EAT-PAD: Educating about psychiatric advance directives in India.
CONCLUSIONS:: EAT scores can be used as an approximate measure of the patient's ability to understand and retain information which is a part of decisional capacity. Types of facilitation can help in understanding patient's ability to communicate their choices. Service providers may find EAT a time-effective tool for uniformly educating service users regarding PADs and indirectly assessing competence. PMID: 30945582 [PubMed - as supplied by publisher] (Source: The International Journal of Social Psychiatry)
Source: The International Journal of Social Psychiatry - April 3, 2019 Category: Psychiatry Authors: Philip S, Chandran D, Stezin A, Viswanathaiah GC, Gowda GS, Moirangthem S, Kumar CN, Math SB Tags: Int J Soc Psychiatry Source Type: research

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Progressive Democrats are pushing for a vote on a controversial health care bill after the party takes control of the House early next year. But the left’s push for “Medicare for all” legislation would likely divide Democrats.  (Peter Sullivan, The Hill)         (Source: The Commonwealth Fund: Publications)
Source: The Commonwealth Fund: Publications - November 19, 2018 Category: International Medicine & Public Health Source Type: research

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For John McCain, a lifetime of courage, contradictions, and contrarianism came down to one vote, in the middle of the night, in the twilight of his career. The fate of President Donald Trump's long effort to repeal Barack Obama's health care law hung in the balance as a Senate roll call dragged on past 1 a.m. on a July night in 2017. Then came McCain — 80 years old, recently diagnosed with brain cancer, his face still scarred from surgery, striding with purpose toward the well of the Senate. The Arizona Republican raised his right arm, paused for dramatic effect and flashed a determined thumbs-down, drawing gasps from bo...
Source: The Commonwealth Fund: Publications - August 27, 2018 Category: International Medicine & Public Health Source Type: research

California Universal Health Care Bill: An Economic Stimulus and Life-saving Proposal
(Abstracted from Lancet 2017;390:2012–2014) On June 1, 2017, the Healthy California Act was approved by the California Senate to establish universal, single-payer coverage to California residents in an effort to improve access to and efficiency in health care. Universal health care would extend coverage to the 14.7 million Californians currently uninsured or underinsured; however, political hesitation remains regarding the feasibility of universal health care at both the state and federal levels. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2018 Category: OBGYN Tags: Obstetrics: Ethics, Medicolegal Issues, and Public Policy Source Type: research

Republicans Will Own Whatever Happens to the ACA and Health Care Reform
As has become clear, “Repeal and Replace” of the Affordable Care Act (ACA), a mantra that provided such a unifying theme for Republicans when Democrats controlled the White House, has been much harder than Republicans expected when they achieved “full control” of the government. Republicans werebarely able to pass a health care bill in the House despite their substantial majority over Democrats (240-194) and the Senatefell short of passing the so-called “skinny” repeal bill, HR 1628, which repealed only a limited portion of the ACA. (Source: JAMA)
Source: JAMA - November 7, 2017 Category: General Medicine Source Type: research

Involuntary admission and treatment experiences of persons with schizophrenia: Implication for the Mental Health Care Bill 2016.
CONCLUSION: Perceived coercion in schizophrenia though common clinical phenomena, it is a dynamic state which reduces over course of treatment. At Discharge, majority reported that their admission was justified, even though they were admitted involuntarily. The study underlines the need for a standardized rule of conduct based coercive practice in psychiatry. PMID: 29061422 [PubMed - in process] (Source: Asian Journal of Psychiatry)
Source: Asian Journal of Psychiatry - October 26, 2017 Category: Psychiatry Tags: Asian J Psychiatr Source Type: research

Under GOP Health Care Bill, States Would Struggle to Hang onto Obamacare
States that expanded Medicaid would be particularly hard hit -- Read more on ScientificAmerican.com (Source: Scientific American)
Source: Scientific American - September 19, 2017 Category: Science Authors: Erin Mershon Tags: Health Policy & Ethics Source Type: research

California Universal Health Care Bill: an economic stimulus and life-saving proposal
Publication date: Available online 17 September 2017 Source:The Lancet Author(s): Alison P Galvani, David P Durham, Sten H Vermund, Meagan C Fitzpatrick (Source: The Lancet)
Source: The Lancet - September 19, 2017 Category: General Medicine Source Type: research

[Viewpoint] California Universal Health Care Bill: an economic stimulus and life-saving proposal
On June 1, 2017, the California Senate approved a bill (Senate Bill 562) to establish universal single-payer health care for all residents. This state legislation comes in the midst of federal proposals to repeal and replace the Affordable Care Act, which are anticipated to almost double the number of uninsured Americans to 51 million in a decade.1 Uninsured individuals have a 40% increased risk of mortality compared with insured individuals,2 such that this loss of coverage would be responsible for an estimated 27  000–95 000 deaths through 2025. (Source: LANCET)
Source: LANCET - September 15, 2017 Category: General Medicine Authors: Alison P Galvani, David P Durham, Sten H Vermund, Meagan C Fitzpatrick Tags: Viewpoint Source Type: research

In Wake of 'Skinny Bill' Defeat, APA Reconfirms Commitment to Work on Bipartisan Bill
In the early morning hours today, the Senate rejected a scaled-down version of a Republican health care bill that would have repealed parts of the Affordable Care Act. “With today’s vote [49-51], psychiatrists and other health providers can thank the Senate that our patients will not lose access to health care,” APA CEO and Medical Director Saul Levin, M.D., M.P.A., said in astatement.Republican Sens. Susan Collins (Maine), Lisa Murkowski (Alaska), and John McCain (R-Ariz.) joined all 48 Democratic senators in voting against the bill, titled the Health Care Freedom Act.If passed, the bill would have increased th...
Source: Psychiatr News - July 28, 2017 Category: Psychiatry Tags: ACA Affordable Care Act bipartisan solutions CBO John McCain Lisa Murkowski repeal and replace Republicans Saul Levin Susan Collins uninsured Source Type: research

US Senate health care bill draws widespread criticism.
PMID: 28716852 [PubMed - in process] (Source: cmaj)
Source: cmaj - July 17, 2017 Category: General Medicine Authors: Collier R Tags: CMAJ Source Type: research

Field: Senate health care bill would devastate poor and sick
(Source: Alcoholism and Drug Abuse Weekly)
Source: Alcoholism and Drug Abuse Weekly - July 3, 2017 Category: Addiction Authors: Alison Knopf Tags: Articles Source Type: research

APA Releases Overview on Impact of Senate Health Bill on Psychiatry
Within a matter of days, the Senate could vote on the Better Care Reconciliation Act (BCRA) —the bill unveiledlast week by Senate Republicans to repeal and replace the Affordable Care Act (ACA) and make significant changes to the Medicaid program. Tucked within the142-page discussion draft of BCRA are numerous provisions likely to affect Americans with mental health and substance use disorders. APA ’s Government Relations team has created athree-page fact sheet summarizing how BCRA might affect access to and the delivery of mental health and substance use disorder treatment services. As described in more deta...
Source: Psychiatr News - June 26, 2017 Category: Psychiatry Tags: ACA Affordable Care Act American Health Care Act BCRA Better Care Reconciliation Act CBO House of Representatives Medicaid mental health Senate substance use disorder Source Type: research

APA to Senate: Reject Health Care Reform Proposal That Fails to Put Patients First
APA is urging the Senate to reject thehealth care reform proposal unveiled today by Senate Republicans. A vote on this bill is expected to come as early as next week, before lawmakers break for the July 4 recess.The proposed Senate bill rolls back Medicaid expansion, caps federal funding for the Medicaid program, and removes protections for people with pre-existing health conditions. “Eliminating requirements for coverage of key benefits, including mental health and substance use disorders and other patient protections that are part of the Affordable Care Act, will have detrimental impacts for millions,” APA Presi...
Source: Psychiatr News - June 22, 2017 Category: Psychiatry Tags: access to care AHCA Altha Stewart APA Medicaid opioid epidemic pre-existing conditions Saul Levin Senate Source Type: research

APA Expresses Concerns Over Parts of New Health Care Bill
Two committees of the House of Representatives today began consideration of the American Health Care Act, the Republican mechanism to “repeal and replace” the Affordable Care Act (ACA).The process will not in fact eliminate the ACA. The current action takes place under complex rules in the House and Senate limited to spending and revenue. This “reconciliation” process requires only a simple majority to pass legislation. To repeal other provisions of the ACA that do not have a direct budgetary impact, the Congress must eventually pass separate legislation that requires a 60-vote majority in the Senate, eno...
Source: Psychiatr News - March 8, 2017 Category: Psychiatry Tags: ACA Affordable Care Act American Health Care Act APA health insurance Maria A. Oquendo Medicaid expansion psychiatry Saul Levin Source Type: research