You’ll Repeal HC Reform Over My Dead Body. . .

Ok, maybe I’m being a bit extreme but I am getting really, really tired of the rhetoric I’m hearing now about the horrors of the 2010 health care reform bill. I’m just going to bet that most of the people trashing it don’t have the slightest clue what it means and what it includes and what it could do.

Is it perfect?

Absolutely not.

But then, the only perfect things in this world are a newborn baby and the fois gras with sauteed apples I had for dinner last Saturday night (oh, and the Penfolds Grange wine my husband surprised me with on our 15th anniversary).

I’m not going to autopsy the health care reform bill here now (It’s nearly midnight and I really need to get to bed). However, I just wrote an article about the costs of treating rheumatoid arthritis and what health care reform might mean for the millions of people in this country with the disease. It will appear at www.lifescript.com in the next week or two. In the meantime, however, I think that what I’ve written applies to any person with any chronic health condition, whether it’s depression or cancer. In a nutshell, the bill … Continue Reading

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Avastin and Breast Cancer

Time to get back up on my soap box.

Next month, the FDA is supposed to consider taking the unique, first-time-ever step of revoking a drug’s indication not because it’s dangerous, but because it doesn’t work well enough to offset its risks. Never mind that it costs about $8,000 a month.

The drug is Avastin (bevacizumab), a targeted monoclonal antibody that  prevents tumors from creating and maintaining their own blood supply, a process called angiogenesis. Without oxygen and nutrients from blood, tumors can’t keep growing.

Avastin is the world’s best-selling cancer drug, approved for use with chemotherapy to treat lung cancer and metastatic colorectal and breast cancer. It is also being investigated (and, likely, being prescribed off label) for numerous other cancers.

The problem comes with breast cancer. Avastin was approved for breast cancer under an FDA program called “accelerated approval” in which the agency provides “conditional” approval for a life-saving drug that appears effective so as to get it to patients quickly while requiring that the manufacturer conduct more studies demonstrating its long-term effectiveness. About 90 drugs have been approved under the accelerated approval program in the past 20 years and none has ever had its approval revoked (one … Continue Reading

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I’m Scared

eyeFirst, apologies for my absence; “real” work has interfered.

Now, the explanation for the title of this blog. I’m scared because I’m reading articles about people threatening to kill–note that word “kill”–elected officials because of their vote on healthcare reform.

A man was arrested last week for his threats against Nancy Pelosi; another man was arrested for threatening the two senators from Washington state, saying: “I do pack, and I will not blink when I’m confronted. … It’s not a threat; it’s a guarantee.” One congressman’s campaign received an email that read:   “If our tea parties had hoods, we would burn your (expletive) on a cross an the White House front lawn,” while another had bricks thrown through the windows of his brother’s house (which was listed as his official address) and the propane line to his gas grill was cut.

The Associated Press reported that the Senate’s Sargent-at-Arms, who monitors security in both houses, reported 42 incidents in the first three months of this year,  nearly three times the 15 cases that occurred during the same time last year, and all related to … Continue Reading

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Pulling the Covers Over Your Head

SnoringMy alarm clock  is set to “radio” and my radio is set to the local NPR station. Now, I’m not one of those people who leaps out of bed when the alarm goes off. Instead, I lie in bed slowly waking up to about 15 or 20 minutes of the morning news. This morning however, the news just made me want to pull the covers over my head and never get out of bed. That’s because the focus was healthcare reform, and the amount of misinformation and, yes, I have to say it, stupidity out there about what the current proposals will or won’t do is making me literally sick to my stomach.

And then there’s what my own state–Virginia–has done. For those of you who eschew the news (and you’re pretty smart to do that these days given how depressing it is) the Virginia General Assembly passed–and the governor promises to sign–a bill authorizing the Attorney General and his staff to assist Virginians who want to opt out of mandatory health insurance, should health reform pass. In other words, the state that is … Continue Reading

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healthcare reform

Swimming in the Health Insurance Risk Pool

swimming poolGather round boys and girls. Today’s lesson is on “risk pools.”

Before you pull out your iPhone to ward off the boredom you assume will come, know this: the concept of risk pools is at the heart of today’s healthcare reform debate.

To understand risk pools, you first have to understand the basic concept of insurance. Insurance is something you buy in case something happens. The more people buying the same type of insurance, the less risk the insurer faces that it will have to pay out for that aforementioned “something.”

So, for instance, if an estimated one out of eight women (about 12%) will get breast cancer in their lifetime, and an insurance company only insures eight women, then it knows, for sure, that one of those women will get breast cancer and it will have to pay large medical claims (in addition to all expenses) from the premiums it collects from just those eight women. So you can bet those eight women are going to pay huge premiums!

Now imagine that same health insurance company insuring 8 million women. Of those … Continue Reading

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Visiting the ER WITH Health Insurance and Without

girl and fence$2600. $544.

Look carefully at those two numbers. The first is the sum of three bills I received for my husband’s day-after-Christmas visit to the emergency room for unusual dizziness. A CT and EKG ruled out a stroke or heart attack. Diagnosis? Vertigo.

(Note: both figures will likely be much higher once all the bills come in, but I needed a blog post so I’m going with what I’ve got now).

Now look at the second figure. That’s what I have to pay after the discounts my insurance company has negotiated with the hospital and radiologists. Note: there are no payments from the insurance company in there because we had not yet met our deductible. These are just the discounts.

Which points out a really critical issue when it comes to those who have health insurance and those who don’t. Merely by having health insurance–even before my insurance company spends a single cent on my medical care–I benefit. I benefit from the administrators who go to the hospitals and doctors and negotiate deep discounts in exchange for funneling more volume (i.e., patients) … Continue Reading

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healthcare reform

Check, Please!

CheckA couple of recent news stories reminded me of the dirty little secret about healthcare that no one wants to talk about, the proverbial elephant in the room. All those pills, surgeries, x-rays, medical care? It costs money! 

Yes, Virginia, quality medical is not a right, not guaranteed in the Constitution, not something good-hearted corporations and companies, whether for-profit or not, are obliged to hand out like candy corn at Halloween. It costs money. Billions of dollars a day.

This appears to be something we all forgot in the warm fuzzy moments of watching military transport planes fly critically ill people out of Haiti to Florida hospitals. Who was going to pay for all this medical care? For the months of hospitalizations and rehabilitation these people were going to require? When the state of Florida, rightly so, asked the same question, prompting the halting of those military convoys, it ended up on the receiving end of a world-wide outpouring of boos and hisses.

Hey guys, back off. How would you feel if we sent thousands of Haitians to your house … Continue Reading

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Focus People!

upset boyOk, yes, the Democrats just lost their filibuster-proof majority. Politics, politics, politics.

Can we please focus on what’s really important here, people, which is not seeing who can pee further. It is providing health insurance for more than 35 million people and taking the first baby steps towards fixing our mess-of-a-healthcare system.

One statistic and then I’ll stop ranting: An estimated 17,000 children in the United States might have died unnecessarily over nearly two decades because they didn’t have health insurance, according to a report from researchers at Johns Hopkins Children’s Center in Baltimore.

Ok, now you Senators can start peeing again.

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healthcare reform

10 Surprising Things In Healthcare Reform (Senate version) Part 2

Pile of red ring bindersSo sorry for the delay in getting you Part 2 of my health care reform article (and if you’re wondering where Part 1 is, it’s here).  Every now and again I actually have to do some work that pays the bills.

But here you go with the final six surprising things in the Senate version of healthcare reform. So those of you who have barricaded yourselves in the bathroom and gone on a hunger strike awaiting my next post can now emerge.

(full disclosure: My source for this is a fabulous side-by-side comparison of the Senate and House versions from the Kaiser Family Foundation).

5. Require chain restaurants and food sold from vending machines to disclose the nutritional content of each item. In English: We’re going to know how many calories and how much fat, salt, and sugar are in the foods we adore (i.e., all those foods that are bad for us). A great article in today’s Washington Post covers this in more detail, including the fact that when restaurants display (or have to display) … Continue Reading

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