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Health Care Reform is a Deficit Reducer



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No. 20
Old Nov 21, 2009, 10:48 AM
Updated Nov 21, 2009 at 12:08 PM by Man In Black

Default Re: Health care Reform Bill Major Deficit Reducer
[quote=Man In Black;3984198]
I made the point that effectiveness research may very well yield the result that genetic screening based on family history would be far more cost effective AND yield better detection statistics than the current system.

Its crazy to not seek better and more effective means of delivering quality care. As TR REID has observed health care reform drives innovation and lowers costs.

Regards...
Effectiveness research and screening based on risk factors makes more sense (family history, genetics etc.)

Steph, My initial point was driven by a source that you provided.....

Sen Reid made a very clear point that effectiveness research should not be used to prevent access to mammography. So he was hardly arguing for anyone (read bureaucrat) restricting access d/t health care reform.

Risk factor assessment should be used as a tool to improve the quality and accuracy of screening which is the whole point of effectiveness research.
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No. 21
from VickyRN
Old Nov 21, 2009, 11:24 AM

Default Re: Health care Reform Bill Major Deficit Reducer
Originally Posted by Spidey's mom View Post
AND . . . . are they including those mammograms that look suspicious and women come back for a second look by mammo or sono? And then they find out that everything is fine? (Whew!).

Are those first mammo's "false positives"?

Because I've had them - and appreciate going back for further testing to rule out CANCER.

I've also had what might be called "false positives" with my yearly pap/pelvic exams. And go back for further testing of uterine tissue. Just to make sure it isn't CANCER.

I'm a hospice nurse dealing with mostly patients who have cancer . . . . being more careful about diagnosis is a good idea to me.

Maybe the issue should be instead of limiting tests - how about lowering the costs of the tests?

I've started calling around to find the lowest cost for lab tests, mammos, gyne appts, etc., taking into account the expertise too.

Maybe if the market had more leeway . . . .costs would go down.

But getting more bureaucracy and some "idgit" person in Washington D.C. to make decisions about MY health care decisions than is already in existence is maddening.

steph (my grandma always said "idgit")
Also, with African American women, breast cancer may appear 10 years earlier than what is the norm for Caucasian women. They definitely need this screening during their forties. And when Black women do get breast cancer, the prognosis is often much poorer than for Whites.

This is OT, but a very promising screening tool for breast cancer that is on the horizon is thermal imaging - carries no risk from exposure to ionizing radiation like x-rays.
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No. 22
Old Nov 21, 2009, 11:43 AM

Default Re: Health care Reform Bill Major Deficit Reducer
[quote=Man In Black;3985256]
Originally Posted by Man In Black View Post

Effectiveness research and screening based on risk factors makes more sense.


Steph, My initial point was driven by a source that you provided.....
What source was that?

I don't think we should limit it based on risk factors. There are plenty of examples of women who get breast cancer with no risk factors.

Again - I don't agree with the changes they are discussing in the past few days.
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No. 23
from Jolie
Old Nov 21, 2009, 12:05 PM

Default Re: Health care Reform Bill Major Deficit Reducer
Originally Posted by VickyRN View Post
This is OT, but a very promising screening tool for breast cancer that is on the horizon is thermal imaging - carries no risk from exposure to ionizing radiation like x-rays.
This very much ON-topic. New technology, which is almost always expensive to implement, is likely to be discouraged under government health care.

Before I get flamed, I'm not saying that Big Bad Government wants to deprive us of innovation. But it is a matter of economic reality that a system overwhelmed with hundreds of millions of participants and limited funds will have to make cuts somewhere. Expensive, even if promising new technology is a likely place to cut.

If government health care had been implemented 50 years ago, which common modern-day treatments do you believe would not have been developed? Or would have been developed, but not widely implemented?
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No. 24
from leslie :-D
Old Nov 21, 2009, 12:17 PM

Default Re: Health Care Reform is a Deficit Reducer
i wonder what is causing all these false positives?
to me, it'd make sense to evaluate the efficiency of the diagnostic equipment.
decreasing the frequency of mammo's doesn't change a darned thing, NOR does it address the problem resulting in a duplication, even triplication of efforts (and $$).

it'd make a whole lot more sense to invest in machinery that yields accurate test results, which clearly would save much angst and money.

leslie
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No. 25
from Jolie
Old Nov 21, 2009, 03:37 PM

Default Re: Health Care Reform is a Deficit Reducer
That's my point, leslie.

I don't think there are that many false positives. I think this is being wildly inflated to make the case for decreasing mammograms.

Mammograms have been done on the current schedule for a number of years. If there really were so many false results, insurance companies, government funding plans and the medical community would have demanded changes long ago.
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No. 26
Old Nov 21, 2009, 04:05 PM

Default Re: Health care Reform Bill Major Deficit Reducer
Originally Posted by Man In Black View Post
For all the noise made about the recent mammogram recommendation change did anyone notice Sen Reids comment. He came out and said in so many words that reimbursements for the procedure should not change from current practice under reform. (Effectiveness research may find that genetic testing for BRCA and HEr would be a better strategy for identifying women at risk of developing breast cancer between age 40-50 which cold then tailor mammogram practices...)
But these recommendations will change reimbursements.........and anyone with half a brain knows it. This is a giveaway for the insurance companies; it makes my head spin to think how fast they're going to yank mammogram coverage for women under 50.
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No. 27
Old Nov 21, 2009, 04:18 PM

Default Re: Health Care Reform is a Deficit Reducer
I paid for my own mammogram a few months ago - by paying cash they gave me a discount. It wasn't that bad. Also my own pap/pelvic . . same deal. Pay cash - get discount. It was a substantial one too.

I still like the idea of only catastrophic insurance and then pay the rest out of pocket . . . . they'd have to lower the cost then because there wouldn't be an insurance company (or government agency) to prop up artificially high costs.

Just call me a dreamer . . . . but I'm not the only one.


steph
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No. 28
from Blazestop
Old Nov 21, 2009, 07:03 PM

Default Re: Health Care Reform is a Deficit Reducer
1st lets deal with a transparent political process...then we'll see about mandated healthcare which the constitution doesn't mention.
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No. 29
Old Nov 21, 2009, 09:52 PM

Default Re: Health Care Reform is a Deficit Reducer
BBC compares US and UK health care systems.

video loads in another window.
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