Mentally Ill Tax Health Care - Texas Journal of Chiropractic

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Mentally Ill Tax Health Care

Published 01/07/2012 - 9:27 a.m. CDT

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Reuters REPORTS HERE that "across the country, doctors ... are facing a spike in psychiatric emergencies - attempted suicide, severe depression, psychosis - as states slash mental health services and the country's worst economic crisis since the Great Depression takes its toll.
This trend is taxing emergency rooms already overburdened by uninsured patients who wait until ailments become acute before seeking treatment."

"These are people without a previous psychiatric history who are coming in and telling us they've lost their jobs, they've lost sometimes their homes, they can't provide for their families, and they are becoming severely depressed."

"Visits to the hospital's psychiatric emergency department have climbed 20 percent in the past three years."

"Compounding the problem are patients with chronic mental illness who have been hurt by a squeeze on mental health services and find themselves with nowhere to go. On top of that, doctors are seeing some cases where the patient's most critical need is a warm bed."

"Doctors from more than a dozen hospitals nationwide, mental health advocacy groups and state-funded agencies told Reuters they are all seeing a marked increase in psychiatric emergencies."

"The National Association of State Mental Health Program Directors (NASMHPD), an organization of state mental health directors, estimates that in the last three years states have cut $3.4 billion in mental health services, while an additional 400,000 people sought help at public mental health facilities."

"In that same time frame, demand for community-based services climbed 56 percent, and demand for emergency room, state hospital and emergency psychiatric care climbed 18 percent, the organization said."

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EDITORIALS & OPINIONS

Clinical Trial Data Should Be Open for Review

Published 04/30/2012 - 3:14 p.m. CDT

Original clinical study reports, which contain far more detail than published randomized trials, should be made available to independent researchers seeking to verify efficacy and safety claims.

In support of this argument, the history of the influenza antiviral oseltamivir (Tamiflu), which was approved by the FDA in 1999, was cited. The widespread belief in oseltamivir's efficacy, was based on a meta-analysis of 10 trials conducted by the manufacturer prior to licensure. But the authors pointed out that the FDA, which was aware of these clinical trials, concluded that oseltamivir had not been shown to reduce complications and required a statement on the drug's label to that effect. Moreover, oseltamivir was not given an FDA indication for prevention of spread of influenza.

To this, [authors] commented, "If FDA is right, the drug's effectiveness may be no better than aspirin or acetaminophen.'"

HR 329 in need of Co Sponsors

Published 04/30/2012 - 11:11 a.m. CDT

Representative Bob Filner recently introduced the Chiropractic Care to All Veterans Act (H.R. 329). The bill would require the Veterans Administration (VA) to have a chiropractic physician on staff at all major VA medical facilities by 2014. You too can help ensure chiropractic care is available to those who have placed their lives in service to our country. H.R. 329 is in need of cosponsors to assist its likelihood of passage.

CLICK HERE to urge your legislators to cosponsor the bill.

Court Sides with Generic-Drug Makers

Published 04/25/2012 - 6:33 a.m. CDT

In a unanimous decision, the Supreme Court ruled that generic drugmaker Caraco Pharmaceutical Laboratories can sue Novo Nordisk for what Caraco says are exaggerated descriptions of the scope of patents Novo Nordisk holds on a diabetes drug.

A group of Democratic senators has introduced a bill that would allow people to sue generic drugmakers over failing to update their drug labels to include all known risks. The bill is meant to counter last year's Supreme Court decision in a generic drug dispute.

Watch for Changes in Coming Weeks

Published 04/30/2012 - 10:36 p.m. CDT

The TCA Web sites will be under going change in the next few weeks. Please bear with us while we complete some improvements.

Published 04/25/2012 - 11:30 a.m. CDT

When the American Board of Internal Medicine Foundation published its list of 45 overused tests and procedures that physicians and patients should think twice about, it did so with the caveat that these aren’t things doctors should never do — nor are they actions that should never be covered by public and private insurers.

The Choosing Wisely campaign was sparked by a 2010 article that prompted the National Physicians Alliance to publish a list of overused tests and procedures in primary care. The ABIM Foundation wanted to spread the idea to as many medical specialties as possible. The ABIM Foundation recruited nearly a dozen consumer groups, including Consumer Reports, to help disseminate the list.

Published 04/20/2012 - 8:01 a.m. CDT

The Ft. Worth Star-Telegram reports on the TMA v TBCE Court of Appeals Decision.

Published 04/29/2012 - 12:02 p.m. CDT

Girls who face multiple social stressors at home as toddlers are more likely to be obese by age 5, researchers found.

Published 04/29/2012 - 5:00 a.m. CDT

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Water May be Good but Watch the Bottle!

Published 04/24/2012 - 3:22 p.m. CDT

"In just one year, Americans drank nearly 9 billion gallons of bottled water, which is second only to soft drinks as the largest beverage type in the U.S. market, according to the Beverage Marketing Corporation.

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Published 04/29/2012 - 9:43 p.m. CDT

Ethiopia and Kenya Trips. Have you ever wanted to provide chiropractic care in another country and give back to those in need?

Dr. Teresa Jones has been volunteering on mission trips to Africa for 4 years and is reaching out to the District 5 for help this year. There are two chances to participate, both in July 2012 and if you are interested please RSVP to frontdesk@wholehealth-care.com to let her know you area interested!

Published 04/28/2012 - 6:57 p.m. CDT

Regulators on both sides of the Atlantic were slow to inform patients and their doctors about problems with metal-on-metal hip implants and relied on industry officials and consultants in crafting their responses.

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Home is Where the practice is

Published 04/25/2012 - 2:25 p.m. CDT

Historically, many physicians worked in a living space with a medical practice area. That slowly fell out of favor in the 1950s, when more and more physicians set up separate offices or worked in hospitals.

The home-based medical practice currently is something of an oddity, but some physicians have managed to establish one that meets the standards of a commercial space. Setting up a home-based practice is like setting up an office, with a few complications.

Published 04/29/2012 - 3:04 p.m. CDT

The Patient-Centered Outcomes Research Initiative (PCORI), established by the 2010 Patient Protection and Affordable Care Act, has set five priorities as the group's research agenda for the coming years, with the overall goal of advancing clinical effectiveness research. …. the priorities [are] as follows...

Published 04/21/2012 - 12:11 p.m. CDT

Twenty thousand physicians in four Midwest states received a glimpse into their financial future last month. Landing in their email inboxes were links to reports from Medicare showing the amount their patients cost on average as well as the quality of the care they provided. The reports also showed how Medicare spending on each doctor's patients compared with their local peers in Kansas, Iowa, Missouri and Nebraska.

The "resource use" reports, which Medicare plans to eventually provide to doctors nationwide, are one of the most visible phases of the government's effort to figure out how to enact a complex, delicate, and little-noticed provision of the 2010 healthcare law: paying more to doctors who provide quality care at lower cost to Medicare, and reducing payments to physicians who run up Medicare's costs without better results.

Published 04/16/2012 - 1:38 p.m. CDT

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Published 04/30/2012 - 6:09 a.m. CDT

An $8 billion Medicare demonstration program is poorly designed and should be cancelled, the nonpartisan Government Accountability Office (GAO) said. The program is designed to reward the highest-quality Medicare Advantage plans, but instead pays out most of its award money to mediocre plans, according to a report.

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Published 04/03/2012 - 1:51 p.m. CDT

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Published 03/27/2012 - 3:44 p.m. CDT

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The Texas Board of Chiropractic Examiners has adopted a final version of Rule 77.5, "Misleading Claims." The full text is found in this article.

Published 04/05/2012 - 2:57 a.m. CDT

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Published 03/23/2012 - 12:52 p.m. CDT

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Published 12/15/2011 - 9:43 a.m. CDT

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I see the term "condition" in a broader sense.

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At this point in the history of mankind, we have been conditioned to abhor symptoms of any kind. Headaches, sneezing, coughing, colds, allergies, pain, infections, hypertension, etc., are no longer tolerated as a part of the process of living. Rather than look into the mechanisms that may be causing these symptoms, we are reaching for the medicine that will suppress them. In so doing, we may feel better, but we now have no motive to look at causes and correct for the issues that may be impairing our health, thus increasing our "need" for more medications over time.

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