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Do You Need a Colonoscopy?

submitted by: admin on 09/20/2013
  Dr. Len and Nurse Vicki discuss the pros and cons for a routine colonoscopy for colon cancer screening. In asymptomatic people without a family history of cancer, the risks of doing a colonoscopy may exceed the benefits. Bowel perforations and severe GI bleeding are complications in 1 in 200 tests. Other screening tests are reviewed too.        

Drug Samples, Are They a Good Idea?

submitted by: admin on 09/20/2013
Big Pharma is very liberal in giving MDs free samples for their patients. They do this because it introduces the MD to their products and sells them. They are not free as someone has to pay for this, and it is ultimately us.      

Epidemic of Failing Artificial Hips

submitted by: admin on 09/21/2013
Tens of thousands of metal on metal artificial hips are failing years earlier than expected and are requiring a second surgery to take the old device out and put in a new one. There has been no tracking system to follow how they do, although after the fact a tracking system is being implemented by orthopedists now. This is coming at a price of about $1 billion....

Excessive Usage of Health Care

submitted by: admin on 04/25/2024
Health care costs are no longer affordable. We have a model based on getting sick rather than on staying well. This is a failed system: half of us have a chronic disease, the system is not safe, and we cannot afford to sustain it.

Exercise Counteracts Work Burnout

submitted by: admin on 09/21/2013
  A Jewish study published in the Journal of Applied Psychology showed that employees who found time to exercise 4 hours a week had a 50% lower rate of job burnout. Smart businesses provide exercise programs for their employees because productivity goes up and health care costs go down.        

Fast Tracking Big Pharma's Drugs

submitted by: admin on 04/25/2024
Certain drugs should be made available as soon as possible. However, generally this approach leads to a conflict of interest between the FDA and Big Pharma that brings drugs to market much easier.

FDA Considering Prescription Drugs Without a Prescription

submitted by: admin on 09/21/2013
  The FDA is considering offering many prescription drugs without a prescription at pharmacies where a few questions would be asked and medicine dispensed like through a vending machine! Most insurances would not be required to pay for such costs and patients would be largely on their own to determine the need and safety of their purchases. While...

Fewer Mammograms Needed for Low-Risk Women

submitted by: admin on 06/18/2016
Less frequent mammograms for wonem at low risk for breast cancer can be a cost effective way of saving lives. Women with no family history of breast cancer, no previous biopsy and breasts that are not dense need far fewer mammograms than women with these risk factors. For women under the age of 50 without these three risk factors, mammograms are not worthwhile....

Five Screening Tests for Heart Disease You May Not Need

submitted by: admin on 04/12/2015
  There is no good evidence that if a person is symptom free that any of the common tests that screen for heart disease are helpful according to the US Preventive Services Task Force (USPSTF). Even for people who smoke or those with diabetes or obesity there's no good evidence that heart screening tests save lives or prevent disease. These tests...

Health Care Costs Cause 50% of Bankruptcies

submitted by: admin on 04/25/2024
Health care costs cause half of all bankruptcies in the US and 94% are threatened by them. Even major corporations cannot compete with foreign businesses because of the cost of health insurance. We need health care reform to control costs. This likely means a new paradigm based on wellness and prevention are necessary.

Health Care Costs Challenge Industry

submitted by: admin on 04/25/2024
The demise of the US auto industry in large part was related to unaffordable health care costs. GM has been referred to as an insurance company that makes cars! US health care costs are double most industrialized countries.

Health Care or Disease Care?

submitted by: admin on 04/25/2024
Health care reform needs to be centered on health care, not disease care. We need political reform too; reform that is not beseiged by conflicts of interest. Universal health care is off the table, and now single payer is being considered. Compromising with insurance companies is not a reasonable solution because it does not take into account the skyrocketing...

Health Reform, Over 50 Years With Lonnie Bristow, MD

submitted by: admin on 09/23/2013
Dr. Bristow is a former president of the national AMA and reviews the challenges he has faced in health care throughout his distinguished career. He also presents his ideas for solutions to what we're now facing in health care from the points of view of cost, availability of insurance, the epidemic of chronic diseases, and the safety of medications.            

How Healthcare Died and Became a Business

submitted by: admin on 09/24/2013
  What happened to Drs. Marcus Wellby, Ben Casey, and Kildare? How did physicians lose control of the practice of medicine? It began in the late 1980s when MDs refused to deal with the cost of delivering health care. They took the perspective that they would help their patients, but wanted nothing to do with regulating healthcare services. They gave...

Is Medical Tourism Realistic?

submitted by: admin on 07/29/2019
According to the CDC, medical tourism refers to people who travel to foreign countries to obtain medical care at a reduced price. Generally, the services most often sought are for cosmetic surgery, dentistry, cardiac surgery, and orthopedic surgery. The cost for these surgeries is in the range of 10-20% of what it would cost in the US and are done in 5 star facilities. Common...

Is the Practice of Medicine More Harmful than Good?

submitted by: admin on 10/09/2013
  In a study published in Archives of Internal Medicine in February of 2012, patients with the highest satisfaction with their MDs had fewer visits to the ER, but a 26% higher mortality rate! Mortality outcomes on 36,000 people over 4 years was collected by researchers from UC Davis Medical Center. The most satisfied patients spent about 9% more on health...

It's Time For Health Care Efficiency

submitted by: admin on 10/09/2013
The government has taken the position that health care reform will lead to cost savings by being more proficient. However, we're adding 30 million more people to the system and are still trying to save costs...where's the logic? The problem is that the economy cannot stand to reduce health care costs because it is an economic stimulus in itself.

Last Year of Life in Health Care

submitted by: admin on 10/09/2013
The cost of health care is highest in the last year of life. This is a difficult issue as the question is where can money be spent the best. We spend 50% of all health care dollars in the last year of life. This is discussed.        

Mammograms: A Ten Year Study Shows no Benefit Under age 50

submitted by: admin on 10/10/2013
  Many studies show that mammograms in women under 50 are not useful. The US is the only country that does mammograms in this age group. The reasons are explained. Too many biopsies result and many cancers are missed that lead to stress and unnecessary costs.          

Medical Residency Training Reform

submitted by: admin on 10/11/2013
Medical experts are calling for resident working hour restrictions to prevent medical errors from medical resident fatigue and lack of supervision. They called for sweeping changes in the design, supervision and financing of US hospital residency programs to protect both patients and medical residents in training from serious, preventable medical errors, and...

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