Medical Associations Non-Pulsed by Trump ’ s Withdrawal From the Paris Accord
By DAVID INTROCASO Climate change, or changes in weather extremes, are having an increasingly harmful effect on human health. Last year, the 20th consecutive year in which the US experienced above average annual temperatures, saw increasing instances of heat related ailments and deaths and increases in related exacerbations of chronic, including cardiovascular, cerebrovascular, respiratory and mental health, conditions as well as the spread of climate change-related food pathogens and vector borne diseases, most recently Zika. One study estimated that absent any adaptation to climate change or disruption we will see an in...
Source: The Health Care Blog - June 13, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cimate Change Introcaso Paris Accord Tillerson Trump Source Type: blogs

Texans on the Dias
(CHICAGO) As usual at meetings of the American Medical Association House of Delegates, Texans from the youngest to the most experience are playing a lead role in the 2017 summer meeting. Former TMA... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: TMA Blogged Arteries)
Source: TMA Blogged Arteries - June 11, 2017 Category: Health Management Authors: Steve Levine Source Type: blogs

HHS Requests Feedback On ACA Regulations; Evidence On Effect Of CSR Payment Uncertainty Continues To Mount
On June 8, 2017, the Centers for Medicare and Medicaid Services posted a request for information at the Federal Register entitled “Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices to Empower Patients.” (press release ) The request is made pursuant to President Trump’s Executive Order of January 20, 2017, which ordered the departments in charge of implementing the Affordable Care Act to take steps to afford the states more flexibility and control, reduce regulatory and fiscal burdens, and increase the openness of interstate markets for health care...
Source: Health Affairs Blog - June 9, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA 1332 waivers AHIP American Hospital Association American Medical Association Blue Cross Blue Shield Association cost-sharing reduction payments National Association Of Insurance Commissioners United States Chamber of Comm Source Type: blogs

Medtronic ’s MiniMed 670G Hybrid Closed Loop Insulin Delivery System Now Available in U.S.
Medtronic, having received FDA approval last year, is now introducing its MiniMed 670G hybrid closed loop insulin delivery system to the U.S. market. The first such system to become available, the MiniMed 670G utilizes Medtronic’s SmartGuard HCL algorithm to deduce when and how much insulin to deliver, yet allowing the patients themselves to make changes when necessary. The system’s most automated setting has it manage insulin delivery as long as the patient inputs carb counts after every meal, confirms any bolus changes, and periodically calibrates the sensor against a conventional finger prick glucometer, the...
Source: Medgadget - June 8, 2017 Category: Medical Devices Authors: Editors Tags: Medicine Pediatrics Source Type: blogs

Screening Tests Don ’ t Diagnose People
A recent article over at NPR’s health blog, Shots, cautions that attention deficit hyperactivity disorder (ADHD) can’t be diagnosed with a simple screening test. Of course it can’t. The question I have to ask then is, who ever said any mental illness or mental health condition could be diagnosed by a screening measure alone? The article, by Rebecca Hersher, seems to reflect a fundamental misunderstanding about the purpose of screening measures, such as the one published by the World Health Organization to screen for ADHD: Which is why many people were excited when earlier this year a World Health Organi...
Source: World of Psychology - May 30, 2017 Category: Psychiatry & Psychology Authors: John M. Grohol, Psy.D. Tags: ADHD and ADD Disorders General Mental Health and Wellness Minding the Media Psychology Research Attention Deficit Hyperactivity Disorder Screening Measures Screening Quiz World Health Organization Source Type: blogs

Thoughts On Creating EHRs That Clinicians Are Actually Reasonably Happy To Use And Don ’t Burn Them Out.
We had two relevant articles (and an extra) appear this week. First we had:Physicians dream up a better EHR May 22, 2017By Mary K. Pratt When the American Medical Association (AMA) last year announced study results that found physicians spend nearly half their office day entering data into electronic health records (EHRs) and handling other administrative deskwork, the organization said poorly designed EHRs were part of the problem. “If you were to start from scratch, you wouldn’t come up with the systems we have today,” said Jesse M. Ehrenfeld, MD, MPH, an associate professor of anesthesiology, surgery, biomedical i...
Source: Australian Health Information Technology - May 26, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

MOC - It's All About the $$ - Yes to SB 1148
Oppose Vendor Greed That Isn ’t Shownto Improve QualitySenate Bill 1148, scheduled for debate on the floor of the Texas House of Representatives today, clearly states that hospitals and health plans cannot use maintenance of certification (MOC) to differentiate among physicians for payment, contracting, or credentialing. The bill prohibits the state from using MOC as a requirement for state licensure or renewal. It would, however, allow MOC requirements if facilities or teaching faculty need them for specialty designation or accreditation.The bill ' s author is Sen. Dawn Buckingham, MD (R-Lakeway). As a practicing opthal...
Source: TMA Blogged Arteries - May 23, 2017 Category: Health Management Authors: Steve Levine Source Type: blogs

Maintainance of Conflict of Interest?
By WESTBY FISHER, MD In the May 2nd issue of the Journal of the American Medical Association (JAMA), the American Medical Association (AMA) discusses the subject of physician conflicts of interest in medicine. This puts them at an interesting juncture when the editor-in-Chief and executive editor of JAMA failed to disclose their relationship with the AMA and the AMA’s relationship with US physicians. The AMA still presents itself to the public and legislators as representing Americas’ doctors, even though representing US physicians’ interests has not been their financial priority for many years. In fact, it i...
Source: The Health Care Blog - May 21, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Maintenance of Conflict of Interest?
By WESTBY FISHER, MD In the May 2nd issue of the Journal of the American Medical Association (JAMA), the American Medical Association (AMA) discusses the subject of physician conflicts of interest in medicine. This puts them at an interesting juncture when the editor-in-Chief and executive editor of JAMA failed to disclose their relationship with the AMA and the AMA’s relationship with US physicians. The AMA still presents itself to the public and legislators as representing Americas’ doctors, even though representing US physicians’ interests has not been their financial priority for many years. In fact, it i...
Source: The Health Care Blog - May 21, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

When JAMA Shows Who They Are
Front and back covers of the May 2nd, 2017 Issue of JAMA on Physician Conflicts of Interest in Medicine In the May 2nd issue of the Journal of the American Medical Association (JAMA), the American Medical Association (AMA) discusses the subject of physician conflicts of interest in medicine. This puts them at an interesting juncture when the editor-in-Chief and executive editor of JAMA failed (Source: Dr. Wes)
Source: Dr. Wes - May 19, 2017 Category: Cardiology Authors: Westby G. Fisher, MD Source Type: blogs

Mailbag
Brief comments on four short articles from this week, on disparate topics: James Capretta of the American Enterprise Institute (meaning he is politically right of center) pleads in the Journal of the American Medical Association (JAMA) for compromise between Republicans and Democrats on further healthcare policy reform.  Arguing that the House-passed American Health Care Act (AHCA) may never pass, he believes that a better result... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2017 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care abortion Allocation / Access / Public Health bioethics end of life Ethical Method / Grounding Health Care Practice human dignity reproduction syndicated Source Type: blogs

These Are Some Thoughtful Pieces That Needs To Be Further Discussed And Considered.
These appeared last week.What ’s Digitization Doing to Health Care?Conrad AmentaMay 9 2017, 3:00amNew software is industrializing medicine by turning doctors into data entry clerks—and making them suicidally depressed in the process.In more ways than one, medicine is dying. A 2015 article in JAMA: The Journal of the American Medical Association suggests that almost a third of medical school graduates become clinically depressed upon beginning their residency training. That rate increases to almost half by the end of their first year. Between 300 and 400 medical residents commit suicide annually, one of the highest rate...
Source: Australian Health Information Technology - May 19, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs

When JAMA Shows Who They Are
Front and back covers of the May 2nd, 2017 Issue of JAMA on Physician Conflicts of Interest in Medicine In the May 2nd issue of the Journal of the American Medical Association (JAMA), the American Medical Association (AMA) discusses the subject of physician conflicts of interest in medicine. Thi s puts them at an interesting juncture when the editor-in-Chief and executive editor of JAMA failed (Source: Dr. Wes)
Source: Dr. Wes - May 19, 2017 Category: American Health Authors: DrWes Source Type: blogs

The ACHA Passes the House
On Thursday, May 5, 2017, House Republicans finally got what they have been asking for, and campaigning on, for several years. They held a successful floor vote on the American Health Care Act (AHCA), approving the bill by a narrow 217-213. Following the vote, President Donald Trump hosted Republicans at the White House for a celebratory press conference, saying that he was “so confident” that the House version would be taken up and passed in the Senate. Senate Republicans quickly made it clear that they would not use the House-passed AHCA as a starting point, and would instead create their own package that could then...
Source: Policy and Medicine - May 8, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs