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Showing posts with the label Upstreaming

Seeds of Health Improvement Fail on Barren US Soil

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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...

Cancer Gets a Moonshot and STDs Get No Shot at All

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We are all responsible for this failure regarding the STD epidemic. After the smoke clears from all of the politicians and activists who are promoting their own reason for the STD epidemic, there are many reasons . Those who promote their cause are delaying actions that would address the causes - and are helping to spread STDs. This will be more of a listing than a blog, but people need to understand how we are all responsible for the STD failures of our nation.  25 Reasons Why We Fail in STDs 1. We have not grasped that resistant organisms require steady changes in the treatments.  2. Some drugs that could treat STDs more effectively are not available or are too costly.  Drug companies have also required so much for some drugs that budgets are shot to deal with many areas - such as STDs. As demand goes up, prices also go up, fewer are treated, and demand goes up. This is a death spiral 4. Public health spending is half what it should be and austerity...

Selling and Swelling a Bigger HITECH Bubble

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Cherry picking 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 to top importance for those who promote digital solutions. The digital leaders continue to present A Beautiful Day in the Neighborhood or Community as you will see. But which community, theirs or ours?  Leaders are c herr y picking the information to present, when they promote further digitalization and ignore the consequences such as: The massive additional cost of digitalization is a factor contributing to a 1 percentage point increase in health care costs from July to August of this year alone. The clock is now ticking to determine future reimbursement based on the next 3 years of outcomes. Health care entities are trying ...