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Another Reason To Reform Employment-Linked Healthcare

Free Agent Nation.jpgAn article by Paul Davidson in this morning’s USA Today reminded me of another reason why we need health care reform in the United States, or at least a move away from employment-linked health coverage: temporary employees may soon comprise 25% of the national workforce.

An encouraging jobs report Friday underscored the growing prominence of temporary workers who some experts predict could constitute up to a quarter of the workforce in a few years.

A big reason employers shed a far-less-than-expected 11,000 jobs last month is that temporary staffing agencies found slots for 52,000 additional workers, the most since 2004, the Bureau of Labor Statistics (BLS) said.

Temp workers don’t draw full health benefits from most employers and must therefore seek high-cost personal policies or pray that their spouse has family health coverage. Read more »

*This blog post was originally published at Terra Sigillata*

Are Free Drug Samples A Good Idea?


Most doctors have a closet in their office filled with various pharmaceutical samples. The pharmaceutical industry has had “drug reps” or account reps or pharmaceutical sales staff making the rounds on doctors offices in every city and town across the United States for decades. The industry spent $33.5 billion promoting drugs and sending reps to doctors offices with samples in 2004. That is a lot of samples!

Most of us thought we were doing the right thing for our patients when we accepted drug samples. I was able to give patients a month (or more) free to make sure it worked and that they tolerated it. Other patients had no insurance and I supplied them with all of their medication for free from my sample closet. I had a good relationship with the rep and they kept my office stocked with the medication my patients needed. It seemed like a win-win for everyone. Read more »

*This blog post was originally published at EverythingHealth*

The 2000-Word Patient Email

We assume that technology will improve communication between doctors and patients.

But not always.

Look at the 2,000 word email.

While it isn’t yet the standard means of communication in our clinic (it will be soon) we occasionally take email from patients.  My experience has been that they’re sometimes long and unfocused with tangential information irrelevant to the problem at hand. Read more »

*This blog post was originally published at 33 Charts*

Physician Murdered After Denying Prescription To Drug Seeker

Horrible.

200912091638.jpg Perry doctor killed by patient

SUSPECT HAD BEEN REFUSED PAIN PILLS EARLIER IN DAY

By Dori Hjalmarson, Bill Estep and Karla Ward – dhjalmarson@herald-leader.com

CORNETTSVILLE — A man seeking prescription painkillers shot and killed a doctor at a Perry County medical clinic Tuesday morning, according to state police. Read more »

*This blog post was originally published at GruntDoc*

Television Violence Against Women On The Upswing

I guess the theme this week is “when things go wrong.” It seems like just when I think we are getting a grip on public health issues like smoking and violence against women, something appears to shake up my naive belief that we are making progress.

Last month the Parents Television Council (PTC) reported that incidents of violence against women on mainstream U.S. TV has increased by 1.2 times in the past five years with the depiction of teen girls as victims being four times as high as it was five years ago. This particular type of violence seems to be increasing at a higher rate than just regular violence, which makes it worse.

Singled out as the worst offender was Fox which the PTC said allows violence against women to be trivialized through punch lines in comedies like “Family Guy” and “American Dad.” Faring the best was ABC (that is, until the AMA Award show last week) which apparently was the only network not showing a dramatic increase in the number of stories that included beating, violent threats, shooting, rape, stabbing and torture. Read more »

This post, Television Violence Against Women On The Upswing, was originally published on Healthine.com by Nancy Brown, Ph.D..

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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