Who cares when you're making big profits:

Doctors aren't alone in thinking that something's wrong when UnitedHealth's customers can't afford what the company charges in premiums and doctors can't stay in business on what it pays in reimbursements. Yet its stockholders are happy and the company's CEO got paid $1.6 billion in stock options . . .

. . . This is what reduced access to care looks like: ...


Dr. Crippen thinks Big Pharma is to blame:

Dr Crippen'’s old fashioned” treatment for blood pressure costs a few pence a month, and the drugs he uses (such as beta-blockers and diuretics) have been around for years. They have a proven safety record. They are not going to produce any surprises. The only problem is that they do not offer any profit to the big drug companies.

Does the movie hold up to his critiquing eye?

More tidbits from the ATLA president. The ignorance is worse than I thought:

And you talk about defensive medicine; one of the things that astonishes me is the extent to which people -- and, unfortunately, the press -- are willing to buy into these wild statement that are made. Have you ever gone to your doctor and had your doctor say, 'You know, there's a test that I probably ought ...


So says 40 percent of doctors in the UK.

The 43-year-old woman arrived Wednesday at Hospital No. 121 in the southern city of Can Tho City, complaining of a severe stomach ache.
I'd bet.

Take a look at Cameroon:

The West African country officially has about 3 000 practising clinicians for its 17 million people but because they are clustered in towns and cities, rural areas are often left with one doctor for 40 000 inhabitants, Okie said.

A follow-up of this story from Florida.

Orac explains:

When faced with the prospect of taking anywhere from 4 to 12 years to finish training in a specialty so that they can actually practice, during which time they make a pittance in salary and work ridiculously long hours, even with the 80-hour work-week restrictions, more and more of the best and brightest are deciding it's just not worth it.

Same old single-payer story. Why have screening guidelines at all if it takes so long to get the test?

Quebecers hoping to be screened for colon cancer are facing up to a year-long wait for diagnostic tests that could save their lives.

That's unacceptable, Barry Stein, head of the Colorectal Cancer Association of Canada, said yesterday.

"You can't just walk in the door and get a colonoscopy. Why? ...


Case in point.

An Indian BBC correspondent writes:

If our baby is a girl - her arrival is likely to be greeted, by some, with condolences. A friend - delighted with his new daughter soon became infuriated at comments that his home had been cursed with a girl.

"Relatives arrived laden with gifts of sweet meats," he said. "They cuddled her and shook their heads at our misfortune."

These are ...


They'd better.

Here's a real-life example:

If you pay the front-line doctors they will take on the patients who will then have a place to go when they are sick, which will dis-impact the ERs of the country, encourage doctors to practice in rural areas, help stop disease processes before they get to the stage of needing intervention and decrease the number of hospitalizations.

The entrance into the health care ...


A cure for cancer

At least for cervical cancer. A panel unanimously recommended the HPV vaccine for girls aged 11 and 12.

Right on the money.

The ATLA president talks about malpractice:

The only places where people have trouble finding an OBGYN to do any procedure are in rural, poverty-stricken areas, where the OBGYNs don't want to live and practice. I do a lot of obstetrical negligence cases, and the cases seem to come out of poor areas. You see people getting better healthcare in big, urban centers, for the most part -- although mistakes ...


Not enough ER docs?

Just throw money at the problem.

I always like to criticize articles on "must-have" medical tests, since they often get it wrong. This one isn't bad. There is a mistake on the bone-density test recommendation:

All women under the age of 65 should have one, but any post-menopausal women with risk factors should have one.
It should be all women over the age of 65 should have one.

Obese . . .

. . . or giant cyst?

A doctor is facing a charge of professional misconduct after allegedly failing to recognise a patient had a giant abdominal cyst.

A tribunal heard he told her she was overweight and prescribed diet pills.

The 44-year-old mother was eventually taken to hospital in severe pain, where a 14.7kg cyst was discovered and surgically removed.
Link fixed. Sorry.

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