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Is This A Healthcare Crisis Or A Culture Problem?

I got an email today laying out the reality of our current health care debate.  Is it a crisis of culture or a health care crisis.  I am a firm believer in taking responsibility for one’s actions.  I believe those who chose not to practice healthy lifestyles should pay more for the consequences of their actions than those who do.  I believe the solution to our health care finance quandary lies not in controlling the  cost of treating disease, but rather in upholding the personal responsibility all Americans have to themselves and their country.

What does the distribution of health care dollars look like among the American population?  While we know that 50% of our population spends only 3% of health care dollars, we also  know that 50% of our health care dollars are spent by 5% of our population, a population of chronic disease sufferers who’s diseases  are, by and large,  a direct result of the personal decisions they chose to make on a daily basis.  For the most part, genetics alone is no longer an excuse.  We knew very well that lifestyle directly affects the expression of disease by genes. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Healthcare: One Person’s Waste Is Another Person’s Job Security

Someone I know works at a non-profit organization (supported by health insurers) that is trying to simplify the administrative processes in healthcare. He’s tasked with finding ways to make data transfer between doctors’ offices and health insurance companies more uniform and straightforward. His work is such a success that it was promoted to President Obama as a clear example of health insurers’ efforts to reduce waste and simplify healthcare. There is even talk of his project becoming mandated.

So why is this simplification strategy now in jeopardy of being tabled rather than legislated? Vendors and clearinghouses who exist to transfer data from one disparate health insurance bureaucracy and medical practice to another are fighting to block this progress because their business model is at risk. If health insurers and physicians can safely and efficiently exchange data – then they become less reliant on middle men.

One person’s waste (non-uniform, inefficient data exchange) is another’s (clearing houses and vendors) job security.

And we wonder why it’s so difficult to reform healthcare?

Sigh.

The Battle Begins Between States And Feds Over Control Of Health Insurance

The battle between the states and federal government begins.

Yesterday, Illinois Insurance Director Michael McRaith told an audience that state insurance regulation is “under attack,” but that the states will prevail because they “do it better.”

Following a line of reasoning I highlighted last week, McRaith suggested adding federal regulation onto the existing state system would be duplicative, burdensome and fraught with the potential for conflict.  McRaith said that insurance was such a uniquely local business that the states were best suited to regulate it. Read more »

*This blog post was originally published at See First Blog*

Healthcare Reform – A Guide For the Perplexed

As the great campaign to reform the American healthcare system heats up and enters an important new phase – the phase in which key legislative leaders take the five bills that have been passed, here and there, by sundry Congressional committees, and, behind closed doors, attempt to cobble together a compromise bill which they believe they can threaten and/or bribe a majority of Congresspersons into supporting – many Americans find themselves confused about what it all means. What, after all, are we attempting to accomplish here? How much will it cost, and who will pay for it?  Why does the whole process seem so darned difficult and confusing?

Fear not. As a public service, DrRich will now explain healthcare reform in a very simple way, so that – whether you study the issue closely on a day-to-day basis, or just accidentally come across some relevant headlines now and again as you look for the sports page – you will always know what’s going on. For, once you understand a few key concepts, this thing is really pretty easy to follow. Read more »

*This blog post was originally published at The Covert Rationing Blog*

Is Rape A Pre-existing Condition?

Charming, if true. I’m so glad we have Ben Nelson and Blanche Lincoln working tirelessly on the Hill to protect and preserve the insurance companies and their profits.

Christina Turner feared that she might have been sexually assaulted after two men slipped her a knockout drug. She thought she was taking proper precautions when her doctor prescribed a month’s worth of anti-AIDS medicine.

Only later did she learn that she had made herself all but uninsurable.

Turner had let the men buy her drinks at a bar in Fort Lauderdale. The next thing she knew, she said, she was lying on a roadside with cuts and bruises that indicated she had been raped. She never developed an HIV infection. But months later, when she lost her health insurance and sought new coverage, she ran into a problem. Read more »

*This blog post was originally published at Movin' Meat*

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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