America has a collective drinking problem. And an eating problem. This is all made worse by Americans propensity to sit at home watching TV or playing video games. A recent study has found that deaths from alcoholic cirrhosis have more than tripled in 20 years. In 1999 alcoholic cirrhosis killed 6,007 Americans or about 3.3 per 100,000 adults. By 2019 the death rate had risen to 10.6 per 100,000. Keep in mind this is only for adults aged 25 to 85+
Category: Medicare
Friday Links
- AMA To FDA: Allow OTC Birth Control Pill. Something we have favored for years, but don’t stop there!
- AMA rejects economics: calls for a higher minimum wage. (Pardon us for thinking that the OTC position was based on sound economic reasoning.)
- How manufacturers manipulate the rules to avert competition from generic competitors – the case of asthma inhalers.
- How Biden’s policies have undermined his previous vice presidential goal of a “moon shot” to eradicate cancer.
How a Needless Test Starts a Cascade of More Unnecessary Tests
A man came into the Denver VA hospital complaining of a painful hernia near his stomach. His doctor knew he needed surgery immediately but another doctor had ordered a chest-ray, which is standard practice. The X-ray revealed a shadow, possibly a mass (cancer) or more likely a harmless cluster of blood vessels. A follow-up CT scan showed his lung was fine but found something suspicious on his adrenal gland. A second CT scan cleared his adrenal gland but by this time two months had gone by. It would be another four months due to scheduling conflicts before the man finally got his surgery. This “cascade of care” is what results when one test is ambiguous resulting in additional tests that ultimately find nothing was wrong in the first place. These unnecessary tests and procedures are what medical research refers to as “low-value care.” There are no clinical benefits from low-value services and potential for harm.
Is the Covid Health Emergency Being Extended to Preserve the Expansion of the Welfare State?
From Paragon Health:
Medicaid enrollment and spending exploded during the pandemic as Congress passed legislation that boosted the federal government’s share of Medicaid costs in exchange for states keeping everyone enrolled, even when they were no longer eligible. Now 15 million or more people who are ineligible are enrolled in Medicaid. The federal spending boost, which is highly inflationary, and the Medicaid enrollment requirements persist with the official public health emergency.