Articles Posted in Primary Care

hhslogoaug20-300x300In response to the shattering harms of the Covid-19 pandemic, Congress sought to shore up the U.S. health care system with billions of dollars in emergency aid. But the federal agency that helps to oversee the institutional care for the elderly, sick, and injured performed poorly as a steward of taxpayers’ hard-earned money.

The Health and Human Services department, instead, shoveled hundreds of millions of dollars, “no strings attached,” to dubious owners or operators of facilities nationwide. These “for-profit nursing home providers … have faced accusations of Medicare fraud and kickbacks, labor violations or widespread failures in patient care,” the Washington Post reported.

The newspaper said its analysis of HHS allocations of big sums in the Coronavirus Aid, Relief, and Economic Security Act, or Cares Act, also showed that:

kffmedicaidmapaug20-300x184Voters keep sending Republicans — in statehouses, Congress, and the White House — a clear message: Americans want affordable, accessible health insurance, most notably as offered under the GOP-loathed Affordable Care Act, and especially for the poor and working poor via Obamacare’s expansion of Medicaid.

This issue, if anything, may be rising in importance to the U.S. electorate as the Covid-19 pandemic rages without check and millions of Americans wrestle with pervasive joblessness that wiped out many people’s health insurance coverage.

Just weeks after voters in red Oklahoma backed a state constitutional amendment to expand Medicaid and narrowly defied the opposition of powerful GOP politicians who have dominated their state, residents of the “Show Me” state of Missouri showed up in force to approve Missouri’s expansion of the program coverage, by a 53% to 47% margin.

Last week the world took note with appropriate solemnity a terrible historic moment: The first military use of nuclear weapons, with explosions 75 years ago of bombs over the Japanese cities of Hiroshima and Nagasaki.

The resulting carnage — which the United States said was needed to end the horrors of World War II, especially by averting a bloody land conquest of Japan — has been seared into the global consciousness ever since, especially with the remarkable writing and reporting of author John Hersey.

The exact toll of the bombings of Hiroshima (a famous site shown above) and Nagasaki has eluded historians and other experts because of multiple factors, including: the scale of destruction, the chaos that ensued, and the uncertainty of the population and infrastructure that existed in the already war-torn cities. Still, by many estimates, tens of thousands died immediately — at least 135,000 in Hiroshima and 64,000 in Nagasaki.

purduelogo-300x92For those trying to clean up the costly harms that Big Pharma inflicts on Americans, the how-to details not only matter, they can be confounding. For evidence, just ask federal court officials trying to unravel part of the finances of the opioid and overdose crisis, or the Trump Administration’s soggy efforts to deal with skyrocketing prescription drug prices and scary medication shortages.

The latest bedeviling development in the long crackdown on destructive and highly potent prescription painkillers involves Purdue Pharma, the maker of the addictive drug OxyContin, and the U.S. Justice Department.

For months now, courts in New York and Cleveland have sought to negotiate a “global settlement” of thousands of lawsuits, consolidated first in a federal court in Ohio, and claiming that states, counties, cities, Indian tribes, and others have suffered costly harm due to the opioid abuse and overdose crisis.

alztest-300x79It isn’t just the testing for the novel coronavirus that has already anxious Americans upset these days. Controversies also are swirling around existing and developing ways for experts to screen older patients for cognitive decline, namely  dementia and its most familiar form,  Alzheimer’s disease.

Alzheimer’s disease, which accounts for 60%-80% of dementia cases, is the sixth leading cause of death in the United States overall and the fifth leading cause of death for those age 65 and older, researchers say. Medical scientists have engaged in furious efforts for a while now to determine the condition’s causes and to create treatments for it — a response that is sorely lacking now.

But the New York Times reported that experts believe they are nearing a better way to screen and diagnose the illness using the blood rather than current “expensive methods like PET scans of the brain and spinal taps for cerebrospinal fluid.” As reporter Pam Belluck wrote:

covidgovhogan-150x150Imagine in an alternate world in which it is not the poor and ravenous Oliver Twist who implores the world for more porridge, please. Instead, think of the “poor me” cries coming from Bumble the Beadle or Mr. Limbkins, two nefarious guys who exploit kids at the venal workhouse to which Oliver is consigned.

Welcome to the Dickensian drama that continues to envelop nursing homes and other long-term care facilities savaged by the Covid-19 pandemic. It may be a harsh view, but what to make about the persistent bleating by the profit-hungry owners and operators of care homes about the cost of safeguarding and testing the institutions’ vulnerable residents and health workers?

Maryland officials, struggling themselves with “the worst economic crisis since the Great Depression” and confronting the prospect of state agency budget cuts of up to 20%, have told nursing homes they soon must shoulder the costs of weekly coronavirus tests for their staff, the Washington Post reported.

dcvafacility-300x185Veterans Affairs officials are taking yet more fire over medical services provided at the sprawling agency’s facilities:

covidtestlinesmiamiwsj-300x219How big and bad is the now-unchecked Covid-19 pandemic and the damage it is inflicting on this country?

The United States persists as the novel coronavirus epicenter, blowing past previous record numbers of infections to more than 4.5 million. The disease has edged toward claiming the lives of roughly 155,000 Americans. Imagine if the equivalent, the population of Alexandria, Va., died in just a few months.

July went in the books as the cruelest month, thus far, with Covid-19 infections doubling over June’s tallies, deaths surging, and the coronavirus surging or parking at a high and lethal plateau in most parts of the country,

grimreaper-138x300While the Covid-19 pandemic rages on, other major killers of Americans — threats posed by vehicles and guns, as well as searing weather and nasty critters like mosquitoes — have not stopped. People need to be aware and safeguard themselves as they can from these risks.

The data keep growing and the news, for example, continues to be glum about the coronavirus lockdowns and road mayhem. As NBC News reported:

“Motor vehicle fatalities surged by 23.5% in May, as drivers took advantage of open roads to push to autobahn speeds, a situation made easier by the fact that authorities in many communities were pulling back on enforcement, in part, to avoid risking the possibility of their officers becoming exposed to the coronavirus. According to the National Safety Council (NSC) report, the May numbers mark the third-straight month that U.S. motorists were at a higher risk of dying from a crash …”

vaccination-300x199As the novel coronavirus infections and deaths keep skyrocketing, Americans more and more have been forced into tough risk analyses, and frankly, too often thinking like gamblers. They are, for example, looking a lot at the much-promoted possibility of a Covid-19 vaccine in desperate poker ways — “betting on the come” and playing “river, river …”

Experts are asking just how savvy this health care approach is, putting in high stakes in the hopes the deck is dealt just so, or believing in a cliff’s edge rescue when the last cards on the table are flopped over to reveal a winner? Is it reality check time? And is there is a Plan B?

Vaccine makers around the world are racing to produce a viable response to Covid-19. U.S. infections have skyrocketed past 4 million and the disease is heading toward killing 150,000 Americans. Politicians and public health officials continue to speak optimistically about “Operation Warp Speed” and other campaigns globally to develop a vaccine that experts say will play a vital role in blunting Covid-19’s sickening and lethal spree through humanity.

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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