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Rising Asthma Rate Leaves Cities Short of Breath, by Dr. David R. Donnersberger, Jr

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Asthma, a respiratory condition that develops when air passages in the lungs are inflamed and airways narrow, kills some 5,000 people in the United States annually. The World Health Organization (WHO) estimates that 255,000 people died of asthma world-wide in 2005. Of these, 80 percent occurred in low and lower-middle income countries.

Currently, experts are struggling to understand why the number of asthma sufferers is rising by an average of 50 percent every decade worldwide. In the United States alone, according to the WHO, the number of asthmatics has leapt by over 60 percent since the early 1980s.

These numbers prove that asthma is an increasingly social disease. Neutral environmental factors, cold weather and pollen, for example — are responsible for some 60 percent of asthma attacks. However, an alarmingly disproportionate number of asthma-related deaths come from children of low-income, inner-city households.

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Bill would make it illegal to feed the obese by Eric Novack

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NovackReally.

From USA Today:

Three legislators want to make it illegal for restaurants to serve obese customers in Mississippi.

House Bill No. 282, which was introduced this month, says:

Any food establishment to which this section applies shall not be allowed to serve food to any person who is obese, based on criteria prescribed by the State Department of Health after consultation with the Mississippi Council on Obesity Prevention and Management established under Section 41-101-1 or its successor. The State Department of Health shall prepare written materials that describe and explain the criteria for determining whether a person is obese, and shall provide those materials to all food establishments to which this section applies. A food establishment shall be entitled to rely on the criteria for obesity in those written materials when determining whether or not it is allowed to serve food to any person.

The proposal would allow health inspectors to yank the permit from any restaurant that "repeatedly" feeds extremely overweight customers.

While it has little support today…

And note that it has both Republican and Democrats as sponsors… 

‘Health Care That’s Always There’. Really? by Eric Novack

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We haven’t heard from our favorite orthopedic surgeon in a while but Eric Novack is back to change the world…or at least express his annoyance at some people in it! I suspect that we’ll be hearing lots of arguments like this in years to come!

The initiative that SEIU aims to get on the ballot this November to amend the Michigan Constitution:

Michigan Health Care Security Ballot Campaign – ‘Health Care That’s Always There’

The State Legislature shall pass laws to make sure that every Michigan resident has affordable and comprehensive health care coverage through a fair and cost-effective financing system. The Legislature is required to pass a plan that, through public or private measures, controls health care costs and provides for medically necessary preventive, primary, acute and chronic health care needs. 

Will it pass? Should it pass?  Who wins?  Who loses?

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POLICY/PHARMA: DEA’s insane persecution of pain patients continues

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Just in case you needed to be reminded that the DEA is a refuge of evil scumbags and needs to be abolished, here’s another exhibit (from the good people at DRCNet):

Federal agents arrested Dr. Stephen Schneider, operator of the Schneider Medical Clinic, and his wife and business manager, Linda, on a 34-count indictment charging them with operating a "pill mill" at their clinic. The indictment charges that Schneider and his assistants "unlawfully" wrote prescriptions for narcotic pain relievers, that at least 56 of Schneiders’ patients died of drug overdoses between 2002 and 2007, and that Schneider and his assistants prescribed pain relievers "outside the course of usual medical practice and not for legitimate medical purpose."

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BLOGS: Vote rigging? No, not in the primaries…

Accusations of malfeasance, fraud, vote-rigging and corruption — about an awards show which doesn’t even have an interesting category (still no "Worst health care blog" category despite my pleas to be in it)! and which is sponsored by a blog which itself caused one of the more interesting blogging scandals of 2007.

I love it. Surely Entertainment Tonight is around the corner, what with the writers strike and all….

(None of this detracts from the fact that the big winner Paul Levy has a great blog which we are happy to feature here on THCB)

QUALITY: Medicare Health Support–Done and more or less dusted

Recently the targets on Medicare Health Support were changed to make them more financially favorable to the DM companies running the projects. Everyone inside the DM industry has known that MHS has not been doing too well for some time now. But now according to Vince Kuratis’ blog, the preparations to pull the plug are well underway. Here’s Vince’s interpretation of CMS’ decidely low-key announcement of where MHS stands.

MHS is not meeting targets for financial savings.  While it is theoretically possible that the MHS program could climb out of the hole financially during the remaining months of the program, we are doubtful that this will happen — so much so that we are scheduling the patient’s (MHS’) funeral even though technically we are not allowed to pronounce the patient dead yet. In the event that hell freezes over and the program revives, we will then schedule Phase II, but don’t hold your breath.

In a new twist on an old saying by Mark Twain: The rumors of MHS’ death have NOT been greatly exaggerated.

POLICY: Plumpy’nut – Brian

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The NY Times ran an important op-ed yesterday by Susan Shepherd, a pediatrician and medical advisor to Doctors Without Borders.
The core of her message is that as the farm bill progresses through
Congress, we should focus not only on the quantity of food that is
produced and that we export for relief to underdeveloped nations, but
on its quality as well.

Dr. Shepherd describes the difficulties
in treating children who are victims of severe malnutrition,
particularly in areas like Africa and South Asia where milk and clean
water can be scarce.

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HEALTH 2.0/TECH: Collective intelligence in AthenaHealth

Scott Shreeve has spent much of his career promoting open source as a way to
harvest collective intelligence. But (irritated by a description from a knocker)
he’s done a great job at defining one shining example of a network that
becomes more intelligent as more data (and nodes) get plugged into it. And that
network is a private SaaS company, AthenaHealth.

This is a great example of two of O’Reillys constituents of Web 2.0, especially
the second one:

  1. Services, not packaged software, with cost-effective scalability that
    get richer as more people use them
  2. Control over unique, hard-to-recreate data sources that get richer as
    more people use them

Now of course that control over data is in a private network. And
it’s not an open source project. but the point is AthenaHealth is using that
business positioning to add features and gets more powerful as the company adds more
clients.

THCB Reader

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The Omnimedix Institute’s JD Kleinke wrote in to comment on the thread triggered by last week’s news on the dossia project, a story that came out when Wal-Mart CEO Lee Scott revealed new details of the retail giant’s plans to work with major employers to help them cut healthcare costs in his annual January address to the company’s managers and other employees in Kansas City. Scott’s plan provoked the usual skeptical response from critics in the blogosphere and the media, but JD had this to say:    

"Omnimedix is currently in the process of resolving a legal dispute with Wal-Mart and the other Dossia corporations regarding the development and operation of the Dossia PHR system. And while this dispute has been an annoyance for us and no doubt for Wal-Mart, I’d like to make it clear that we support Wal-Mart’s overall health care ambitions, which involve not only PHRs for their own employees, but an expansion of health benefits for those employees, and the creation of a modern, affordable, accessible health care delivery system.  Think whatever you want about this oft-vilified mega-retailer; Wal-Mart has the singular ability to bring a low-cost, low-friction, high-value, high-access alternative to health care delivery in the U.S., one we have desperately needed for decades." 

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