As Health Commentary predicted this week, the number of missing children resulting from the Trump “zero-tolerance” policy would far exceed 2,300. New estimates by NBC News place the number at 4,100 and climbing. Will it be 5,000, 10,000, more? We don’t know. From NBC News: “Officials have said that at least 2,342 children were separated from […]
The post Number of Separated Children Now 4,100 and climbing! appeared first on HealthCommentary.
1450 Children Here ProPublica has established an open source registry to identify and map all immigrant children retention sites. So far, 97 sites all over the US have been verified. The Trump administration says there are only 2,300 children out there. But the Walmart site in Texas has 1,450 alone. If you are caring for […]
The post ProPublica Has Mapped 97 Immigrant Children Retention Sites – Please Help! appeared first on HealthCommentary.
Mike Magee Edmund Burke, a member of the British Parliament in 1787, stated “There are Three Estates in Parliament; but, in the Reporters Gallery yonder, there sits a Fourth Estate more important far than they all.” Even lacking formal recognition by the political system, Burke was acknowledging the “indirect but significant influence on society” of […]
The post Doctors and Nurses – Called To “Bear Witness!” appeared first on HealthCommentary.
Mike Magee “Syndicate: a self-organizing group of individuals, companies, corporations or entities formed to transact some specific business, to pursue or promote a shared interest. In most cases formed groups aim to scale up their profits.” Drug channel companies including Pharmacy Benefit Managers (PBMs) (like United Healthcare’s Optum, Express Scripts and CVS/Caremark) and distributors (like […]
The post The Pharmacy Benefit Manger (PBM) Syndicate appeared first on HealthCommentary.
VIDEO Mike Magee Last evening, the normally controlled Rachel Maddow could no longer contain her humanity when forced to report that the Trump administration has been placing innocent babies and and other young children in three “tender age shelters” in south Texas. She broke down in tears and could not speak on camera. Long […]
The post The House of Medicine Stands Tall – A Day of Reckoning. appeared first on HealthCommentary.
Mike Magee The U.S. birth rate dropped for the second year in a row, down 3% from the prior year, the largest decline since 2010. In 2017, there were nearly 4 million births, 500,000 fewer births than in 2007, even though there has been a 7% increase in women 20 to 39, prime childbearing years, […]
The post Does Maternal Health Care in America Deserve Its “Me-Too” Moment? appeared first on HealthCommentary.
Mike Magee This week’s big news is no big surprise. “Medicare’s Trust Fund Is Set to Run Out in 8 Years. Social Security, 16”, said the New York Times. We told you so, screamed the Republicans, anxious to fulfill Paul Ryan’s dream of taming endowments. We told you so, blared the Democrats, claiming this was […]
The post Is it time for the “next” health care, or a total reboot? appeared first on HealthCommentary.
Mike Magee A Commonwealth Fund study in 2015 compared 13 nations on cost and quality. As most know by now, the U.S. finished near the bottom in quality measures and at the very top, by far, in cost. But the chart that drew my attention was the one above showing health expenditures vs. total spending […]
The post Cutting Safety Net Sends Health Status Lower in U.S. appeared first on HealthCommentary.
Mike Magee It’s been 11 months since Sen. John McCain (R-AZ) gave the thumbs down to repealing Obamacare. But get ready for another push at “Repeal and Replace!” That’s what’s circulating within the halls of Congress right now. This has little to do with over-riding the wishes of the majority of Americans, and more to […]
The post How to gin up the Base: “Repeal and Replace” – again? appeared first on HealthCommentary.
Mike Magee Most everyone by now has heard about Juul, the leading brand name for e-cigarettes. But, for most of us, that’s where our knowledge begins and ends – except for a growing awareness that there’s a controversy brewing about risk, teenage use, school policy, and profiteering by Big Tobacco which is getting a piece […]
The post Juul – Fun Facts! appeared first on HealthCommentary.
Source: U. of Utah Epigenetics Mike Magee Early in my career, embryology and physiology competed for my affection. What they had in common was functionality – one developmental with time dependent triggers and the other driven by feedback loops with humoral packets of information traveling through blood channels or along neurons. I viewed both processes […]
The post You Are Your DNA – or Are You??? appeared first on HealthCommentary.
Mike Magee “On résiste à l’invasion des armées; on ne résiste pas à l’invasion des idées.” – Victor Hugo. It’s useful for all health professionals to reflect on the words of this 19th century French writer. The translation: “Greater than the tread of mighty armies is an idea whose time has come.” As the AEI […]
The post Where will reform come next, and who will lead the way? appeared first on HealthCommentary.
Mike Magee A recent paper from the National Bureau of Economic Research, reported out in The Atlantic, began with the health outcomes in DACA children but ended with thoughts on why a teenage girl in Mississippi is 15 times more likely to give birth than her counterpart in Switzerland. DACA is a favorite topic of […]
The post DACA and the Health Benefits of a “Shot at Upward Mobility”. appeared first on HealthCommentary.
Mike Magee A March 13, 2018 article written by scholars from the London School of Economics and published in JAMA focused on an all too familiar subject – comparative health care costs in America. That article was accompanied by a number of editorial reaction pieces including the one written by Zeke Emanuel who generated the […]
The post What Uwe Reinhardt (or Angus Deaton) Would Say About HC Costs. appeared first on HealthCommentary.
Mike Magee In this week’s The New Yorker, David Remnick reflects on “Trump’s illiberalism” and its’ test of the resilience of “sturdy-seeming American values” and the endurance of “institutions that the President has scorned and threatened.” He sees active turnout in the 2018 midterm elections as part of the test, but also suggests that any […]
The post How Trump May Help Us Liberalize American Health. appeared first on HealthCommentary.
Mike Magee Two weeks ago Zeke Emanuel asked the question “Are hospitals becoming obsolete?” In his New York Times Op-Ed he flagged the high water mark for the industry as 1981, a year when 6,933 hospitals nationwide admitted 39 million patients or 171 for every 1000 Americans. Thirty five years later, our population has grown […]
The post Hospital Obsolescence or Hospital Reinvention? appeared first on HealthCommentary.
Mike Magee With great fanfare, the New York Times announced this week that UnitedHealthcare “would stop keeping millions of dollars in discounts it gets from drug companies and share them with its customers.” For awhile, pharma, insurers, pharmacies and PBMs have been pointing fingers at each other over escalating costs. That’s become more difficult of […]
The post The Basics of Pharma Kickbacks – Opaque & Complex appeared first on HealthCommentary.
RWJF has created this interactive tool which looks at life expectancy by Zip Code. Check it out HERE.
The post How Long Will You Live? Check Your Zip Code. appeared first on HealthCommentary.
CDC Obesity Map Mike Magee As the debate over health care in America rages on, the great lie oft repeated but never defended is that our system is exceptional and too complex to wrestle to the ground. That is the breech, reinforced over half a century that has left our citizens and now our entire […]
The post The Simplification Movement in American Healthcare appeared first on HealthCommentary.
nbcnewyork.com Mike Magee At this time of year my wife and I always try to see the movies nominated for an Academy Award. Recently we saw Darkest Hour, up for Best Picture as well as a Best Actor nod to Gary Oldman in his role as Winston Churchill. The film begins with Dunkirk and the […]
The post Parkland Teens Teach “Positive Leadership”! appeared first on HealthCommentary.
Mike Magee It came as no surprise to #MeToo’ers across the nation that Gen. John Kelly expressed “shock” about Rob Porter’s eye-blackening abuse of his first wife, of which he was informed months before; any more than they were taken aback that Mike Pence fell back on his now well-worn defense, “This is the first […]
The post Health Coverage “Black Eye” Needs a #MeToo Wake-Up Call. appeared first on HealthCommentary.
Mike Magee Angus Deaton, the Princeton professor and Nobel Laureate who documented the tie between America’s raging prescription opioid epidemic and the first multi-year decline in U.S. life expectancy in our history, has done it again. This time it’s America’s poor in a New York Times Op-ed title “The U.S. Can No Longer Hide From […]
The post Hiding In America’s “Deep Poverty Problem” is Health Care. appeared first on HealthCommentary.
Mike Magee Quietly rising out of the ashes of the Republican led campaign to “repeal and replace” the Affordable Care Act, are pragmatic efforts, not focused on “if”, but focused on “how” and “when” the U.S. will join all other developed nations and provide all of her citizens with affordable, high-quality care. Last week, a […]
The post Health Reform – Is This a 1960s Moment? appeared first on HealthCommentary.
The post Majority Favor ACA by 8%. appeared first on HealthCommentary.
Mike Magee With great fanfare this week, the CEOs of Amazon, JPMorgan Chase, and Berkshire Hathaway announced that they were creating a healthcare company “free from profit making incentives and constraints.” Pledging to provide their combined 1.1 million employees with “simplified, high-quality and transparent healthcare at a reasonable cost” by “harnessing technology”, their move […]
The post Health Care Poverty – An American Phenomenon. appeared first on HealthCommentary.
Bjork-Shiley heart valve Mike Magee Most Americans remain unaware that in the eyes of the FDA not all therapies are considered equal when it comes to regulatory approval and oversight. Drugs are one thing, but medical devices are quite another. As we’ve seen with drug approvals, over the 20th century, organized review and oversight of […]
The post Medical Device Regulation – FDA’s Weakest Link appeared first on HealthCommentary.
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