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Aug 28, 2019
My first contact with a tangible mental illness and its implications occurred as a young lawyer trying a murder case in which my client, assigned to me by the court, was accused of murdering his wife. In the normal course, I sought a mental health evaluation of my client. I called one of the most prominent forensic psychiatrists in Detroit and asked him if he would evaluate this individual to determine if he could stand trial or if there was a mental health defense to his criminal actions. The psychiatrist visited the individual at the county jail and conducted an...
Read MoreFiled Under: changes in healthcare, Health Management, healthcare quality, Mental Health, mental status affects health
Jul 30, 2019
Have you ever thought about the fact that when you walk into an art gallery you are drawn to certain artists and the works they have created? This idea that in art one size does not fit all also applies to healthcare. We see numerous articles about how we as Americans comparison shop for our cars, dishwasher and almost anything else you can find on Amazon or other websites. In her article for Real Clear Health on the future of healthcare, Seema Verma states, "Our demand for a value is the engine that drives competition which, in turn, lowers prices and inspires...
Read MoreFiled Under: changes in healthcare, Health Management, healthcare quality, Insider, medical access
Jul 12, 2019
The pharmaceutical side of oncology and other specialty drugs is a multi-billion dollar business. This is one of the highest cost segments of pharmaceuticals to patients and insurance companies, and it is one of the highest profit areas for the pharmaceutical companies. In 2016, specialty drugs made up 40% of the $450 billion pharmaceutical market, which translates into $180 billion. This staggering amount of money is bad enough in itself, but what if I told you that some of those medications that make up that $180 billion was being wasted in hospitals and other healthcare centers every single day? How Can...
Read MoreFiled Under: cancer drugs cost, cancer treatments, elder care, Health Management, high-cost drugs, medications, overmedication, polypharmacy, Specialty Drugs, understanding insurance
Jun 26, 2019
“Heart Disease Roars Back,” was the front page headline of an extensive article in the June 22-23, 2019, “Wall Street Journal” on the increase in heart disease. The article by Betsy McKay states, "The death rate for cardiovascular disease – which includes heart disease and strokes – has fallen just 4% since 2011 after dropping more than 70% over six decades, according to mortality statistics from the Centers for Disease Control and Prevention." The article goes on to state, "Particularly alarming is that the death rate that is actually rising for middle-aged Americans."In another article in the “Jerusalem Post” introducing a new innovative test for sleep...
Read MoreFiled Under: Health Management, mental status affects health, patient satisfaction, preventive healthcare
May 29, 2019
Some years ago I spoke at an American Hospital Association meeting to a large group of hospital executives and trustees. The first slide of my presentation was a picture of a 747 jumbo Jet. The question I asked was, “Why would I start my presentation with an aircraft to an audience of hospital leadership?” Then I asked, “How long would we Americans tolerate a 747 jumbo jet crashing every day-and-a-half?” The response was obviously universal - we would not. My next comment was that if you do the calculation, that was the number of hospital deaths caused by nosocomial (hospital...
Read MoreFiled Under: changes in healthcare, chattanooga, doctor shortages, Health Management, healthcare quality, Insider, medical access, patient satisfaction
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