Different River

”You can never step in the same river twice.” –Heraclitus

February 13, 2008

Another Good Reason…

Filed under: — Different River @ 10:00 pm

… Not to live in New York City. Especially — and I really mean this — if you have a child who is over the age of 5, likes to read everything, and is inquisitive. At least, if you intend to ride the subway or drive or walk on the streets with said child.

New Yorkers Encouraged to Get Busy with Free Condoms
Health Department Unveils Ad Campaign, New Condom Design

Your tax dollars at work!

Was there a housing bubble?

Filed under: — Different River @ 11:28 am

Alex Tabarrok argues that if you look at long-term data, there was not. As one who correctly predicted the timing of the current downturn (but made no prediction about the magnitude), I find this quite interesting, and quite likely correct.

Full story here.

Only 40% of doctors and nurses wash their hands?

Filed under: — Different River @ 10:50 am

From the AP, via David Williams’ Health Business Blog:

Turns out installing alcohol-based handwashing gel dispensers in hospitals and encouraging staff to use them isn’t enough to prevent infections. … The issue was studied at a hospital in Nebraska, where gel use doubled but infection rates didn’t budge. It’s not surprising to learn that one tactic isn’t sufficient to control infections. Still, whenever I read about the poor record of hospital safety and quality it makes me mad. From the Associated Press:

More gel dispensers were put in the units, and usage rose from 37 percent to 68 percent in one unit and from 38 percent to 69 percent in the other. Compliance for hand washing of any kind in most hospitals is estimated to be about 40 percent, according to experts, although some hospitals do better.

Can you imagine a 40 percent compliance rate in any other business besides health care?

  • Pilots going through their pre-flight checklists completely 40 percent of the time?
  • Accountants calculating profit and loss correctly 40 percent of the time?
  • Hamburger flippers putting all the ingredients on a Whopper 40 percent of the time?

No way. We shouldn’t tolerate it in health care either.

(Boldface added.)

“Don’t treat the old and unhealthy”

Filed under: — Different River @ 10:43 am

News from the (British) National Health Service (NHS), which is the UK’s universal health care system:

Don’t treat the old and unhealthy, say doctors

By Laura Donnelly, Health Correspondent
Last Updated: 2:09am GMT 28/01/2008

Doctors are calling for NHS treatment to be withheld from patients who are too old or who lead unhealthy lives.

Smokers, heavy drinkers, the obese and the elderly should be barred from receiving some operations, according to doctors, with most saying the health service cannot afford to provide free care to everyone.

Fertility treatment and “social” abortions are also on the list of procedures that many doctors say should not be funded by the state.

The findings of a survey conducted by Doctor magazine sparked a fierce row last night, with the British Medical Association and campaign groups describing the recommendations from family and hospital doctors as “out­rageous” and “disgraceful”.

About one in 10 hospitals already deny some surgery to obese patients and smokers, with restrictions most common in hospitals battling debt.

Managers defend the policies because of the higher risk of complications on the operating table for unfit patients. But critics believe that patients are being denied care simply to save money.

Nice to see that in a universal health care system, everyone has equal access to care, and no one is denied care just so the insurance companies can save money.

I’d like to see the presidential candidates comment on this!

Powered by WordPress