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View Diary: NPR Hatchet Job at Trying to Discredit Medicaid and Obamacare: Prime Example of a Corporate Shill (183 comments)

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  •  So less than 100% success = failure? (3+ / 0-)
    Recommended by:
    Ray Pensador, Catte Nappe, orlbucfan

    Obviously it's troubling that the people in this study continue to suffer from serious chronic conditions like high cholesterol and blood pressure, which lead to much more serious conditions like strokes and heart attacks, and something needs to be done about that. But as others have pointed out above these are usually lifestyle and nutrition-based conditions that are not easily or advisedly treatable with health care (meaning drugs like statins and beta blockers, which are expensive and have lots of side effects).

    To address them, programs like Medicare and Medicaid have to be expanded to include or supplemented with lifestyle and nutrition-based solutions to treatable and preventable medical conditions, meaning exercise, healthy eating, less stressful living, therapy if it might be useful, etc. But in terms of what it's tried and is presently able and allowed to treat, from a purely medical pov, it seems to me that Medicaid has succeeded.

    Seems to me that this study indicates that Medicaid needs to be expanded to include more than just traditional health care, e.g. nutritional and fitness guidance and education, alternative medicine, etc., and certainly not cut because it's supposedly not 100% successful.

    "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

    by kovie on Thu May 02, 2013 at 07:14:53 AM PDT

    •  Anyone with a diabetes or HTN (2+ / 0-)
      Recommended by:
      kovie, emelyn

      diagnosis is going to get lifestyle and nutrition counseling...it is standard of care.

      Problem is patient compliance.  Solving patient compliance means home health visits and follow up.

      While I am a big fan of nutrition, exercise, and other lifestyle solutions for the prevention and control of chronic disease, it is difficult to get someone to quit smoking, eat healthy, and start exercising if they have never done so in the past.  Also, most people have the opinion that they can just see the doctor, get a diagnosis, get a pill, and be healthy.  I guess it is because most people get their medical info from House.

      •  Advise and counseling aren't enough (2+ / 0-)
        Recommended by:
        New Rule, Ray Pensador

        As such they're effectively more legal and moral CYA than actually effective treatment. More interventionist techniques need to be employed to deal with these chronic health, lifestyle and even psychological issues. The weekly nurse visits appear to be helping. We need more solutions along such lines, perhaps local health centers that focus on healthy eating and living, offering cooking lessons, shopping advice, fitness coaching and facilities, etc. Something also has to be done with the lack of healthy food shopping and eating options in lower-income areas. It doesn't have to all be done under Medicaid but clearly government has to get involved here. We need to not only save and restore the original New Deal, but a "New New Deal" to deal with all that it left un or underdealt with. It's not just morally right, but economically smart.

        "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

        by kovie on Thu May 02, 2013 at 08:39:32 AM PDT

        [ Parent ]

    •  Or we actually need to make sure everyone (3+ / 0-)
      Recommended by:
      kovie, Ray Pensador, TiaRachel

      has enough good food to eat, a place to live where they have heat/cooling, etc., as obesity and obesity-related conditions are linked to extreme poverty and lack of good food.

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