Posts Tagged ‘access to care’

Are We Content to Deny Children Care for Severe Obesity?

October 29, 2018 — Would it surprise you to find that only four in a thousand children with leukemia have access to comprehensive cancer care? Of course it would. A total of 98 pediatric cancer centers show up on the U.S. News list of the best hospitals for pediatric cancer. But the story is very different for youth with […]

A Pledge for Better Health and Obesity Care

October 21, 2018 — To improve the quality, access, and utilization of preventive and treatment services for obesity among both children and adults, a group of innovative payers have agreed to take action on a national scale. The My Healthy Weight pledge is a first. It’s the first and only collective initiative offering insurance benefits covering obesity prevention and […]

When Will We Get Real About Bariatric Surgery?

October 17, 2018 — Yesterday, JAMA published five articles about bariatric surgery. Two new research papers. Three editorials. Taken together they present a picture of the compelling benefits of bariatric surgery in patients with both obesity and diabetes. But they also point to the gap between the reality of bariatric surgery and how we’re dealing with it. Cutting the […]

Day by Day, Overcoming Obesity

October 13, 2018 — My struggle with weight began in my early teens. That was when my doctor prescribed  a birth control medicine to treat dysmenorrhea. But I didn’t know it would cause massive weight gain and hormone fluctuations. I’ve had to work at overcoming obesity every day of my life since then. One of the hardest things about […]

Our Ethical Blind Spot in Access to Obesity Care

October 12, 2018 — There’s no gentle way to express this. We suffer from a huge ethical blind spot regarding access to obesity care. Today, as National Obesity Care Week focuses upon access to care, we must acknowledge just how big this gap is. Of course, we focus a lot on the issue of access to obesity treatment. We […]

Traveling for Bariatric Surgery – Why?

October 10, 2018 — In 2017, about 1.4 million Americans left the U.S. to obtain medical care. And that number will grow by double digits this year. The reasons are many, but mostly it comes down to money. And a significant number of people are traveling for bariatric surgery. A Shameful History of Discrimination Health plans have long history […]

Dieting Doesn’t Work. So Who Cares What You Eat?

October 8, 2018 — Diet is a four letter word. People who hate the word like to point out that it starts with die. So it is that more or less everyone agrees dieting does not work for the long term. But this is where the confusion starts. Because sustainable changes to long-term patterns of diet can make a […]

Suddenly Taking the Disease of Addiction Seriously

October 7, 2018 — Just a few years ago, the debate was still going strong. “This is not a disease. People have the capacity to take control of their lives. It’s a disorder of choice.” Sound familiar? In 2010, Harvard’s Gene Heyman made these arguments against dealing with addiction as a disease in a popular book from the Harvard […]

Can We Stop Pretending That Food Is Medicine?

September 26, 2018 — It’s one of those metaphors that we’re hearing more often. Folks at the Pew Trusts say the “food is medicine” concept is simple. If people eat nutritious food, they’ll need fewer meds. They’ll go to the emergency room less. And they’ll stay out of the hospital. A Role for Medically Tailored Meals California is funding […]

Does the USPSTF Understand What Chronic Means?

September 24, 2018 — The USPSTF is one of those acronyms that provides a good test of sobriety. If you can say it five times quickly, you’re either completely sober or a hopeless health policy geek. It stands for the United States Preventive Services Task Force. Last week, the task force affirmed that primary care providers should refer adults […]