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Do We Need To Re-Think Standard Treatment For Traumatic Brain Injury?
Traumatic brain injury - not heart disease, stroke or cancer - is the number one cause of death and disability in people under 45. Each year, some 1.5 million Americans, including soldiers, athletes, the elderly and children, sustain head injuries, and nearly half of them will be hospitalized and treated in an emergency room or intensive care unit.
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Disabled Children Missing Out On Basic NHS Care, UK
Disabled children missing out on basic NHS care Parents tell of "battle" to get basic healthcare for disabled children and of agencies routinely "passing the buck"
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Spend More, Get Less? The Health Care 'Conundrum'
On NPR"s Fresh Air, New Yorker staff writer Atul Gawande spoke about his article on the high cost of health care in McAllen, Texas. He found that costs in McAllen were higher than in the rest of the country because doctors ordered more tests and treatments for their patients, which did not result in a better quality of care. Gawande told NPR that "the difficulty comes in the conflict between when medicine is a business versus when it"s a profession. In a grey-zone case, whether a patient should get that endoscopy for heartburn, whether you send them to have a particular operation like a carpal-tunnel release for carpal tunnel syndrome, we make more money, and there is a temptation and a strong incentive to do more rather than less. At the same time, if we"ve crossed the border to the point where over-treatment is actually producing harm, we now have to think about how to rein in that part of what we do, even though it can sometimes mean losing money."
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Indiana U. Expert Says Nation's Physicians Support National Health Insurance

President Barack Obama spoke to the American Medical Association (AMA) recently addressing concerns about health insurance reform and the whole nation, including physicians from coast to coast, listened. "A general consensus seems to exist that the AMA will not support a public health insurance, option. Since the AMA bills itself as "the voice of physicians," by taking an anti-public insurance stance, the AMA is fostering the notion that a majority of physicians would be against comprehensive health care reform, including a public option. But our research indicates that on this issue, the AMA is not speaking for physicians," said Aaron Carroll, M.D., on Monday in response to Obama"s speech at the AMA. Dr. Carroll is director of the Indiana University Center for Health Policy and Professionalism (CHPPR), associate professor of pediatrics at the IU School of Medicine and a pediatrician at Riley Hospital for Children. A study conducted by CHPPR at the Indiana University School of Medicine and published last year in the Annals of Internal Medicine found that 59 percent of physicians would support government legislation for National Health Insurance, a much more radical type of reform than that proposed by the Obama administration. Only 32 percent of physicians opposed national health insurance, according to the study. The CHPPR survey of 2,200 physicians showed a 10 percent increase in support for national health insurance from a previous survey. Nearly every medical specialty showed an increase in levels of support for national health insurance. With the exception of radiologists, anesthesiologists and surgical subspecialists, a majority of every medical specialty now support national health insurance, according to the study. "While the AMA may oppose a public insurance option, there is no evidence that physicians do," said Dr. Carroll, a health services researcher who is a Regenstrief Institute affiliated scientist. Cindy Fox Aisen Indiana University


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