Commentary Category
Insured Americans: 51% on Prescription Medication
A recent study by Medco showed that 51 percent of American adults and children are taking one or more prescription drugs for a chronic condition, up from 47% in 2001. Predictions were made for a worst case scenario in the upcoming years as the problems of diabetes, heart disease and obesity are on the rise.
Why the NIH Trial to Assess Chelation Should be Abandoned
Chelation therapy is the process of using chelating agents to remove heavy metals from the body. It has been widely used in complimentary medicine to treat heart conditions and autism.
The high cost of care, this is where it begins.
Some potentially great news for patients with hypertension some time down the road as long as the clinical trials go off without a hitch. Investors seem to be pleased with the preliminary results and so does the stock market. However this is what healthcare has become, this is the beginning of one of the many ailments with our current healthcare delivery system - Investor interests.
Healthcare out of focus, time to adjust the lens.
Third party payers such as Medicare and Medicaid as well as privately based insurers need to refocus their attention on what is in the best interest of the patient. In an attempt to force industry change payers have restricted their reimbursement rates, increased premium costs for patients and employers, and developed lists of medical conditions that they [payers] feel are avoidable and thus will not provide any remuneration for.
1970 Gas Price Wars applied to 2008 Healthcare
A new level of healthcare transparency is being implemented in Ohio at Alliance Community Hospital where it is paying patients $100 for their hospital bills and explanation of benefits (EOB). The information is put on their web site comparing themselves with other hospitals for patients to view. The goal as reported in amednews is to provide prospective patients that typically use competing hospitals for healthcare services to come over and use Alliance’s healthcare system.
Retail Clinic Treating Mostly Uninsured
Wal-Mart jumped into the healthcare arena with their retail clinic program called Convenient Clinics to provide improved access to care earlier this year and towards the end of last year when many media headlines broke the story of retail clinics. There was an immediate flurry of activity with store chains such as CVS in the Boston, MA area where some 2000 of these clinics were to be established over the coming months and year (2008).
Emergency Department crowding not due to medical indigence.
From the New York Times published on May 6th 2008 comes a report that emergency departments (ED) are busy but fewer patients seen in the ED are uninsured. Data was collected from a study in the Annals of Emergency Medicine (AEM) and published on line on the 14th of April 2008. The AEM study specifically looked at a rise in ED use over an eight year period from 1996 through 2004 to see if the rise in ED use was associated with insurance status. Their conclusions showed that while there was a rise in ED usage nationally during the study period it could not be solely attributed to medical indigence.
Who’s who: Patient Visiting hours and Visitors
For years the idea of visiting hours ruled family members and patient visits. Tight controls over times when people could visit friends and families was strictly adhered to like rules of the local community pool - general swim, adult swim. Over the years the rules have become a bit softer, and in some cases the rules i.e. visiting hours hardly exist at all.
Nursing as a mid-career change.
A butcher, a baker, a candle stick maker, and finally into nursing we shall go, or at least for some of us that are board, frustrated, or need a change from our current line of work. The Boston Globe has a brief article regarding mid-career changes that many are looking into. Several articles about switching careers for nursing have peppered that media in recent months outlining people’s concerns with the growing poor economy and general dissatisfaction in their work. The news of the continued nursing shortage and availability of steady stable employment has been somewhat magnetizing.
