Category: Health Care

Elizabeth Edwards at Health Journalism 2008

Elizabeth Edwards, wife of former Democratic Presidential Candidate John Edwards, gave the keynote address at the Saturday awards luncheon at Health Journalism 2008, the annual meeting of the Association of Health Care Journalists.

Elizabeth and her husband formed the Wade Edwards Foundation after he was killed in a tragic car accident. Her personal breast cancer story made lots of news, and she says that when his campaign was active she spent lots of time criticizing her husbands’ Democratic opponents. So she spent her whole a major chunk of her speech attacking Sen. McCain, apparently on the grounds that her criticisms of Sen. Clinton and Sen. Obama were “old news.” How conveeeenient.

Continue reading “Elizabeth Edwards at Health Journalism 2008”

Health Reform Panel at Health Journalism 2008

Julie Appleby, USA Today, moderated this panel and asked each member to give a three-minute solution to health reform.

David Himmelstein, a promoter of single-payer government health insurance, is a primary care M.D. in Cambridge, Mass. He says we need to reform the insured as well as the uninsured. He says by spending what we currently spend on health care more wisely (31 percent for administration.) He says $80 billion insurance overhead would be eliminated.

Karen Davis from the Commonwealth Fund has five principles: Coverage for all, payment reform, a more organized health care system (a “medical home” that ensures access, not just coverage), narrowing the variation in quality and efficiency and bringing everyone to the highest level of quality, national leadership with the private and public sector working together.

Julie Barnes from the New America Foundation’s Health Policy Program has a mission to “preach hope and dispel fears.” She urged journalists to include solutions in their reporting. Their goals: cover all Americans, reduce costs and improve quality. She says these are inextricably linked. Covering everyone means we need to change how we pay doctors, paying not for quantity but quality. She says it can’t happen without bipartisan support, and that we need to encourage conversation.

Tom Miller from American Enterprise Institute says we need to introduce incentives that move us toward a sustainable, value-based health system. We need to encourage healthier behavior by consumers. More emphasis on primary prevention. He says he will “revise and extend his remarks” on the AEI web site.

The Davis/Commonwealth proposal sounds a lot like what the Mayo Clinic Health Policy Center has been advocating. Many of the principles are similar.

Miller says the mismatch between what we spend and what we receive is the fundamental problem. We can’t tax ourselves enough to pay for a program when overall costs are increasing faster than the economy.

Miller and Himmelstein got into a discussion that was, at the very least, “spirited.” Julie Barnes got her wish for “conversation,” I guess.

Julie Appleby asked each of them to suggest story ideas for the assembled journalists. Their suggestions:

Continue reading “Health Reform Panel at Health Journalism 2008”

Economics of Health 101

I’m live blogging this session of Health Journalism 2008, with panelists including:

I’ll possibly have some video of Dr. Fronstin later; he gave a good overview of the basics of private health insurance.

Dr. Wilensky says the basic problem is that health spending is growing by an average of 2.5 percent more than the rest of the economy. Over the long term, she says, Medicare growth approximates growth for all health care. If overall spending continues to increase at the rate it has, and if Medicare essentially mirrors that growth rate, we will see Medicare, Medicaid and Social Security consume all of the federal government’s current revenues before 2030. She recommended what she calls some sensible next steps for Medicare:

Continue reading “Economics of Health 101”

Dennis Quaid Video on Medical Errors

Here are some video highlights of Dennis Quaid’s speech about medical errors and his family’s experience at Health Journalism 2008, the 10th annual conference of the Association of Health Care Journalists:

[youtube=http://www.youtube.com/watch?v=A7vcYN-K0Dk]

I was in the back row, and there are a couple of jerky moments as my arm got tired, so I apologize if you have any fleeting moments of vertigo. Still, for SMUG students and journalists, it’s an example of what you can do fairly easily to share interesting and important information with the world. It’s not a live uStream (maybe I’ll work on that next). I’m not a trained journalist (and as you can see not a trained videographer, either), but this is a step between streaming everything and a deeper context piece. And maybe it can be a resource for real journalists to use in their reporting.

Dennis Quaid on Medical Errors

Dennis Quaid

I’m at the opening session of Health Journalism 2008, which is being kicked off by Dennis Quaid telling the story about his twins daughters receiving 1,000 times the recommended dose of Heparin.

Quaid and his wife have started a foundation to help combat medical errors. One of the measures they advocate is bedside bar-coding.

The breach of patient privacy in their case was another concern. The overdose incident happened (twice) on a Sunday, and was discovered late Monday night. When the Quaids came to the hospital early Monday they were met by risk management, and during the process of the Heparin working its way out of the system (a 41-hour process), he said blood was squirting on the walls. On Tuesday they got a call that the news was all over the gossip site TMZ, even though the Quaids hadn’t told even their close family members.

While they were in the hospital they worked for about a week and a half to get their children’s medical records, and the pages related to the time when they were being overdosed were missing from the 600 pages (300 pages for each of the twins.)

Quaid says that if he had been met with an apology instead of a risk management team, he likely would have responded much differently. One of the overdoses had happened on Sunday while the Quaids were with their twins. When he had called Sunday night to check on them, the nurse told Dennis they were “fine.”

A few months before this incident, three children in Indianapolis died of an overdose when adult Heparin was given in place of the pediatric dose. The Quaids are suing Baxter, not Cedars Sinai, though, because the product wasn’t recalled when the Indianapolis incident happened. He said he’s not interested in any settlement that involves non-disclosure; he wants to raise awareness about the problem of patient safety.

I will have some video highlights from Quaid’s presentation a bit later. It’s good that he is giving public attention to this issue. As he says, patient safety doesn’t typically make headlines because incidents happen one at a time, and not to celebrities. He is making a lot of the same points I’ve heard patient safety leaders make at Mayo Clinic. He has a megaphone that enables him to get the issue noticed, and today he spoke to a bunch of journalists who I’m sure will help with the effort.

I wonder whether bloggers will take up this patient safety issue in a big way.