Posts Tagged ‘medicaid’
Here is full text of an article by by by Jodi G. Daniel / JD MPH, Director of the Office of Policy and Planning at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the Office of the National Coordinator for Health Information Technology (ONC) asks me to remove it, I will surely do so.
I posed the following challenge to the Innovations in Health group on Linkedin and got some interesting responses, including a well crafted wish list from Colleen that inspired this blog post.
HOW CAN WE STIMULATE INNOVATIVE IDEAS FOR A TOTALLY NEW HEALTHCARE SYSTEM?
As a fun exercise to stimulate creative, out-of-box thinking, pretend you have all been been appointed to the new World Health Commission by the new King of the World (or whatever title you prefer). You have absolute power to determine health strategy, for the whole world. Think like a child, and forget the constraints you’re used to dealing with as adults. There are no financial hurdles, no political worries, no cultural barriers, no legacy to contend with, no managers looking over your shoulders, and no imposed time frames.
I’ve written occasionally about Medical Ethics and the misalignment of incentives that pay doctors & hospitals for treating symptoms rather than keeping us well. As we consider reforms to contain runaway deficit spending, we must come to grips with many ethical questions. Since individual choices can determine our health and well being, and therefore the cost of care, we’re less sympathetic of people still smoke, drink or eat too much of the wrong things. We know that obesity is America’s #1 health & financial risk and that it can cause heart disease, stroke, diabetes and certain cancers. Since half of our population is overweight from lifestyle choices, should they get the same level of care at taxpayer expense?
A new question arose this week about medical ethics and marriage when religious leader Pat Robertson told his 700 Club television audience that divorcing a spouse with Alzheimer’s disease is justifiable. He was taking questions from the audience when Robertson was asked how to advise a man who began seeing another woman after his wife started showing symptoms of Alzheimer’s.
“I know it sounds cruel,” he said, “but if he’s going to do something, he should divorce her and start all over again, but make sure she has custodial care and somebody looking after her.” After all, it’s “a kind of death.”
Here is full text of an article by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the ONC asks me to remove it, I will surely do so.
Helping Consumers Be Partners in Their Own Health
by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health
We at the Office of the National Coordinator for Health Information Technology (ONC) know that patients are asking themselves, “How do I manage my health information?” We are working to bring the U.S. health care system into the 21st century through technology to address that concern. We understand that it’s not all about health care providers and hospitals—it’s also about you: the patient, the individual, the person who should be the focus of the health care system.
Republished with permission from HelpingYouCare.com.
Several reports recently have noted that across the nation, U.S. states are slashing Medicaid dollars for home health care services and adult day care services that help keep the elderly and disabled out of nursing homes. State lawmakers cite budget shortfalls, yet these cuts may end up costing Medicaid and taxpayers more in forced nursing home costs, authorities say.
According to a July 16 report by the Associated Press, “Aging and disability services in three out of four states have been reduced over the last two years or face cuts, even though demand is increasing.”
Valuing the Invaluable: The Growing Contributions and Costs of Family Caregiving is a new study by the AARP that estimates a value of $450 billion a year for work done by more than 40 million Americans caring for an elderly or disabled loved one. That may be a bargain for society, but it’s a “huge” burden on the family members.
Cymando Henley’s mom was diagnosed with Multiple Sclerosis as he started college. Now she’s in a wheelchair, and Henley has been taking care of her ever since – for nearly twenty years now – helping her in and out of bed and onto the toilet, and even rolling her over in the middle of the night if she gets uncomfortable. Social programs help pay for about 35 hours a week of in-home health care, but Henley puts in at least that much himself for free, on top of working at a full-time job. Such non-medical care from a professional can cost tens of thousands of dollars a year.
Guest article by Jessica Wapner (www.jessicawapner.com, @jessicawapner), from WorkInProgress blog.
Jessica gained a new perspective of our healthcare system when a relative needed emergency surgery in a small village in Cyprus to remove gall stones and her gall bladder. Her story is included because it relates to Health Concerns for Oversees Travel. If you’d rather not see this type of story, reply below.
Over the course of the decade-plus that I’ve been writing and editing material on healthcare (cancer research and treatment, in particular), people have asked from time to time whether my interest is driven by some personal stake in the matter. Read the rest of this entry »
By Shannon Martin (reprinted with permission)
Nothing is more discomforting than not knowing if you or a loved one will receive the adequate care for a full and safe recovery after hospitalization. Neither Medicare nor traditional medical insurance cover many of the home care services that can help reduce otherwise preventable injuries and hospital re-admissions. These services, usually referred to as long term care, or “custodial care,” include companion services, general supervision for health and safety and long term home help with personal care and hygiene, meal preparation, transportation and errands.
Julie Rovner posted this article on the NPR Health blog, but she didn’t include my reader comments, so I’m summarizing key points here and adding my comments afterwards.
- The good news – Health costs rose 7.3% last year, which was the slowest rate in more than a decade but still nearly 5 times faster than the Consumer Price Index.
- The bad news – Since 2002, the annual health care cost for American families has more than doubled from about $9,000 to over $19,000.
So what’s driving the increases? It’s not Obama Care, the new federal health law.
Yesterday Yvonne heard a great presentation by Dr. James Rohack on Health System Reform. Rohack is a practicing cardiologist and Director of Scott & White Center for Healthcare Policy. He is also a professor at Texas A&M Health Science Center and was the president of the American Medical Association from 2009 to 2010 during debates over Obama’s Healthcare Law.
The presentation was held in Sun City, a planned community north of Austin for retirees with active lifestyles. It didn’t include handouts, but I was able to find some of Rohack’s slides online and offer them below with my notes.
A MUST SEE: The New York Times provides this timeline of nearly 100 years of legislative milestones and defeats.
For more information on healthcare reform, the AMA has a new website for consumers that includes this video: