Gravity's Rainbow

botany, shoes, books, and justice

March 24, 2019
by sarcozona
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This study estimated that socioeconomically vulnerable Canadians’ chances of receiving better health care were 36% greater than their American counterparts and this estimate was larger than that based on general patient comparisons (9%). One may wonder about the public health significance of such relative risks/protections. Attributions of risk/protection among populations are a function of three factors of which relative risk is only one. The size of the population and the prevalence of exposure to risks are also important. In this instance, the entire USA population is at relatively greater risk of receiving lower quality care, its more prevalent low-income and inadequately insured populations more so. Applying our findings to population parameters and attributable risk formulations we estimated that without reform, over the next generation more than 50 million Americans will be treated less optimally and die earlier than had they enjoyed a single-payer health care system like Canada’s.

 

via Care of acute conditions and chronic diseases in Canada and the United States: Rapid systematic review and meta-analysis | Journal of Public Health Research

April 10, 2018
by sarcozona
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Being chronically ill doesn’t make me a better person, but it does help me identify jerks

I assume people think surviving illness changes you because there’s something inherently character-building about pain. But what happened wasn’t a struggle, in the sense that through perseverance I overcame something difficult. For a fairly brief but unexpected period of my … Continue reading

July 19, 2016
by sarcozona
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providing services to headache patients—no matter how needed they are—is often described as a money-losing proposition. The problem is twofold: headache medicine requires few procedures, while at the same time, necessitates long doctor-patient appoint­ments. This matters because in the United States reimbursement rates pay much higher dividends for procedures than “evaluation and management.”

Joanna Kempner in Not Tonight

Treatment and management of my migraines improved immensely once I left the US.