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Expanding U.S. state Medicaid programs may contribute to reduced death rates, as the poor, elderly and other vulnerable people benefit from greater access to health care, Harvard University researchers said in a report.
Three states that expanded Medicaid in 2001 and 2002, New York, Arizona and Maine (BSTIME), collectively saw a 6.1 percent decline in the death rate for people age 20 to 64 compared to neighboring states, according to the study published in the New England Journal of Medicine. Researchers at the Harvard School of Public Health, led by assistant professor Benjamin Sommers, found larger reductions among minorities and low-income people.
Americans spend twice as much as residents of other developed countries on healthcare, but get lower quality, less efficiency and have the least equitable system, according to a report released on Wednesday.
"We do particularly poorly on going without care because of cost. And we also do surprisingly poorly on access to primary care and after-hours care."
In 2007, health spending was $7,290 per person in the United States, more than double that of any other country in the survey.
Australians spent $3,357, Canadians $3,895, Germans $3,588, the Netherlands $3,837 and Britons spent $2,992 per capita on health in 2007. New Zealand spent the least at $2,454.
Because they are brainwashed by corporations PR firms
I'm sorry, but increasing demand on doctors in the face of a declining numer of doctors isn't going to work.
More people would to go the doctor when they NEEDED to, not when the felt they could PAY it.
The idea was pushed early in the debate by America’s Health Insurance Plans perhaps like no other health care lobby in Washington. AHIP, as it is known, includes the biggest names in health insurance such as UnitedHealth Group (UNH); Humana Inc. (HUM); Aetna Inc. (AET) and Cigna Corp. (CI) along with most big Blue Cross and Blue Shield plans.
In widely covered testimony before the Senate Commerce, Science and Technology Committee in June 2009, Wendell disclosed how insurance companies, as part of their efforts to boost profits, have engaged in practices that have resulted in millions of Americans being forced into the ranks of the uninsured. Wendell also described how the insurance industry has developed and implemented strategic communications plans, based on deceptive public relations and advertising and lobbying efforts, to defeat or weaken reform initiatives.
During my 20 years as a health insurance PR executive, I was involved in numerous efforts to make the very term "single payer" toxic to most Americans. We even spent hundreds of thousands of premium dollars in 2007 to help finance the operation of a front group, called Health Care America, for the sole purpose of trashing a movie -- Michael Moore's Sicko -- that put single payer systems abroad in a favorable light. You can rest assured that the industry will spend much, much more to make sure that Vermont does not succeed.
The number of first-time applicants to medical school reached an all-time high in 2011, increasing 2.6 percent over 2010 to 32,654, according to new AAMC data. This is the largest first-time applicant pool since the AAMC began tracking such information in 1989. The total number of applicants grew by 2.8 percent this year to 43,919, up from 42,741 in 2010.
RIVERSIDE, Calif. — In the Inland Empire, an economically depressed region in Southern California, President Obama’s health care law is expected to extend insurance coverage to more than 300,000 people by 2014. But coverage will not necessarily translate into care: Local health experts doubt there will be enough doctors to meet the area’s needs. There are not enough now.
Other places around the country, including the Mississippi Delta, Detroit and suburban Phoenix, face similar problems. The Association of American Medical Colleges estimates that in 2015 the country will have 62,900 fewer doctors than needed. And that number will more than double by 2025, as the expansion of insurance coverage and the aging of baby boomers drive up demand for care. Even without the health care law, the shortfall of doctors in 2025 would still exceed 100,000.
The new legislation contains several incentives aimed at curbing the shortage by encouraging medical students to go into primary care rather than choosing other specialties, such as cardiology or orthopedics, which are generally more lucrative. In addition, the legislation temporarily raises Medicaid reimbursement rates for primary care doctors and offers special loan repayment programs to students who choose primary care. Heim said these incentives should help but won't eliminate the impact of the new patient load. "All of them fall short for what it's going to take to truly build a primary care workforce that's going to take care of everyone," she said.
What I'm worried about is why is their fear of a doctor shortage, are they getting out early? Reluctant to go in? That's all for another discussion, but I have heard that some complain they're filling out more and more forms and spending less time with their patients.
A study done by the American College of Physicians in 2009 compared the U.S. health system with those of 12 other countries and analyzed why the latter had better medical outcomes for far less funding. Over and over the studies prove that systems that have a primary care physician or have what is deemed “medical home,” always fare better.
The overhead in a PCP office runs about 65 percent, of which 40 percent is spent dealing with insurance companies. Another reason is that the earnings of PCPs are approximately half to a third of our colleagues in the more lucrative sub-specialties.
Unfortunately most medical schools in this country favor overspecialization. Many of the “osteopathic” medical schools (schools granting a D.O. degree vs. Allopathic which grants an M.D. degree), highly promote the training of primary care physicians.
“But this won’t amount to a single new doctor in practice without an expansion of residency positions.”
Medical school deans polled for the AAMC survey indicated that they are concerned about the number of qualified primary care instructors and their ability to provide an increased number of students with clinical training. Roughly half of the deans also expressed concern over being able to maintain or increase class sizes in the current economic environment.