What do you get for your money?

Shouldn’t the most expensive healthcare in the world also buy you the greatest health in the world? If you pay $600-$1500 per month for a high-deductible health insurance policy for your family, does that mean that you and your family will enjoy better health? Because Americans spend nearly $10,000 per person per year on healthcare—-more than any other country on the planet, double the spending of the U.K., Canada, and Australia-—does this mean that Americans pay more and thereby enjoy better health? Less diabetes, less heart disease, less obesity, fewer cases of autoimmune disease, less arthritis, etc.? Americans pay more for health but also are among the unhealthiest compared to other developed nations. According to an in-depth analysis from The Commonwealth Fund, the health of Americans compares poorly with other wealthy nations with more chronic disease, reliance on prescription medications, hospital procedures, and shorter lifespans. Sure, we do better than third-world countries, but we are at the bottom of the heap compared to other prosperous Western countries. If we pay the most, why aren’t we the healthiest? Where is all this money going? The money goes into the pockets of healthcare insiders, mostly hospital systems, the pharmaceutical industry, the medical device industry. Here, for instance, also from The Commonwealth Fund, is how Americans compare in the number of prescription drugs taken: Americans are not only paying the most, we ar...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Undoctored gluten grains health healthcare Inflammation Weight Loss wheat Source Type: blogs

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Individuals with chronic pain are at an elevated risk of suicide, yet psychosocial factors that might be involved in increasing or decreasing vulnerability for suicidal ideation and behaviour have received little attention. Extant literature on the topic o...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Ergonomics, Human Factors, Anthropometrics, Physiology Source Type: news
INTRODUCTION: Airway management and control of bleeding are essential aspects of the management of attempted suicide involving the head and neck. Attempted suicide using a crossbow is exceptional. The patient's respiratory status, the position of the cross...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
This study explored law enforcement and medical examiner reports about adolescent and young adult deaths by suicide for novel and understudied risk factors and described variability by sexual orientation and gender identity in those risk factors' ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
White matter tract integrity, measured via fractional anisotropy (FA), may serve as a mediating variable between exercise and depression. To study this, we examined data from 3973 children participating in the ABCD study. Parents of children completed the ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
[Abstract unavailable] Language: en...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
ConclusionsMost older adults who die from suicide do not have a known mental health condition. The rapidly growing U.S. geriatric population calls for more effective methods to identify and treat at-risk older adults, particularly those who are male.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionsExperiences of healthcare discrimination are not homogeneous across transgender help-seekers. Predictors of the latent classes indicated that transgender help-seekers holding an additional marginalized identity may be at higher risk for healthcare discrimination or care from providers with limited trans-competence. Targeted engagement and education interventions might improve these transgender help-seekers’ access to and connections with care.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS: This study supports the wider application of allografts in managing nerve problems. However, caution must be applied to the use of long grafts with larger diameters. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. PMID: 31985643 [PubMed - in process]
Source: Hand Surgery - Category: Surgery Authors: Tags: Plast Reconstr Surg Source Type: research
CONCLUSION:: Carpal tunnel release under platelet inhibition with acetylsalicylic acid is safe and can be performed without interruption of such medication. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. PMID: 31985640 [PubMed - in process]
Source: Hand Surgery - Category: Surgery Authors: Tags: Plast Reconstr Surg Source Type: research
CONCLUSIONS: The intraoperative anatomy and cause of nerve compression at the frontal trigger site vary greatly among patients. The authors report a supraorbital nerve foramen prevalence of 50.3 percent, which is greater than in previous cadaver studies of the general population. Lastly, the presence of pain at a specific site is associated with macroscopic nerve compression. PMID: 31985652 [PubMed - in process]
Source: Hand Surgery - Category: Surgery Authors: Tags: Plast Reconstr Surg Source Type: research
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