Tag: Healthcare

Small, Inspiring Victories

 

So many of us are feeling the fatigue of fighting for our country every day. The destructive and mindless decisions are endless. I became acutely aware of how worn out I am by reading David Foster’s latest post. I realized that my condition is so difficult to endure because it is wearing on me mentally, emotionally and physically: I find myself continually analyzing the predicaments our country is engaged in; the distress of that reality intensifies with each ugly news story; and the result of both the emotional and mental upset is a weariness that I work hard to shake. Even with exercise, proper diet and prayer, the state of our country is taking its toll on me.

But I had an idea that I think can help all of us: frequently identifying small victories. I use the word frequently because I do believe that we are seeing protests, rebellions and revelations that tell us that although we are in a serious struggle, little by little the country is at least waking up and noticing the many ways that the Leftist elite has compromised our cherished and honorable way of life. And ordinary citizens aren’t happy.

When Politics and Healthcare Meet No One Wins

 

When politics and healthcare meet, no one wins. Certainly not me, anyway.

As a practicing nurse in California, I am mandated by law to comply with a two-dose mRNA vaccine with booster. Regardless of masking and a downward trend, the California Department of Public Health has instituted guidelines that pressure all medical staff (and medically adjacent) to get a booster if they’ve already been vaccinated. Religious exemptions will only be tolerated if they were previously known, documented, and thoroughly supported. No “new” exemptions will be allowed.

Tale of Tamiflu

 

Practicing pharmacy over the years you start to get a feel for what works and what does not.  Feedback is constant both welcome and otherwise.  Some drugs just seem to work for a wide range of people. Amoxicillin, cefdinir, and azithromycin are just a few of our greatest hits from behind the counter.  On the opposite side, we have drugs that despite approval and mass marketing never really seemed to take off.  Tamiflu is a great example.

It was hailed and marketed as a cure for the flu and there was a point due to demand, I would spend an inordinate amount of time opening capsules to compound it into a suspension for younger patients when the commercial product would go on backorder.  Despite dispensing a lot of it, the rave reviews never seemed to follow and it would be prescribed less and less.  The most loaded question in healthcare is how was your day and I recall once quipping to another pharmacist “just another day padding Roche’s bottom line, how about you?”

This week on Hubwonk, host Joe Selvaggi talks with Josh Archambault, Pioneer Institute’s Senior Fellow in Healthcare, about the healthcare provisions in the pending Build Back Better Act and their likely impact on the coverage and cost to Americans in the wake of Covid-19.

Guest:

Child Sacrifice in the US

 

Child sacrifice, attributed to ancient world pagan culture, kills beautiful, young, healthy children to appease deities in times of famine or drought. In times of trouble, the beautiful daughter of a king might be sacrificed as they sought the blessing of the supernatural. During the Covid pandemic, we also sacrifice the healthy young to appease those paralyzed by fear. In both cultures, the healthy young are subject to mandates or rituals that don’t placate the disaster yet harm our children’s well-being.

At the outset of the pandemic, governors instituted a lockdown which forced healthy people to quarantine at home in contrast to previously when the sick were told to stay home. Playgrounds were cordoned off with yellow caution tape and basketball nets were tied up to prevent children from using them. Neighbors ratted out kids for playing soccer at the local schoolyard. Although we knew that the young were rarely afflicted and rarely vectors of infection, children were told they would kill grandma unless they stayed home. Whereas we previously worried about excessive screen time hampering social interactions, emotional well-being, and physical health, we instituted policies that encouraged isolation and increased screen time.

Echoes of Fascism

 

For me, this video had echoes of the Kapos who operated in the concentration camps under the Nazis. The young lady’s sweet and gentle manner wasn’t reassuring to me, either.

Threats to Privacy Are Limited by New Florida Law

 

Have you ever considered how your privacy could be violated through the use of your DNA? Florida legislators have taken this danger seriously by being the first state to expand on federal laws protecting the use of DNA testing results:

‘Given the continued rise in popularity of DNA testing kits,’ Sprowls said Tuesday, ‘it was imperative we take action to protect Floridians’ DNA data from falling into the hands of an insurer who could potentially weaponize that information against current or prospective policyholders in the form of rate increases or exclusionary policies.’

Federal law prevents health insurers from using genetic information in underwriting policies and in setting premiums, but the prohibition doesn’t apply to life, disability, or long-term care coverage.

Surgery, Regulations, and the Rainbow Connection

 

Actually, the latter topic is much more pleasant than the former two, so let’s start with the Muppets. The Rainbow Connection was the theme song for The Muppet Movie, back when there was only one Muppet movie and the title could afford to be general. Kermit the Frog is sitting in a swamp playing a banjo singing that song. A hopelessly lost talent scout wanders by; Kermit corrects his path. In return, the talent scout tells this frog he may have a chance in Hollywood. And so Kermit sets out on a journey.

Why are there so many songs about rainbows? What’s on the other side?
Rainbows are visions but only illusions; rainbows have nothing to hide.

This week on JobMakers, Host Denzil Mohammed talks with Dr. Babak Movassaghi, founder of InfiniteMD (acquired last summer by ConsumerMedical), which connects patients with top U.S. medical professionals through second-opinion video consultations, guiding patients to better care. When the world shut down due to COVID-19, Dr. Movassaghi’s company was already prepared to serve patients via telehealth. In this episode, they discuss his fascinating pivot from physics and professional football in Germany, to healthcare and innovation here in the U.S., an extension of his ability to navigate multiple identities as an Iranian-German living the American Dream.

Guest:

Magnet(TM), Clinical Ladder, and Hospitals: Getting More for Less

 

Glowing nurses. So diverse. Young, old. Thanks to nursingworld.org for the picture that I borrowed.

Today, I’m going to write one of the most controversial professional articles in nursing. If one goes to Duck Duck Go and searches “Magnet hospitals” or “Clinical ladder for nursing”, one will see nothing but article upon article about professional advancement. Even going back 10 years, there are many websites devoted to how Clinical ladder programs (CLPs) make for “better nurses” and “better hospitals”. There are many articles about programs at different hospitals. There are pictures of glowing nurses, talking about their blessed profession, talking about how fulfilled they are by being able to give more. It helps them to become better nurses and make better hospitals.

I’m going to share a secret: it doesn’t.

Host Joe Selvaggi talks with surgeon and New York Times bestselling author Dr. Marty Makary about the healthcare reform themes in The Price We Pay, the 2020 Business Book of the Year.  The discussion covers the value of price transparency, provider accountability, and performance information to drive better medical outcomes and improve doctor and patient satisfaction.

Guest:

Advice from A Nurse on “Advocacy”.

 

I have been called kind, compassionate, caring, “a wonderful asset to our team,” and an “excellent and experienced nurse.”

I have also been called: “Nurse Ratched,” a demon, “b*tch,” and a “bag of C****.” I’ve been called other things that I really can’t even type out because removing the profanity will make them incomprehensible and some, well, some were not in English.

America, We Have to Talk About Death

 

America is generally a pretty optimistic country.  It makes sense.  We are a people that came from distant shores to join the people born here to create a wonderful mishmash that holds certain Truths to be Self-Evident.  People who did not believe in these common truths would not have survived here or stayed here.  This would not be the land they chose to raise children.  They would flee for easier paths.  I know, America, it’s been a rough 200 years or so.  We’ve been through a lot together.

We have done so much to foster life in this country.  We have developed spectacular, truly spectacular, medical advancements that have propelled us into the higher life expectancies.  We discovered hand washing (at least in the sense that it was totally necessary in medical care).  In 1879, we created the vaccine for cholera.  In 1902, an American (Karl Landsteiner) developed ABO blood typing.  Paul Zoll invented the first cardiac pacemaker in 1952.  These are such wonderful innovations!  We have sustained life in so many complex cases that used to be fatal.  There were no treatments for the disease, just the symptoms.  People used to suffer needlessly because we did not have the technology to help them.

Joe Selvaggi talks with Pioneer Institute Senior Fellow Josh Archambault about his newest research paper entitled, “Direct Health Care Agreements: A New Option For Patient-Centered Care That Costs Less and Reduces Provider Burn-out” and how this emerging service model provided its patients with comprehensive health service throughout the COVID-19 pandemic.

Guest:

Join Host Joe Selvaggi as he discusses with Harvard Professor Bob Blendon his New England Journal of Medicine Special Report, “Implications of the 2020 Election for U.S. Health Policy,” which covers broad differences in both parties’ view of the role of government in healthcare and what the election results will mean for Americans.

Guest Interview:

Member Post

 

Touted as a way to allow international travel to resume before a COVID-19 vaccine is widely available, ‘CommonPass‘, a new app designed to be a clearance mechanism for airline passengers, has already been tested on two flights. Call me a skeptic, but I for one am fairly certain there is waaay more to the agenda behind […]

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Join host Joe Selvaggi and his guest Dr. Bill Smith as they discuss the complex incentive structure between drug manufacturers, health plans, and pharmacy benefit managers. In this episode, they focus on how drug rebates work and how a system intended to optimize value may actually deliver higher costs and fewer choices. Joe and Bill also use this framework to speculate on the price of a COVID-19 vaccine, and who will likely pay for it.

Guest:

Join Hubwonk host Joe Selvaggi as he speaks with Firefly Health President Fay Rotenberg and Primary Care Doctor and Co-Founder Jeff Greenberg as they discuss the promise and potential of virtual primary care to deliver direct doctor access, price transparency, and more holistic healthcare that may revolutionize the healthcare system.

Guests:
Jeff Greenberg, MD, MBA is primary care physician and Firefly Health co-founder. Jeff spent nearly a decade practicing primary care at Brigham and Women’s Hospital. He obtained his medical degree from the University of Pennsylvania and is on faculty at Harvard Medical School.

Member Post

 

A group of oncologists estimate that 60,000 people in the UK will die of cancer because they were unable to get adequate treatment due to COVID-19 restrictions. I am torn about what to think about this estimate. Why should one trust the prognostications of a group of oncologists any more than one trusts the prognostications […]

Join Ricochet!

This is a members-only post on Ricochet's Member Feed. Want to read it? Join Ricochet’s community of conservatives and be part of the conversation. Get your first month free.