Paul Ryan is “excited” that the American Health Care Act, as Republicans call their bill, will trim the federal budget by several hundred billion dollars over the next decade. The 24 million people who are expected to lose insurance under the AHCA aren’t excited about the bill, which will cut government spending at their expense,…
Here is a news article from Canada, experiencing the kind of healthcare inflation that causes them to call experts in the U.S. for advice—people like me, but also some actual credible authorities! Some see it as an eternal struggle: the goodhearted doctor championing the best treatments, no matter the cost, while doing battle against the…
Donald Trump says he can improve upon the Affordable Care Act – promising to get everyone in the country “a much better healthcare plan at much lower cost.” If that’s really what Trump wants to do, he should pay attention to one of the problems with Obamacare – the subsidies to purchase insurance might have…
Among people receiving hospice care, the last few days of life can be intense, with progression of pain or breathing problems or other symptoms of their terminal illnesses. For those who die on Sundays, that means they are less likely to see doctors or nurses in the last days of life:
Imagine you have been struggling for eight days with a bad cough, with what feels like a lifetime’s worth of secretions in your upper airways. When you called your primary care physician’s office, she wasn’t available, so you got an appointment with a nurse practitioner, who prescribed a course of antibiotics. Would you fill the…
I like to think that despite being wealthier than most Americans, I remain immune to materialistic desires. I drive a 17-year-old Honda Accord and wouldn’t know designer clothes if you wrapped me in them, head to toe. But it turns out that I’m wrong. I’m not above materialism despite my wealth and social status. I’m…
A bicycle helmet prevented me from experiencing a major head injury. But did it promote the very behavior that caused me to crash my bike? It was autumn in Michigan, and I was riding my mountain bike along a lakeside pathway. I was heading towards a twisty boardwalk that led up to a bridge arching…
Here’s a picture from National Geographic showing a stunning decline in the genetic diversity of crops: This is dangerous – diversity is key to avoiding crop failures from disease and pestilence.
It’s not an easy time to be a small, rural hospital. Insurance companies aren’t willing to pay generously for your services, given your measly market share. You are increasingly forced to compete against large integrated healthcare systems – conglomerations of urban, suburban and rural providers armed with big marketing budgets and specialized (generously reimbursed!) services….
A JAMA study shows that even though Americans are eating more nuts and whole grains than they used to (see previous post), they aren’t coming CLOSE to meeting dietary requirements: Changing what people eat takes a long time!