Cheaper

I know so many people who need medical care right this minute and aren’t getting it that I literally can’t keep track anymore. Let’s put it this way: By the time a TV network is holding a sweepstakes where the grand prize is a trip to New York for … a colonoscopy, you know paying for tests and treatment is on everyone’s minds. That’s why it’s just so crazy that the GOP and their mindless minions are so fixated on ripping away the Affordable Health Care Act. It’s not only needed, it will save a lot of money:

The concept of support for universal health care is taboo among Republicans who scrutinize the Affordable Care Act — dubbing it the “Job-Killing Health Care Law Act” — and call for its repeal. But a new UC Irvine study challenges the GOP argument that the health care law is too costly, with data illustrating that health care costs on the whole fall when poorer, uninsured patients are provided with insurance.

“In a case study involving low-income people enrolled in a community-based health insurance program, we found that use of primary care increased but use of emergency services fell, and — over time — total health care costs declined,” David Neumark, a co-author of the study, said in a release accompanying the findings.

The study — which focused on uninsured people in Richmond, Virginia who fell 200 percent below the poverty line — found that over three years, health care costs fell by almost 50 percent per participant, from $8,899 in the first year to $4,569 in the third after they received insurance. Participants who enrolled in health coverage made fewer trips to the emergency room, which are notorious for running up patient bills. Instead, insured participants went for more primary care visits.

“A lot of the debate about health care reform surrounds the issue of whether we’re setting up something that’s going to cost us more by increasing use of medical services or something that will cut costs through more appropriate and timely use of medical services,” Neumark said in the release. “[O]ver time, costs can be reduced through increased use of primary care and reductions in emergency-department visits and hospital admissions, but it may take several years of coverage for substantive savings to occur.”

Health care spending in the U.S. has been on the rise for years. Americans spent more than three times on health care in 2008 than they spent in the 18 years before, according to a Kaiser report.

Low-income, uninsured individuals tend to rack up exorbitant health-care bills because they often rely on emergency room visits instead of primary care. In the long run, these bills are paid by taxpayers. The Affordable Care Act “is set to extend Medicaid benefits to about 16 million uninsured, low-income adults and children by the end of 2014,” according to the study.

Other possibilities

I forgot to say that the doctor said the pain I’m describing sounds like shingles, and so does the pain pattern. “But you don’t have a rash,” he said.

I pointed to this one small blister that showed up two days before.

“Hmm. Well, we’ll keep an eye on it,” he said.

I did a little reading yesterday and found that shingles frequently appears after surgery – and that it doesn’t always have a rash. The pain really is bad; even sitting still doesn’t seem to help, although moving makes it worse. Arghh.

The free hand of the market

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Rich Santorum lectures sick people about the market:

Republican presidential candidate Rick Santorum told the mother of a child with a rare genetic disorder on Tuesday that she shouldn’t have a problem paying $1 million a year for drugs because Apple’s iPad can cost around $900.

Speaking to more than 400 people at Woodland Park, Colorado, the former Pennsylvania senator said that demand should set prices for drugs.

“People have no problem paying $900 for an iPad,” the candidate explained. “But paying $900 for a drug they have a problem with — it keeps you alive. Why? Because you’ve been conditioned to think health care is something you can get without having to pay for it.”

The mother replied that she could not afford her son’s medication, Abilify, which can cost as much as $1 million a year without health insurance.

“Look, I want your son and everybody to have the opportunity to stay alive on much-needed drugs,” Santorum insisted. “But the bottom line is, we have to give companies the incentive to make those drugs. And if they don’t have the incentive to make those drugs, your son won’t be alive and lots of other people in this country won’t be alive.”

“He’s alive today because drug companies provide care,” the candidate continued. “And if they didn’t think they could make money providing that drug, that drug wouldn’t be here. I sympathize with these compassionate cases. … I want your son to stay alive on much-needed drugs. Fact is, we need companies to have incentives to make drugs. If they don’t have incentives, they won’t make those drugs. We either believe in markets or we don’t.”

Must. Hit. Head. On. Wall.

Home births

Although all the reasons they list in this story are factors, they’re missing the biggest one: Namely, that a lot of families no longer have health insurance. I was a lay midwife in the ’80s, and believe me, cost was a big reason for many, many pregnant women during Reagan’s recession.

Why is that so hard to understand? I mean, what are their other options?

Jessica Wilcox thinks her in-laws still view her ideas about childbirth as kind of out there, but it’s hard to argue with success: In the last five years or so, Wilcox has given birth to two boys and two girls — each weighing more than 10 pounds — at her northern Virginia home. And she hopes to do it again one or two more times.

Wilcox is part of a small but growing trend. While home births are still rare in the United States, they’ve posted a surprising climb in recent years, according to a government report out Thursday.

Jessica Wilcox has given birth to her two sons and two daughters at their northern Virginia home.
After declining from 1990 to 2004, the percentage of U.S. births that occurred at home jumped 29 percent from 2004 to 2009, when it hit the highest level since researchers began collecting data 20 years earlier.
Non-Hispanic white women were most likely to give birth at home in 2009, with one in every 90 births, or about 1.1 percent, in that group taking place at home. That represents an increase of 36 percent over 2004.

Still, Wilcox’s children represent only a tiny minority. In 2009, 29,650 U.S. births, or .72 percent of total births, occurred at home. Compare that to, say, 1940, when 40 percent of births took place at home.
Home births today tend to be more common among women 35 and older and among women with several previous children, according to the new report from the Centers for Disease Control and Prevention’s National Center for Health Statistics. They’re most common in states with renegade reputations, such as Montana, which had the highest percentage of home births, nearly 2.6 percent, followed by Oregon and Vermont, with nearly 2 percent each.

Contagion

Yes, I did watch the movie this weekend and as my friend pointed out, it was strangely gratifying to watch Gwyneth Paltrow die. But it did make me think about the avian flu, which just two years ago, completed most of the necessary mutation stages just short of a full-blown pandemic. Looks like we might have crossed into the final stage, if these two Chinese victims really had nothing to do with birds:

BEIJING — A man died in southern China on Sunday from the H5N1 bird flu virus, the Health Ministry reported. It was China’s second such death in less than a month.

The latest victim, an unidentified 39-year-old, fell ill on Jan. 6 and was admitted to a hospital in Guizhou Province the same day, the Health Ministry said in a statement reported by Xinhua, the official news agency.

A 39-year-old bus driver in Shenzhen, a city in Guangdong Province near Hong Kong, died of the disease on Dec. 31.

Both deaths were notable because neither victim reported any contact with birds in the month preceding his illness. The virus is known to spread through contact with infected birds, eggs or bird feces, but experts said a pandemic could occur were it to mutate into a form that was more easily spread.

Compare and contrast

An interesting case. Kirk, who says he’ll vote to repeal Obamacare and is widely rumored to be a closet case, doesn’t have much net worth. But thanks to the Cadillac socialist healthcare we already provide to the members of Congress, he will not be bankrupted by his medical bills — and he certainly won’t be begging blog readers to help them pay for them. Freedom!

(NEWSER) – The Republican who replaced Barack Obama in the US Senate underwent surgery today, after suffering a stroke this weekend, his office has revealed. Mark Kirk, 52, is currently recovering in Northwestern Memorial Hospital in Chicago, the Chicago Tribune reports. “Due to his young age, good health, and the nature of the stroke, doctors are very confident in the Senator’s recovery,” his office said in a sparse statement.

Medicine

This story was especially infuriating because of the horrendous side effects kids suffered from the inappropriate use of the drug:

Allen Jones used to work for Pennsylvania taxpayers, and his job was to look into wrongdoing.

An investigator for the state’s Office of Inspector General, Jones uncovered payments from pharmaceutical companies to state officials in exchange for favorable treatment of their antipsychotic drugs in state medical programs.

Jones said he got fired for doing his job. That was in June 2004.

On Thursday, Jones learned he will share in $158 million that global pharmaceutical giant Johnson & Johnson agreed to pay to the state of Texas, Jones, and the federal government for overcharging Medicaid and for illegally promoting its antipsychotic drug Risperdal, including for use in children.

“There was total subversion of science by the company,” Jones said Thursday in a phone interview from Austin, Texas, where a jury had been hearing evidence in a trial that started Jan. 10. “There were many trials with negative information that the company completely buried. They did not forward it to the FDA. They denied it even existed. Then, on a state-by-state level, they infiltrated the mental-health delivery system.”

Jones’ investigation in Pennsylvania led him to Texas, whose attorney general joined the suit in 2006.

The Texas case was just one of dozens of court cases involving Risperdal. J&J and its Janssen Pharmaceuticals Inc. subsidiary, which makes the drug, are in New Brunswick, N.J., and nearby Titusville. (Sister company Janssen Biotech is in Horsham, Montgomery County.)

Got to keep up that shareholder value, don’t you know!

Fun with hospitals

So I finally had my pre-admission testing today after waiting two hours. I was “lucky” enough to get a physician’s assistant who regaled me with the very detailed tale of how she recently almost died from a gangrenous gall bladder, and how I absolutely shouldn’t put off the surgery. I mentioned that since I was there for pre-admission testing, was tomorrow soon enough?

Then she told me she had “horrendous” side effects, but she was happy to put up with them because at least she “was still alive.” Also, that not having a gall bladder would give me stomach cancer if I ate any fat at all, because the bile is dumped directly onto your stomach.

Then the anesthesiologist came in to meet with me. She told me she “hardly” got any sleep because her new (preemie) baby has colic. She must have noticed my expression, because she said, “You know how it is when you’re a mother. You make it work.” Besides, she said, she might not even be my anesthesiologist, so there you go.

Oh, and the PA also told me my EKG showed that I’d had a “probable” infarct sometime in the past. I told her it had been showing up on my EKGs for 35 years, that I’d been thoroughly checked out and it’s nothing. But hey, thanks for sending my stress levels through the roof the night before my surgery!

Heart attack

A month later? That’s when the bill arrives:

Jan. 3 (Bloomberg) — Heart attack patients in the U.S. get out of the hospital sooner than those in other countries and more often are readmitted within a month, researchers said, suggesting they may need better care after being sent home.

The research, which analyzed data from 15 other countries including Canada, France and Germany, found a 68 percent higher risk of readmission among U.S. heart attack patients. Americans left the hospital in three days, on average, the shortest time of any country, the study, published today in the Journal of the American Medical Association.

Another trip to the ER

Diagnosis: Biliary colic. In other words, pain from gallstones. It was the worst yet, I was hoping they’d yank the sucker while I was in there, but no such luck. They referred me to their surgical clinic to set up the surgery.

And of course, I got no sleep, what with the beeping machines. I hate hospitals almost as much as I hate most doctors. Oh, they did give me a prescription for pain medication. When I’d asked the local doctor, he said the pain “couldn’t be treated at home.” Asshole. I suppose I’m just another oxycontin-seeking neighborhood junkie to him.