April 14th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Opinion, Research
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If you think the overcrowding in emergency rooms across the country is because of the uninsured, think again.
A new study in the Annals of Emergency Medicine reports that of patients who are frequent users (over 4 times a year) of emergency departments (ED), the uninsured represent only 15 percent of those frequent users.
Also, the frequent ED users were more likely than occasional users to have visited a primary care physician in the previous year.
They also found that most patients who frequently use the ED have health insurance and the majority of users (60 percent) were white. These findings contradict the widely held assumption that frequent users are minorities or illegal immigrants without insurance. Read more »
*This blog post was originally published at EverythingHealth*
April 14th, 2010 by SteveSimmonsMD in Better Health Network, Health Policy, News, Opinion, Primary Care Wednesdays
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This past Monday, I was drawn to an article in the Wall Street Journal: “Medical Schools Can’t Keep Up.” The article detailed the growing shortage of primary care doctors in our country and reminded me that we in the U.S. may have something called “insurance reform” now, but without physicians to translate insurance access into healthcare, the state of our healthcare system will continue to beg additional attention and reform.
Although new medical schools are opening and some schools have increased enrollment numbers, there are a limited number of residency positions in this country. The government has always funded these residency positions and our new reform law tries to address the primary care shortage with “slot redistribution,” whereby money from unused residency positions will be deferred to primary care or general surgery residency programs. Read more »
April 13th, 2010 by Happy Hospitalist in Better Health Network, Health Policy, Humor, Opinion, True Stories
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I was shopping the other day for Sam’s Club food (frozen blueberries 4 pounds for $7.50). As we checked out, I scanned the price of cigarettes behind the counter. Marlboro cigarettes were selling for just under $50 a carton. At one pack per day, that’s $150 a month. For a year, that works out to $1,800.
I once calculated how much a four-pack-a-day family could have had in the bank had they not smoked for fifty years and instead invested that money at standard returns. Six million dollars they’d have to enjoy in retirement. That’s amazing. Six million dollars. And we wouldn’t be talking about a bankrupt entitlement system. Read more »
*This blog post was originally published at The Happy Hospitalist*
April 12th, 2010 by DrWes in Better Health Network, Health Policy, News, Opinion
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Paul Levy, President and CEO of Beth Israel Deaconess Medical Center in Boston, suggests we watch Massachusetts for what might be coming with healthcare reform:
Things are playing out just as one might predict in the Massachusetts small business and individual insurance market. The Insurance Commissioner turned down proposed rate increases, the state’s insurers appealed to the courts, and now they can’t write policies.
Perhaps more concerning is what Dennis Byron, a commenter on Mr. Levy’s blog, says about insurance exchanges:
I care because I am one of those who has been cancelled by my insurer (Fallon), solely, I believe, because I am an individual, have been told to go to the exchange, but the exchange does not work. This is a perfect example of why you don’t want the guys that run the registry running your healthcare.
If nothing else, this exposes the risks inherent to mandating unproven policy initiatives on a national scale that have yet to be even worked out in a single state.
*Sigh*
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
April 12th, 2010 by GruntDoc in Better Health Network, Health Policy, News, Opinion, Research
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Educating individuals about the costs of healthcare could save money and lead to a more efficient use of the healthcare system, report policy researchers at Tufts University School of Medicine and Boston University School of Public Health.
You mean that people, when faced with facts about cost (and their end of it), choose the less-costly option? When did this start? Oh, yeah — we do it all the time — except in medicine, where our costs will bankrupt the country.
*This blog post was originally published at GruntDoc*
If you think the overcrowding in emergency rooms across the country is because of the uninsured, think again.
