Most Medical Devices … Approved for Pediatric Use Weren’t Tested on Kids First

A Reuters Health article noted “Children are not simply ‘small adults,’ and a device found to be safe and effective in adults may have a very different safety and effectiveness profile when used in a pediatric population…” “Without this data, it is difficult for clinicians and parents to make informed treatment decisions that weigh the risks and benefits of a particular treatment…,” The new study examined what kind of testing has been done on medical devices meant for kids since an act of Congress incentivized their development seven years ago.

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Both Physicians and … the General Public … Become “Enamored” with New Treatment Options … Even When the Evidence Is Limited or Lacking.”

“Don’t just ask the doctor which type of treatment you should get…,” “Ask the doctor, ‘What happens if I don’t get this treatment? How does this affect the outcome?’”

A Kaiser Health News article noted ”Older breast cancer patients who received radiation treatment after surgery were more likely to undergo a more expensive and somewhat controversial type of radiation called brachytherapy if they got their care at for-profit rather than nonprofit hospitals…”

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What’s the Difference between Non-profit and For-profit Hospitals?

Almost a dozen not-for-profit hospitals in New Jersey have been bought by for-profit companies. The debate is on n New York and Connecticut where for-profit ownership is basically “prohibited.”

A recent article Ct Mirror article noted “State law makes it difficult, if not impossible, for for-profit hospitals to operate in Connecticut. But Tenet Healthcare, a national, for-profit hospital chain, is in the process of acquiring four Connecticut hospitals. That’s inspired two competing efforts in the legislature. One push is to change state law to make it easier for hospitals to be run by for-profits. The other is to restrict the ability of hospitals to become for-profit.”

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NY – Will Not Require Out-of-Network Coverage Health Plans Next Year

The New York Times article noted “Restricting consumers to a fixed network of doctors and hospitals, called in-network coverage, helps keep costs down, and for the first year, none of the 16 insurance companies in New York’s exchange deviated from that model.”

“Advocates for consumers had lobbied hard for out-of-network coverage, saying that some patients needed more choices, particularly since the networks are being kept small to further reduce costs. Under the current in-network system, someone who lives part of the year out of state, or a student at a college out of state, are not covered while they are away, except for emergency care.”

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“From the Moment She Was Hospitalized They Never Left Her Side. Or, More Precisely, They Never Left Her by Herself — It Turns out There Is Actually Bit of a Difference between the Two.”

Some interesting advice on “visiting hours”…

The New York Times blog vignette read: “For 15 years Anna was a solitary figure sitting at the far end of our waiting room for her annual checkups, having shaved a half-hour off her workday so she could hustle over before we locked our doors.”

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Sovaldi, the $1,000-a-Day Pill for Hepatitis C

“The Centers for Disease Control and Prevention estimates that 3.2 million people in the U.S. have chronic hepatitis C infections. Most of them haven’t been diagnosed.”

The NPR story reported that “Sovaldi is the first hepatitis C pill that doesn’t have to be accompanied by interferon for some types of hepatitis.”

“Sovaldi has been found to be remarkably effective, essentially curing 90 percent or more patients with a common form of hepatitis C in 12 weeks.”

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We Generally Use Health Care Services Not Knowing That It Will Cost “Out-of-Pocket”

The Washington Post article noted: ”There’s been much written in the past year about just how hard it is to get a simple price for a basic health-care procedure.”

“About two dozen industry stakeholders, including main lobbying groups for hospitals and health insurers, this morning are issuing new recommendations for how they can provide the cost of health-care services to patients.”

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Obamacare Allows Appeals to the Insurer and, If Necessary, to a Third-Party Reviewer

A Kaiser Health news story noted “Federal rules ensure that none of the millions of people who signed up for Obamacare can be denied insurance — but there is no guarantee that all health services will be covered.”

“A 2011 GAO report sampling data from a handful of states before the health law took effect found that patients were successful 39 to 59 percent of the time when they appealed directly to the insurer. When appealing to a third party (such as the state insurance commissioner), patients also were often successful in getting the service in question – winning as many as 54 percent of such decisions in Maryland, for example. ”

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“William Howard Taft, the Only Massively Obese Man (at 350 Pounds) Ever to Be President … Struggled Mightily to Control His Weight a Century Ago…”

The New York Times article noted: “On the advice of his doctor, a famed weight-loss guru and author of popular diet books, he went on a low-fat, low-calorie diet. He avoided snacks. He kept a careful diary of what he ate and weighed himself daily. He hired a personal trainer and rode a horse for exercise.”

“Obesity experts said Taft’s experience highlights how very difficult it is for many fat people to lose substantial amounts of weight and keep it off, and how little progress has been made in finding a combination of foods that lead to permanent weight loss.”

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