Yet another screening exam found unhelpful
Earlier this month, the American College of Physicians (ACP) published its recommendation in the Annals of Internal Medicine that routine annual pelvic exams are unnecessary for healthy, non-pregnant women with no gynecologic symptoms (bleeding, discharge, pain, etc.).
The ACP looked at evidence on pelvic examinations dating back almost 70 years and concluded:
… no data support the use of routine pelvic examination (excluding cervical cytologic [Pap] examination) for reducing the morbidity [disease] or mortality [death] of any condition. Furthermore, limited evidence suggests that screening pelvic examinations may be associated with pain, discomfort, fear, anxiety,
… Continue reading
The yearly reminder
The other day I received in the mail a form letter from my physician’s office reminding me that I am due for my annual “well woman” visit. The letter also pointed out that if I have an ACA-compliant health insurance plan, the cost for the exam would be 100% covered as a preventive benefit.
I have three problems with this letter.
- Although my current physician is part of my new insurance plan’s network, the hospital she works out of is not. What if I needed to have surgery or be hospitalized? My care would then be given
… Continue reading
Five years ago, I didn’t think our health care system could get any more complicated. Well, I was wrong.
I have watched it become increasingly tortuous as Obamacare’s rules, regulations and mandates have brought about a seemingly endless stream of unintended consequences.
The major benefit, I think, of Obamacare was to take away the pre-existing coverage clause in insurance policies. The idea was to provide health coverage for everybody, regardless of current health, and to make medical expenses more equitable; that is, some will pay more (the young and healthy) and some will pay less (the older, sicker … Continue reading
Another drug we can’t afford
A few weeks ago I posted about the recent slew of commercials to “increase public awareness” of the chronic sleep disorder Non-24.
As Non-24 (formerly known as circadian rhythm disorder) affects totally blind people and is rare otherwise, it wasn’t clear to me why we needed increased awareness until I realized a new drug was coming to market.
When I wrote that post, this new drug, Hetlioz (tasimelteon), was not yet available in pharmacies. I speculated that it would be costly, perhaps as much as $10 per tablet. If only!
A few days ago … Continue reading
Unnecessary care = unnecessary expense
Every day I see a new article about the high costs of health care.
A new study suggests that in a single year, up to 42 percent of Medicare patients got at least one medical procedure they didn’t need — overtreatment that cost as much as $8 billion.
Use of [Mohs] surgery has skyrocketed in the United States — over 400 percent in a little over a decade — to the point that last summer Medicare put it at the top of its … Continue reading
We knew they were coming
Yesterday I looked on the website of my state’s (Washington) Office of the Insurance Commissioner (OIC). Health insurance companies are required to submit requests for 2015 premium increases in May. The OIC then posts these requests and the public is allowed to comment.
Insurers also have to file any benefit changes to existing plans, and details of any new plans they will offer in 2015. Actuarial data (what the company paid out in medical claims, administrative costs, enrollee risk profiles, profits, etc.) must be included to support the need for the rate hikes.
Rates are … Continue reading
Mark my words—Washington state’s health exchange is going to be the next big news story about an internet security breach resulting in the theft of consumers’ personal information.
As I mentioned in Monday’s post about internet security and your health care records, I recently changed the password to my family’s account on our state’s health benefits (Obamacare) exchange, wahealthplanfinder.org.
In that post I cautioned against using your personal (insecure) email to communicate sensitive health information.
So imagine my surprise and dismay when I received an email from Washington Healthplanfinder not only acknowledging my change of password, but also … Continue reading
A few months ago I posted about health-sharing ministries as an affordable alternative to Obamacare’s marketplace.
And recently I read that these groups are enjoying a surge in enrollment.
Since the launch of HealthCare.gov on Oct. 1, membership at each of the ministries has exploded, with nearly 30,000 new enrollees — more than the number of people who selected a plan through ObamaCare in 24 states.
Anyone participating in a health-sharing ministry is exempt from the mandate to buy ACA-compliant health insurance.
For more information about these ministries, read one of my posts on the topic:
… Continue reading
A friend emailed me a link to a recent article about a patient’s experience with the health care system in France.
The writer’s father, a French citizen living in New York, was diagnosed with pancreatic cancer and chose to forego treatment at one of America’s top-notch hospitals and return to his native country for chemotherapy.
The writer was understandably worried for her father: How could a public hospital in Paris possibly improve on Sloan Kettering’s cancer treatment?
Indeed. But what she discovered over the course of her father’s treatment is that the French have a pretty awesome … Continue reading
Losing a job or gaining an opportunity?
I feel compelled to give my perspective on the latest round of Obamacare news (OK, not really the latest, since it seems to be changing every day).
And I’ll give my bottom line here at the beginning, just in case you aren’t interested in the following health care-political gymnastics: Don’t retire early if you’re getting good health insurance at your job!
Last week the Congressional Budget Office (CBO) came out with a report that caused a stir among political and health care reform pundits.
Some highlights from the report include:
… Continue reading