Blog Posts (50)
January 14, 2015
The Harvard faculty recently raised a stink because their benefits now require them to pay out-of-pocket for some of their medical care. Physician appointments will no longer be free, but will cost $20. And Harvard faculty will be expected to … Continue reading →
July 14, 2012
If you want to know how easy and intuitive it is to understand the individual mandate, watch this video with Peter Ubel and his son, Taylor Greeno, who discuss why healthcare reform is good for everyone.…
June 28, 2012
As the nation waits on pins and needles for SCOTUS’ decision regarding Obamacare, take a few minutes to bone up on the ethics of healthcare reform and governance with AJOB’s Special Issue on healthcare reform.…
April 19, 2012
A study in the Journal of Clinical Oncology reports via Reuters Health today that cancer patients rarely tell anyone about the problems with the care they receive.…
October 10, 2011
What does the postal service have to do with healthcare? Sure, the USPS delivers medical supplies to individuals and organizations. But that is not the connection that the nation’s postmaster general is making between healthcare and the viability of the postal service.…
June 6, 2011
It is striking the juxtaposition of the two major headlines today regarding cancer treatment:
“Cancer costs put treatments out of reach for many”
“Drug to treat breast cancer may help prevent it“.…
April 28, 2010
A PBS forum with Arthur Caplan and others asked the BIG question about rationing end-of-life care, and perhaps rationing in general: can we as a society ever agree as to what the rational goals of health care can be at the end of life?…
April 15, 2010
Just in time to coincide with National Healthcare Decisions Day, AJOB’s April issue is now online featuring an editorial and a target article discussing advance directives and patient decision-making.…
March 5, 2010
William King is dying from MS. His two twenty-something sons, Ennis and Malcolm, already lost their mother to cancer 15 years earlier and now must deal with his slow deterioration.…
November 23, 2009
The trent toward concierge medicine is not a good thing, says Art Caplan, today on MSNBC.com. Why not just draw a big bright yellow line across the street that indicates that “the haves” can get quality care over here and “the have nots” cannot get quality care over there?…
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April 4, 2013 3:29 pm
A new study puts the cost of treating Alzheimer’s and other forms of dementia at $109 billion, making it more expensive to society than either cancer or heart disease.
November 8, 2012 5:09 pm
President Barack Obama’s re-election means his overhaul of the U.S. health-care system, opposed by most Republicans, will move ahead in all 50 states, with or without the cooperation of their governors.
October 30, 2012 5:37 pm
Evoking harrowing memories of Hurricane Katrina, 300 patients were evacuated floor by floor from a premier hospital that lost generator power at the height of superstorm Sandy. Rescuers and staff at New York University Langone Medical Center, some making 10 to 15 trips down darkened stairwells, began their mission Monday night, the youngest and sickest first, finishing about 15 hours later.
October 24, 2012 5:48 pm
DEBATE VIDEO HERE
Whether the U.S. government should ration end of life care was the subject of syndicated debate program Intelligence Squared. This year, the U.S. is expected to spend $2.8 trillion on health care, while Medicare alone will cost taxpayers $590 billion. More than 25 percent of that is going towards patients in their last year of life.
Peter Singer, Professor of bioethics at Princeton University, and Art Kellerman, Policy Analyst at the RAND Corporation, supported rationing end of life care in the debate.
Ken Connor, Chairman of the Center for a Just Society, and Sally Pipes, President and Chief Executive Officer of the Pacific Research Institute, opposed end of life care rationing.
October 23, 2012 6:01 pm
[I]n South Australia last week, a bill has been proposed to clarify the legal status of advance directives. One very small part of that bill involves a modification to an older palliative care act. The modification corrects an ambiguity in wording in the earlier act. The ambiguity is subtle. However, that choice of words has had major consequences for seriously ill children and adults in South Australia and for health practitioners. It is a salutary reminder of how hard it is to enact good laws in the area of end of life, and how easily such laws can make things worse rather than better.
September 25, 2012 8:38 pm
A nurse who accidentally disposed of a living donor’s kidney during a transplant said she didn’t realize it was in chilled, protective slush that she removed from an operating room, took down a hall to a dirty utility room and “flushed down a hopper,” according to a report released by health officials on Monday. The nurse said she had been on a break when a surgeon told everyone the kidney had been put in the sterile, semi-frozen solution. That detail was in a review by the state for the federal Centers for Medicare and Medicaid Services (CMS) and obtained by The Associated Press through a records request. The transplant was Aug. 10 at the University of Toledo Medical Center.
September 25, 2012 8:34 pm
There is nothing “woeful” about the response of the country’s medical schools to the need for more doctors (“America’s Health Worker Mismatch,” by Kate Tulenko, Op-Ed, Sept. 14). Facing doctor shortages of more than 130,000 by 2025, medical schools have committed to admitting and educating 30 percent more students by 2015. With 12 new medical schools established since 2002 and six more in the accreditation pipeline, along with existing schools that are increasing their enrollments, schools are on track to meet the expansion goal by 2016.
September 10, 2012 1:57 pm
For most patients in the real world, getting good medical care involves complicated decisions. It’s not as simple as what often gets shown on TV, where a patient goes in, the doctor figures out what’s wrong, and then he performs some lifesaving surgery. Most of modern medicine, especially for the elderly, is a lot messier — usually there’s not “right” answer, no perfect treatment.
September 5, 2012 7:51 pm
NEW YORK (Reuters Health) – Doctors and nurses may overestimate the quality of the care they provide hospital patients in the hours leading up to a serious complication, according to a small new study. After reviewing the records of 47 patients, Dutch researchers found that for more than half there were delays in recognizing that the patients’ conditions were deteriorating in advance of a crisis, such as an unplanned admission to intensive care. Meanwhile nurses, doctors-in-training and specialists reported far fewer delays.
August 28, 2012 12:45 pm
In an interview with WCVB-TV, Dr. Carter explained, “After three consecutive injuries (with other patients) trying to care for people over 250 pounds, my office is unable to accommodate a certain weight and we put a limit on it.”
And Carter is completely within her professional rights to do so. Under Opinion 9.12 of the AMA Code of Medical Ethics, both physicians and patients are free to decline a relationship. “A physician may decline to undertake the care of a patient whose medical condition is not within the physician’s current competence,” the code says.
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