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Guest Blog Post At KevinMD: Chronic Disease Is Driving Healthcare Costs

Many thanks to my fellow blogger KevinMD who offered to host me during my period of blog homelessness. In this post, I interview Dr. Ken Thorpe about the real driver of healthcare costs:

About 75% of what we spend on healthcare is associated with chronically ill patients. That’s about 1.6 trillion dollars per year. Chronic disease accounts for the biggest source of spending in the healthcare economy, and it’s also the fastest growing – as more and more people are living with chronic illnesses. If we’re really serious about getting to the bottom of the healthcare affordability crisis, we’ll have to first address the chronic disease issue…

For the rest of the post, please click here.

Guest Blog Post At Healthcare Law Blog: Straight Jackets For Everyone Over Age 65

Thanks to my friend and fellow blogger Bob Coffield for hosting me (during my homeless period) at the Healthcare Law Blog. Here is an excerpt of my post:

Today I viewed a TV ad sponsored by the AARP. It was promoting a remote alarm device that elderly people could use to notify EMS if they fall and need help. The ad featured a surprising statistic:
“One in three people over the age of 65 will fall down this year.”
That’s a pretty common occurrence, wouldn’t you say? It certainly argues for the need for those wearable alarm buttons.
But at the same time that these ads are running on television, Medicare is moving forward with their “never event” quality program. The initiative means that Medicare will not pay for the care of patients who experience a “never event” in a hospital – funding for that patient’s care will need to come out of the hospital’s budget. Medicare argues that they shouldn’t have to pay for medical errors such as “wrong side surgery.”
While I’m sympathetic to their perspective on wrong side surgery, the list of never events reaches far beyond the limits of medical errors to include things like mental status changes, infections and…
drum roll please . . .
Falls….
To read the rest of the post, please click here.

Guest Blog Post At Dr. Wes’: Cardiologists Vs. Electrophysiologists

Thanks to Dr. Wes for hosting me during my recent period of blog homelessness. Please check out his excellent site – here’s my featured post:

It seems in cardiology, things are so tiny: tiny angioplasty balloons, itsy bitsy guidewires to snake down the smallest of coronary arteries. Heck most things they deal with are measured in millimeters: need I say more? Now electrophysiologists, well, I’ve already had my say.

But Dr. Val, today’s guest blogger who transitions from her old space at Dr. Val and The Voice of Reason at Revolution Health to her new site at Getting Better With Dr. Val, notes a new trend in medical marketing to these marvelous medics of the miniature:


Guest Blog Post At Medpolitics.com: The Cost Of Healthcare Vs. Wall Street Bailout

I posted this at Medpolitics.com during my recent period of blog homelessness. Here’s an excerpt:

Sec. Tommy Thompson:

“SCHIP runs out in March, 2009. The new President will have to come up with a Medicare ‘fix it’ bill within 90 days of coming into office. I think that 2009 will be the biggest year in the transformation of healthcare that any of us have ever seen.”

For the rest of the post, click here.

Guest Blog Post At Disruptive Women In Healthcare

Thanks to the ladies at the Disruptive Women In Healthcare blog for hosting me during my period of homelessness. Here’s an excerpt from my post:

Of course, modifying behavior is the holy grail of medicine. We physicians wish that our patients would optimize their diet and exercise choices and become fully compliant partners in managing their chronic diseases. Unfortunately, fifty percent of patients forget to take their meds and over 30 percent don’t refill their prescriptions. Twenty percent say they don’t take the full course of treatment and fifty percent of patients don’t take drugs as directed. What’s a doc to do?…

To read the rest of the post, please click here.

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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