Archive for the 'Worthwhile Reading' Category

Tom Peters on Health Care

Tuesday, March 25th, 2008

I’m a fan of Tom Peters. My dad turned me onto Re-Imagine! early in my undergraduate years; and now, as I look back, I can point to that book and say that it single handedly changed my approach to the world. There have been influences since then to be sure, but that book is solely responsible for my new (at the time!) approach to thinking about, well, everything.

Mr. Peters has been advocating for better health care for as long as I have been reading his blog. But it seems (which is good for us BTW) he has a renewed interest in health care. In fact, he recently spoke at Kindred Healthcare and graciously provided us with his slides from the presentation (find them here). Go check him and his crew out. There is some really good stuff like:

“As unsettling as the prevalence of inappropriate care is the enormous amount of what can only be called ignorant care. A surprising 85% of everyday medical treatments have never been scientifically validated. … For instance, when family practitioners in Washington were queried about treating a simple urinary tract infection, 82 physicians came up with an extraordinary 137 strategies.” Source: Demanding Medical Excellence: Doctors and Accountability in the Information Age, Michael Millenson

And this not by Tom Peters but from Thomas Goetz in the New York Times Magazine as a nice follow-up,

Doctors don’t like to admit it, but “most treatment decisions right now are still based on doctors’ judgments that don’t have real research behind them,” says Jodi Halpern, a physician and bioethicist at the U.C. Berkeley School of Public Health. “But it takes real data to make the right decisions, especially for patients. There’s a powerful improvement in health outcomes, people’s quality of life, when people are better-informed.”

Physicians, of course, have known this for decades; the idea of “evidence-based medicine” — that all decisions should be based on real data — was hatched in the 1980s. But the pace of traditional research is slow, and the number of outstanding questions far exceeds the body of evidence to answer them.”

Make an informed decision…

Saturday, January 19th, 2008

All of these early primaries/caucuses have made the winter blahs a bit easier for me to deal with. And whether you consider yourself a political wonk or a newbie it would be in your best interest to make an informed decision in any voting situation you may find yourself in the near future.

My focus here is going to be on links to information regarding the candidates’ plans for health care. Republicans and democrats differ (a lot!) in the plans they offer. Variation within their respective parties is less. As we continue on this process throughout 2008 I am going to assume plans may become more detailed.

Generally, comparisons amongst all candidates can be found here (Kaiser presents the information well) and here (HealthCentral’s spicier comparison).

Democratic plans (candidates who have a realistic chance): Clinton, Edwards, Obama

Republican plans (again, candidates who have a realistic chance): Giuliani, Huckabee, McCain, Romney

Analysis (courtesy of Health Care Policy and Marketplace Review): Clinton, Edwards, Giuliani, Huckabee, McCain, Obama, Romney

Banter: banter, banter, more banter, banter, banter, banter