Articles Posted in Accessibility of Healthcare

umc-pic-300x111Health officials caught expectant mothers, local politicians, and the D.C. community off guard by ordering the only full-service hospital in the southeast part of the District of Columbia to stop delivering babies and to shut its nursery for 90 days.

Details weren’t provided as to why D.C. regulators slapped restrictions on United Medical Center’s obstetrics and nursery care license. The hospital itself has acknowledged that at least three incidents, which it says it cannot discuss due to rigorous federal patient privacy rules, prompted the official rebuke.

This shutdown provides a harsh reminder just how little the public gets to know about important issues affecting doctors, hospitals, and patient safety and quality care.

caregiver-300x200Pick up that phone. Dash off a text or an email. Issue a dinner invitation or make a date for a casual lunch. Or just drop by to see that friend or loved one who struggles with the burdens of caring for someone in poor physical or mental health.

Why now? Why not? Paula Spann deserves credit for her latest New York Times column highlighting the “unbearable” loneliness and isolation that caregivers confront as, other experts estimate,  43.5 million Americans provide $470 billion in tough, unstinting, and unpaid work for loved ones.

Even as they do so, however, they often must abandon their own careers and chunks of their own lives, watching with sadness as their social contacts and intellectual interests narrow, especially as their worlds become consumed with washing, feeding, entertaining, and keeping safe a spouse, grandparent, uncle, aunt, or other loved one. Their woes can be especially great if they’re caring for loved ones with the increasingly common and hugely demanding conditions of dementia and Alzheimer’s.

kingMembers of Congress and lobbyists are taking public and premature bows for debasing the nation’s democracy and potentially harming Americans’ health and well-being.

The Washington Post has given readers a disturbing glimpse into what’s going on in the halls of the U.S. House these days, detailing how Republican representatives jammed through a bill that would strip Americans of rights in seeking redress when they suffer harms while seeking medical services.

The GOP’s so-called “reforms” of the nation’s medical malpractice laws, which independent and expert analysts have said are unnecessary and won’t produce the magical cost-savings or medical care efficiencies that advocates suggest, were concocted by a coterie of special interests—a handful of doctors and insurance industry lobbyists, the Post reports.

obama-240x300As the late, sultry diva Peggy Lee used to croon: Is that all there is?

The Republicans in Washington, after seven years of trying and dozens of faux earlier votes, have failed to repeal and replace the Affordable Care Act. Obamacare, the signature legislation of the previous Democratic administration, persists as the law of the land.

Not hearing champagne corks flying after the end for now of the desperate legislative floundering of Republicans in the House, Senate, and White House?

PE-Color-240x300The Republicans haven’t waved a white flag—yet. They may never formally surrender. But the GOP’s seven-year, take-no-prisoners campaign to repeal and replace the Affordable Care Act, aka Obamacare, has foundered. For good?

Political prediction is a knucklehead’s sport. It’s never safe to predict what’s going to happen, especially when unpredictable tragedies rear up like  Sen. John McCain’s brain cancer diagnosis.

No matter. We now know painful truths about the politicians who have sway over our health care—and will continue to do so in vast ways, Trumpcare or no.

viagra-300x169This fall’s National Football League games will be markedly different in an unexpected way that also offers insight into the nation’s skyrocketing costs of medical care.

The makers of the erectile dysfunction drugs Viagra and Cialis are yanking $50 million in advertising from TV broadcasts of NFL games, their top contact point with male consumers.  Indeed,  the makers of both drugs are going dark with their costly ads across a variety of sports programs, including summer pro golf and tennis.

After billions of dollars in revenues reaped every year for their manufacturers, Viagra and Cialis both are Big Pharma hot shots no longer. They may have erased any remaining decorum on TV over the years with their advertising and marketing hype. But they cannot outrun a typical drug’s economic life cycle. Their patents are expiring, and their makers are trying to figure how best to exploit their profitable, branded drugs when generics—already regulator approved and ready to go—saturate markets and drive prices down, perhaps as early as next year.

kessler-203x300Even as congressional Republicans advance their counter-factual campaign to strip patients who have been harmed while seeking medical services of their rights to seek legal redress, another state appeals court has rejected key GOP arguments about medical malpractice lawsuits.

An appellate court in Wisconsin has declared unconstitutional that state’s $750,000 cap on non-economic damages, reinstating a jury’s decision that a Milwaukee woman and her husband should be paid $16.5 million for their pain and suffering after emergency doctors failed to inform her fully about the severity of a strep infection she had and that led to the amputation of her arms and legs.

The jury assessed total damages against the doctors and their insurers of $25.3 million, including $8 million for the medical and other care the 57-year-old mother of four will require for the rest of her life. But the defendants appealed the total, arguing the couple, under Wisconsin law, should get no more than $750,000 for non-economic harms like pain and suffering.

Nursing-home-holding-hands-300x200Federal regulators need to ramp up their oversight of nursing homes, big time, with recent news reports and studies finding persistent abuses of elderly patients, including during crackdowns on problem operators, and facilities failing to care for vulnerable charges so they don’t lapse into emergency or hospital care.

Jordan Rau and the independent Kaiser Health News Service deserve kudos for digging into Uncle Sam’s “special focus status,” in which the nation’s “most dangerous” nursing homes get an ultimatum to correct major and continuing harms to patients or they may lose crucial Medicaid and Medicare funds from the federal government.

Rau found that more than half of the 528 homes deemed since 2014 to require the supposedly stringent “special focus” from regulators and that still are operating have since harmed patients or put them in jeopardy in the last three years.

Just under half of American adults get their news mostly from local television, and this is especially true for the older among us who also happen to be the heaviest users of medical services. But with local TV content hitting new highs for sheer volume—an average of 5.7 hours every day—watchdog groups are expressing a growing concern about the integrity of broadcast health information.

Healthnewsreview.org, an independent, nonprofit group that works on the public’s behalf to improve the depth, quality, and accuracy of health information, has reported with increasing urgency about pay to play, sponsored, and industry influenced and manipulated medical news.

goop-248x300Mocking the vanity, self-absorption, and stupidity of the rich and celebrities may be too feckless a sport. But the tragic spin-offs of the sweeping misinformation their hype mechanisms can generate sometimes just cannot be ignored.

If you can take it, New York magazine has put out a detailed story on “The Wellness Epidemic,” a deep dive into the cult-like affectations of affluent Americans who spend way too much time worrying they might be sick—and dabbling with remedies that might make most readers with an inkling of common sense spit up a little.

Why pay a second’s attention to this hypochondria and Goop, the fantasy empire of wealthy and beautiful Gwyneth Paltrow? Because she’s the actress who’s not only selling millions of dollars in beauty supplies and vitamins and supplements of suspect health value, she’s also sharing with a sadly rapt global audience her nonsensical views on the benefits and necessities of fecal transplants and putting a $66 jade egg into one’s private parts.

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