policy

The Future Prescription Drugs Being Developed Right Now

At any one time, there are hundreds of drugs being developed around the world. Some of them could change the way we treat conditions such as lung cancer and asthma. Here are six drugs currently in development that have a real chance of finding their way onto shelves. Drugs are a very touchy subject for aspiring doctors — medical students have definitely taken the time to learn about prescription drugs. The pharmaceutical industry forms a big portion of the affairs that physicians carry out everyday. From the drugs prescribed to the clinical trials conducted, medicine is closely intermingled with the development and use of new medications. However, issues arise when the reporting on the safety, efficacy, and utility of these drugs remains undisclosed due to certain conventional procedures. If you are a medical student who has gone through clinical rotations, you might likely have had this experience (especially on the surgical floors). If you are just starting medical school, it’s something to look forward to! Medical students must also keep cognizant of the opioid epidemic. All it took was one-hundred words to kill over hundreds of thousands of Americans. A new report from the New England Journal of Medicine tells the story of how this short doctor’s note helped facilitate today’s American opioid epidemic. Read more about it here. Since opioids were not widely used forty years ago, so doctors did not have...

Drastic Times Call for Drastic Measures: The Opioid Epidemic and the Electronic Health Record

The over-prescription of medication has reached epidemic proportions. While politicians give speeches and draft legislature to address the opioid epidemic, the improper use of prescription medication impacts our society in many ways. For example, when a patient presents with a cold virus and is prescribed an antibiotic “just in case,” not only does the antibiotic cost the patient money, but it will have no effect on the cold virus. On a larger scale, these unnecessary antibiotics may encourage the evolution of antibiotic-resistant superbugs. Most medical practices in America have adopted some sort of electronic health record system, but Americans have resisted a national electronic health record database, citing valid concerns about privacy and government overreach. However, Rumball-Smith et al., argue in JAMA that if carefully implemented and used wisely, the electronic health record (EHR) could address systematic problems when it comes to prescription drugs and “be a powerful vehicle for measurement and intervention around low-value care.” Image by mcfarlandmo / CC by 2.0 So why not implement a national database for electronic health records? The main advantage of this system is also the biggest threat – the ability to track information down the to the individual level presents an opportunity to intervene. But at what cost to privacy? A national EHR could show if a patient was soliciting pain medication from multiple doctors and flag that patient’s record. Or,...

What It’s Like To Advocate For Healthcare

Make your voice heard. With the ongoing healthcare debate, we are told again and again how valuable our voices are as docs and almost docs. But how do we make our voices heard? One way is to call your representatives. Another is to visit them. A number of medical organizations coordinate annual advocacy days on Capitol Hill for their members to attend. The benefit of meeting in person with Congressional representatives and their staff is that it can help us put a face on the healthcare workforce and establish ourselves as experts in the care of patients. It can create lasting relationships with these representatives that gives us the power to speak for our patients. This year was my third time attending one of these advocacy days held by the American College of Physicians. Yet, I can still remember the uncertainty I felt as I arrived at Washington, DC as a first-year student. Who am I to speak on what ails our healthcare system? What if I don’t know the exact policies? Luckily, the first day was designed to get me up to speed. I received outlines for each issue we were advocating for, including current related bills we should ask our representatives to support. I listened to policy experts speak about the issues and how to best speak about them. I watched example discussions with representatives so that...

Cultural Competency in Healthcare: What Is It and Why Do We Need It?

I was walking along a crowded street when a skinny, darkly colored man entered the flow of traffic in front of me. Looking back to see where he came from, I noticed a seemingly insignificant door at the base of a tall, weathered building. The scene wouldn’t have caught me off guard – a man simply exiting his workplace or home, perhaps – except for the blue and white NHS sign that was displayed on the brick exterior. I was in London, visiting a Bangladeshi community to learn about the social environment of this marginalized population. The man I had seen enter the street was most likely of Bangladeshi nationality given the brown color of his skin and his dark eyes. I was more interested in the building where he came from, though. The NHS label stood for National Health Service, the governing body that provides healthcare for the United Kingdom’s residents. My tour guide later explained that the building housed a free clinic for the homeless and low-income people in the area. Government-funded dollars provided access to healthcare, and I thought that was incredible. This ordinary scene on a rainy day in London, surrounded by people that look and speak very differently than me, started a cascade of thoughts on culture, health, and medical practice. I wanted to learn more about how culture influences healthcare. So, I did...

PODCAST: How Do We Treat Psychiatric Disorders?

From the days of Freud, psychotherapy had been a dominant form of treating psychiatric disorders. But more recently, psychotherapy use has declined in favor of medications. In fact, according to a 2010 study in the American Journal of Psychiatry, the number of patients in outpatient mental health facilities receiving only psychotherapy fell from 15.9 percent to 10.5 percent from 1998 to 2007, while the number of patients receiving only medication rose from 44.1 percent to 57.4 percent. Now, there are a number of reasons behind this shift. On the one hand, many in the science community look down to psychotherapy as an unstandardized mode of treatment. Meanwhile, to these critics, medications have proven to be safe and efficacious after numerous clinical trials. These criticisms seem sound, but is a decline in psychotherapy use for the better? Does the use of medication alone ignore the social and cultural components unique to psychiatric disorders? In the first episode of The Void Podcast, I talk to psychiatrist Dr. Loren Sobel to answer these questions. Dr. Sobel practices psychodynamic therapy—a form of psychotherapy that seeks to uncover the psychological roots of patient’s mental illness. In addition to discussing the effects of the shift from psychotherapy to medication, Dr. Sobel and I speak at-length about the causes—including the scientific community’s greater dependence a biological model of disease. Have a...

Why Medicaid Is Important

President Trump’s budget proposal reveals that his administration plans to cut a whopping $610 billion from Medicaid funding over the next ten years. Including the additional $839 billion that the American Health Care Act plans to slash from Medicaid, the total cuts to the largest health insurance program in the U.S. could round up to nearly $1.5 trillion. That’s an enormous cut. But, it’s expected from a Republican-controlled government that prides itself on fiscal conservatism (sometimes at the expense of people’s livelihood). Medicaid is often criticized, for reasons other than how expensive it is to fund. The main criticisms are that it is an entitlement program that actually provides bad coverage. Some of these criticisms are fair. For instance, individuals on Medicaid have limited access to providers, while providers are reimbursed at low rates for treating  patients—both of these factors sum up to bad coverage. But, criticisms seem to ignore the essence of why Medicaid is important in the first place—it provides coverage to individuals who otherwise wouldn’t be able to access health care. In fact, studies show that its expansion may actually have a positive effect on health care by improving affordability and access. A report by the United States Department of Health & Human Services (HHS) found that 78 percent of Medicaid expansion enrollees indicated that they wouldn’t have been able to access or afford care prior to its expansion....

Pros and Cons of The California Single Payer Bill

The California state Senate passed SB 562 on June 1. The California Single Payer Bill would put an end to private health insurance, as well as Medicare and Medicaid, and replace it with a single-payer health care system. Under a single-payer system, all California residents will be eligible to receive health insurance from a single state-sponsored insurance system called Healthy California. All funding for insurance will come from the state government, which means that there are no out-of-pocket costs for consumers. Single-payer health insurance systems are widely used in European countries, and they have been lauded by Democrats in the United States because they guarantee health insurance for all. In many ways, a single-payer system seems like a dream come true—everyone is covered and consumers don’t have to pay a dime! But, like every health care system, a single-payer system has it’s drawbacks. To better understand what the The California Single Payer Bill will look like, here’s a list of pros and cons: PROS California Single Payer Bill Means Insurance for everyone! This is perhaps the greatest and most palpable benefit of a single-payer insurance system—everyone is eligible to enroll in Healthy California. Under Obamacare, California’s uninsured rate dropped from 17 percent in 2013 to 7 percent today. This is a dramatic improvement, but there are still roughly 3 million people in California that are uninsured. This problem of access will be eradicated completely...

Page 1 of 17123...10...Last ›