December 3, 2013
A New Edition of Medicine, Health Care and Philosophy is Available
Medicine, Health Care and Philosophy (Volume 16, No. 4, November 2013) is now available online by subscription only.
- “The diversity of bioethics” by Henk ten Have & Bert Gordijn
- “Respect for cultural diversity in bioethics is an ethical imperative” by Subrata Chattopadhyay & Raymond De Vries
- “Against culturally sensitive bioethics” by Tomislav Bracanovic
- “Balancing the principles: why the universality of human rights is not the Trojan horse of moral imperialism” by Stefano Semplici
- “Vulnerability, diversity and scarcity: on universal rights” by Bryan Stanley Turner & Alex Dumas
- “Religious and cultural legitimacy of bioethics: lessons from Islamic bioethics” by Ayman Shabana
- “Conflicts and conflict regulation in hospices: nurses’ perspectives” by Andreas Walker & Christof Breitsameter
- “Finding their voices again: a media project offers a floor for vulnerable patients, clients and the socially deprived” by Ralf Stutzki , et al.
- “Quality in ethics consultations” by Gerard Magill
- “E-care as craftsmanship: virtuous work, skilled engagement, and information technology in health care” by Mark Coeckelbergh
- “In pursuit of human dignity” by David Badcott & Carlo Leget
- “The varieties of human dignity: a logical and conceptual analysis” by Daniel P. Sulmasy
- “The dual role of human dignity in bioethics” by Roberto Andorno
A New Edition of The New England Journal of Medicine is Available
The New England Journal of Medicine (Volume 369, No. 22, November 28, 2013) is now available online by subscription only.
- “The Quest for an HIV-1 Vaccine — Moving Forward” by D.H. Barouch
- “Medicare’s Physician Value-Based Payment Modifier — Will the Tectonic Shift Create Waves?” by A.T. Chien and M.B. Rosenthal
- “Grading a Physician’s Value — The Misapplication of Performance Measurement” by R.A. Berenson and D.R. Kaye
- “Critical Care Medicine: Ventilator-Induced Lung Injury” by A.S. Slutsky and V.M. Ranieri
- “Contagious Diseases in the United States from 1888 to the Present” by W.G. van Panhuis, et al.
A New Edition of The Journal of Public Health is Available
The Journal of Public Health (Volume 35, No. 4, December 2013) is now available online by subscription only.
- “The primacy of politics: the rise and fall of evidence-based public health policy?” by Clare Bambra
- “The appraisal of public health interventions: an overview” by A.J. Fischer, et al.
- “The Public Health Responsibility Deal: how should such a complex public health policy be evaluated?” by Mark Petticrew, et al.
- “‘It was just nice to be able to talk to somebody’: long-term incapacity benefit recipients’ experiences of a case management intervention” by J. Warren, et al.
- “Social inequalities in health expectancy and the contribution of mortality and morbidity: the case of Irish Travellers” by Safa Abdalla, et al.
- “Midwives’ influenza vaccine uptake and their views on vaccination of pregnant women” by D.A. Ishola, et al.
- “Coverage gap in maternal and child health services in India: assessing trends and regional deprivation during 1992–2006” by Chandan Kumar, et al.
- “Socioeconomic and ethnic inequalities in screen-detected breast cancer in London” by Elizabeth A. Davies, et al.
December 2, 2013
How older people with HIV are facing the future
A recent study of people over 50 living with HIV by the Terence Higgins Trust, an HIV charity, found that Danny’s concerns were not unusual. The 50 Plus report showed that older people with HIV are financially disadvantaged compared with their peers and have serious worries about money, poor health, housing and social care. (BBC)
Palliative care, the treatment that respects pain
The benefits of palliative care include fewer trips to the emergency room or hospital, lower medical costs, improved ability to function and enjoy life and, several studies have shown, prolonged survival for the terminally ill. These virtues far outweigh what it would cost to make this service universally available in hospitals, nursing homes, clinics, assisted living facilities and patients’ homes. (New York Times)
Should your genetics be available to insurance companies?
Ontario is proposing a change to the Ontario Human Rights Code aimed at protecting people’s genetic information from being used by insurance companies and employers. This would allow more people to have genetic testing done, for health or research purposes — testing they would possibly not do if they had to disclose the test results to insurers. (Huffington Post)
Medicaid growth could aggravate doctor shortage
Community clinics, which typically provide primary but not specialty care, have expanded and hired more medical staff members to meet the anticipated wave of new patients. And managed-care companies are recruiting doctors, nurse practitioners and other professionals into their networks, sometimes offering higher pay if they improve care while keeping costs down. But it is far from clear that the demand can be met, experts say. (New York Times)
November 29, 2013
The boom in Medicare Managed Care and what it means to you
According to a new study by the Kaiser Family Foundation and Mathematica Policy Research, nearly 15 million people, or about 29 percent of all Medicare beneficiaries, have enrolled in Medicare Advantage (also known as MA or Medicare Part C plans). That’s a huge increase from the 16 percent who were enrolled in 2007 and the 21 percent in 2010. And it represents a remarkable transformation in Medicare from a fee-for-service system to one where a significant share of beneficiaries gets health care from a managed care system. (Forbes)
November 26, 2013
New pitch for health initiative: Mind your mom. Get insured.
Recruiting enough young people is a major goal of the Obama administration because insurers need healthy customers to offset the cost of caring for those with expensive medical needs. The goal carries even more urgency now that insurers are considering a proposal by President Obama to let people, many of them healthy, stay on their existing policies for another year. (New York Times)
A New Edition of The Journal of the American Medical Association is Available
The Journal of the American Medical Association (Volume 310, No. 18, November 13, 2013) is now available online by subscription only.
- “The Toxic Politics of Health Care” by Donald M. Berwick
- “Toward a New Social Compact for Health Research” by Harvey V. Fineberg
- “Going to the Moon in Health Care: Medicine’s Big Hairy Audacious Goal (BHAG)” by Ezekiel J. Emanuel
- “The Disruptive Innovation of Price Transparency in Health Care” by Uwe E. Reinhardt
- “Academic Health Centers and the Evolution of the Health Care System” by A. Eugene Washington, et al.
- “Critical Issues in US Health Care: Health Care on the Edge” by Joshua Sharfstein
- “New Definition of Term Pregnancy” by James M. Nicholson
A New Edition of The New England Journal of Medicine is Available
The New England Journal of Medicine (Volume 369, No. 19, November 7, 2013) is now available online by subscription only.
- “Michigan’s Approach to Medicaid Expansion and Reform” by J.Z. Ayanian
- “Professionalism and Caring for Medicaid Patients — The 5% Commitment?” by L.P. Casalino
- “The Word That Shall Not Be Spoken” by T.H. Lee
- “Cancer Risk among Children Born after Assisted Conception” by C.L. Williams et al.
- “Global Health: Natural Disasters, Armed Conflict, and Public Health” by J. Leaning and D. Guha-Sapir
- “Baby Steps on the Road to HIV Eradication” by S.M. Hammer
November 25, 2013
Like it or not, euthanasia is already an everyday part of our lives
The voluntary euthanasia debate has the ability to polarise, but the reality is that there are many incidences of physician assisted death happening in Australia every year. Noel Debien explores some of the contemporary responses to the issue, and where new laws might be leading us. (ABC.net)
Congress eyes slew of public health bills
Congress is considering a move that would extend medical liability protections funded by the federal government to volunteer providers at community health centers. Some doctors and other health providers want to volunteer at these clinics but are unable to because medical malpractice coverage — which is provided to full-time clinic providers under the Federal Torts Claim Act — doesn’t extend to part-time volunteers. (Med Page Today)
Diabetes patients using mail-order pharmacy less likely to visit ER: Are online pharmacies as good as the real thing?
Kaiser Permanente, a health care provider founded in 1945, recently discovered that its mail-order pharmacy seems to have a positive effect on the health of patients with diabetes. Those who received prescribed heart medications by mail from its in-house pharmacy were less likely to visit the emergency room compared with patients who picked up prescriptions in person, according to a new study published in the American Journal of Managed Care. (Medical Daily)
Medical tourism: Overseas and under the knife
Until a few years ago, most Americans going abroad for medical care were either uninsured or wealthy and traveling for cosmetic surgeries. But what you pay your insurance company, as much as 30 percent in some cases, has made going abroad a worthwhile option for a lot more people. For example, if a hip replacement in the U.S. costs $65,000 and you have to pay $19,500 (30 percent), then going to Costa Rica and paying $11,500 is a huge saving. In some cases, insurance companies won’t even cover a procedure if they consider it a preexisting condition, leaving you with the entire bill (the Affordable Care Act looks to do away with this still-common practice in 2014). (Men’s Journal)
November 22, 2013
A son’s death reveals chasms in emergency medical health care
Nationwide, states have cut spending for treating mental illness in the past decade, resulting in longer waits for outpatient care and fewer inpatient beds. A by the National Association of State Mental Health Program Directors found that state investments in mental health dropped by $4.35 billion between 2009 and 2012. At the same time, demand for both outpatient and inpatient services increased. (NPR)
Are we living in a medical education bubble market?
The problem is this: if we aim to reduce the costs of health care, we need to reduce the costs of medical education. We don’t have to believe that the high cost of medical education is what causes increases in health care costs in order to develop this sense of urgency. We just have to recognize that the high costs of medical education are sustainable only if we keep paying doctors a lot of money, and there are strong signs that we can’t or won’t. (New England Journal of Medicine)
Views on end-of-life medical treatments
At a time of national debate over health care costs and insurance, a Pew Research Center survey on end-of-life decisions finds most Americans say there are some circumstances in which doctors and nurses should allow a patient to die. At the same time, however, a growing minority says that medical professionals should do everything possible to save a patient’s life in all circumstances. (Pew Research Center)
Nanotechnology technique may help diabetics avoid the needle
A new nanotechnology-based technique for regulating blood sugar in diabetics may give patients the ability to release insulin painlessly using a small ultrasound device, allowing them to go days between injections – rather than using needles to give themselves multiple insulin injections each day. (Nanowerk)
November 21, 2013
For small businesses, a hidden tax in health care?
Starting next year, small businesses are among those poised to bear the brunt of a little known tax created by the Affordable Care Act that will impose an annual “fee” on health-insurance companies. The fee is expected to bring in a total of $8 billion next year and as much as $14.3 billion by 2018, according to the legislation, and will be spread out among insurers based on the percent of the market they cover. (The Wall Street Journal)
Making medical decisions for patients without surrogates
People who are decisionally incapacitated but haven’t provided advance directives for their health care and have no health care surrogates — sometimes called the “unbefriended” or “unrepresented” — are some of the most powerless and marginalized members of society. Most of the unrepresented are elderly, homeless, mentally disabled, or socially alienated. Yet medical decision making for these vulnerable patients often lacks even minimally sufficient safeguards and protections. Consequently, health care decisions made on their behalf are at risk of being biased, arbitrary, corrupt, or careless. (New England Journal of Medicine)