HMO’s

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I’m sure you’ve heard of Americans who need health care but don’t have insurance or aren’t qualified for whatever programs are offered by the government going to Canada or some other country to take advantage of their universal health care programs.  Or maybe somebody who has joined the military to get benefits.

But what about the person who robbed a bank – with the full intention of getting caught and going to prison so he could have healthcare. Read more on Going To Prison For Healthcare…

Filed under medicine, News by on . Comment#

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“Innovative Health Care Programs?”

This seems to be the era of backwards-definitions.  “No Child Left Behind” means a diminished budget and fewer programs for child education. “Compassionate Conservatism” means cutting programs for the unemployed, the medical indigent and the hungry. “Strategic Defense” means a full-speed-ahead attack.

The “Innovative Programs” article talks about are mostly supplied by The Greenfield group, where improved medical care is provided if people  fork in some cash to get it.  Also “Harvard Vanguard,” who loves to be the first to do things.

Since there is nothing but Harvard hospitals on the reality TV show  Boston Med, I wonder if the Harvard Public relations people have descended to some all-invasive biological state, to infiltrate all media, and to try to get us to believe that they do things medically and surgically that are more advanced than other providers.  Read more on Walls and Barriers To Providing Health Care…

Filed under Healthcare reform, politics by on . Comment#

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People who have panic disorder go to doctors to take care of it.  I have had maybe hundreds of patients, more than I can count over my years of practice, who have come to me with this.  Most of them do well. Usually the panic disorder runs its course.

That is not to say that panic disorder is not terrifying.  Often people believe that their first panic attack is a heart attack.  Often they have come to me already addicted to benzodiazepines by emergency room physicians who (understandably) worry a lot more about the immediate comfort of the patient than about the long term situation. Here is the official government take on panic disorder. Yes, find a psychiatrist you can trust. Yes, they recommend family and support groups.  Good stuff, but free and easy to recommend. Yes, there is some exciting new research but as long as insurance companies and HMOs determine how people get treated, it is unlikely that research will be quickly translated into treatment.

Most people who go with the mainstream treatment do pretty well. Here is another description of mainstream treatment, a little more complete. Read more on A Real Doctor — Like House MD…