I am writing anonymously to protect my daughter. She is mentally ill at the moment and suffers from, among other things, depression. I take no chances. I also won't name the corporation that is driving me insane. I am afraid of it. I'm sure it's much the same as all the others anyhow. I'll call it "The Beast."
In both the education and health care contexts, among the more common objections to adjusting performance measures is the idea that doing so represents "setting different expectations" for institutions (schools/hospitals) based on the people they serve.
With less than three weeks until California's primary election, Governor Jerry Brown continues to campaign for a record fourth term by acting as governor while the race for the right to lose to him in November between a pair of little-known yet sharply contrasting Republicans continues to intrigue in an oddly low-key sort of way.
I hope that one day a veteran can walk into any VA hospital or health care facility and be given options for any affliction that they're facing without being put on a waiting list. The government needs to help veterans get access to health care that they deserve.
How can otherwise uninsurable voters proudly support candidates opposing universal healthcare? Are such voters simply unintelligent? Even more puzzling, how can voters receiving food stamps or other governmental assistance proudly claim to be "anti-government"?
In providers' hurriedness, the small kindnesses are falling away: a smile, a handshake, a few warm words, making connection. As care drops out of health care we are paying for it; we are sowing greater dis-ease.
In addition to the escalating cost of dental care, a big reason why many Americans don't get the checkups and preventive care they need is the growing shortage of dentists in the U.S. We need 6,000 new dentists to eliminate the shortage. There's little chance we'll get them, however, at least anytime soon.
As the health policy world moves beyond just enrollment, community health workers -- and sustainable and integrated funding sources for them -- should be part of the conversation at the federal, state and local levels.
Whatever one's views of individual mandates, keeping your own doctor or contraceptive coverage, the underpinnings of Obamacare offer the promise of stopping the skyrocketing costs that are threatening the quality and availability of coverage to the 55 percent of Americans who receive health insurance through their jobs.
After writing a couple weeks back that we need to keep an eye on profit-hungry health insurers to make sure they are not refusing to pay for medically necessary care, I got a flood of emails and tweets from people with stories to share.
What does health care reform have to do with the futures of primary care and psychiatry? A lot, and most of it is still under our collective radar screen.
Having accurate and timely utilization, cost and outcomes data would allow the physician community to expand the use of new health care delivery and payment models that so many policymakers and thought leaders say are needed.
While we had some of the world's best doctors and hospitals, they were in many cases off-limits to millions of Americans, many of whom were uninsured because of preexisting conditions that made them "uninsurable" in the eyes of private insurance companies.
Residents and health providers in some states will reap the benefits of the ACA while others will not. Whether the motivations for the divide result from a political strategy or an honest disagreement over the role of government, the consequences are very real.
It's a stretch to say that Charlene Dill died because Florida Republicans rejected the Medicaid expansion. Dill died because of an untreated heart condition. Even if Florida had expanded its Medicaid program, she might still have died. But access to health care, treatment and medications would have given her a fighting chance.
Veronica's story illustrates how clinicians can effectively address the social determinants of health by using tools that assess a patient's community and environmental circumstances, as well as by including non-medical providers as part of a health care team.