March 3rd, 2010 by EvanFalchukJD in Better Health Network, Health Policy
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Barely a week after Massachusetts Governor Deval Patrick said he wants state controls on the price of health insurance, President Obama apparently wants to do the same at the federal level. Both men must believe it’s good politics, because there are about 4,000 years of evidence that it’s not good policy.
But the trouble for reformers has never really been about policy. It’s been about a fundamental misunderstanding of how people view health care and the very bad things that happen when you give people the impression you’re going to mess with what they have.
In this sense, the reform bills are like perpetual anxiety machines. Contraptions that continually produce more public anxiety than they consume.
But why is this?
Well one of the surest ways to create anxiety in someone is to make them feel uncertain about something important to them. It’s one reason why companies suffer from problems with morale in tough economic times. If a company doesn’t level with its employees about what’s happening, smart employees start to assume it must be because the news is bad. Otherwise, why wouldn’t the management come out and explain that everything is ok? Read more »
*This blog post was originally published at See First Blog*
February 15th, 2010 by DrCharles in Better Health Network, Opinion, True Stories
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It is 4 o’clock on a Wednesday afternoon in February, and I’m sitting in a chair with a laptop computer warming my thighs like an obedient lapdog. I’m swaddled in a cozy bathrobe. My feet are toasty warm inside slippers as I sip hot tea with honey. I’ve raised the blinds on the windows, and as I watch the wet snow swirling sideways in a chaotic display of white, I can’t help feeling giddy that work was cancelled today. I have an overall sense of unproductive euphoria as the gears and pistons of capitalism freeze over. Could blizzards be good for health?
On a normal day I would be 30-40 minutes late seeing patients by now. I would have a dull headache from concentrating all day on hundreds of problems, symptoms, and questions, and my blood pressure would be about 135/84, pulse 89. But the white flakes of water drifting on the winds seem weightless, elemental, and self-sufficient. They certainly have no interest in me as I enjoy their infinite procession. I estimate my blood pressure is 108/72, pulse 61. Read more »
*This blog post was originally published at The Examining Room of Dr. Charles*
February 6th, 2010 by EvanFalchukJD in Better Health Network, Health Policy
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Prevention. Also, prevention, prevention, prevention, prevention,prevention, prevention,prevention, prevention, prevention, and prevention. Finally, prevention, prevention, prevention, spam, prevention,prevention, prevention,prevention, prevention,prevention, prevention, prevention, prevention.
I’m overstating it, but this was the major theme of the Employer Health and Human Capital Congress which I attended yesterday outside of Washington, DC. It’s a major event for benefits professionals and in spite of the pending snowpocalypse, was very well attended. I moderated a panel about how people need help navigating the health care system. But the gap between all the talk about prevention and the reality that a lot of people are going to get sick no matter what was the talk of this group. Read more »
*This blog post was originally published at See First Blog*
September 1st, 2009 by Happy Hospitalist in Uncategorized
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There appears to be some controversy brewing. The New York Times is reporting that the CDC may recommend just that in an effort to protect the boys against HIV as they become sexually active:
The topic is a delicate one that has already generated controversy, even though a formal draft of the proposed recommendations, due out from the Centers for Disease Control and Prevention by the end of the year, has yet to be released.
The American Academy of Pediatrics is currently neutral. As a result, many state Medicaid programs do not pay for the procedure. But it sounds like that may be changing, with a policy indicating circumcision has health benefits beyond HIV prevention.
Hundreds of commenters wrote into the New York Times today to complain about “child abuse” and “genital mutilation” and one “religious sect’s agenda of control” (i.e. Jews).
I don’t see what the big deal is. Everyone seems to be piercing and tattooing their bodies these days. What’s wrong with a little circumcision?
Perhaps you could mandate the same kind of prevention that schools do with their vaccination requirements. What do you think? Should all boys be circumcised?
*This blog post was originally published at A Happy Hospitalist*
