Because insurers are overspending on profits and administration instead of medical care, the amount that must be refunded in this state by Aug. 1 tops $54 million. That’s only half of what insurers had to pay in rebates to Floridians last year. Nationally, insurers are refunding $504 million.
health care
How Horses Help Patients Cope With Cancer and Other Ailments, Even When Insurers Won’t
It’s not a prescription that a doctor can write. It’s not something insurance will usually pay for. But more patients are finding out how horseback riding, or even just being around the animals, can help them feel better.
For Florida’s Poorest 600,000, a Stingy Health Care Proposal that Cuts to the Bone
The latest proposal to provide health care to Florida’s poorest snubs federal money while creating limited health accounts the poor may tap, but for limited services, and with burdensome conditions of employment–and premiums that most may not be able to afford.
When Harm in the Hospital Follows You Home, and Changes Your Life
A conversation between some of the 1,550 members of a Patient Harm Facebook community and Dr. Gerald Monk, who specializes in the aftermath of patient harm for both patients and providers. What emerges is a portrait of the long journey that begins after the unthinkable happens.
In the Trenches: Anger and Questions From Doctors Who Treat Gunshot Victims
In Colorado, where more people die from gunshots than car crashes, the victims have a profound effect on the physicians who treat them. For some of the doctors on the front lines, the experiences lead to a strong opposition to guns, questions about gun laws and even activism.
How Mom’s Death Changed My Thinking About End-of-Life Care
None of his years of reporting had prepared Charles Ornstein for this moment, this decision–whether, and when, to let his mother die. In fact, he began to question some of his assumptions about the health-care system.
From Bankruptcy to Granny Nannies: Navigating the Shoals of Long-Term Care
Long-term care insurance is expensive, but the costs of long-term care are far more so. The experiences of local residents and businesses contending ding with reality almost everyone will eventually face illustrate the dilemmas of aging in a society with a meager safety net. A special report.
Ending American Agriculture’s Unhealthy Journey Toward the $4.99 Bag of Potato Chips
We can’t begin to reduce our surging healthcare costs in this country without addressing affordability and accessibility to healthier foods, by not educating the users of the system on personal responsibility and choices, and by moving toward more locally grown food, argues Milissa Holland.
The Missing Link in Ever-Rising Health Care Costs: Personal Responsibility
Car insurance costs go down when drivers drive responsibly for a few years. A similar approach to health care could help bring costs down, but first, Milissa Holland argues, people must take responsibility for their own health and lifesrtyles–and the way they seek out medical help: the ER is usually not the answer.
Beyond Doctor’s Orders: When Health and Fitness Are Not Always a Matter of Choice
The discipline it takes aside, getting healthy can be costly, writes Milissa Holland, in many more ways than one: healthy food is more expensive, exercise isn’t always as easy as deciding to do it, and even health insurance plans for the poor are becoming intractable. An invitation to discuss a central issue in most people’s lives.
Coke’s Obesity Campaign: Get Real
For the first time, Coke is using its slick commercials to address obesity. But the company’s new ads, which are brimming with misleading statements, just put lipstick on this pig, argues Jill Richardson.
Let’s Holster Incendiary Rhetoric and Get Flagler Started on Meaningful Gun Talk
Flagler County must have an honest, open dialogue about the place of guns in our community, Milissa Holland argues, but to do so the extremists on both sides must be willing to calm down and let reason facilitate the dialogue.
Bill Filed to Repeal Florida Prohibition On Doctors Asking Patients About Guns
Sen. Oscar Braynon, D-Miami Gardens, filed the measure (SB 314) to repeal the 2011 “Firearm Owners’ Privacy Act,” which isn’t currently being enforced because a federal judge threw it out in July. The state, however, is appealing that ruling.
Spying on Grandma: Health Companies Sell Surveillance as a Benefit and a Saving
Health care is joining a national trend toward greater surveillance of everyday life. Whether this costly technology will ultimately prove clinically or economically effective remains uncertain. So, too, is whether a benign health care purpose can help overcome the unsettling “Big Brother” overtones.
One-Fifth of Florida’s Nursing Homes Are On the State’s Watch List for Violations
Twelve of the homes have been on the the state Agency for Health Care Administration’s watch list for more than 100 days. The best way to pick a home for a loved one is to simply visit it, or to check a nursing home inspection database (link included).
Journey for Nahirny: A Walk-A-Thon to Benefit JoAnn Nahirny Friday at Matanzas
A fund-raiser is being organized by the Flagler County Educators Association and the Matanzas High School Student Government Association on Mr.s Nahirny’s behalf Friday, Dec. 7, at Matanzas High School, from 2:30 to 5:30 p.m.
Tumor Gone, Staples Removed, Humor and Grit Intact: A Teacher Returns to Matanzas
On medical leave for cancer treatment since September, Jo Ann Nahirny describes in harrowing and moving detail her final medical hurdles and clearances before deciding to return to her classroom almost a month early, on Dec. 10.
In Juvenile Detention for Girls, Health Care Is Shoddy, Absent or Geared Only to Boys
Incarcerated girls are “one of the most vulnerable and unfortunately invisible populations in the country,” and up to 90 percent have experienced physical, sexual, or emotional abuse, yet the health care provided to children, and girls in particular, in juvenile detention is often ill-equipped to deal with their complex health needs.
What’s In Your Gun Closet? In Florida, a Doctor’s Right to Ask Is Under Threat
Should doctors be able to ask patients or patients’ parents whether they own a gun? What about health insurers, employers or health-care officials implementing the federal health law? Can they ask about gun ownership? The issue is playing out in Florida, where lawmakers want to ban doctors from asking the questions.
Florida Republicans Begin to See Fewer Horns on Obamacare’s Evils
After more than two years of fighting the federal health overhaul, Florida Republican leaders say they need to prepare to carry out the law, while Gov. Rick Scott, in a sharp turnaround, said he wants to negotiate with federal authorities.
Low Premiums, High Deductibles, Higher Risks: The Health Plan Gamble
The gamble of lower health premiums in exchange for higher deductibles is appealing, but people are losing the gamble and getting stuck with insurmountable expenses even as high-deductible plans are becoming more frequent by default.
How Nursing Homes Get You: Signing Away Your Right to Sue
Signing arbitration agreements at nursing homes prevent families from suing the home should something go wrong. Agreeing to arbitrate is generally not in families’ best interests. It’s expensive, proceedings are secret, and nursing homes have the advantage.
Ripped from Her Trenches, a Teacher Mobilizes for Months of Cancer Combat, and Anguish
From feeling like a human easel to a convicted felon, Matanzas teacher Jo Ann Nahirny takes us step by step through the anguish of preparing for cancer treatment and its implications–physical, financial, emotional and spiritual.
Calculating One’s Risk for Alzheimer’s: Most People Want To Know
Alzheimer’s disease can’t be prevented or cured, and it ranks second only to cancer among diseases that people fear. Yet about two-thirds of respondents would want to know if they were destined to get the disease.
Chronic, Scandalous Abuse and Worse at a Florida Brain-Injury Center Demands Attention
It is impossible to look at the pages-long list of abuse allegations at the Florida Institute for Neurologic Rehabilitation and not wonder how it is allowed to remain open: Sexual abuse. Mental abuse. Burns. Broken bones. Bruises. Cuts and punctures. Bizarre punishment. And much worse.
As Florida and Other States Privatize Prison Health Services, Care Standards Suffer
Florida and other states, in an attempt to cut costs, are increasingly outsourcing health care for inmates to for-profit companies, but the trend is raising concerns among unions and prisoners’ rights groups.
Hedging Privacy Concerns, Hospitals Shop for Patients on Facebook and Google
A growing number of hospitals are taking their advertising campaigns to Facebook, Google and other websites as more see the value of highly targeted campaigns that enable them to track results. Social media users may be unnerved by being tracked and followed by information they’ve searched for.
Florida Hospital Flagler’s Parkway Medical Plaza Will See You Now
The $15 million facility on Cypress Edge Drive opened ceremoniously Tuesday. It has several physicians’ offices, a walk-in clinic, a rehab and a woman’s center. Some of the services were shifted from the main hospital campus.
Neurologist David Karaffa Joins Florida Hospital Flagler as Staff Physician
Dr. David Karaffa can treat a variety of conditions including seizure disorders, Parkinson’s disease, Alzheimer’s, strokes, migraine, back pain, neuropathy and more.
National Spending on Health Rising to One-Fifth of GDP
Actuaries estimate that health spending will account for 19.6 percent of the gross domestic product (GDP) in 2021, up from 17.9 percent in 2010. On average, 5.7 percent increases in spending are expected for each of the 10 years, although much of the increased spending will come in 2014 and after.
Being Sick in America
The recently ill are more likely to say the cost and quality of care have worsened over the past five years, compared to people who weren’t sick. A significant proportions say their treatment was poorly managed.
A Quarter of Gov. Scott’s Vetoes Slash Health Spending, Research and Education
A sampling of vetoes included money for such things as meningitis immunizations for children, the Joe DiMaggio Children’s Hospital in Broward County, a fetal-alcohol clinic in Sarasota and a mobile-health unit in rural Gadsden County.
Scott, in St. Johns, Signs $70 Billion Budget, Vetoing Only One-Fifth Last Year’s Amount
The vetoes were a sharp decrease from the $615 million in spending Scott killed last year, though he struck dozens of transportation and cultural programs and asked state universities to limit tuition increases to 5 percent.
His Veto Pen Spilling No Hints, Gov. Rick Scott Readies to Sign Budget in St. Johns Tuesday
Only one thing is clear about what will happen Tuesday when Gov. Rick Scott signs the $70 billion budget for the fiscal year that begins July 1: An increase in state funding for education will stand.
Obamacare’s Days In Court: A Primer
It’s the Super Bowl of Supreme Court cases with consequences for all: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes. It’s the Super Bowl of Supreme Court cases: the three days of arguments over the constitutionality of Obama’s health care reform begin today. Here’s a clear-eyed explanation of what it’s about and likely outcomes.
Better Assisted Living Oversight Fails as Legislature Drops Several Health Care Bills
Florida lawmakers ended the 2012 session without passing major health-care bills dealing with assisted-living facilities, malpractice lawsuits and physicians dispensing drugs to workers-compensation patients.
Ear, Nose, Throat, Hard Hat:
Florida Hospital Flagler Shows Off Its New Digs
Florida Hospital Flagler’s new Parkway Medical Plaza, opening in July between Walmart and Golden Corral, is a $15 million expansion–and a signal of intensifying head-to-head competition in such fields as imaging and lab work.
Burden To Prove Medical Malpractice Gets Heavier, But ER Doctors Get No Immunity
Florida lawmakers are making it more difficult for lawyers to prove medical malpractice in broad gains against lawsuits for health care providers, but a proposal to make ER doctors immune to lawsuits was dropped.
Alzheimer’s Disease Research:
Florida’s Inexcusable Indifference to Funding
Florida, the state with the largest per-capita population over age 65, invests zero dollars in Alzheimer’s research, though one in 40 Floridian has the disease–and half do over age 85. Nancy Smith argues the indifference is short-sighted on many levels.
JoAnne King, Who Oversaw Florida Hospital Flagler’s Hospice Expansion, Is Elevated to VP
As administrative director JoAnne King oversaw Florida Hospital Flagler’s expansion into hospice care across county lines last year, a first for a Florida Hospital. She was promoted to vice president for ancillary services, overseeing a half dozen departments, including hospice.
Florida’s Poor and Elderly Again Brace For Cuts As Legislature Prepares for Tuesday Kickoff
Gov. Rick Scott is proposing further deep cuts in Medicaid payments to hospitals, while lawmakers have filed bills that would help shield emergency-room doctors and workers from costly malpractice lawsuits.
As Autopsies Dwindle, Hospitals Bury Their Mistakes Instead of Learning From Them
Autopsies are conducted on just 5 percent of patients who die in hospitals, letting common diagnostic errors go undiscovered, allowing physicians to practice on other patients with a false sense of security, and short-shrifting understanding of the effectiveness of medical treatments and the progression of diseases.
Educators Deride Scott’s “Smiley Face” Budget, Hospitals Call It “Tax on the Sick”
Despite Scott’s proposed boost, the state would still spend about $210 million less on education under Scott’s plan than it did five years ago, with overall education funding down about $1.6 billion. Hospital advocates call proposed cuts to Medicaid a “tax on the sick.”
Doing It Right: How To Avoid Becoming Part of The 44,000 People Hospitals Kill Each Year
A bike accident sent Michael Millenson’s wife to three hospitals. It led him to offer a unique perspective on the health care system and how to reduce hospital errors that kill 44,000 to 98,000 people each year.
Walmart Wants To Be Your Health Care Provider
Walmart wants to become by “the largest provider of primary healthcare services in the nation,” according to a request for information from potential partners sent the same week Walmart–the nation’s largest private employer–scaled back its health coverage for employees.
Running on Faith: Flagler County’s Free Clinic Is a Refuge For Health Care’s Untouchables
The Flagler County Free Clinic in Bunnell has been a commitment of grit and conviction by cancer survivor Faith Coleman and Dr. John Canakaris for the past six years. Now Coleman’s cancer is back, and like all her patients, she has no insurance.
Florida Is No. 1–In Costs and Effects of Hunger
In the past 3 years, costs related to hunger rose 62 percent in Florida. In 2010, the state’s hunger bill was $11.7 billion, or six times more than the $1.75 billion in budget cuts Gov. Rick Scott proposed for public schools.
Florida Hospital Flagler Breaks Ground on $15 Million Satellite Near Palm Coast Parkway
The 34,000 square foot medical plaza in Cobblestone Village near Walmart will give Florida Hospital Flagler an imprint on the northern side of town and add between 15 and 25 jobs by next summer.
Federal COBRA Insurance Subsidies End, Aggravating Strains for the Unemployed
Federal COBRA subsidies for laid-off workers covered 65 percent of premium costs for 15 months, as part of the Obama administration’s 2009 stimulus package. GOP lawmakers blocked an extension.
In a Florida Case, 2nd U.S. Appeals Court To Rule on Health Law Strikes It Down (It’s Now 1-1)
A divided panel of the conservative 11th U.S. Circuit Court of Appeals in Atlanta, in a case from Florida, ruled health reform unconstitutional, saying it is “unprecedented, lacks cognizable limits and imperils our federalist structure.”