Wednesday, May 4, 2016

The medical mess

We had a bit of a stir at the motel last evening. Liz, Arizona, and I were just chewing the fat about life, the universe, and everything with other neighbors when a rather large gal a few rooms up from us had a major grand mal epileptic seizure. I had been trained on how to tend such a seizure back in 1956 (neat story, happy endings, they’ll keep), however under the present conditions I’d be completely useless. Good thing Liz is a CNA and knew just what to do! Still, it took her and a couple of large, good old boys to keep the poor gal from tearing herself up on the asphalt while waiting for the EMTs. During the six months I was ‘not in this world’ after my stroke, I had broken off 8 of my teeth, shed all but one of my fillings (broke that one), plus various other things that come with violent, involuntary muscle actions.

This ‘inspired’ me to revisit my observations of the financial costs of such these ‘daze.’ The last time I checked around 2001 or 2002, a local ambulance ride was $500. According to the GAO, it has gone to $2,204 as of 2012. Back in 2001-2, helicopter evac started at $25,000. No, I decided not to look for present prices. ...probably cheaper to buy your own!


 
Why have prices risen so horribly high?

Try this on:

(snip)

American consumers and the U.S. economy were hit with a nearly $1.9 trillion tax in 2015 through federal regulations, according to a free market thinktank’s new report.

 
Competitive Enterprise Institute (CEI) describes the thousands of ways Americans are unknowingly taxed by federal regulations in its annual report, “Ten Thousand Commandments: An Annual Snapshot of the Federal Regulatory State.”
The federal government has become very savvy in hiding costs by expanding their reach beyond taxes into regulations,” Clyde Wayne Crews Jr., the report’s author, said in a statement. “Unfortunately, regulatory costs get little attention in policy debates, because unlike taxes, they are difficult to quantify because they are unbudgeted and often indirect.”
But the impacts of burdensome regulations are very real and increase costs for consumers and businesses, limiting productivity and a thriving free market,” he continued.
Federal regulations hide a $15,000 tax per household each year, according to the report. The costs associated with these rules often affect businesses’ prices, workers’ wages, and growth.

(un-snip)

...or this:








 

The Cumulative Cost of Regulations


The impact of regulation on economic growth has been widely studied, but most research has focused on a narrow set of regulations, industries, or both. These studies typically rely on regulatory indexes that measure subsets of all regulation, on country-to-country comparisons, on short time spans, or on surveys in which experts report how regulated they believe their country or industry is. In order to better understand the cumulative cost of regulation, a comprehensive look at all regulations across many industries over a long period of time is imperative.
A new study for the Mercatus Center at George Mason University uses an economic model that examines regulation’s effect on firms’ investment choices. Using a 22-industry dataset that covers 1977 through 2012, the study finds that regulation—by distorting the investment choices that lead to innovation—has created a considerable drag on the economy, amounting to an average reduction in the annual growth rate of the US gross domestic product (GDP) of 0.8 percent.
THE PROBLEMS WITH REGULATORY ACCUMULATION
Federal regulations have accumulated over many decades, piling up over time. When regulators add more rules to the pile, analysts often consider the likely benefits and compliance costs of the additional rules.
But regulations have a greater effect on the economy than analysis of a single rule in isolation can convey. The buildup of regulations over time leads to duplicative, obsolete, conflicting, and even contradictory rules, and the multiplicity of regulatory constraints complicates and distorts the decision-making processes of firms operating in the economy. Firms respond to both individual regulations and regulatory accumulation by altering their plans for research and development, for expansion, and for updating equipment and processes. Because of the important role innovation and productivity growth play in an economy, these distortions have consequences for the growth of the economy in the long run.

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Of course in our lawyer-happy, increasingly hindu ‘medical-care’ country, we’ve got this:

(snip)

Researchers: Medical errors now third leading cause of death in United States


Nightmare stories of nurses giving potent drugs meant for one patient to another and surgeons removing the wrong body parts have dominated recent headlines about medical care. Lest you assume those cases are the exceptions, a new study by patient safety researchers provides some context.
Their analysis, published in the BMJ on Tuesday, shows that "medical errors" in hospitals and other health care facilities are incredibly common and may now be the third leading cause of death in the United States -- claiming 251,000 lives every year, more than respiratory disease, accidents, stroke and Alzheimer's.

Martin Makary, a professor of surgery at the Johns Hopkins University School of Medicine who led the research, said in an interview that the category includes everything from bad doctors to more systemic issues such as communication (must speak hindi) breakdowns when patients are handed off from one department to another.

"It boils down to people dying from the care that they receive rather than the disease for which they are seeing care," Makary said.
The issue of patient safety has been a hot topic in recent years, but it wasn't always that way. In 1999, an Institute of Medicine report calling preventable medical errors an "epidemic" shocked the medical establishment and led to significant debate about what could be done.
The IOM, based on one study, estimated deaths because of medical errors as high as 98,000 a year. Makary's research involves a more comprehensive analysis of four large studies, including ones by the Health and Human Services Department's Office of the Inspector General and the Agency for Healthcare Research and Quality that took place between 2000 to 2008. His calculation of 251,000 deaths equates to nearly 700 deaths a day -- about 9.5 percent of all deaths annually in the United States.




 
Makary said he and co-author Michael Daniel, also from Johns Hopkins, conducted the analysis to shed more light on a problem that many hospitals and health care facilities try to avoid talking about.
Though all providers extol patient safety and highlight the various safety committees and protocols they have in place, few provide the public with specifics on actual cases of harm due to mistakes. Moreover, the Centers for Disease Control and Prevention doesn't require reporting of errors in the data it collects about deaths through billing codes, making it hard to see what's going on at the national level.
The CDC should update its vital statistics reporting requirements so that physicians must report whether there was any error that led to a preventable death, Makary said.
"We all know how common it is," he said. "We also know how infrequently it’s openly discussed."
Kenneth Sands, who directs health care quality at Beth Israel Deaconess Medical Center, an affiliate of Harvard Medical School, said that the surprising thing about medical errors is the limited change that has taken place since the IOM report came out. Only hospital-acquired infections have shown improvement. "The overall numbers haven't changed, and that's discouraging and alarming," he said.
Sands, who was not involved in the BMJ study, said that one of the main barriers is the tremendous ‘diversity’ and ‘complexity’ in the way health care is delivered.

(un-snip)

There’s a lot more. A hell of a lot more unfortunately. Where’s good old Dr. Phillips now?

I’ve got some more linkage in need of formatting, however my left index finger is getting tired so they will have to be added later!

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