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Latest Posts

The Effects Of Obesity Go Beyond One’s Health

Obesity impacts income, especially among women, according to a report from The George Washington University School of Public Health and Health Services’ Department of Health Policy.

In 2004, wages among the obese were $8,666 less for females and $4,772 lower for males. In 2008, wages were $5,826 less for obese females, a 14.6% penalty over normal weight females, the researchers concluded after examining years 2004 and 2008 in the Bureau of Labor Statistics’ National Longitudinal Survey of Youth.

The research shows that there are significant differences in wages dependent upon race that couldn’t be accounted for by measuring pre-recession (2004) and recession (2008) measures. In 2004, Hispanic women who were obese earned $6,618 less than those who were normal weight. In 2008, Read more »

*This blog post was originally published at ACP Internist*

Physician Questions The Need For Demographic Data With The EMR

Race is a medically meaningless concept.

Spare me the few tired cliches about prostate cancer, diabetes, and sarcoidosis being more common in blacks than whites, or even the slightly increased risk of ACEI cough in patients of Asian descent. We screen Jews of Ashkenazi descent for Tay Sachs without any racial labeling. All that information is readily accessible under the Family History section of the medical history. It is no more than custom which dictates the standard introductory format including age, race, and gender. It turns out I’ve blogged about this before at some length (pretty good post, actually). What is new is the advent of electronic medical records.

Much hullabaloo has been made about federal stimulus funds allocated to doctors as payments for adopting EMRs; “up to $44,000!” Here’s the problem with that figure, though, including how it breaks down (source here): Read more »

*This blog post was originally published at Musings of a Dinosaur*

Yet Another Potential Benefit Of Electronic Medical Records

In the 12 years since our government acknowledged we had a problem with racial disparities in health care, we’ve made significant progress in reducing them.  Steep declines in the prevalence of cigarette smoking among African Americans have narrowed the gap in lung cancer death rates between them and whites, for example. Inner city kids have better food choices at school. The 3-decade rise in obesity rates, steepest among minorities, has leveled off.

Still, racial disparities persist across the widest possible range of health services and disease states in our country. The racial gap in colorectal cancer mortality has widened since the 1980s. Overall cancer death rates are 24% higher among African Americans. Sixteen percent of African American adults and 17% of Hispanic adults report their health to be fair or poor, whereas only 10% of white American adults say that. The number of African Americans and Hispanics who report having access to a primary care physician is 30-50% lower than white folks who have one.

How can EMRs Help? Read more »

*This blog post was originally published at Pizaazz*

Healthy, Active Kids Come From Healthy, Active Adults

First RunKids are like dogs — you can train them until they’re too old to train. Then they’re going to do whatever they want.

The key to getting kids to exercise is to make it fun for them. But they aren’t going to exercise if it isn’t made a part of their normal routine. It’s up to adults to train them.

Mrs. Happy and I had the joyous opportunity of inviting our 10-year-old niece to her first-ever running event. She had never ever run in a race before. We did the two-mile race and she loved it. And amazingly, she finished without stopping — not even once.

Our nation is raising a nation of fat and lazy kids because we’re lazy adults. We drive everywhere. We sit at our desks. We get food on the run. We watch a lot of television. We surf the Net a bunch. And we have stopped moving. We have literally stopped moving. Read more »

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

AIDS In America: We Are Not Out Of The Woods Yet

Yesterday I introduced my friend Charles Roth. Charles was diagnosed with HIV/AIDS in 2003 and was already in bad shape. He had been tested as healthy the previous year, but the disease struck quickly, hospitalizing him for a week and keeping him out of work for a month and a half. He returned to work but repeated illnesses due to AIDS meant that by 2006, he was unable to work full-time. A bank executive, Charles still tries to find occasional contract work or odd jobs like résumé writing and tax preparation, but with the recession, these jobs are low-paying and hard to come by. For the most part he makes do with a tiny state disability check and food stamps.

So how typical is Charles’s case? We’ve all heard of success stories like Magic Johnson, who was diagnosed with HIV in 1991 and still has not developed AIDS. But clearly neither case tells the whole story. Read more »

*This blog post was originally published at The Daily Monthly*

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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