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



Latest Posts

Attention Leader Reid and Speaker Pelosi: The Senate Bill Penalizes The Poor

No Comments »

Provisions in the Senate and House health care reform bills propose to reallocate resources based on geographic differences in Medicare spending. While well intended, they will penalize providers who care for the poor and impair access for these vulnerable patients.

A reallocation of resources to lower-cost states has been endorsed by members of Congress from states with lower Medicare spending who believe that, by receiving less from Medicare, their states are currently being penalized for being “efficient.” However, it is not efficiency that accounts for their lower spending. It is less poverty and better health status. Read more »

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

When Medical Care Becomes A Commodity: A Rebuttle

No Comments »

Dr. Val Jones publishes Get Better Health an excellent healthcare website. https://getbetterhealth.com/

It is composed of a selection of many of her chosen healthcare bloggers. Val publishes blog entries of many contributors in her network daily. Val published my December 19th entry. It generated the following comment.

“Comment:

I am surprised that a diabetes doctor let his politics permeate his opinion of the AHRQ? We know that over 50% of the time patients don’t receive the standard of care and I would be interested to know what the numbers are like in his practice? Read more »

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

Christmas And The ‘Begats’ Of The Emergency Department

No Comments »

Often as not, the miseries of our friends, patients,  co-workers or family began with other miseries.  The Bible is full of ‘begats.’  Abraham begat Isaac, Isaac begat Jacob, Jacob begat his 12 sons.

Pain is similar; abuse begat depression.  Loss begat alcoholism.  Loneliness begat PID.  Ridicule begat drug abuse. Ignorance begat incapacity. Infidelity begat sorrow. Fatigue begat anger. Neglect begat rage. Abuse begat indifference.

On the other hand, love begat happiness. Children begat purpose. Knowledge begat excellence.  Concern for humanity begat medical science.  Love for others begat long call nights and long surgeries.

Love for country begat sacrifice.  Love for wives, husbands and children begat fidelity.

Love for mankind begat Jesus in the manger, Jesus on the cross.

Life is a series of ‘begats.’

Edwin

*This blog post was originally published at edwinleap.com*

Alternative Medicine’s Flawed Reasoning: The One True Cause of All Disease

1 Comment »

Chiropractors, homeopaths, naturopaths, acupuncturists, and other alternative medicine practitioners constantly criticize mainstream medicine for “only treating the symptoms,” while alternative medicine allegedly treats “the underlying causes” of disease.

Nope. Not true. Exactly backwards. Think about it. When you go to a doctor with a fever, does he just treat the symptom? No, he tries to figure out what’s causing the fever and if it’s pneumonia, he identifies which microbe is responsible and gives you the right drugs to treat that particular infection. If you have abdominal pain, does the doctor just give you narcotics to treat the symptom of pain? No, he tries to figure out what’s causing the pain and if he determines you have acute appendicitis he operates to remove your appendix. Read more »

*This blog post was originally published at Science-Based Medicine*

The Death Of In-Person Medical Conferences

1 Comment »

Are medical conferences becoming obsolete? I think so.

It was apparent to me at the Heart Rhythm Society Scientific Sessions meeting and now a similar trend was noticed by Dr. Steven Sedlis at this year’s American Heart Association meeting:

It felt like a ghost town. I ran into Ira Schulman, my medicine resident at Bellevue when I was a third year medical student; we looked at one another and simultaneously blurted out “where is everybody?”
. . .

There are probably numerous reasons for plummeting attendance at AHA. The economy, the on-line publication of trial results prior to presentation, the ubiquity of conference calls, e-mail strings and yes blogs that keep one in regular contact with colleagues throughout the country and the world without the need for face-to-face encounters are just some of the obvious causes.

Read more »

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

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