No Good News

Posted by & filed under Noah's Notes.

In December the CDC released updated data on trends in deaths from drug overdose between 1999 and 2016 and, as you might imagine, there is nothing good about it. Anyone paying attention knows it is getting worse, but this data from the National Vital Statistics System also gives us insights into specific groups, geography and… Read more »

Wrong Way

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Each year United Health Foundation releases “America’s Health Rankings”, which is an overview of the status of our health as a nation and a ranking of states, and there are concerning trends across our country and in Maine’s performance relative to other states. In the US premature deaths  are up 3% just since 2015, drug… Read more »

The Affordable Care Act

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The passage of the Affordable Care Act in 2009 (signed into law in March of 2010) was a watershed moment in US history. Regardless of your perspective on the politics of that debate and its outcome, it has had a dramatic impact on healthcare in the US. One metric of that impact is the number… Read more »

Integrated Model of Primary Care

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PCHC has been a national leader in the development of what is known as the “integrated model of primary care”.  That is, in addition to a primary care provider and their team, our patients also have access to mental health providers (psychotherapists and psychiatric specialists) and their care is coordinated and communicated in a manner… Read more »

National Recovery Month

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September is National Recovery month and a fitting time to think about our the challenges we face in our country and our region related to substance abuse, to recognize the great work and resources we have and are building to meet this challenge, and to celebrate and support the people who are succeeding in recovery…. Read more »

Cherchez la Médicament

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As a student and early in my career I had the wonderful opportunity to work with my father, who was also a family doctor.  If there was one lesson that he burned into my brain it was that when things weren’t going well for the patient “cherchez la médicament” –  look for the medicine (he… Read more »

Inequality in America’s Health Care System

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Although America’s health care system is often touted as “the best in the world” that is demonstrably untrue. A recent study published in Health Affairs magazine, however, indicates that we are a world leaders in one area of healthcare: inequality. The difference between rich and poor as it pertains to access to care and health… Read more »

Diagnostic Errors

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One of the biggest safety concerns across healthcare settings is diagnostic error, and unfortunately diagnostic error is relatively common. It accounts for 17% of preventable errors in hospitalized patients and one autopsy study conducted over 40 years indicates that 9% of patients had important medical conditions that went undetected.

Side by Side

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Congress has now released the American Health Care Act (AHCA), their proposal for replacing the Affordable Care Act (ACA), or what is commonly referred to as Obamacare. There are some very important distinctions and in order to be informed about policy that impacts all of our lives and it’s helpful to be explicit about the… Read more »

Pay Back

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On January 30, 1 week after his inauguration, President Trump issued sweeping Executive Orders which, among other things, blocked the entry of citizens from 7 predominantly Muslim countries for 90 days, barred all refugee entry for 120 days and indefinitely barred refugees from Syria. The response to this action has been dramatic and plays itself… Read more »