It’s widely acknowledged that the American health care system achieves relatively poor ­quality outcomes compared to most industrialized nations and at much higher cost. A new survey, conducted by Nielsen Strategic Health Perspectives and commissioned by the Council of Accountable Physician Practices (CAPP), provided important insights into why this could be the case — and more ominously, why the future may be no better. CAPP is made up of ...

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If we want to rein in the costs of the U.S. health care system -- now equal to nearly 18 percent of the nation's gross domestic product -- we cannot ignore the fragmented technologies used to help heal and save lives. At first glance, the devices, monitors, electronic health records and machines found in today's hospitals might inspire awe. Look beyond the slick displays with blinking lights, however, and the picture ...

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The patient was in pain and had been for over a year. And it was getting worse, not better. Exhausting all avenues of treatment, I decided it was time to refer him to a pain management doctor. Because of the injury to his back, the patient lost his job and his health care coverage. With no alternative for health care coverage, he ended up covered by Medicaid. While health care ...

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Every health care system in the world is facing its fair share of challenges. Aging populations, the exponential increase in chronic diseases such as heart disease and diabetes, expensive new treatments—all at a time when most countries desperately need to curtail rising health care costs to save their economies. At the two extremes, we have fully public-funded (socialized) medicine versus entirely free-market (private) health care delivery systems. I’ve written previously ...

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With Donald Trump’s promise to repeal and replace Obamacare on many Americans’ minds, there are numerous questions about how the health care system will work in the very near future. There are equally as many, if not more, outlandish speculations. Donald Trump was elected a week ago and doesn’t assume office for two more months. Much of what will get changed and how is yet unknown. Yet the mainstream media has been quick ...

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The Wall Street Journal, The Washington Post, CBS News and other news outlets have led with headlines touting the big news that Donald Trump is willing to keep parts of the Affordable Care Act -- notably the pre-existing condition protections and the ability for children up to the age of 26 to stay on their parents policies. Except this isn’t news. In May, Trump’s policy advisor told Healthline that a ...

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The election result shook the world. As the vote counts started to come in, most of the country descended into a state of collective shock and disbelief -- even Mr. Trump’s own supporters. Nobody seemed more surprised than the political pundits on all the cable news channels, who had for months incorrectly predicted the opposite result. Let me take a step back for a moment before I sound like somebody who ...

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With the election of Trump and a Republican Congress, it looks like the ACA is doomed. Will it be repealed in whole or in part? Will something replace it? None of us, including the new administration, know exactly what will happen. But if it does get repealed, what exactly are the consequences? The ACA was never a full health care overhaul. It was a form of insurance reform that used subsidies ...

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To my dear patients, This has been a difficult time to be an American. I will never forget my walk through Central Park on the morning after the election; I have never felt New York so flat and somber. This election has brought out the worst in many. I have seen its ramifications in people’s health and fear that it may continue to have an impact. I want to express my ...

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I have a memory of feeling overwhelming anger and animosity as a 10 year old. I was holding my father’s spot in the checkout line at Walmart in rural Illinois as he ran to grab the paper towels he had forgotten. He quickly darted back in line into the spot that I had saved him as he knew leaving me surrounded by candy for longer than a couple of minutes ...

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