This video by Vox and Ezra Klein explains why American health care is so expensive, and it does so simply and effectively. It mentions each of the top issues I write about here at Modern Health Talk, including the political influence of a medical cartel that profits from treating illness and injury with a fee-for-service business model. Read More …
I first encountered the term Functional Medicine a few years ago during a lecture by Dr. Lane Sebring at a World Future Society dinner. In keeping with the focus of this organization, he titled his talk The Future of Medicine is … Not Medicine, which links to my notes and a video of his 71-min lecture.
Dr. Sebring looked to anthropology to understand why, even with modern medicine, many of our diseases today didn’t even exist about a century ago when Heart Disease and Alzheimer’s Disease were almost unknown and Cancer was rare, not even making the top 10 as a cause of death.
The more he looked into the cause of illness, the more he became disillusioned and frustrated with modern healthcare, what he learned in medical school, and the traditional practice of providing “sick care” and just another pill in a “disease management” system that profits from illness. To focus his practice on health & wellness, he became an expert in Functional Medicine, which he describes as a form of evolutionary, integrative, natural, holistic, or alternative medicine, as opposed to the allopathic doctors and practitioners who rely on modern approaches that emphasize prescription drugs. Sebring chose to instead focus on homeopathic, or empiric medicine. But before reading on, watch this video about the history of modern medicine and how it came about. Read More …
America’s Family Physicians are promoting Health is Primary, a communications campaign that reflects the values of family medicine, puts patients at the center of their care, and aims to improve the health of all Americans, as well as costs. The Washington Post last week carried their sponsored article about A Health Care Solution We Can’t Afford to Ignore: PRIMARY CARE.
These physicians are apparently frustrated by Congress and partisan politics that is so toxic to our healthcare system, and our health. The United States is known to spend twice as much per capita as other advanced nations on healthcare, but with worse outcomes, so I’m happy to see this organization expand the debate beyond just how to PAY for care and who bears the burden. I’m glad to see their goal of actually improving wellness and care delivery, because even Benjamin Franklin knew that “An ounce of prevention is worth a pound of cure,” and that was two centuries ago. Read More …
In 2010, the small town of Collegedale, Tennessee had the dubious distinction of having the highest prevalence of Type II Diabetes in the world. Without a single endocrinologist in the small town, those suffering from this preventable and treatable form of the disease were unable to gain access to the treatment they needed.
Dealing with this issue firsthand, a local employer who operates a donut manufacturing plant decided to dedicate a portion of his warehouse to be used as a health clinic. By hiring an endocrinologist from Chattanooga to travel to his warehouse a few days a week, his employees were finally able to receive the help they so desperately needed. Read More …
By Brian Holzer MD, MBA, President, Kindred Innovations
[This blog post, originally published on LinkedIn, is based on my personal view and does not in any way reflect the opinions of the current organization I work for].
Last week I came across the article titled, “Cuts threaten rural hospitals hanging on by their fingernails” which reported that 673 rural hospitals were at risk of closing. The data came from the Chartis Center for Rural Health, which also cited that states including California, Oklahoma, Louisiana, Alabama, and Georgia were most at risk with as many as 79% of their rural hospitals facing possible closure.
Reports like these that imply an impending doom of the healthcare system, as we know it are almost a daily event. And the sensationalism of healthcare by politicians and the media only adds further distractions to a system that is starving for patience and unbiased pragmatism. There is also no shortage of articles professing solutions that say nothing more than we need to 1) create a system that ensures that everyone has access to health insurance; and 2) make sure that we contain the huge cost increases.
The real problem we are facing as a society is that Healthcare is a Unicorn…Healthcare is not the same as other markets. There is a widespread lack of transparency about both the costs and the effectiveness of treatments, and many other details that a customer or end consumer might use to make purchasing and utilization decisions in healthcare. If life were as simple as it is often taught in business school classrooms, fixing Healthcare should be as easy as learning from other industries and adopting best practices. So, let’s [apply lessons from] two industries-airlines and auto insurance. Read More …
EDITOR’S NOTE: I’m reposting this article with new information from a U.N. report that warns countries to prepare for the day when technology, automation, and artificial intelligence replaces jobs. They expect 75% of the world population to become unemployable, and that day is coming sooner than most people realize. It will have immense social consequences.
Wall-E is a fun & warm-hearted animated movie by Pixar that also warns against ignoring environmental pollution and the obesity epidemic. It presents future humans as super-obese couch potatoes living in a robot & technology-dominated world set some 700 years in the future. By then, mankind had so completely trashed Earth’s environment that humans were forced to relocate to spaceships and evolved into large, floating fat blobs – the Axioms.
But the future doesn’t have to be as foretold. We learned that from the classic movie, A Christmas Carol. By knowing the risks of possible futures that our current behavior may take us to, we can change. We can change course to save the environment, improve our health & well being, and find solutions to wide unemployment.
I hope you enjoy the video clips below, as well as the additional links and discussion that follows.
By Wayne Caswell, Founding Editor, Modern Health Talk
As President Trump’s administration transitions from the Obama era, a conservative ideological shift will influence healthcare policy, but so will other factors. They are discussed here, based on my response to “The Past, Present and Future of Healthcare Policy” at ReferralMD.
Influencing Healthcare Policy
Although The Patient Protection and Affordable Care Act, more commonly known as ObamaCare, has flattened the curve to the lowest annual cost increase in decades, it still has not reduced overall costs for many reasons. These include (1) special interest lobbying to protect industry revenues & profit, (2) misaligned incentives, and (3) an insurance middleman that adds more cost than value. It is unlikely that any “repeal and replace” strategy can live up to Trump’s promises because of these three factors. Read More …
By Wayne Caswell, founding editor, Modern Health Talk
Opening his January 16, 2017 Huffington Post article, Dr. Sudip Bose said, “One thing is certain about the future of Obamacare, and that is that it will change under a Donald Trump presidency.“ Given his public statements, Trump will clearly make sweeping changes sooner than later, but what those changes will be is anything but clear. That’s why today’s article describes what I hope for, if not what I expect.
The US healthcare system has cancer – a malignant form that started way before Obama became President, and it has taken decades to grow to its current condition, where our very existence is threatened. It’s my hope (remember Hope & Change?) that healthcare reform under Trump will not just treat the symptoms of a growing healthcare cancer, like the lack of insurance competition or price transparency. I hope Trump will recognize the need to treat our healthcare system’s cancer aggressively, naturally and holistically. Will he? Read More …
By Maggie Drag
As we age, we often forget that our homes should age with us! As more and more people aged 65 and older (90 percent according to AARP to be exact), choose to stay in their homes, many don’t follow the proper steps to make their homes safer.
Just a few updates will prevent falls and tragic accidents down the road, so take a look at our list of tips on how to make your living space safer, comfortable and convenient for life!
Stop trips for good
- The number one cause of trips in homes are slippery throw rugs, so make sure to make each rug slip proof with sticky pads or slip-proof tape.
- If you have hardwood or tile floors, make sure that the surface isn’t too slippery. Either use slip-proof flooring or apply slip-proof coatings.
- Try installing longer power cords for your electronics, lamps and appliances that you can tuck along a wall to avoid trips in the future.
- Many homes have thresholds, a small raised edge, between two doors. This can cause trips and make it difficult for those in wheelchairs and walkers. Remove barriers like this with automatic door bottoms that act like special bridges that move across a difficult edge or barrier between doors, different rooms and other surfaces.
By Dr. Shaiv Kapadia, Chief Medical Officer and Co-Founder, Iggbo
The United States has the best and worst healthcare system in the world. Let me explain. If you are having a heart attack or stroke or a victim of an accident, there is no better integrated system of acute care delivery on the planet. Chronic disease, however, is a completely different story. [EDITOR: The medical industrial complex spends twice as much on political lobbying as the military industrial complex, to avoid disrupting healthcare as they know it. That’s because cutting costs to match what other advanced nations pay per capita would mean losing over $1.5 trillion/year in profits – profits that today mostly come from treating symptoms.] Read More …
Who should we believe about how long we can REALLY live?
Controversy and catchy headlines help sell magazines and advertising, and that makes writing about outrageous claims profitable. The more outlandish, the better. The news media loves it, and so do the readers, whether it’s political controversy or in how long we can live.
The LA Times, in When, and why we must die, is just one of the many news outlets to pick up a story about two scientists who recently published study results concluding that humans can’t live beyond age 122. They’re entitled to their opinion, but I don’t buy it. Read More …
By Tim Perry, MPA, MS, CPHIMS, PCMH CCE, CISSP
Look Back to See Where We Are Going
To celebrate its 200th anniversary, the New England Journal of Medicine published an article in June 2012 titled, “The Burden of Disease and the Changing Task of Medicine“. The authors did a wonderful job of looking not only at clinical data on disease but also shed light on changes in society that affected the prevalence of diseases. A particularly interesting part of the article is a chart depicting the Top 10 Causes of Death in 1900 vs 2010. Notice the changes. Read More …
I responded to a Huffington Post article about proposed changes to Medicare and questions that should be asked of Hillary Clinton and Donald Trump, but I went deeper into the serious healthcare issues, citing an article I posted yesterday about The Ideal Healthcare System. It referenced differences between public and private sector organizations but primarily spoke of the need to better align incentives to the nation’s health goals. Therefore, my questions to Presidential candidates relate to that larger view of health and healthcare.
A LinkedIn discussion of mHealth argued that, “Technology is Just a Tool. It’s Not The Solution to Healthcare’s Problems” — I couldn’t disagree more and posted this response…
My Editorial Opinion
Okay, Technology is not the end-all, but it’s MUCH MORE than just a tool for solving healthcare’s problems. The accelerating pace of tech innovation is a disruptive force that’s breaking business models and helping to move us away from the fee-for-service model that’s primarily responsible for Americans spending twice as much as those in other advanced nations for healthcare. (See Moore’s Law and the FUTURE of Healthcare.)
Those at the top of the healthcare mountain, especially those resisting more rapid adoption of disruptive technology, are most at risk of obsolescence. As noted in 101 Minitrends in Health Care, 429 of the original  Fortune 500 companies are no longer in business today.
As medical devices keep getting cheaper, smaller, more accurate, and easier to use; more & more functions once associated with doctors in hospitals will move down-market toward consumers at home, office or wherever they are. Telehealth video calls and telemedicine sensor monitoring will extend across town, across state lines, and across international borders as payers (including Medicare) realize that medical tourism often offers better outcomes at less cost.
All of these trends will democratize healthcare, increase competition, and help move the emphasis away from sick care and toward health & wellness. As Benjamin Franklin said, “an ounce of prevention is worth a pound of cure.”
ANN ARBOR, Mich. — There are 4 paths to end of life, but last-ditch, high-tech heroic treatments and days in the hospital intensive care unit is NOT what makes dying in America so expensive. The common belief is that this is where we should focus efforts to spend the nation’s healthcare dollars more wisely, but think again.
A new study finds that for nearly half of older Americans, the pattern of high spending on healthcare was already in motion a full year before they died. That’s thanks to the care they received for their multiple chronic health conditions — including many doctor visits and regular hospital stays over the year, not just in their final days. Read More …
Doctors Prescribe Single-Payer Health Care Reform
Well before Bernie Sanders entered the presidential race, a nonpartisan group of 39 leading doctors set out to fix the glaring problems in the Affordable Care Act (ACA, or Obamacare). The single-payer plan they proposed, essentially Medicare-for-All, has since been endorsed by over 2,000 physician colleagues and published in the American Journal of Public Health, according to this article in Huffington Post.
The HuffPost article generated lots of reader comments, and I just had to respond because this is the sort of debate I love to jump into. It brings together many different perspectives, especially those of consumers who too often aren’t heard from by politicians. Here’s a summary of my responses and answer to the question, “Is Medicare-for-All enough?” Read More …
Is there hope for Alzheimer’s disease?
This past week NOVA aired Can Alzheimer’s Be Stopped? (watch below) The program covered research funded by drug companies as they race to cure Alzheimer’s disease and other dementias. The profit potential from discovering a breakthrough cure, as noted at the beginning, is well into the Billions. Sadly, a treatment without a cure may be worth even more. So hence the race, given the large and growing numbers of people affected and the devastating impact the disease has on them, their caregivers, and society. Read More …
RESONANCE is eye-opening documentary, revealing the biological harm from and health impact of wireless networks and electromagnetic radiation. The entire documentary is included here with some added comments. Most troubling to me are the long-term effects of electromagnetic radiation on cellular structures, cancer, and Melatonin, an important antioxidant and sleep-inducing hormone. Read More …
By Daniel Lewis
Airbags for Pedestrians
There’s no doubt that people are living longer now than ever before. That’s largely because of advancements in medicine and technology, and these advancements mean that hundreds of thousands of elderly people can now live on their own and enjoy a more fulfilling life. However, a simple fall can change all that; and falls are the most common way seniors injure themselves. Here’s just one of the new technologies that help prevent senior injuries at home.
It’s not always easy to prevent our loved ones from falling at home, because we just can’t be there all the time to keep an eye on them! Thankfully, however, technology is coming to the rescue again! Read More …