re going to mess with what they have.

In this sense, the reform bills are like perpetual anxiety machines.  Contraptions that continually produce more public anxiety than they consume.

But why is this?

Well one of the surest ways to create anxiety in someone is to make them feel uncertain about something important to them.  It’s one reason why companies suffer from problems with morale in tough economic times.  If a company doesn’t level with its employees about what’s happening, smart employees start to assume it must be because the news is bad.  Otherwise, why wouldn’t the management come out and explain that everything is ok? Read more »

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

A Nurse’s Guide To Heart Attacks

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How do you know if you’re having a heart attack? Are you thinking about the classic Hollywood example?

Hollywood Loves Drama – Know the Signs of a Heart Attack

The classic example of a Hollywood heart attack is a person clutching their chest, gasping for a breath and falling to the ground.

After all, Hollywood is hot for drama, and when it comes to portraying a person having a heart attack, the exaggerated Hollywood version is far more riveting than a person sitting quietly wondering if their very slight arm discomfort is anything they should be concerned about.

The Hollywood version can be very misleading. Read more »

*This blog post was originally published at Health in 30*

How To Organize People In Real Time: Groundcrew

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Jay Parkinson has recently found a nice service that is in beta version now. It’s called Groundcrew and lets you organize people in real time by combining the power of Google Maps with your online communities and friends such as Twitter of Facebook. For example, I would like to organize free lectures about DNA in order to educate people living in my neighborhood about genomics and health. It’s not that easy to find people around my home but this tool lets me spread the word easily and manage all the people who join the live feed of the event.

Give it a try and see how the demo works.

*This blog post was originally published at ScienceRoll*

You Could Pay A Fee For Calling 911 If You Abuse The Service

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It turns out calling 911 isn’t free.  Imagine that.    911 communications may actually cost you money.  People who pay taxes aren’t the only ones who are fitting the bill anymore.  In some places ambulances are charging fat surcharges for the extra equipment necessary for the ambulance ride?  How much does an ambulance ride cost if you are morbidly obese?  How does an extra $500 in addition to the base rate.
911-CommunicationsBut even people who don’t require extra equipment will have to start paying extra for the right to make the call to 911 communications.  How much extra?  How much will calling 911 cost in Tracy, California?  Well, if you want to pay a $48 per year fee, you can call 911 communications centers  as many times as you want.  But if you don’t want to pay the fee, how does $300 per call sound.  If you’re having a stroke, calling 911 communications may just cost you your arm and your leg.

That’s right.  $300 to call 911 communications for an emergency.  Or perhaps the problem is too many people are calling for nonemergency reasons.  If you can’t get the frequent abusers who show up at the hospital by ambulance for nonemergent problems to stop calling 911, maybe you can collect their $300 by garnishing their welfare and disability checks.
At some point, our country is going to have to stop excusing the actions of  the economic tax abusers and start implementing personal responsibility with real consequences that hold folks accountable for their actions.   I  think charging  a fee is an excellent deterant to unnecssary abuse of a system that is overwhelmed with nonurgent convenience care.

*This blog post was originally published at Happy Hospitalist*

A Humorous Look At The Physical Exam

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People are asking for more physical exam posts.

People asked for more Millli Vanilli too.  People aren’t always smart.

But you ask, I give.  I am just that kind of guy.  It’s been a long time (since October) since I have done a post on this subject.  So for all of you “newbies” out there (I just wanted to use that word and sound like a nerd), I want to give you a recap of what I have already done on the physical exam.  That way people who have not inflicted upon themselves read the old ones can get all caught up.  To be honest, this is one of my favorite series as well.  Or is that “serieses?”  Where’s Grammar Girl when you need her? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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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