Medicare is expected to consume 18% of the federal budget in 2020, 3% more than in 2010. Indeed, projections are that the Medicare trust fund (Part A) will be below water covering all the hospital bills by 2024.
To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio. See: "How the U.S. Health-Care System Wastes $750 Billion Annually," by Brian Fung, pub. Atlantic Mobile, 9/7/12
Complementary and Alternative Medicine (CAM) is inviting and has such promise but it is unproved and it can be dangerous. As Paul Offit (Chief Infectious Diseases, Children’s Hospital of Philadelphia) states, “There’s no such thing as alternative medicine. There’s only medicine that works and medicine that doesn’t.” Offit PA. “Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine.”
"Diagnosing and Treating OCD" by Katherine K. Dahlsgaard, PhD and Laurel Weaver, MD, PhD. [From The Children's Hospital of Philadelphia's Alumni Newsletter, republished here with permission by Patrick S. Pasquariello, Jr, MD, Alumni Editor]
Increasingly, the cost of care is unnecessarily dear, rising exponentially while the return on investment is falling precipitously. What can be done about improving the value of health care?
Exercises Can Help Kyphosis, But.... Certain exercises may prevent or delay the progression of hyper-kyphosis or hunched back, but that cannot completely correct it; it normally progresses with age. For example, here's a YOGA pose that is recommended by Dr. Loren Fishman, a Physiatrist who is well-published on this and related topics. Locust Pose – Shalabasana: How to do it by Ann Pizer [See:About.com]
The United States is the only wealthy, industrialized country that does not ensure that all of its citizens have healthcare coverage. Insuring America's Health: Principles and Recommendations, Institute of Medicine at the National Academies of Science, January 14, 2004, last accessed Tuesday, February 2, 2010
...to generate pieces (Dr. Caldwell Esselstyne, circa mid '60's). Specialists even more than primary care practitioners fractionalize care; that's costly; In the medical home, primary care treats the whole patient. To explain the drastic shift needed to encourage primary care and discourage a further and unjustified overabundance of specialists, know that: 35% of visits for circulatory conditions are to family physicians, 27% of visits for musculoskeletal problems are to family physicians
Do we pay too much for health care here in the US? Is there a plethora of specialists? And, what about the waste in the system? Yes, of course to all, but if you are the person who needs treatment, maybe the answer is "not really." If you can't get the medical help you need when you need it, maybe the fact that it is theoretically free doesn't mean anything. We're going to discuss global payment and hit upon both sides--reducing inappropriate access and improving appropriate access.
Strept Cultures and Rapid Strept Tests Objective. The American Academy of Pediatrics recommends that all negative rapid diagnostic tests for Streptococcus pyogenes pharyngitis be backed up by culture, which creates a dilemma for clinicians who must make treatment decisions without complete diagnostic information at the time of visit. The use of a follow-up serial rapid antigen test instead of a follow-up culture would provide a more timely result.