Poor McAllen, Texas. The much maligned city has been in the health policy crosshairs ever since Atul Gawande's seminal New Yorker article on health costs. Now, it has the added distinction of being the worst place in the country to live with allergies. The reason? Apparently, there's one allergist for the entire city. One. And according to this piece in Newsweek, that means more primary care doctors and non-allergy specialists ...

Read more...

Nearly one-third of the American population is obese, and 5 percent is classified as morbidly obese, defined as more than 100 pounds overweight. The obese are more likely to have health issues, and, subsequently require more frequent trips to the hospital. Ambulance workers say that patients weighing over 350 pounds present additional challenges to transport, and require specialized equipment and additional workers. Where should the money come from to cover the ...

Read more...

The following is part of a series of original guest columns by the American Medical Association. by J. James Rohack, M.D. Delegates Vote to Continue AMA’s Commitment to Reform, Medicare Vote Pending in U.S. House of Representatives ama_logoTwice a year, physicians come together for an exhibit of democracy at its best through the AMA House ...

Read more...

With health reform looking more likely, it's worth looking at the Massachusetts model to predict what's going to happen nationwide. I've written several times that the lack of primary care access will simply shift newly insured patients to already crowded emergency departments, where care is exponentially more expensive. And in the end, it is that lack of spending control that will make the costs of universal coverage unsustainable. According to ...

Read more...

Originally published in MedPage Today by Emily P. Walker, MedPage Today Washington Correspondent After a controversial amendment to restrict abortion was approved as part of the House healthcare bill over the weekend, senators are grappling with the abortion language in their legislation. Senate Majority Leader Harry Reid (D-Nev.), who personally opposes abortion, said the issue was being negotiated. "I expect the bill that ...

Read more...

Originally published in HCPLive.com Physicians are increasingly bringing their views on healthcare reform into the examination room. Others are distributing flyers or taping up signs in the office. Given that healthcare reform has become such a contentious subject in the United States, it is not surprising that conflicts have arisen between physicians and patients who hold different views. The St. Petersburg Times ...

Read more...

by Marie Cooper Consider two patients with the same managed care plan. One has multiple sclerosis and receives an infusion of Tysabri every month. It needs pre-certification. The requirements are black and white. The patient qualifies if they have relapsing/remitting MS and have failed other therapies. The drug costs $2,000, the infusion center is another $1,000. The infusion center is a contracted provider that has ...

Read more...

Originally published in MedPage Today by Emily P. Walker, MedPage Today Washington Correspondent The House of Representatives voted 220 to 215 to pass historic healthcare reform legislation late Saturday night, after 11 hours of debate before a packed gallery of spectators. H.R. 3962 passed by a narrow margin: Democrats needed 218 votes to pass the bill and wound up with just two ...

Read more...

Originally published in HCPLive.com by Jeff Brown, MD I had the same reaction . . . shock at seeing an almost obscene claim about our profession in a national newspaper. But it got me thinking, which no doubt was its intended purpose. While we are thinking and feeling our way through this wide-ranging debate on health care, we might as well examine ...

Read more...

by Thomas C. Bent, MD As the House of Representatives prepares to vote on its historic health care reform bill on Saturday, family physicians are heartened to see the support it gives to the emerging new model of care, the patient centered medical home. The House bill is good news on many fronts. It would provide health insurance coverage for some 96 percent of Americans and would reduce the federal deficit by ...

Read more...

Join 141,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 141,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.
close-image