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The draft recommendation by the U.S. Preventive Services Task Force, due for official release next week, is based on the results of five well-controlled clinical trials and could substantially change the care given to men 50 and older.Ibid.
Good. Their job is to evaluate the clinical evidence available for preventive procedures, has been for decades.
The USPSTF was convened to rigorously evaluate clinical research in order to assess the merits of preventive measures, including screening tests, counseling, immunizations, and preventive medications.The USPSTF comprises primary care clinicians (e.g., internists, pediatricians, family physicians, gynecologists/obstetricians, and nurses). Individual members' interests include: decision modeling and evaluation; effectiveness in clinical preventive medicine; clinical epidemiology; the prevention of high-risk behaviors in adolescents; geriatrics; and the prevention of disability in the elderly.
Current members of the Task Force are listed below. They have recognized expertise in prevention, evidence-based medicine, and primary care.
Virginia A. Moyer, M.D., M.P.H. (Chair)
Professor, Pediatrics
Baylor College of Medicine, Houston, TX
Chief, Academic Medicine Service, Texas Children's Hospital
Michael L. LeFevre, M.D., M.S.P.H. (Co-Vice Chair)
Professor, Department of Family and Community Medicine
University of Missouri School of Medicine, Columbia, MO
Albert L. Siu, M.D., M.S.P.H. (Co-Vice Chair)
Professor, Geriatrics and Palliative Medicine
Mount Sinai School of Medicine, New York, NY
Kirsten Bibbins-Domingo, Ph.D., M.D.
Associate Professor, Medicine, Epidemiology, and Biostatistics
University of California, San Francisco, CA
Co-director, UCSF Center for Vulnerable Populations
San Francisco General Hospital
Adelita Gonzales Cantu, Ph.D., R.N.
Assistant Professor, Family and Community Health Systems
University of Texas Health Science Center, San Antonio, TX
Susan J. Curry, Ph.D.
Dean, College of Public Health
Distinguished Professor, Health Management and Policy
University of Iowa, Iowa City, IA
Glenn Flores, M.D.
Professor, Pediatrics and Public Health
University of Texas Southwestern, Dallas, TX
Director, Division of General Pediatrics
UT Southwestern Medical Center and Children's Medical Center of Dallas
David C. Grossman, M.D., M.P.H.
Medical Director, Preventive Care and Senior Investigator, Center for Health Studies, Group Health Cooperative
Professor of Health Services and Adjunct Professor of Pediatrics
University of Washington, Seattle, WA
George J. Isham, M.D., M.S.
Medical Director and Chief Health Officer
HealthPartners, Minneapolis, MN
Rosanne M. Leipzig, M.D., Ph.D
Professor, Geriatrics and Adult Development, Medicine, Health Policy
Mount Sinai School of Medicine, New York, NY
Joy Melnikow, M.D., M.P.H.
Professor, Department of Family and Community Medicine
Director, Center for Healthcare Policy and Research
University of California Davis, Sacramento, CA
Bernadette Melnyk, Ph.D., R.N., C.P.N.P./P.M.H.N.P.
Associate Vice President for Health Promotion, Chief Wellness Officer, and Dean
College of Nursing
Ohio State University, Columbus, OH
Wanda K. Nicholson, M.D., M.P.H., M.B.A.
Associate Professor, Obstetrics and Gynecology
Director, Diabetes and Obesity Core Center for Women's Health Research
University of North Carolina School of Medicine, Chapel Hill, NC
Carolina Reyes, M.D., M.P.H.
Medical Director, Maternal and Fetal Medicine
Virginia Hospital Center, Arlington, VA
J. Sanford (Sandy) Schwartz, M.D., M.B.A.
Leon Hess Professor of Medicine, Health Management, and Economics
University of Pennsylvania School of Medicine and Wharton School, Philadelphia, PA
Timothy J. Wilt, M.D., M.P.H.
Professor, Department of Medicine, Minneapolis VA Medical Center
University of Minnesota, Minneapolis, MN
They just trickle this kind of news out a little at a time. In a month or two they'll let out another little cutback.
What to you think these panels are genus? anybody that will be on government health care Obamacare will have to abide by these new rules.
1. The task force is the same thing it's been for decades: a group of clinicians that evaluates the existing evidence on various preventive services.
2. There is no such thing as "government health care Obamacare." That's actually just a bunch of words you've strung together.
3. There are no "rules" being discussed here. Do you have any idea what this is all about?
We could save scads of bucks by eliminating all medical procedures...
We could save scads of bucks by eliminating all medical procedures...
Is this statement relevant to something?
We could save scads of bucks by eliminating all medical procedures...
Is this statement relevant to something?
We could save scads of bucks by eliminating all medical procedures...
Is this statement relevant to something?
It's relevant to me. I wonder when this bleeding will stop, do you? Maybe when they have removed all exploratory surgeries and testing?
Yes, it's certainly relevant to me.
Is this statement relevant to something?
It's relevant to me. I wonder when this bleeding will stop, do you? Maybe when they have removed all exploratory surgeries and testing?
Yes, it's certainly relevant to me.
Nothing has been removed from anything. What are you talking about?
Is this statement relevant to something?
It's relevant to me. I wonder when this bleeding will stop, do you? Maybe when they have removed all exploratory surgeries and testing?
Yes, it's certainly relevant to me.
Nothing has been removed from anything. What are you talking about?
Dr.'s are not accepting new patients with Medicare
To obtain the most current access measures possible, the Commission sponsors a telephone survey each year of a nationally representative, random sample of two groups of people: Medicare beneficiaries age 65 years or older and privately insured individuals age 50 to 64. The overall sample size is 4,000 in each group (totaling 8,000 completed interviews, including an oversample of minority respondents).2 By surveying both groups of people privately insured individuals and Medicare beneficiaries we can assess the extent to which access problems, such as delays in scheduling an appointment and difficulty finding a new physician, are unique to the Medicare population.
Results from our 2010 survey indicate that most beneficiaries have reliable access to physician services, with most reporting few or no access problems. Most beneficiaries are able to schedule timely medical appointments and find a new physician when needed, but some beneficiaries experience problems, particularly when they are looking for a primary care physician. Medicare beneficiaries reported similar or better access than privately insured individuals age 50 to 64.
On a national level, this survey does not find widespread physician access problems, but certain market areas may be experiencing more access problems than others due to factors unrelated to Medicareor even private payment rates, such as relatively rapid population growth. Moreover, although the share of beneficiaries reporting major problems finding a primary care physician is small, this issue is a serious concern not only to the beneficiaries who are personally affected but alsoon a larger scalefor the functioning of our health care delivery system. The Patient Protection and Affordable Care Act of 2010 (PPACA) contains several provisions to enhance access to primary care, including increasing Medicare payments for primary care services provided by primary care practitioners. This policy marks an important step toward ensuring access, but more levers should be explored. Regulatory changes have also resulted in some payment increases for services that primary care providers frequently provide. The Commission will continue examining multiple approaches for improving Medicares payment policies to promote primary care.
Most beneficiaries report timely appointments
Because most Medicare beneficiaries have one or more doctor appointments in a given year, an important access indicator we examine is beneficiaries ability to schedule timely appointments. In the 2010 survey, among those seeking an appointment, most beneficiaries (75 percent) and most privately insured individuals (72 percent) reported never having to wait longer than they wanted for an appointment for routine care (Table 4-1). Another 17 percent of Medicare beneficiaries and 21 percent of privately insured individuals reported that they sometimes had to wait longer than they wanted for a routine appointment. The differences between the Medicare and privately insured populations in their never and sometimes response rates were statistically significant, suggesting that Medicare beneficiaries were more satisfied with the timeliness of their routine care appointments.
As expected, rates for getting timely illness- and injury- related appointments were better than rates for routine care appointments. Among those needing appointments, Medicare beneficiaries were more likely than privately insured individuals to report never having problems getting timely illness or injury appointments (83 percent of Medicare beneficiaries and 80 percent of privately insured individuals); 13 percent of Medicare beneficiaries and 15 percent of privately insured individuals reported sometimes having to wait longer than they wanted. These differences are statistically significant, suggesting that Medicare beneficiaries were slightly less likely than privately insured individuals to encounter delays for illness and injury appointments.
Ropey said:It's in the process and you are pretending not to see it. Look at the OP. It's rather clear, unless one is not looking.
^ You're posting Noam Chomsky in your sig.
Well, that says quite a bit with regards to agenda in two words.
^ You're posting Noam Chomsky in your sig.
Well, that says quite a bit with regards to agenda in two words.
2 words? Jew lover? lol
^ You're posting Noam Chomsky in your sig.
Well, that says quite a bit with regards to agenda in two words.
2 words? Jew lover? lol
2 words in your sig...
Noam Chomsky.
I don't see Jew Lover in your sig.
2 words? Jew lover? lol
2 words in your sig...
Noam Chomsky.
I don't see Jew Lover in your sig.
Maybe i should say "Noam Lover"....but that sounds like some sick Travelocity porn for rednecks.
Dr.'s are not accepting new patients with Medicare
Would it really be that much trouble to take 2 minutes to verify what you're saying? MedPAC in March:
To obtain the most current access measures possible, the Commission sponsors a telephone survey each year of a nationally representative, random sample of two groups of people: Medicare beneficiaries age 65 years or older and privately insured individuals age 50 to 64. The overall sample size is 4,000 in each group (totaling 8,000 completed interviews, including an oversample of minority respondents).2 By surveying both groups of people privately insured individuals and Medicare beneficiaries we can assess the extent to which access problems, such as delays in scheduling an appointment and difficulty finding a new physician, are unique to the Medicare population.
Results from our 2010 survey indicate that most beneficiaries have reliable access to physician services, with most reporting few or no access problems. Most beneficiaries are able to schedule timely medical appointments and find a new physician when needed, but some beneficiaries experience problems, particularly when they are looking for a primary care physician. Medicare beneficiaries reported similar or better access than privately insured individuals age 50 to 64.
On a national level, this survey does not find widespread physician access problems, but certain market areas may be experiencing more access problems than others due to factors unrelated to Medicareor even private payment rates, such as relatively rapid population growth. Moreover, although the share of beneficiaries reporting major problems finding a primary care physician is small, this issue is a serious concern not only to the beneficiaries who are personally affected but alsoon a larger scalefor the functioning of our health care delivery system. The Patient Protection and Affordable Care Act of 2010 (PPACA) contains several provisions to enhance access to primary care, including increasing Medicare payments for primary care services provided by primary care practitioners. This policy marks an important step toward ensuring access, but more levers should be explored. Regulatory changes have also resulted in some payment increases for services that primary care providers frequently provide. The Commission will continue examining multiple approaches for improving Medicares payment policies to promote primary care.
Most beneficiaries report timely appointments
Because most Medicare beneficiaries have one or more doctor appointments in a given year, an important access indicator we examine is beneficiaries ability to schedule timely appointments. In the 2010 survey, among those seeking an appointment, most beneficiaries (75 percent) and most privately insured individuals (72 percent) reported never having to wait longer than they wanted for an appointment for routine care (Table 4-1). Another 17 percent of Medicare beneficiaries and 21 percent of privately insured individuals reported that they sometimes had to wait longer than they wanted for a routine appointment. The differences between the Medicare and privately insured populations in their never and sometimes response rates were statistically significant, suggesting that Medicare beneficiaries were more satisfied with the timeliness of their routine care appointments.
As expected, rates for getting timely illness- and injury- related appointments were better than rates for routine care appointments. Among those needing appointments, Medicare beneficiaries were more likely than privately insured individuals to report never having problems getting timely illness or injury appointments (83 percent of Medicare beneficiaries and 80 percent of privately insured individuals); 13 percent of Medicare beneficiaries and 15 percent of privately insured individuals reported sometimes having to wait longer than they wanted. These differences are statistically significant, suggesting that Medicare beneficiaries were slightly less likely than privately insured individuals to encounter delays for illness and injury appointments.
Ropey said:It's in the process and you are pretending not to see it. Look at the OP. It's rather clear, unless one is not looking.
Ah, one of those "well, sure, I concede it's not actually happening in reality but in my imagination...." arguments. Keep us posted on that.
Wasn't it just earlier this month that the right was wringing its collective hands over the costs of the preventive benefits provisions of health reform (which applies only to evidence-based preventive services)?
Dr.'s are not accepting new patients with Medicare
Would it really be that much trouble to take 2 minutes to verify what you're saying? MedPAC in March:
Ropey said:It's in the process and you are pretending not to see it. Look at the OP. It's rather clear, unless one is not looking.
Ah, one of those "well, sure, I concede it's not actually happening in reality but in my imagination...." arguments. Keep us posted on that.
Wasn't it just earlier this month that the right was wringing its collective hands over the costs of the preventive benefits provisions of health reform (which applies only to evidence-based preventive services)?
So my medical providers do take it regardless of what they have posted. Damn. So the survey much like unemployment conducts was wrong. I am just shocked.
Don't use your imagination... Stick with the facts on this one. If you still can't see it, then that's on you, not me. There is no "government health care Obamacare." Unless you're elderly or poor, you don't have public coverage and you're not going to. Nothing has changed.
it'll be cheaper for business to pay the fine and let the government takeover.
Employers Drop Insurance Over Obamacare
McKinsey & Co., the high profile global business consulting firm, surveyed 1300 businesses and found that "30 percent of employers will definitely or probably stop offering [employer-sponsored insurance] in the years after 2014."
That's the year that the full impact of ObamaCare is scheduled to kick in. Several other surveys have reached similar conclusions.
Another study found that among businesses with a "high awareness" of what ObamaCare is all about, more than half are planning to drop health care insurance benefits for their workers.
The result spells death to private insurance and life to nationalized healthcare just as conservatives predicted.
ObamaCare requires employers with more than 50 employees to provide insurance for their employees or face a $2000 fine.
Many employers are quick to conclude that they are better off to pay the fine than the escalating premium costs.
AT&T calculated that dropping coverage and paying the penalty will save them $1.8 billion annually.
That makes the decision pretty obvious.
Millions of the workers cut loose will be forced to shop within the government blessed "exchanges" – and will be eligible based on income levels for generous taxpayer funded premium subsidies.
Democrats know how to buy votes with taxpayer's money – or even worse, with debt. ObamaCare makes subsidies available up to 400% of poverty level income.
The phony budget projections used to sell ObamaCare were based on just 2.5 percent of workers with current employer provided plans to switch – not 30 or even 50 percent!
The real resulting impact to the federal treasury will be in the trillions according to former budget officials Douglas Holtz-Eakin and James Capretta.
That's another big budget buster that Obama and the Democrats kept hidden behind the curtain when they rammed the bill through Congress.
The end of employer provided health insurance benefits and consolidation into government controlled programs is a big step toward government controlled single-payer health care which has long been the not-so-subtle objective all along.
Never mind that the we'll be bankrupt when we get there.
