Donald Trump and his healthcare proposals

Donald Trump and his healthcare proposals

U.S. Republican presidential front-runner candidate Donald Trump on Wednesday unveiled proposals for reforming U.S. health care that included repealing Obamacare, allowing prescription drugs to be imported, and turning the Medicaid program for the poor into block grants to states.

“On day one of the Trump Administration, we will ask Congress to immediately deliver a full repeal of Obamacare,” reads the statement from the Trump campaign.

“However, it is not enough to simply repeal this terrible legislation. We will work with Congress to make sure we have a series of reforms ready for implementation that follow free market principles and that will restore economic freedom and certainty to everyone in this country.”

Read more at: http://www.cbc.ca/news/world/trump-healthcare-proposal-1.3473694

Fee cuts pushing #Ontario doctors to close methadone clinics

Fee cuts pushing #Ontario doctors to close methadone clinics

doctorsThe dispute between Ontario doctors and the province over billing rates is threatening access to methadone treatment, with two private Toronto clinics closing their doors and patients in some rural communities facing an uncertain future.

The threat to service follows a 1.3-per-cent rate reduction imposed by the province last month on all fee-for-service billings. The money-saving measures also included targeted reductions, among them a 50-per-cent cut to rates paid to doctors for urine tests that are done once a week or more frequently as part of methadone therapy used to treat heroin and other opioid addictions.

Now at least one Toronto doctor says the fee cut amounts to roughly 25 per cent of his total revenue and means his smaller clinics are losing money. First Nations leaders also are warning access in rural and Northern communities is in danger because private clinics – where most methadone treatment is given – are not as financially attractive. Others say this latest battle over money points to deeper problems with how methadone treatment is delivered in Ontario that go beyond the current billing battle.

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Cancer advocacy group calls for e-health records for patients, more drug funding

By Anne-Marie Tobin (CP) – Mar 24, 2010

TORONTO — As Donna Hammill-Chalk undergoes treatment for breast cancer, she can log onto the website at Sunnybrook Health Sciences Centre in Toronto, type in a username and secure password, and gain access to her medical records.

In Prince Edward Island, her mother, who was diagnosed with breast cancer in December, doesn’t have electronic records – but if they existed, it would be easier for her to share updates on her condition and treatment with her four grown children living in different parts of the world.

“Cancer – you lose all control and you can get some control back by having access to your information,” Hammill-Chalk said in an interview Wednesday from her home in Markham, Ont., where she is recovering from a mastectomy.

“I think in this day and age, patients need to take ownership and accountability for managing their own care. And you can’t do that if you don’t have the information.”

She tells her story in a report card on cancer, released by the Cancer Advocacy Coalition of Canada. The report also calls for more funding for cancer drugs, bans everywhere on smoking in cars with kids and more genetic testing so treatments can be targeted to those who will benefit.

Dr. Pierre Major, chair of the report card committee, said the electronic records system at Sunnybrook, known at MyChart, is the only one he’s aware of that’s available to cancer patients in Canada.

Physicians there have told him they’re happy with it, he said.

“It’s great because patients look up in their chart what the results are, and it saves phone calls. The patients are happy because they can access their results or even change their appointments.”

It’s something that Marlene Nicholson, who lives in Bedford, N.S., can only wish for as she helps her mother navigate the health-care system. She’s Hammill-Chalk’s sister, and has made the three-hour drive to Lower Freetown, P.E.I., on numerous occasions in recent months to support their 69-year-old mom, Margaret Hammill, during her medical appointments.

With one sister in Ontario, another in Bahrain, and a brother in California, she has to relay a lot of information, Nicholson said.

“When the siblings are at a distance, yes, it would be great to be able to just say ‘OK, go here’ or ‘Mom has a password’ or whatever it takes, or if we could send a file … everybody can have access to it.”

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Google Health Canda? Your Health Records and EMR

I always wondered what would happen if Google Health decided to launch in Canada. Would there be an effect on the Canadian Healthcare system? Or would PIPEDA (Personal Information Protection and Electronic Documents Act) get in the way?

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About a year ago Google announced that it would launch a service to allow users to store their own health records on a secure website. There was a lot of discussion about what it would look like but the wait is over. A free public “beta test” version of Google Heath is now operational at google.com/health.

The service allows users to create an online profile that includes information about any medical conditions, test results, procedures, immunizations and medications. You’re also asked to enter in your height, weight, blood type and race. With this information, the service, in theory, could offer you tailored medical information as well as serving as a central hub storing your medical records.

Eventually the goal is for users to be able to import their health information from the secure websites of care providers. To that end, Google already has arrangements with Beth Israel Deaconess Medical Center in Boston and the Cleveland Clinic as well the online pharmacies from Longs Drugs, Walgreens, RXAmerica and Medco. A relationship with Quest Diagnostics allows users of its services to import their lab tests. Google also has a link to the American Heart Association’s heart attack risk assessment site so that you can get your customized risk assessment without having to retype your height, weight, cholesterol and other into the Heart Association’s site.

One nice feature is the drug interaction alert that lets you know about potential conflicts between drugs you take. Of course, you have to remember to enter all your drugs for that to work.

Because none of my providers are among Google’s initial partners, I had to enter all the information myself. Fortunately, it was easy to find because the health clinic I use most of the time has its own online service that stores this information. I’m pretty happy with what my provider offers but it’s an island of information. If, for example, I were to have a blood test done elsewhere, that information would not be on my provider’s site nor is there a way I could even type it in. Google is trying to solve that problem by creating a health record keeping system that is controlled by the user, not the health care provider. This is especially important for those of us who don’t belong to a health maintenance organization (HMO) because we might visit different physicians who are not affiliated with each other.

Clearly privacy is the number one concern when it comes to any online medical information service. Google’s health privacy policy states that “You control who can access your personal health information. By default, you are the only user who can view and edit your information.” You can, however choose to share your information with others. The company also promises not to “sell, rent, or share your information” and will let you delete your account or any information in it at any time.

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