Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Is Healthcare Too Big to Fix?

Now that the health care bill has been soundly defeated by the election of a single individual to the Senate, the Democratic party is fleeing the House and Senate health care overhaul bills like rats from a burning ship. Sadly Republicans, too, are staying silent with (so far) few rushing forth with their alternative solution to counteract the impasse:

Senator Dianne Feinstein, Democrat of California, said Democrats were assessing their options on health care. “It’s a timeout,” she said. “The leadership is re-evaluating. They asked us to keep our powder dry.”

Mrs. Feinstein said Congressional leaders should simplify the gigantic health care bill and try to pass parts of it that would be understandable to the public. But she also acknowledged that the odds were long for a far-reaching measure. “I think big, comprehensive bills are very difficult to do in this environment,” she said. Read more »

*This blog post was originally published at Dr. Wes*

Tough Love: When Should Physicians Use This Strategy?

Have you ever stopped bothering to care about a patient?  A doctor sent me his own personal account of the smoking Mr Jones:

Dear Happy.  I read your article on bounce backs with great interest, and was astonished by some of the vitriol it elicited.  I remember having one COPDer bounce back to me three times within a month at the VA when I was a medicine resident.  He would leave, smoke and drink, and then come back and be readmitted to my service with exactly the same course each time.  It was like Groundhog Day.

Finally I had a little talk with him and said: “Mr. Jones, each time you come in, you’re on death’s door.  So I come down to the ER, stay up with you all night and save your life.  But you know, I’m really getting tired of having you come in after drinking and smoking and then working like a dog to save your life.  So let me tell you, if you don’t quit smoking, the next time you do this there’s a good chance that I’m not going to bother.  Why should I?  It doesn’t seem to be doing either of us any good.”

To my complete astonishment, he actually quit smoking and stayed quit for about a year.  Then he fell off the wagon, deteriorated too far before getting to the hospital and died.  I was frankly proud of him for the effort, but somehow suspect that I’d be shot in a drive-by if I ever told that story in public. Read more »

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

Dr. Val Tells Lee Aase (At Mayo Clinic) About Her Innovative Primary Care Practice

valabcThanks to my friends at #HCSM (a Twitter group created to spark discussion about healthcare and social media) for inviting me as a guest speaker on their 1 year anniversary. We had a special Blog Talk Radio event, moderated by Lee Aase (Mayo Clinic’s social media guru) and Dana Lewis. Tom Stitt and Meredith Gould were also critical in coordinating programming and technical arrangements.

The goal of the show was to discuss how social media and healthcare intersect – with a diverse group of 8 speakers (from patients, to physicians, to industry and insurance stakeholders). I’ve edited my clip for your listening pleasure (please excuse the technical glitch near the end – you’ll know it when you hear it). The full 2 hour show may be downloaded from Blog Talk Radio.

[Audio:https://getbetterhealth.com/wp-content/uploads/2010/01/leeaasedrval.mp3]

For more information about my practice, check out DocTalker.com Read more »

Government Spending On Healthcare Outpaces Other Sources

Much of the debate about the health reform has been on whether or not it will lead to government-run health care. But the fact is that the government’s share of health care spending already is growing at a faster rate than private spending, a trend accelerated by the recent economic recession.

A new report from Medicare’s actuaries, published in the journal Health Affairs, found that “Federal government spending for health services and supplies increased 10.4 percent in 2008 . . . and accounted for almost 36 percent of federal receipts, up considerably from 28 percent in 2007. By comparison, spending for health care by private businesses grew just 1.2 percent in 2008, in part because of a drop in the proportion of employer-sponsored insurance premiums paid for by employers” while “health care spending by households grew 4.3 percent in 2008, a deceleration from 5.9 percent growth in 2007” but still more than the adjusted personal income growth of 2.7%.

The current economic recession, the authors say, had two major impacts on health spending: Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

Social Media 2.0: When Real Experts Broadcast Themselves


Tweety Bird
Image by sirwiseowl via Flickr

Disclosure: I’m fascinated with Technology in general and social software and communities in particular. I’m one of Twitter’s biggest fanboys (here’s proof). I blog and tweet often about these media because I believe it’s important that we understand our relationship with Technology (and for me, Technology is more than just gadgets – for instance: I consider Law, Democracy, Religion and Capitalism technologies – but that’s another post).

I also believe that we need better or more original conversations about the Web and its deepening influences on our lives, our businesses, our sciences and our health care. Social Media pundits (or however they refer to themselves: gurus, evangelists, mavens) for too long have held the dominant voice in these discussions.

One phenomenon which our Web has engendered is the ability for virtually anyone to express their opinions and experiences and perspectives in accordance with their mastery of media. And therein lies a pesky issue: one’s accumulation of social attention for a particular field doesn’t always correlate with their expertise.

Over the last decade, many brilliant contributors have offered important and refreshing perspectives on the promises of the web. But some of these ideas have yet to be vetted and validated by closer scrutiny and scientific inquiry. The truth is not always intuitive. It’s easy, therefore, for appealing ideas to have fundamental flaws. Read more »

*This blog post was originally published at phil baumann online*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles