I recently wrote about some of the unintended, but positive, consequences that could result from employers dropping employer-sponsored health insurance (ESI). Following that post, many weighed in about various other consequences of such behavior from employers and what that means for health care coverage for millions of families in the US. One issue in particular caught my attention; not only because of the touching stories associated with the ...

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What being mindful will reveal to us Research shows numerous benefits to meditation: it reduces stress, increases positive emotion, and even treats acute pain. Commonly, meditation involves focusing on one’s breathing as a way to anchor one’s attention in the present moment. Practitioners are also frequently taught to separate their experiences (breathing, pain, thoughts) from their judgments about them. Thus, with respect, for ...

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Curb prescription drug abuse by following Mayor Bloomberg A version of this column was published in USA Today on April 1, 2013. Prescription drug abuse is a growing national tragedy. One of the biggest culprits is opioid painkillers, such as Oxycontin and Percocet. Shockingly, more than 200 million of these types of drugs are prescribed annually, and they account for more than 16,000 deaths a year.  And for every death, significantly ...

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It feels like part of me is dying.  I am losing something that has been a part of me for nearly 20 years. I bought in to the idea of electronic records in the early 90′s and was enthusiastic enough to implement in my practice in 1996.  My initial motivation was selfish: I am not an organized person by nature (distractible, in case you forgot), and computers do much of the ...

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In 2006, Governor Mitt Romney signed Chapter 58 of the Acts of 2006 entitled “An Act Providing Access to Affordable, Quality, Accountable Health Care.”  It has been described by many names, including Massachusetts Healthcare Reform (MHR), Romneycare, or simply, as the template for the Affordable Care Act.  The goal of the act was straightforward: to ensure near-universal access to health insurance for citizens of the Commonwealth of Massachusetts.  ...

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EMR designers: Your actions can kill The ICU hummed as the tech guy waltzed in at two in the morning.  A key designer of the EMR himself, the night shift nurses had his mobile and were not afraid to use it.  There was a problem reconciling Mr. Jones med list after his emergency bypass surgery that evening.  Patients first. The next one in the door was the young CEO ...

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The baby boomers are strictly identified as being born between 1946 and 1964. The boom lasted 19 years and delivered 76 million total births. "Leading edge" boomers were between 1946 and 1955. They were the generation that were the wealthiest, most active, and most physically fit generation that had ever lived. They were special and expected to have better lives than their parents. Well, those leading edge boomers are now middle ...

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I read the recent popular posts from Matthew Moeller (Dear lawmakers: this is what it’s like to be a doctor today) and Nick Rademacher (Lawmakers shouldn’t care about the personal hardships of doctors) with great interest. They reflect perspectives from two interesting turning points for most medical careers- medical student, and established attending physician. I’m a U.K.-based surgeon and though the healthcare systems in the UK ...

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Physician communication is the number one factor most highly correlated with the likelihood that patients will return to a hospital or medical practice. This conclusion is one that I have personally experienced and highlighted as a speaker at healthcare conferences and seminars and when consulting with fellow physicians on improving communication and building and maintaining a successful practice. Physician communication is so important because understandably patients are anxious about their health ...

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Brought to you by MedPage Today. 1. 5 Ways Obama's Budget Would Change Medicare. President Barack Obama's fiscal 2014 budget includes a variety of what he says are "manageable" changes for Medicare's 54 million beneficiaries as well as for the hospitals, nursing homes, and other healthcare providers that serve them. 2. Boston Bombing: Finding Evidence in the ER. In the aftermath of Monday's ...

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