March 27th, 2010 by RyanDuBosar in Better Health Network, Health Policy, Humor, News
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Count the pens. News reports said that the president signed healthcare reform into law with either 20 (The New York Times) or 22 pens (Everyone else). The White House posted the ceremony on YouTube so you can count for yourself, starting at 25 minutes into the 27-minute ceremony, when Mr. Obama quips: “This is going to take a little while.”
The pens hits the page 22 times. But there’s only 11 letters in “Barack Obama” (add seven more for his middle name), so he’s clearly having to sign partial letters.
There’s a long history to this practice, which creates historical artifacts and gifts. President Kennedy used his middle name and flourishes to stretch things out. President Lyndon Johnson used 75 pens to sign the Civil Rights Act, with one of the first going to Martin Luther King, Jr., and then key legislators. Here’s a list of who’ll get the 22 pens. (New York Times, Los Angeles Times, TIME, Washington Post)
*This blog post was originally published at ACP Internist*
March 26th, 2010 by Debra Gordon in Better Health Network, Health Policy, Humor, Opinion, Quackery Exposed
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A member of the American Medical Writers Association (AMWA) freelance listserve recently posted this help-wanted ad from Craig’s List:
“We’re looking for an experienced analyst/wordsmith to make sense of the health care bill. We will pay a per-project fee for a qualified writer to put some hard work into summarizing the bill in an 8-10 page white paper. We have a strong preference for individuals with a background in Sociology, Policy Research, Health Care, or statistical analysis. Above all, however, you should have some clippings to point us to so we can evaluate your writing chops. As you can see, this report will include a lot of information, but it’s important that you are succinct and clear in your prose. Think of it as a detailed study done by a respected think tank, but produced for the average consumer.”
The “fee” (and I use the term loosely) for this “detailed study” (?) is $100, which wouldn’t even cover the cost of toner to print out the full bill for reading! (Hence the title of this blog.)
The people behind this posting are not the only ones smoking something, however. Content sweatshop Demand Inc has also been trolling for writers, offering what amounts to a few pennies a word for churning out short articles on topics that a mathematical equation has determined will bring in the most webpage visitors, spiking ad revenue. The sad part is that thousands of my fellow freelancers have taken up the challenge earning, if they’re lucky, about $20 an hour (before taxes and with all expenses out of their own pocket). Most earn far less. Read more »
*This blog post was originally published at A Medical Writer's Musings on Medicine and Health Care*
March 26th, 2010 by GruntDoc in Better Health Network, Health Policy, Opinion
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Much of the ongoing healthcare reform debate has focused on unnecessary healthcare expenses—specifically, medical bills that rack up without demonstrably improving people’s health. According to Peter Orszag, the director of the Federal Office of Management and Budget, about $700 billion, or 5 percent of the U.S. gross domestic product, is wasted on unnecessary care, such as extra costs related to medical errors, defensive medicine, and just plain fraud.
At the center of this discussion are “unnecessary” ER visits for minor conditions—colds, headaches, and feverish babies—that could be handled more cheaply in doctors’ offices. If we could only convince patients to take their stubbed toes to urgent care clinics or primary care offices instead of ERs, the thinking goes we could save a load and help fix this whole healthcare fiasco. But there are a few problems with this logic. See:
Are most emergency room visits really unnecessary? – By Zachary F. Meisel and Jesse M. Pines, Slate Magazine
It’s a short, well-written article. It makes some good points and being an EM doctor I happen to agree with most of them, specifically that a lot of money is spent in medicine on procedures of uncertain (at best) benefit. The fix is probably correct, too, though I don’t see Americans jumping on changing their sedentary, easy lifestyles (that includes me.)
*This blog post was originally published at GruntDoc*
March 26th, 2010 by BobDoherty in Better Health Network, Health Policy, Humor
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The only sure thing about healthcare reform is that it’s going to add to the country’s collective case of bad temper. How can we not feel down for having to go through weeks of listening to partisans of all stripes say anything imaginable to attack the other guys’ arguments?
For at least one day, then, let’s turn down the heat, and look to humor to put smiles back on our faces.
For even-handed skewing of all things Washington, see this link to the “Top Ten Healthcare Reform Jokes,” selected by Daniel Kurtzman from material provided by Jimmy Fallon, Craig Ferguson, Jimmy Kimmel, Jon Stewart, and others.
My favorite: “The healthcare bill was introduced yesterday. It’s 1,990 pages long and costs $894 billion dollars. Or $2.2 million per word. That makes them the most expensive words to come out of Washington since ‘Mission Accomplished.'” – Jimmy Fallon Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
March 25th, 2010 by Jon LaPook, M.D. in Better Health Network, Expert Interviews, Health Policy, News, Video
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With the passage of healthcare reform, an estimated thirty two million new patients will try to find primary care doctors. That’s not going to be so easy because we already face a shortage of primary care doctors and about 13,000 more will be needed to take care of those newly eligible for insurance.
According to the American Medical Association, there are about 312,000 primary care doctors practicing in the United States. That includes family medicine, general practice (GP), internal medicine, and pediatrics. (In addition, there are 43,000 ob-gyn’s who also may serve as primary care doctors.) The estimate that another 13,000 will be needed comes from a study done by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care in partnership with the Agency for Healthcare Research and Quality.
Sixty five million Americans already live in areas that don’t have enough primary care doctors. And relief is not on the way anytime soon. It takes 5 to 8 years for a first year medical student to be trained as a primary care doctor. And the trend for budding doctors over the past decade has been away from primary care and towards more lucrative specialties. Read more »
