Basic Health Access

When you pay so much more for health care costs as seen in Massachusetts - you deplete child development, early education, mental health public health, higher education, environmental changes, housing, nutrition, and public security. The US is among the worst toward the right. A few people benefit from the health care design. A few locations benefit from health care spending - particularly in just a few zip codes in the state of Massachusetts. State budgets are also depleted by prison spending. Federal budgets are depleted by military cost increases and prison costs - also about twice the level of spending as compared to other nations, just like runaway health care costs. In many ways too much for too little result in health, in prison, and in military spending results in greater divisions, worsening disparities, and declining outcomes. These increasing costs deplete the human infrastructure investments needed and the physical infrastructure investments needed - w...

Science denial is a popular topic right now. It is convenient to punish some who deny some scientific findings while preserving the right to disagree with science in other areas. Sadly there is science denial rampant in health care. Many treatments have no evidence basis, others are significant but not relevant, but mostly there is ever higher cost for little gain in outcomes. New innovations have been some of the worst distractions because the evidence basis is ignored. In the name of better health, our designers are shaping worse health outcomes. It is difficult to tell which is worse - Science Denial that profits Big Business or Science Denial that profits Health Care Business. Science denial works for higher profits for both.  Business Profit Focus destroys the external environment that shapes future human health largely by impacting environments negatively. Health Care Profit Focus destroys the internal human environments and interactions between people and their env...

Evidence basis gets much attention. Unfortunately there is much opinion and assumption that buries the evidence. The pathway to becoming a leader in an association is paved with areas believed to be important with or without evidence basis. Associations are prone to point out the need for evidence basis, but they may be the ones that should be improving evidence basis across leaders, staff, and media. The popular media passed around is a great source for assumptions. Unfortunately works published in major journals need a great deal of improvement also. AAFP has a number of areas for improvement regarding evidence basis 1. Maintenance of Certification is supported despite lack of evidence 2. Pay for Performance and derivatives are supported despite lack of outcome improvement in major reviews 3. Pay for Performance is supported despite the consistent evidence to lesser payment for those serving Americans left behind (where family physicians are 3 times more likely to be found...

Our nation should not waste time and energy on the past. Numerous protests to attempt to preserve ACA may or may not have impact. What is most important is shaping a better future - really shaping a better future. A better future begins with better children - children healthier and more developed mentally and physically and emotionally. Better health outcomes and better outcomes in education, economics, and other areas are about better children. Children are also the key to returning sanity and accountability to the new leadership. Children's health insurance known as CHIP has enjoyed bipartisan political support for many years. The current movement away from this support is the mistake that should cost current leaders their leadership or force them to be accountable. The politicians that support slashing CHIP have declared against children, have declared against key needs in Red Counties, have declared against people working their way out of poverty, and have declared ag...

The Basic Health Access Blogs typically arise as a critique of various media pieces or claims made by various health care organizations, government bodies, or foundations. Given the sad state of objective critique at all levels and the well-financed need to satisfy numerous distracting agendas, there is far too much subject material. The fact of the matter there is little positive to write about Basic Health Access and this has been true since 1983. If you want the usual news or literature with typical opinions, this blog is not for you. If you want to gain awareness regarding the designs, false claims, and confusions that lead to lesser health care outcomes and deficiencies of health access - read on.  The author has been teaching, researching, and delivering health access since the 1980s policies kicked him and too many others out of rural family practice. He is one of few that has developed physician, county, family physician, and other databases with a critic...

Policy and Design Seeds of Health Improvement Fail on Barren US Soil - Any number of interventions can work in a nation that invests in children, and improved environments, situations, and social determinants. In nations failing in support, health interventions can be expensive and can fail to work. Medicaid as Savior or Betrayer of Access - Higher payments from Medicaid can increase access for patients with or without insurance. Medicaid expansion with current payments too low cannot support Medicaid patients, local providers where care is needed, or patients with insurance either. Selling and Swelling a Bigger HITECH Bubble - C herry pi cking has become essential for those who provide or insure health care. Choose the easiest route will capture more dollars with less cost of delivery - and this will earn more bonuses and assure no penalties. Changes since 2010 will reward those already doing well and will penalize those already behind. Cherry picking has apparently moved ...

From the 1960s to the 1970s, many efforts to improve health, education, and community efforts were successful. Since 1980 the successes have been limited. The US soil appears to be unable to sustain the necessary growth and development to help make interventions in health, education, nutrition, and other areas more effective. In many ways the progress of recent decades has been about lasting impact from the previous decades. A generation with greater investment will benefit and will also benefit the next generation. The past investments have run their course. War on poverty, the creation and increased funding of Medicaid and Medicare, support for the National Health Service Corps, Community Health Centers, and other investments have been followed by decades of cost cutting and austerity focus. Funding for humans has been diverted to other areas and the moonshot focus continues. Once it appeared that numerous interventions worked. Even the medical education efforts seemed to work f...