This article, “Making the Cut,” could affect your life or the life of someone you know. The article offers its database so you can compare the complication rates of surgeons regarding common elective surgeries.
“About 63,000 Medicare patients suffered serious harm, and 3,405 died after going in for procedures widely seen as straightforward and low risk. Taxpayers paid hospitals $645 million for the readmissions alone.”
“A small share of doctors, 11 percent, accounted for about 25 percent of the complications. Hundreds of surgeons across the country had rates double and triple the national average. Every day, surgeons with the highest complication rates in our analysis are performing operations in hospitals nationwide.
Subpar performers work even at academic medical centers considered among the nation’s best. A surgeon with one of the nation’s highest complication rates for prostate removals in our analysis operates at Baltimore’s Johns Hopkins Hospital, a national powerhouse known for its research on patient safety. He alone had more complications than all 10 of his colleagues combined — though they performed nine times as many of the same procedures.”
John Oliver describes Big Pharma marketing to doctors and patients
Marijuana is constantly attacked by many politicians, even though use by adults (use by children is a different story) rarely if ever results in a visit to the hospital. This makes me conclude that the problem with marijuana is that users and producers need more expensive lobbyists. I write this based on an eye-popping article on the well-established dangers of LEGAL drugs in the September 2014 edition of Consumer Reports. Here’s an excerpt:
OxyContin, Percocet, and Vicodin–prescription narcotics . . . can be as addictive as heroin and are rife with deadly side effects. Use of those and other opioids has skyrocketed in recent years. … 46 people per day, or almost 17,000 people per year, die from overdoses of the drugs. That’s up more than 400 percent from 1999. And for every death, more than 30 people are admitted to the emergency room because of opioid complications. With numbers like that, you would think that the Food and Drug Administration would do all it could to reverse the trend. But against the recommendation of its own panel of expert advisers, last December the agency approved Zohydro ER, a long-acting version of hydrocodone.
Almost as dangerous is a medication renowned for its safety: acetaminophen (Tylenol and generic). Almost 80,000 people per year are treated in emergency rooms because they have taken too much of it, and the drug is now the most common cause of liver failure in this country.
If lawmakers put all drugs under the same scrutiny as far as safety, it would turn the drug world upside down.
Vincent Iannelli, M.D., offers this thrashing of the anti-vaccine mentality:
This guide to the 50 most common anti-vaccine myths and misinformation will help you understand that vaccines are safe, are necessary, and that getting your kids vaccinated and fully protected against each and every vaccine-preventable disease is the right decision to make.
Some patients are having astounding success with fecal transplants, and a DIY community is growing. BBC reports:
There is growing recognition that faecal transplant is the best way to treat [some] patients. In the first randomised trial of the technique published in the New England Journal of Medicine last year, 94% of patients were cured by the treatment, whereas a course of antibiotics cured just 27%. The disparity was so huge that the researchers stopped the trial early, on the grounds that it was unethical to deny the better cure to the cohort assigned antibiotics.
My family just signed up for an extremely expensive “Bronze” policy with Obamacare. It is shameful that there are only two companies “competing” for our dollars in St. Louis (it’s worse than shopping for a phone company). It’s shameful that none of the policies in the bronze or silver range include Barnes Hospital (St. Louis’ premium teaching hospital) in their network. It shameful that even though we are paying $1,000/month for a family of four, that the annual deductible is in the range of $4,300 for indiv and $8,600 for family, with annual out-of-pocket deductible for our family being $12,700. There is no real competition here, and I have yet to see the any reason to believe that the ACA will pressure providers to lower their costs. In America, we pay many times the amount for basic services (e.g., MRI scan) than people in other countries. Our economic side of our hospitals, including “non-profit” hospitals, are a joke, with their executives getting exorbitant salaries while they are on a shopping spree to buy up the local medical practices so that there is no meaningful competition, even your local doctors. I recognize that the ACA forces insurance companies to provide certain minimum coverages and that they can no longer cherry-pick patients based on pre-existing conditions, which was rampant and immoral. The ACA is certainly better than nothing.
The most shameful thing of all, however, is that even with the faults of Obamacare, the Republicans want to destroy the modest protection it offers many of us, and the substantial protection it offers low-income families. They propose to replace it with nothing at all. The Republican proposals I have seen would send all of us back to ravages of the dog-eat-dog for-profit health market where cherry-picked customers pay unregulated prices, where premiums have been skyrocketing for decades, where many folks are offered paltry coverage that they have no way of paying for, and where many people are deemed “uninsurable.” If politicians can only convince us to keep watching lots of sports events and movies, maybe we will never force them to enact meaningful reform.
We need single-payor coverage, like most other civilized countries. For more on the dreadful situation we currently have, check out Stephen Brill’s excellent article.
I’ll end with this somber reality from Brill’s article:
The health care industry seems to have the will and means to keep it that way. According to the Center for Responsive Politics, the pharmaceutical and healthcare product industries, combined with the organizations representing doctors, hospitals, nursing homes, health services and HMO’s, have spent $5.36 billion since 1998 on lobbying in Washington. That dwarfs the $1.53 billion spent by the defense and aerospace industries and the $1.3 billion spent by oil and gas interests over the same period. That’s right: the health-care-industrial complex spends more than three times what the military-industrial complex spends in Washington.
Penn and Teller offer a response that takes less than 2 minutes. Not that any of this makes it any easier to see your baby subjected to multiple jabs of concoctions created by Big Pharma. That said, the statistics beg for us to make sure we vaccinate our children. And see here.
Amazing that such a law could be passed in the first place. From Alternet.
Challenges by Pennsylvania citizens and townships on provisions in the law that prohibit doctors from telling patients about health impacts related to fracking chemicals were sent back to Commonwealth Court for reevaluation. The “physician gag order” (or “ frack gag“) was recently challenged by a doctor who claimed it infringed on his First Amendment rights and his duties as a doctor, but his challenge was thrown out by a Pennsylvania court in October. The Supreme Court’s decision to send the Commonwealth Court’s decision back down for re-evaluation spells trouble for the gag order. Doctors have expressed concern over this rule in Pennsylvania and what it means for their patients — a report from Pennsylvania documented a range of health problems affecting residents living near natural gas operations, including skin rashes, headaches and chronic pain.