Some pep talks are not truthful—especially ones about truth

I saw this in the daily dose of coping encouragement in the OSU medical newsletter—which these days is mostly about Covid19.

“We can banish fear by realizing the truth.

“Am I afraid to be alone?” This fear can be subdued by the realization that we are surrounded by people each and every day.

People who care about us are all around us every single day. They’re willing to support us at the drop of the hat — but only if we let them know we need their support.

The number of people willing to support us is inexhaustible and unfailing, as long as we engage in open communication making clear our need for their support. Funny thing, when we support each other: Our bonds grow stronger, and we’re much more successful in our endeavors.”

Think about that first sentence in the context of what we see every day.

We knew the truth about glioblastoma when our son was diagnosed on October 1, 2019.  We knew he would soon die and that our lives changed forever on that day.  That was the truth.  It didn’t banish our fear.

We saw enough evidence about mail in ballots and middle of the night vote counting for the November 3 election to know the truth.  It hasn’t banished fear about where our system of government is heading.  The truth is not banishing fear, it’s causing us to lose our basic freedoms.

I’m looking out my window at fresh snow, I know it will be extremely cold and slick when I go to the grocery store.  That’s truth.  But I’m still afraid to drive there.

And there are NOT inexhaustible and unfailing people surrounding us and available to help at the drop of the hat.  Those people are locked in their homes.   True, this was written to support the highly stressed medical workers dealing with a pandemic who see people every day. but imagine throwing that guilt trip on people already stressed to the limit.  And although sometimes just the right person comes along to help or support, that’s the exception, which is why we often mention it in our prayer groups and Bible studies (now available only on ZOOM).

Platitudes and cheap grace.  That’s what a lot of coping stragies are.  This advice was followed up with a video of horses playing with rubber balls.  Cute.  But it didn’t banish the fear based on Truth.

OSU has discovered racism—yet again

For decades, academe has been soaking up tax dollars for special departments, workshops, conferences, vice presidents for diversity and inclusion, and now with more CARES money floating around, plus BLM pulling in billions in literally black mail, the medical college which has been on a socio-economic-race kick for longer than I can remember, is launching yet another effort.  This one I’m sure will include Critical Race Theory, because with that, no solutions are ever developed, the problems are just expanded.  But this one has a cutesy acronym.  It means, shut up and listen to us roar at you.

“This week, the Wexner Medical Center and health science colleges launched a new webinar series, Roundtables On Actions Against Racism (ROAAR). The focus of these roundtables is to elevate critical conversations about racism and engage community leaders to work collaboratively to achieve meaningful and lasting change.”

Hysterectomies and illegal immigrants

The hospital representative has spoken up and said they have evidence of two hysterectomies. The news has been full of the whistleblower version. You really have to search to get anything else on the story. However, I have another point.

I’m sure there are abortionists who don’t collect fetuses or baby feet, but the ghoul Gosnell in Philadelphia did. He even fed body parts to his turtles and the facilities were filthy. Then there was the abortionist Klopfer who died and they found thousands of preserved babies’ bodies and parts in garages in Illinois and Indiana. In Columbus, there’s a doctor on trial for “offing” his dying patients (25) with overdoses of fentanyl—Mt. Carmel (Trinity) system. Our local media paid some attention to local issues, but the Gosnell trial was completely ignored by MSM (he’s in prison). The Indian Health Service had a terrible expose published by WSJ last year (just found it) about the health of native Americans, and I doubt it even made a ripple, but the study covered 2005-2019. Three presidents. Charges were serious enough I’m sure it goes back much further, since the government’s cradle to grave health care has never had good results.

But somehow, Trump is responsible for the privately contracted medical system with a foreign doctor in one county in one state who the whistleblower says “collected uteruses.” And because Trump is president, the media make it a hot button issue implying it’s his problem, according to the national news and social media. I don’t recall our Ohio governor (forgotten which one) being responsible for what went on at Mt. Carmel, or the governors of Pennsylvania, Illinois or Indiana being responsible for what 2 abortionists did in their states. In fact, in order to protect the right of women to “health care,” those cases received only a fraction of the coverage of the hysterectomies. It seems all news is becoming political and “gotcha.”

Amin, the foreign Georgia doctor, has been working since 1988, and had already been charged and fined with Medicare and Medicaid fraud over 5 years ago. If the whistleblower’s charges (very serious, not just hysterectomies) are true, then there must be other workers who were negligent in not reporting this years ago. In Gosnell’s case, he was also having sex with some of his staff. Gross.

https://www.thestar.com/news/world/us/2020/09/23/congressmen-ask-for-investigation-of-gynecologist-linked-to-georgia-immigration-detention-centre.html

https://heavy.com/news/2020/09/mahendra-amin/

https://thefederalist.com/2019/11/26/native-american-health-scandal-shows-why-government-run-care-can-be-deadly/

https://www.nbcnews.com/news/crime-courts/nurses-defend-ohio-doctor-accused-murdering-25-patients-lawsuit-against-n1102796

Critical theory and race

This is how Marxism's critical race theory works to dismantle the family with our tax dollars. I'm guessing this is part of the CARES Covid19 grant, although I haven't checked. Ohio State University got $300 million and requirements for its use is pretty loosey goosey.

"[The] next Lean In speaker on Monday, Sept. 28 from noon–1 p.m. Collins Airhihenbuwa, PhD, MPH, will explore how structural racism is at the core of health disparity and must be dismantled to achieve health equity and social justice. In this lecture, he will discuss ways in which critical race theory can be used to unpack structural racism for sustainable anti-racism actions needed to achieve health equity and social justice locally and globally."  Health Beat, Sept. 11, 2020

It is no paranoid, right wing conspiracy theory that academe is riddled with this. They do not hide it, and we pay for it, in more ways than we can imagine as young adults are infected with hate for the West and America and gather to burn down our central cities. Public health publications and conferences are smothered in this critical theory "research."

The speaker was born in Benin, Africa (formerly Dahomey, which was a center of the African slave trade before the European  colonial era--it was very lucrative) and lives in Georgia where he founded U-Rise. I checked the organization and it's all about 1619 and the pandemic of racism. The business address seems to be a condo or apartment. I suspect he's the one employee. It's that way with a lot of reeducation camp workshops that have been hired by universities, churches and corporations for at least 2 decades, maybe more.

Why OSU needs to outsource these workshops on racism, I have no idea. Not only are there bloated departments of diversity in every college, but the administration has its own Diversity and Inclusion department established 40 years ago.

The voter drive among medical professions

The Ohio State College of Medicine's Department of Family and Community Medicine and the medical center’s Anti-Racism Action Plan Policy and Advocacy Action Group are partnering with VoteHealth2020 for a workshop on raising voter awareness to increase participation in the election. This is naive and manipulative.

The Trump Administration has probably been the most proactive in assisting minorities, and has actually accomplished something in areas long neglected (but incessantly talked about) by other administrations in the areas of employment opportunity, prison reform, and education. Because Trump is an outsider to both parties, when the businessman accustomed to achieving looked around and said--"this hasn't been working for 50 years, let's do something, let's fast track something, let's get rid of the dead wood of socialist promises," he's been called a racist.

Will an event planned by an entity called an Anti-Racism Action Plan Policy and Advocacy Action Group even welcome Trump supporters? Will they want more Trump supporters to vote? Are there any conservatives or Republicans in this group, or is diversity just another word for skin color? I wanted to know.

So I looked up the VoteHealth2020 board composition, for ethnicity, education, experience in medicine, political sensitivities and how it could relate to the voting public. Based on the photos and surnames, and a brief bio of each one, I'd say 9 members of the team are Asian Indian, [the wealthiest and most educated minority group in the U.S]. The one black female was born in Ghana, one other female appears to be Japanese ancestry, and one white male might be of Spanish ethnicity. In popular jargon, these are POC, people of color, because they are certainly not African American or that jumble of nationalities we refer to as Hispanic. Only one person on the board has a little gray in his fashionable stubble.

The publicity/marketing for this group does point out that Americans have a lower voter turn out than Western Europe and that doctors have an even lower turn out than other privileged, wealthy Americans. Yet, they don't seem to know our American history--even that of the last 2 decades. Blacks had an incredible turnout for the 2008 and 2012 elections--higher than whites in 2008, and much higher in 2012. And almost double that of Asian Americans, the people organizing the "get out the vote" group.

The Pew Research Center found that the economy (84% of respondents), terrorism (80%) and foreign policy (75%) were the top three issues on voters’ minds in 2016. That's why Trump won. Now in 2020, because of Covid19, health care has moved up, especially for Democrats who also think Trump is an important issue, but in 2016, it didn't even make the list.

Will the medical profession vote for Biden and will it be more likely to convince minorities to change their life style to reduce the problems of smoking, alcohol/drug abuse, domestic abuse, sexual promiscuity and obesity? Just like other groups, life style changes will improve many health problems. If I would lose 30 pounds, I'm sure my exercise routine would benefit. How will the doctors' or patients' voting record change their health? It won't. But they might be able to keep Trump out of the White House and get more federal money for their profession.

Seeing things unseen

When Phil was hospitalized twice in 6 months, we met and talked to many foreign doctors, nurses, paraprofessionals, social workers, techs and staff. We also noticed that medical practitioners from other cultures, particularly African and Indian, have a whole other way of looking at, touching and treating people. It's not about being kind, although they were; it was intuition. It's like they have a second sense endowed by their cultures about the body that book learning and college degrees don't offer. And they were not like each other, either. Filipinas were not the same as Nigerians. I wonder how this translates to current demand using telephone, Zoom and Skype.

I’ve learned to spell abscess

One of my cardinal rules is don't post about family without permission, but I'm claiming James 1:5, asking for wisdom and in faith receiving it. Our son Phil is in ICU so I'm crowd sourcing prayers for this setback from those who know him and us. Even if you're a total stranger--that's OK. This has nothing to do with his brain cancer, but has resulted from an infected tooth, which created an abscess, swelling and closed his airways. We took him to the ER (local small hospital near his home) on Saturday afternoon and after testing and waiting for a room, he was transferred to St. Ann's in Westerville late in the evening. Sunday morning the hospital chaplain called about 5 a.m. to say he'd been intubated so the four of us went right out. We were with him most of the day, and by late afternoon it looked like the antibiotics were kicking in and he was trying to kick butt for all the indignities of tubes, machines, beeping, noise, mother hover, etc. So that's a good sign. Don't mess with Phil. He can't talk right now, but he can say a lot with a thumbs up or an eye roll every mom knows. As soon as he is strong enough, there will be surgery.

The pastors from his church have visited and had prayers with all of us, and Pastor John said they played his favorites in church where he’s in the praise band.

Equity for Muslims

I received a notice today that OSU is having a "health equity" lecture on care of Muslim patients. Usually when liberals use the term "equity" they are discussing oppressed or low income groups, but according to Pew Research American Muslims have a higher education level than Methodists, Presbyterians, Lutherans, Adventists, Baptists and Catholics, and we're told that education translates to income. So what inequity will be discussed? FGM perhaps? And isn't that a cultural/religious issue? Pork on hospital menus? How women are gowned or how hygiene standards are kept by Muslim staff? I know there are sharia concerns, but that doesn't sound like "equity." Since we have so many foreign and non-Christian medical staff, are there lectures on how to treat Christians? https://www.americanthinker.com/articles/2016/07/creeping_sharia_in_health_care_.html

Politics and healthcare

At the coffee shop today I was reading the Oct. 9, JAMA and noticed an editorial on "Politics and Healthcare." JAMA's left of center, but I thought I'd take a look. Praise for Lyndon Johnson and Medicare in 1965, praise for Barack Obama and PPACA (Obamacare) in 2010 and then 3-4 paragraphs lambasting President Trump who, but for McCain, would have been able to undo Obama's disastrous grab of the private sector and 1/5 of the economy. It's one of the reasons Trump was elected--the people hated it, especially those who lost good coverage or lost their doctor or were forced to buy coverage for contraception and abortion. Obamacare was the only significant piece of social legislation that got zero support from Republicans, who had supported FDR and social security, and LBJ and Medicare. In fact, it's doubtful those programs would have passed without Republican support. It is the Obama administration that created the extreme partisanship we see today, not President Trump.

Yes indeed. Politics and healthcare in black and white in JAMA. So I looked up the author, Donald M Berwick--he's retired, but has been on just about every government board and committee to give us socialized medicine, was part of the Clinton administration, and even worked with the British National Health Service and was knighted by the Queen! I would not have expected anything else from him.

Latino physician crisis?

“California Latino physician crisis has found it will take upwards of five centuries to fully address the shortage of Latino doctors, imperiling the health and well-being of all Californians .”

I get some odd “diversity” “multicultural” “victim” “underserved”  and “racist” material dumped in my e-mail.  But did you know not having enough Latino doctors is going to kill Californians? Apparently, the current influx of illegal immigrants don’t plan to learn English so California needs more Spanish speaking doctors. How are more Spanish speaking doctors going to serve those Californians who speak Chinese, Tagalog and Vietnamese, Persian, Portuguese and Punjabi, and hundreds more who feel most at home with Swahili, Yiddish and Navajo? There are 112 languages in the Bay Area schools alone.

If Californians’ health is being imperiled it is their state government that is doing it—high taxation, over regulation and climate hysteria laws will probably drive doctors and potential doctors out of the state. 

We don’t need to have a specific percentage of Latino librarians, Latino auto mechanics, Latino lawyers, or Latino dog groomers to have an informed, safe, functioning society.  But the open borders and sanctuary cities are funneling criminals into Hispanic communities where it is easier for them to hide.  Planned Parenthood is killing a disproportionate number of minorities.  Some of the dead and dying will be Hispanic/Latino babies. In the U.S. combined, blacks and Hispanics accounted for 55.4% of the 405,795 abortions reported by race and ethnicity (2012).

Know your abortion rights

You have the right to insist that your abortion can only be performed by a licensed physician.

You have the right to know the medical malpractice history of this physician and to know whether his or her license to practice medicine has ever been suspended or revoked.

You have the right to know if this doctor has an insurance policy that will protect you in case you are injured or killed during this procedure.

You have the right to insist that if you are injured during your abortion, you are to be immediately transferred by ambulance to the nearest emergency hospital or trauma center.

You have the right not to have an abortion.  Regardless of your age, marital status or any other facor, no one has the legal right to make you have an abortion.  If anyone tries to force you into this decision against your will, contact a pregnancy center in your community.

Do not sign anything until you have read it completely and are certain that you understand everything it is saying.

Do not sign anything until you are given a copy to take with you.

Do not sign anything that contains blank spaces or information that you believe is incomplete or inaccurate.

Do not sign anything that says you will not sue the clinic or doctor if you are injured or killed during the abortion.

Abortion Facts

Abortion and suicide 

Abortion and breast cancer

Fetal parts costs

It is estimated that 64% of women who have abortions have been pressured by parents, boyfriend, or peers. That is the un-choice.

How sensitive do doctors need to be to the needs of transgendered?

According to the Williams Institute review conducted in April 2011, approximately 3.80 % of American adults identify themselves being in the LGBT community; wherein, (1.70%) identify as lesbian or gay, (1.80%) bisexual, and (0.30%) transgender, which corresponds to approximately 9 million adult^[1] Americans as of the 2010 census. (Wikipedia)

If our future doctors know more about the emotional needs and problems of the transgendered than how to help patients cope with depression, dementia or terminal diseases, here's an example from a med school ethics class. Also a good look at the discrimination and bullying of Christians in medical school. http://www.theamericanconservative.com/dreher/transgender-christian-doctor/

“This week in my medical school we began the ethics portion of my medical school’s curriculum.  This week, the main learning points were on Human Sexuality, Emotional Intelligence (Empathy), and Memory and Learning (How to deal with patients with dementia, learning disabilities, autism etc.). You might be interested to know that the only required classes were on Human Sexuality, with one of them being a Transgender panel. All the other classes were optional attendance; they covered topics such as Cognitive Behavioral Therapy (CBT) and how to empathize with your patients. CBT is a very common helpful tool that can be used to treat everything from depression and anxiety to bipolar disorder. However, despite the importance of emotional intelligence and memory and learning, over half of the material was about human sexuality — and over half of the human sexuality content was about how to treat LGBT patients.”

Eula Hall interview

Recently I received a notice of a new book about Eula Hall who has run a medical clinic in Kentucky since 1973, Mud Creek Medicine: The Life of Eula Hall and the Fight for Appalachia.  Upon checking, I found a 1988 interview for an oral history project, Appalachia Oral History Collection, Family and Gender in the Coal  Community Oral History Project.  I think you’ll enjoy it.

Interview with Eula Hall, June 14, 1988

"Whether it is the trailblazing, family feuds, coal miners' strife, moonshinin', or just folksy charm, the personal stories of individuals found in the hills of Appalachia often do rise to the heights of drama and intrigue, and reach to the depths of the American experience. Eula Hall's life is no exception. Eula's story is of a woman of remarkable strength, shaped by her community above all else. It is a story that should appeal to those with no connection to Appalachia, and to those who simply want to leave the world a better place than they found it. From a rugged mountain youth to hired girl to organizer, health care entrepreneur, and iconoclast, Eula's story echoes the story of America in the twentieth century, in all her rage and glory. She is the quintessential Appalachian-American poverty warrior combined with bucolic self-sufficiency, and she represents a dual ethos of community and individualism that is unique to the mountains.

"Eula, like so many quiet civic heroes, didn't do it for fame because, in her words, 'Fame ain't worth a damn'; didn't do it for accolades because 'We need action, not awards'; and sure as hell didn't do it for money because she's 'been rich without money since birth.' She fought on, and risked her life at times, as the sign outside the clinic reads: 'For the People.'" Pages: xvi – xvx Mud Creek Medicine

Butler Books, 2014.

Cancers caused by CT scans?

My cousin includes little snippets of medical information in her weekly news to friends and relatives. This keeps my library skills sharp because sometimes I look at the original source—if not the source she quotes, which is usually for lay people, then the cited research. After so many years in a medical library, I just like that stuff.   So when I saw

“According to April 2013 “Health Alert”: CT scans=800 chest x-rays. Nuclear scans=2000 chest x-rays. Medicine causes 30,000 cancers annually. Drugs, medical procedures, surgeries and scans are the #1 cause of death in America every year.”

I decided to look it up.   Health Alert which may have cited the sources is a fairly common title, so I skipped that.   I haven’t found all of it, but I found several articles referring to a 2007 study, then found this editorial about CT scans in Arch Intern Med. 2009;169(22):2049-2050, which is a little easier to read than the research and provides some information on how the study on CT scans was done:

Although if they were using Medicare claims data, those patients mostly likely won’t be around in 20-30 years given that the reason they were having a CT scan in the first place might have put them at some sort of health risk.  Also, it would be interesting (and I might look) to see how common CT scans are for younger people who are much healthier than the over 65 demographic.   That said, Dr. Redberg’s advice about being cautious should be noted.

The other study by Bindman [free] noted in Archives reports  a patient could get as much radiation from one CT scan as 74 mammograms or 442 chest X-rays.  That’s less than cited in Health Alert, but still way more than one would expect.  You would certainly want to weigh the benefits of so much radiation. Bindman also noted that CTs used to be recommended only for the very sick, and are now often used for people who are basically healthy and therefore exposing them to a lot of risk.

http://usatoday30.usatoday.com/news/health/2009-12-15-radiation15_st_N.htm

http://www.prevention.com/health/healthy-living/can-ct-scans-give-you-cancer

http://www.medscape.com/viewarticle/779527

Physician reimbursement—or why you’ll wait, by Dr. Anna Meenan (retired at 54)

If you're wondering why your doctor is discouraged and depressed (and many are, though they don't show it) these days, this might help explain it:
http://www.physiciansmoneydigest.com/practice-management/Physician-Reimbursement-Dropped-Sharply
As best I can tell, these are the rates paid by COMMERCIAL insurers. Medicare and Medicaid pay even less than this, and have also been lowering many of their rates. If you think that this is what goes into the doctor's pocket, you are wrong. Out of these sums, the doctor must pay all the overhead of running an office: skilled labor, equipment, supplies, utility bills, and thousands of dollars in malpractice insurance. Think for a moment about what you were charged the last time you called a plumber, or the last time you took your car in for repairs, and put the value of those services up against the value of your life and health. I'm just saying.

$86 for code 99215. Just to clarify, 99215 is the highest code for an office encounter. This is what your doctor would code if you came to his/her office with, oh, let's say, out-of control diabetes with a life-threatening electrolyte imbalance, or if a senior citizen was brought in who was suddenly very confused and not eating. 

Dr. Meenan graduated from the University of Illinois at Chicago, practiced in Rockford and formerly was with the medical clinic in Mt. Morris, Illinois

Access for the underserved (aka poor, minority) to better medical care

I've been looking through the MEDTAPP grant of about $10 million (1.5  years) for seven Ohio medical schools for "underserved" populations.  It reportedly comes from  The Ohio Department of Job and Family Services (ODJFS) which I assume got it from the federal government.  That sounds like a lot of money--except the universities skim about 55-60% for overhead (or did when I worked at OSU).  But imagine how big the amount was before the federal and state governments took their cuts!  Then it is split 7 ways and the money goes first to set up and administer those programs which are primarily for curriculum bloat, training experiences, coordination, outreach, etc. in everything from mental health to pediatrics to gerontology to expansion of faculty. It's no wonder the medical practices and hospitals have low reimbursement for treating the low income sick and elderly.

I couldn’t find within the several websites I checked whether the 1,000 students and trainees who go through these programs have any obligation to actually work with the “underserved.”

Government programs provide a very fine living for “public servants.”  No one in this pass through of funding is poor, underserved, mentally ill, elderly, or low income. Let’s hope something at the end of the line helps the needy (aka underserved).

• The University of Akron – College of Nursing
• Case Western Reserve University – School of Dental Medicine and Departments of Family
• Medicine/MetroHealth System, Pediatrics and Psychiatry
• Kent State University – College of Nursing
• The Ohio State University – Colleges of Dentistry and Nursing, Moms2Be Program, Interdisciplinary Behavioral Health Education Program, Interdisciplinary Curriculum Development Program, and Medicaid Practice Placement and Learning Experiences Partnership Program
• University of Toledo – Department of Psychiatry
• Wright State University – Division of Child and Adolescent Psychiatry and the Community Psychiatry Collaborative (involving the Departments of Psychiatry, Geriatrics, Community Health and Family Medicine).

https://ckm.osu.edu/sitetool/sites/grc2public/documents/11MEDTAPPHAIOVERVIEW.pdf

http://grc.osu.edu/medicaidpartnerships/healthcareaccess/

http://nursing.osu.edu/news/news-headline-articles/Ohio-Medicaid-to-Fund-Statewide-Projects-to-Train-More-Than-1000-Health-Professionals.html

Coverage of LGBT related topics in medical schools

Medical schools are being pressured to include more course work in an already jammed curriculum to address LGBT barriers to good health. The list of 16 topics includes: sexual orientation; HIV; gender identity; sexually transmitted infections; safer (not safe) sex; disorders of sex development; barriers to care; mental health issues; LGBT adolescents; coming out; unhealthy relationships--intimate partner violence; substance use; chronic disease risk; sex-reassignment surgery; body image; transitioning.

Gays and Lesbians, bisexuals and transgendered folks are an extremely small percentage of the general population, but because of my profession, I may know more LGBT persons than most. With the exception of two or three who died rather young before the drug cocktails that are now available for AIDS, those I knew were/are in monogamous relationships, well educated, economically high in the quintile chart, and pleasant, hard working co-workers. Their health problems, I assumed, included things like COPD (too much smoking), obesity related problems (too many pot-lucks and too much eating out), and various familial diseases like cancer, arthritis, and depression. I can only hope they can find a good doctor who has spent enough time studying and treating non-gay related problems.

How long before this list (published in JAMA, Sept 7, 2011) is considered insulting inducing cognitive dissonance and stereotypical and homophobic attitudes among medical staff?

Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education, September 7, 2011, Obedin-Maliver et al. 306 (9): 971 — JAMA

Healthcare Costlier All Around for Afib Patients - in Clinical Context, Strokes from MedPage Today

I had no idea that A-fib was so expensive! Atrial fibrillation patients are generally sicker than those who don't have atrial fibrillation which apparently accounts for the higher costs. According to this article

Treating patients with atrial fibrillation costs the U.S. an estimated $26 billion more per year than treating patients who don't have the condition, researchers reported after extrapolating 2008 data for 2010.

Total direct medical costs were estimated to be 73% higher in atrial fibrillation patients than in matched control subjects, representing a net incremental cost of $8,705 per patient per year, according to Michael H. Kim, MD, from Northwestern University in Chicago, and colleagues.

The estimated annual cost included $6 billion related directly to atrial fibrillation, $9.9 billion for cardiovascular risk factors or disease, and $10.1 billion for noncardiovascular medical problems, according to the study published online in Circulation: Cardiovascular Quality and Outcomes.

Medical News: Healthcare Costlier All Around for Afib Patients - in Clinical Context, Strokes from MedPage Today

A hospitalist looks at socialized medicine

Erik DeLue, a hospitalist who blogs, recently had a paid 4 day visit to St. Petersburg, Russia with his wife, an art historian. Since Obamacare had recently been passed, he decided to take a quick look at state sponsored health care.

"As if vodka were a truth serum, I got an earful of reality about Russian health care. If you need basic care, and by that I do mean very basic care, everyone has access. If your health care needs are more complicated, be prepared to wait a long time or be willing to pay much more money out of pocket than most can afford.

The other option is to find healthcare in another country—again, an option available to only a select few. But Russia is an extreme example of socialized medicine gone bad, and the demise of its health care system has more to do with the country’s political history than it does with the basic tenets and structures of socialized care.

As this was an international conference, I had a chance to speak to people from many different countries, including Germany, France and England. Most of these Western Europeans were generally happy with their health care system, but all complained of longer wait times and difficulties with getting subspecialty care, at least when compared to how our current American system works. They also noted that those with money were able to move ahead in the line, hardly a surprise no matter which the nation or particular political system."

For the rest of the story, see it here.

DeLue seems to believe we are moving to the idea that health care is a right, and if that is so, we need to determine how to ration it.  Did anyone hear that during the months of debate?

Most Europeans and even most Americans don't realize that all Americans have health care, they don't all necessarily have health insurance. In fact, if they don't have insurance, they may actually get to spend more time in the hospital healing and not be sent home according to a pay formula, as I learned when my friend's son who was unemployed had an appendectomy.

 I'm really puzzled when I read that if people only had insurance they wouldn't be struggling with obesity. As if there were no fat, middle-class, well-employed white people. It's peer pressure, not insurance, that keeps people trim, exercising and eating right.

Can we trust government cost estimates?

No. They are never accurate. War. Peace. Highways. Social Security. CO2. Schools. Even pork (earmarks) aren't accurate. Never. Does the government ever "contain" costs. No. In today's Review and Outlook in the WSJ:

Start with Medicaid, the joint state-federal program for the poor. The House Ways and Means Committee estimated that its first-year costs would be $238 million. Instead it hit more than $1 billion, and costs have kept climbing.

Thanks in part to expansions promoted by California's Henry Waxman, a principal author of the current House bill, Medicaid now costs 37 times more than it did when it was launched—after adjusting for inflation. Its current cost is $251 billion, up 24.7% or $50 billion in fiscal 2009 alone, and that's before the health-care bill covers millions of new beneficiaries.

When our legislators get to Washington, or Columbus, or Springfield, or Albany, or Sacramento, they forget it's real money taxed from real working people. To them it's funny money; Monopoly money. All they can do is pass legislation that will 1) fulfill the dreams of their party's philosophy, and 2) win voters back home, who understandably want some of their money back in exchange for sending that person to Congress. When the Congress person's term is up, they slip into "think-tanks" or become lobbyists, and continue on the government dole. Besides, you can't predict what's going to happen in the medical field. They estimated 11,000 renal patients for Medicare and got almost 400,000. The only thing that has come in below projections is the Bush-Kennedy drug plan. We know competition brings down prices, but Democrats don't want that. We know tax cuts induce investments which provide jobs, but Democrats don't want that. They want control and power.