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Even With Health Care Reform, Many Will Still Encounter Problems

Trudy LiebermanA couple weeks ago I walked the streets of Lincoln, Nebraska, talking to men and women about whether they thought Washington was listening to their economic concerns.  Jeff Melichar manages his family’s Phillips 66 gas station on the city’s main street, and one of his big financial problems happens to be health insurance.  The more we talked, the more I realized what a jam he could be in down the road because of a loophole in the health reform law, which has received almost no press coverage or public discussion: If you have health insurance from your employer, you may have to keep it whether or not it’s adequate or affordable.  Buying less expensive or better coverage from one of the state “exchanges” or shopping services will be off limits.  So despite all that talk about consumer choice, for many like the Melichars, there may be no choice.

Melichar’s wife is eligible for health insurance from the optical company where she works.   But the family waited until this fall to enroll when the firm offered coverage they finally could afford.  Their premium is Read more »

*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*

Why Should You Attend Blog World Expo?

I’m a speaker at Blog World Expo, Los Angeles, on November 4th, 2011. And guess what? Four Better Health contributors will be joining me! Nick Genes, Kim McAllister, Terri Pollick, and Kerri Sparling will all be part of the Social Health track. You can get discount tickets my clicking on the Blog World Expo icon on the top right of the Better Health home page. We all hope to see you there!

For those of you who are on the fence about going – here’s what I’ve been asked to talk about: “physicians engaging online in social health.”

You’ll learn about:

1. How I used Twitter to help patients when there was a flu vaccine shortage

2. How I use podcasting to teach about eye health and vision care

3. How I use blogging to instruct families on healthy eating strategies to prevent illness

4. How I use telemedicine and mobile devices (at eDocAmerica and DocTalker Family Medicine) to answer patient questions in rural areas, where there is a doctor shortage

If you work in healthcare, then the Social Health track is a must-attend. Not only will you find out about cutting edge trends in healthcare communications, but you’ll get to rub elbows with early-adopter physicians, nurses, and advocates who are using innovative digital strategies to deliver care, educate patients, and change the world.

And for those who will be attending the conference for other reasons, but are wondering if they should stop by the Social Health sessions… It will be a great opportunity for you to learn how to use online resources more effectively to care for yourself and your family’s health (and save money in the process).  Or think of it this way: at some point everyone needs a doctor… that includes parenting bloggers, military bloggers, god bloggers, political bloggers, and tech bloggers. So let’s meet each other at Blog World Expo!

* You could snag a live, in-person conference ticket and save 20%. Enter the code “BWEVIP20″ for the discount.

Can The Approval Process For Cancer Drugs Be Accelerated?

If you’ve read my blogs for a while, or look up some past blogs, you’ll see I have been frustrated at times with the FDA. Yes, they have a tough job protecting us from medical products that are unsafe and/or ineffective. But when it comes to cancer, where we have few “homerun” therapies, I wish they were a bit more liberal. A “bunt single” might be good enough. You may have read how I have been critical of Dr. Rick Pazdur, the FDA leader for oncology drug approval. Some desperate patients and family members have referred to him as “Dr. No.”

Just the other day I interviewed a respected breast cancer survivor and patient advocate who has high respect for Dr. Pazdur.  Musa Mayer of New York City is a 22-year breast cancer survivor and author of three books about breast cancer. She’s devoted her life to educating other patients about cancer and also playing a role in public policy. She has become a favorite patient representative on FDA cancer advisory boards and regularly weighs in when breast cancer drugs are being considered.

In my interview with Musa, she explained Read more »

*This blog post was originally published at Andrew's Blog*

High Value Care: Getting The Maximum Health Benefit

The past few months have offered encouraging signs that physicians and physician organizations are belatedly recognizing the need to take an active role in controlling health care costs by emphasizing “high-value” care and minimizing the use of low-value interventions with high costs and few clinical benefits. On the heels of a best practice guideline issued by his organization, American College of Physicians Executive VP Steven Weinberger, MD recently called for making cost-consciousness and stewardship of health resources a required general competency for graduate medical education.

In light of a recently published estimate that the top 5 overused clinical activities in primary care specialties led to $6.7 billion in wasted health spending in 2009, Dr. Weinberger’s call comes none to soon. Below is an excerpt from my post on this topic from April 13, 2010. Read more »

*This blog post was originally published at Common Sense Family Doctor*

Researchers Develop App That Measures Many Key Vital Signs

Post image for Forget about peripheral mhealth devices, researchers use smartphone video camera to monitor useful vital signs

Researchers at Worcester Polytechnic Institute have developed a smartphone app that uses a camera to measure key vital signs. The type of technology used by the Worcester researchers is far and above more useful than a simple heart rate monitor, such as the Instant Heart Rate app.

Recently, the Instant Heart app makers received millions in funding – I hope it wasn’t based solely on the heart rate monitor app they have developed. Having a a patient’s heart rate alone isn’t that useful for a clinician, and it’s extremely easy to measure your heart rate on your own, just put your fingers to your wrist or neck.

But the work by Worcester researchers is completely different, exciting, and unlike the Instant Heart Rate app, Read more »

*This blog post was originally published at iMedicalApps*

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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