Friday, November 20, 2009

Sam Shem at HIS talk on Mammograms and Health Care

at HIS Talk today,
Re: mammograms. An independent body, after review and analysis of eight clinical trials, comes out with EVIDENCE that mammogram screening in under-40-year-olds has little or no value. What happens? The radiologists are up in arms and the Obama administration, in the person of DHHS Secretary Kathleen Sebelius, tells patients to just keep doing what you did last year. And they want to cut costs by a billion dollars over the next decade to pay for national health insurance? If anyone really believes this country will ever control the costs of health care, they are living in a dream land!”

Interesting, too, that nobody’s paying much attention to the study that showed that electronic medical records haven’t improved outcomes or cost so far, even as the government is spending lots of money on those, too. At least EHRs have potential. In an economy where jobs are dying out, politicians don’t have the guts to make serious change since the people unhappy with health care don’t have the clout of those who like it just fine. I cited statistics here years ago saying that health care was making a staggering economy look robust because of rising costs, profits, and high employment, all unsustainable in a global economy.
I suppose the question then is how confident anyone can be the government as opposed to markets can make Health Care a sustainable sector in the economy.

Considering the Gov's placing its bets on tick-box medicine, voodoo economics on preventive med, and EHR; I'm not very confident. I think it has to do with politicians guts and lack there of. Sarah Palin maybe? She has guts.

xp My Medical Informatics Blog

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