Articles Posted in Outpatient Care

caring-150x150A glaring gap in the U.S. health care system — the giving of care at home — is burgeoning into a costly chasm.  Pretty much everybody involved needs to pay close attention and finally act to deal with the nation’s failure to support home caregiving for the sick, injured, debilitated, and aged.

The consequences of inaction already are becoming clear, as the dearth of home care is smacking the recovering economy, “contributing to labor shortages around the country and playing a role in overall inflation,” the Washington Post reported, finding:

“At least 6.6 million people who weren’t working in early March said it was because they were caring for someone else, according to the most recent Household Pulse Survey from the Census Bureau. Whether — and when — they return to work will play a role in the continued recovery and could reshape the post-Covid labor force. For all the attention on parents — and mothers in particular — who stopped working to care for children during the pandemic, four times as many people are out of the work force, caring for spouses, siblings, aging parents, and grandchildren, according to the Federal Reserve’s latest Monetary Policy Report.

deptvetaffairslogo-300x183One of the largest, most important health care systems in the country has plans in the works for a huge revamp, including shutting down many of its big, aging hospitals or slashing services there, shifting to smaller clinics, and refocusing its caregiving to parts of the country where its patients live.

Taxpayers will want to pay attention to these plans because they will pay tens of billions of dollars for them — likely with gratitude. That’s because this reimagined system provides care to millions of current and past U.S. service personnel and their families and is best known as the VA, aka the Department of Veterans Affairs, the Washington Post reported.

The Biden Administration has launched the VA on potentially decades of changes in the way it provides the nation’s sacred commitment to those who have fought with honor for their country and earned the right to quality care for what can be considerable, long-term health needs.

elijahmcclain-150x150Manslaughter, criminally negligent homicide, and other felony charges filed against paramedics in a Denver suburb will provide the public with a queasy close up look at not only the stresses weighing on medical first responders but also how complacent too many people have become as a crucial part of health care frays under fiscal pressures.

The case against Aurora Fire and Rescue paramedics Jeremy Cooper and Lieutenant Peter Cichuniec provides a grim view of municipal emergency medical services.

A grand jury, empaneled by the state attorney general, indicted the city paramedics and two Aurora police officers on an array of charges in the 2019 death of  Elijah McClain, a 23-year-old black man. He was walking home from a convenience store on an August evening, wearing a ski mask because, his parents said, he was an anemic, idiosyncratic individual and often felt cold.

agedwalk-179x300As the coronavirus pandemic’s most catastrophic effects recede in nursing homes and other long-term care facilities, notably due to vaccinations and other public health measures, residents and their loved ones still face costly, confounding issues in safeguarding the aged, sick, and injured. The Biden Administration wants to spend hundreds of billions of dollars to help.

But will the plans founder due to Republican resistance? And will even a huge jolt of funding be enough to deal with a graying nation’s growing problems with long-term care?

Our own homes provide a cornerstone of Democratic proposals to deal better with nightmares with the cost, safety, and availability of long-term care. Instead of sinking yet more public money — via Medicare and Medicaid — into institutions, can the federal government, instead, improve funding so seniors, the ill, and injured can stay home and get treatment there? As the Washington Post reported:

compare-202x300A lot of people in health care across the country are firing up their computers to dig into long-sought, confidential information from hospitals about their prices and deals they cut on them with an array of parties.

As the Wall Street Journal reported, the Trump Administration successfully battled with hospitals to get them to disclose previously secret pricing data, in the hopes that disclosing this key information will benefit the U.S. health care system, notably in curbing costs. Here’s why, as the newspaper reported:

“T]hose who pay for health-care premiums and medical bills — employers, workers and patients — were long in the dark about wide price differences among hospitals for the same service in the same city, according to research and efforts by large employer groups to compare prices. Hospital prices are under intense scrutiny as the sector consolidates and research points to price increases after mergers, but without the quality gains that hospitals often cite as rationale for the combinations.

blmdckoshukunii-240x300Just as law enforcement authorities find themselves under fire for instances of racist, excessive uses of force, police agencies across the country seem hell-bent on giving critics more and more evidence for their argument that major policing reforms are needed.

The independent, nonpartisan Kaiser Health News Service and USA Today deserve credit for scrutinizing dozens of incidents involving officials’ actions nationwide against people protesting the Minneapolis police killing of George Floyd. As the news organizations reported (and in passages worth quoting at length):

“In a joint investigation into law enforcement actions at protests across the country after George Floyd’s death in police custody, KHN and USA TODAY found that some officers appear to have violated their department’s own rules when they fired ‘less lethal’ projectiles at protesters who were for the most part peacefully assembled. Critics have assailed those tactics as civil rights and First Amendment violations, and three federal judges have ordered temporary restrictions on their use.

kffpostponedcarepoll-300x178Doctors, clinics, urgent care facilities, and hospitals are laboring to get out an important message tied to the Covid-19 pandemic: Patients should not delay seeking their needed medical services, especially urgent or emergency treatment, due to fears of getting infected with the novel coronavirus.

It made sense to postpone many types of medical services as states sought to reduce the virus’ wildfire spread and to prevent the U.S. medical system from potentially getting overwhelmed with Covid-19 cases, experts say.

But public health restrictions are easing, and medical practices and facilities have set up ways to minimize the possibility of coronavirus infection, such that patients may want to reconsider their highest anxiety.

magazines-199x300For those who may have more time on their hands due to the pandemic and who may be seeking deeper digs into Covid-19, excellent long-form coverage is abounding.

Consider, for example, taking time for the New Yorker article by  Siddhartha Mukherjee, a cancer doctor, biologist, and best-selling nonfiction author who delves into the question of “What the coronavirus crisis reveals about American medicine.”

His premise includes in its painful illumination a quote from Warren Buffet, the Oracle of Omaha, whose quip assumes a different poignancy when applied to the post-pandemic state of medicine:  “When the tide goes out, you discover who has been swimming naked.”

nprsuicide-300x224The nation’s rising suicide crisis torments seniors, too, with just under one out of five such deaths in 2017 occurring with individuals 65 and older. Men 65-plus, experts say, face the highest suicide risk, while seniors 85 and older, men and women, rank No. 2 in groups most likely to die by taking their own lives.

As the nation grays — 10,000 baby boomers a day turn 65, in a trend that will persist until 2029 — the already high concern about suicide, especially among seniors, is rising,  National Public Radio reported.

NPR, noting that suicide already is the 10th leading cause of death among all Americans, said that experts see loneliness, bereavement, grief, and depression as key factors in cases in which older individuals kill themselves. They find themselves isolated, overwhelmed, and with unending sadness when spouses and friends die. Their children, grandchildren, and other family members often live far away. They also struggle with their lives due to age’s increasing debilitation. As NPR reported:

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