Tag Archives: Healthcare

“REACHing” for Equity — Moving from Regressive toward Progressive Value-Based Payment, NEJM, Suhas Gondi, Karen Joynt Maddox, and Rishi K. Wadhera. A pretty good take on Value Based Payment Programs and what are the issues. Keep in mind, who determines what the value is to the patient. What is the rub here. Who ascertains the degree of value or is it just the profit motive driving this program also. Just like Medicare Advantage . . . service and...

The article (example) is about one person suffering from an ailment at 19. Hospitalized at an out-of-network facility, the burden of costs for treatment were his responsibility due to insurance denial. A particular issue with commercial healthcare insurance not covering the costs of treatment because you went to the wrong doctor, etc. for care. More on his case after the intro. There are more than 100 million people in America caught up in...

I use the Veterans Administration also. I do not use it as widely as I could and I am ineligible for some of the care I really need. This does not mean it doesn’t offer the care I might need. I leave it for those who can not go elsewhere and maybe do not have insurance. I was based out of Lejuene and did drink and bath in the water. Been exposed and I believe it has had an impact on my blood. Just try and prove it though. It is discouraging to...

In 2010 Congress passed the Patient Protection and Affordable Care Acts (there were 2) from now on called the ACA. One of the aims was to bend the Medicare spending curve and, they hoped (or dreamed) stop the increase in spending per beneficiary. The spending per beneficiary ceased increasing. Oh crap Chrome refuses to upload an image (and says I am offline while also opening other pages. I should have kept my oath). sorry for...

Excellent take on Drug Pricing as written by Dr. N. Adam Brown at MedPage Today. In 2016 the 21st Century Cures Act was passed by the House. The intent was to make it easier for pharmaceutical companies to bring new drugs to market and short cut the clinical trial processes. Health Affairs had this to say: “Still, we believe the bill’s potential benefits and modestly enhanced funding for scientific advancement are far outweighed by the increased...

Coronavirus update: the virus is back; everyone should return to their prior precautions and get boosted this fall  – by New Deal democrat At the beginning of this year, I indicated that I anticipated only writing about Covid if something significant was happening.  It is, so let’s look at the data. Almost all State and Federal testing data is gone, but we do have a very good source in Biobot’s waste monitoring. Here’s the long term view...

Not too much has changed in the process food industry. Baloney, salami, hot dogs, sweet rolls, etc. are still the same. Process foods consists of any “raw agricultural commodities that have been washed, cleaned, milled, cut, chopped, heated, pasteurized, blanched, cooked, canned, frozen, dried, dehydrated, mixed or packaged or anything done to them altering their natural state.” It also includes adding preservatives, flavors, nutrients and other...

There has been some head-scratching about the recent COVID variant, BA.2.86, which has 34 amino acid changes in the spike protein compared to its closest reference sequence. Commenter rjs asks: “how can one virus suddenly wake up one morning and find it had mutated 30 times overnight? And that all 30 of its mutations were viable? ..it’s difficult for me to understand how such a major change could have possibly occurred as part of what should...

The topic is important as too much resource and funds may be being spent on care with little return. Eighty-one percent of combined low value care was by out of network clinicians of which 90% was by specialists. There is some issues here. If I can find more detail, I will revise this short blurb. The impact of low-value care received by Medicare beneficiaries outside of their health systems (medicalxpress.com), Timothy Dean. Results from a new...

Not Everything We Call Cancer Should Be Called Cancer, rsn.org. The NYPD Denied Our Request for Body Camera Footage of a “Friendly Fire” Killing. Here’s How We Got It Anyway, ProPublica, Mike Hayes. Clarence Thomas officially discloses private jet trips on GOP donor Harlan Crow’s plane, CNN Politics, Ariane de Vogue and Devan Cole. Stay away from Arizona. That’s what Canada essentially is telling its people, msn.com, Phil Boas. Arizona...