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Sizing It Up: Two Patients, Two Healthcare Systems

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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

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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

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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*

A Piece Of Wilderness For All? About Our Planet’s Population

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Last summer, my wife Greta and I spent a glorious week with old friends in a lovely home on the coast of Maine, immersed in wilderness and beautiful isolation. Isn’t it just wonderful?

Yet a home like this is completely out of reach for the vast majority of the world’s population, isn’t it? Even if everyone could afford such a place, there simply isn’t enough land on the planet to house everyone in such luxury, right? Maybe not. Read more »

*This blog post was originally published at The Daily Monthly*

Who Has The Social Health Stage?

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Meetings centered on social health are becoming popular. Everyone wants a piece of the pie as the demand for face-to-face dialogue grows.  But this raises an interesting question: Who owns the social health conversation? In other words, who decides where, when and what to talk about?  And who speaks? Who, after all, is in charge?

Online no one owns anything.  Everyone has the stage. Your platform and reach are determined by your credibility. But the relationships and power positions that evolve in the virtual world may not extrapolate to the real world. There are different forces in play. Read more »

*This blog post was originally published at 33 Charts*

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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

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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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