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Healthcare Reform – A Guide For the Perplexed

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As the great campaign to reform the American healthcare system heats up and enters an important new phase – the phase in which key legislative leaders take the five bills that have been passed, here and there, by sundry Congressional committees, and, behind closed doors, attempt to cobble together a compromise bill which they believe they can threaten and/or bribe a majority of Congresspersons into supporting – many Americans find themselves confused about what it all means. What, after all, are we attempting to accomplish here? How much will it cost, and who will pay for it?  Why does the whole process seem so darned difficult and confusing?

Fear not. As a public service, DrRich will now explain healthcare reform in a very simple way, so that – whether you study the issue closely on a day-to-day basis, or just accidentally come across some relevant headlines now and again as you look for the sports page – you will always know what’s going on. For, once you understand a few key concepts, this thing is really pretty easy to follow. Read more »

*This blog post was originally published at The Covert Rationing Blog*

Should Halloween Contact Lenses Be Prescription-Only?

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That depends on if you can afford to get them.  Costume lenses are all the rage for Halloween by adding an exciting dimension to the costume wearer.   But did you know it’s illegal to market them as over the counter?

Many consumers do not realize that they are FDA- regulated medical devices, and that recent legislation has made it illegal to market them as over-the-counter products. Still, they are commonly available in costume shops, beauty shops, convenience stores, novelty shops, and other places that people shop for Halloween items, as well as over the Internet.

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*This blog post was originally published at A Happy Hospitalist*

Is Rape A Pre-existing Condition?

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Charming, if true. I’m so glad we have Ben Nelson and Blanche Lincoln working tirelessly on the Hill to protect and preserve the insurance companies and their profits.

Christina Turner feared that she might have been sexually assaulted after two men slipped her a knockout drug. She thought she was taking proper precautions when her doctor prescribed a month’s worth of anti-AIDS medicine.

Only later did she learn that she had made herself all but uninsurable.

Turner had let the men buy her drinks at a bar in Fort Lauderdale. The next thing she knew, she said, she was lying on a roadside with cuts and bruises that indicated she had been raped. She never developed an HIV infection. But months later, when she lost her health insurance and sought new coverage, she ran into a problem. Read more »

*This blog post was originally published at Movin' Meat*

If I Could Fix One Thing About U.S. Healthcare…

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In my post yesterday about lessons we can learn from Israel’s health care system I wrote:

So, yes, the focus on health insurance reform will lead to many changes, and more complexity.  And some day, years from now, someone will be explaining the American system to an audience, and people will wonder, how did anyone ever create a system such as this?

In response, a friend of mine challenged me:  if the system is too complicated, how should we simplify it?

I wish more policy-makers were asking this question.

For me, the answer is clear: Primary care.  Time was, your primary care doctor was able to serve as the hub of your medical activity.  He or she could spend all the time needed to figure out what was wrong and to coordinate with your specialists.  It’s not true anymore.  Patients are left on their own trying to navigate the system.  In many ways they end up acting  almost as their own primary care doctors.  Patients try to pick their specialists, find out what to do about their condition, decide on good treatment choices. Read more »

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

Nurse Ratched’s Place At Blog World Expo

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Dr.-A2What happens in Vegas stays in Vegas? I think not. It ends up on YouTube. Case in point. You must be careful when you are around Dr. Anonymous. He has a video camera, and he’s not afraid to use it. You’ve been warned.

The first med blogger track at BlogWorld/New Media Expo 09 was a wonderful experience. I want to thank Johnson and Johnson and Medpage Today for their sponsorship. I also want to thank Kim at Emergiblog and Dr. Val at Better Health for all their hard work. Kim knocked on doors and got things rolling, and Val help put the panels together. This shindig would not have gotten off the ground without YOU!

gun2I don’t know where to begin. Going to Las Vegas is like dropping in on another planet. It’s filled with a lot of stuff that can get you into trouble like slot machines, Elvis wedding chapels, and machineguns. No, that’s not a typo. I said machineguns. This is the first sign that I saw when I stepped off the plane when I landed in Las Vegas. It’s an ad for a Las Vegas shooting range where you can fire off a few rounds when you get into town. Whatever happened to the days of innocence when the most exciting thing you could do while you were in Las Vegas was get drunk, marry someone you didn’t know, and go see a Wayne Newton show? I got worried when I saw this sign, but then I thought what could happen at a blogger convention. After all, I was going to be surrounded by computer geeks and responsible health care professionals like GruntDoc and Dr. Wes. Right? Read more »

*This blog post was originally published at Nurse Ratched's Place*

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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