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May 22, 2013

The big fat truth

More and more studies show that being overweight does not always shorten life — but some public-health researchers would rather not talk about them. (Nature)

May 21, 2013

‘Semi-invisible’ sources of strength

With this as my background, I am hardly a disinterested reviewer of a new anthology of essays by 21 nurses. It is beautifully wrought, but more significantly a reminder that these “semi-invisible” people, as Lee Gutkind calls them in this new book, are now the “indispensable and anchoring element of our health care system.” (New York Times)

Is the future of American health care in Oregon?

The past few years have seen two remarkable health-care experiments in the Beaver State. One is the Oregon Health Insurance Experiment, the first randomized, controlled trial comparing Medicaid — or any kind of health insurance — with being uninsured. The other is Kitzhaber’s effort to rebuild the state’s Medicaid program around community health rather than individual fee-for-service treatments. The health-insurance experiment has gotten all the attention. But it’s the Medicaid reforms that really matter. (Washington Post)

May 17, 2013

Scottish women over 40 to get IVF on the NHS

Women aged up to 42 will now get a free cycle, rather than the previous maximum age limit of 40, after undergoing a test to see how many eggs they have left. This is known as their ovarian reserve. (The Telegraph)

Public funding spurs couples to seek fertility treatment

Public funding of assisted reproductive technology, including in vitro fertilization (IVF) treatments, broadens the range of couples who seek treatment for infertility by attracting a more diverse population, according to new research from Canada. (Medical Xpress)

May 16, 2013

U.S. hospital ICU admissions up 50 percent since 2002

Admissions to U.S. hospital intensive care units jumped 50 percent from 2002 to 2009, but researchers are not sure why. (UPI)

Those with cancer more likely to file for bankruptcy

The study, published in the journal Health Affairs, found U.S. cancer patients were 2.65 times more likely to file for bankruptcy than people without cancer. (UPI)

May 14, 2013

Doctor’s lucrative industry ties

Dr. Tria may be an outlier, but gifts and payments to physicians from drug and medical device companies have been rampant in medicine for decades. Over a two-and-a-half-year period, device and drug companies shelled out over $76 million just to physicians licensed in Massachusetts, according to a study published online this month in The New England Journal of Medicine. That amount does not include outlays of less than $50, which are exempt from disclosure. (New York Times)

May 10, 2013

Medicaid experiment yields uneven clinical returns

Expanding Medicaid to a randomly selected low-income population in one state improved people’s mental health and financial situations but had less of an impact on physical health outcomes, a study revealed. (American Medical News)

What medical tourism tells us about our healthcare system

If you ask a hospital in your neighborhood to give you a package price on a standard surgical procedure, you will probably be turned down. After the suppression of normal market forces for the better part of a century, hospitals are rarely interested in competing on price for patients they are likely to get as customers anyway. (Psychology Today)

May 8, 2013

Hospital billing varies wildly, government data shows

Data being released for the first time by the government on Wednesday shows that hospitals charge Medicare wildly differing amounts — sometimes 10 to 20 times what Medicare typically reimburses — for the same procedure, raising questions about how hospitals determine prices and why they differ so widely. (New York Times)

May 7, 2013

Slowdown in health costs’ rise may last as economy revives

One of the economic mysteries of the last few years has been the bigger-than-expected slowdown in health spending, a trend that promises to bolster wages and help close the wide federal deficit over the long term — but only if it persists. (New York Times)

Soaring U.S. healthcare costs due to more being treated

The soaring cost of medical care from 1987 to 2009 was caused mostly from a higher proportion of people being treated for disease, U.S. researchers say. (UPI)

May 3, 2013

Misreading HIPAA privacy laws blocks mental health discussions

In refusing to discuss mentally ill patients’ conditions with family members or caretakers, physicians could be misinterpreting federal privacy rules, witnesses told a House panel April 25. (American Medical News)

Movie ‘Amour’ offers valuable lessons on aging

The Academy Award-nominated movie “Amour” is sparking much-needed conversations about aging, the illness of a longtime companion and dying with dignity. (The Sun Sentinel)

May 2, 2013

Medicaid access increases use of care, study finds

Come January, millions of low-income adults will gain health insurance coverage through Medicaid in one of the farthest-reaching provisions of the Obama health care law. How will that change their finances, spending habits, use of available medical services and — most important — their health? (New York Times)

Advocates say managed-care plans shun the most disabled medicaid users

Managed-care companies in New York have come under fire for signing up vigorous older adults referred to them by social day care centers, customers whose health needs are relatively small. (New York Times)

May 1, 2013

Care requirements vary with genetics for babies with addicted mothers

Among infants with mothers addicted to opioids, genetic variations were linked to shorter hospital stays, reduced need for medications. (Medical Daily)

April 29, 2013

Questioning the pelvic exam

In America, when a woman goes to her gynecologist, she is typically given a pelvic exam whether or not she has symptoms or concerns that might warrant one. That’s one reason an estimated 63.4 million pelvic exams are performed annually in this country. (New York Times)

GOP lawmakers fault FDA for fatal drug compounding incident

A House panel says the agency didn’t do enough to prevent a meningitis outbreak linked to compounded medications. The FDA says it needs more regulatory authority. (American Medical News)

April 26, 2013

Family doctors consider dropping birth control training rule

The proposed new rules, they say, drop existing requirements that family medicine residents be required to undergo training in contraception and counseling women with unintended pregnancies. Several groups are now running letter-writing campaigns to make sure the rules remain. (NPR)

 

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