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Grand Rounds 5:12 – Healthcare Reform Q&A

“If Dr. Rob can interview Santa, why can’t I interview a select group of health & medical bloggers? They will have some good ideas to share”.

So did President-elect Obama came to realize a few days ago. After his people kindly contacted our people, we felt compelled to grant him open access to our collective wisdom. Without further ado, below you have Grand Rounds 5:12 – a Q&A session led by the incoming President on how to reform (for the better, we hope) healthcare.

On Health Insurance

Q:  How does the blogosphere perceive the problem of having a significant group of people uninsured?

Health Insurance Colorado: a growing economic burden, which may lead to emergency rooms turning people away if they are unable to provide proof of health insurance.

Dr Rich: well, a recent article in the Journal of the American Medical Association showed how overcrowding in American emergency rooms is NOT due to the uninsured. Rather, it is due to insured Americans who cannot get in to see their primary care physicians. We may need improved care both for the insured and uninsured groups.

InsureBlog: I’d second that. Lack of health insurance is a major problem but is it really our Biggest Problem?

It’s All about Attitude

Q: You may have heard my campaign mantra, “Yes We Can”. Can I count on your support?

ButYouDontLookSick: Yes. If Leslie Hunt can talk so openly about her chronic illness (Lupus) yet fulfill her American Idol dreams, we can fulfill our dreams too.

Notes of an Anesthesioboist: you are talking to the group of professionals willing to self-experiment with our own body for the benefit of science and our patients.

Medviews: My wife, son, and I signed up to work as medical volunteers for your upcoming inauguration.

EmergiBlog: I am on board too. But, please, remember that caring is the essence of nursing. And that is why my patients will always be my patients and never my  clients.

Neuroanthropology: Mr. President-elect, it seems to me that, despite all our good intentions, balancing the budget and multiple competing priorities will be a challenge. May I suggest you start practicing some capoeira for equilibrium training?

Shrink Rap: Happy to help. Now, we will need to protect some time for quality sleep time.

Training

Q: I am encouraged by your words. How can my team and I better support you in your daily activities?

Aequanimitas: we need more role models for us to “learn to think, observe, and compare” and that the patient is our “first, last, and only teacher”.

Mudphudder: Couldn’t agree more. We need Read the rest of this entry »

Memory Problems? Perhaps you are Multi-tasking

Today’s kids are into multi-tasking. This is the generation hooked on iPods, IM’ing, video games – not to mention TV! Many people in my generation think it is wonderful that kids can do all these things simultaneously and are impressed with their competence.

Well, as a teacher of such kids when they reach college, I am not impressed. College students these days have short attention spans and have trouble concentrating. They got this way in secondary school. I see this in the middle-school outreach program I help run. At this age kids are really wrapped up in multi-tasking at the expense of focus.

According to a Kaiser Family Foundation study last year, school kids in all grades beyond the second grade committed, on average, more than six hours per day to TV or videos, music, video games, and computers. Almost one-third reported that “most of the time” they did their homework while chatting on the phone, surfing the Web, sending instant messages, watching TV, or listening to music.

Kids think that this entertainment while studying helps their learning. It probably does make learning less tedious, but it clearly makes learning less efficient and less effective. Multi-tasking violates everything we know about how memory works. Now we have objective scientific evidence that Read the rest of this entry »

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