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3 posts from November 2018

11/18/2018

Dave Chase Discusses His New Work, "The Opioid Crisis Wake-Up Call: Health Care is Stealing the American Dream” (November 16th)

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Listeners may recall, I have previously discussed the opioid epidemic this past February 2 with Dr. Steve Passik concerning abuse deterrent formulations and on November 16, 2016 with Dr. Ann Lembke regarding her work, "Drug Deal MD."  Tragically, the opioid epidemic continues unabated.  In 2017 there were 72,000 drug overdose deaths, among these 29,000 were from synthetic opioids, predominately fentanyl.  While Mr Chase's work examines the cause of the opioid epidemic and what could be done to reduce fatalities, it is moreover a study that attempts to explain what accounts for massive dysfunction in health care delivery that causes, as I note in the podcast's introduction, Americans to spend $1 trillion annually on health care coverage and services that do not improve their health.

During this 30 minute conversation Mr. Chase explains what prompted his writing this work and what explains, in his view, the opioid crisis.  Moreover, he explains the problem with health care as one moreover one of pricing failure, how payers, moreover self-insured employers, can more competently purchase more affordable coverage for their employers and provides examples or organizations that have lowered their health care spending.  He also discusses direct primary care, ERISA, insurance risk pool size, medical loss ratios (MLRs) and his efforts at credentialing use of The Health Rosetta blueprint. 

Mr. Dave Chase is the co-founder of The Health Rosetta, described as an open source blueprint for the next generation's Dave chase headshothealth ecosystem.   Mr. Chase's first book, "The CEO's Guide to Restoring the American Dream: How to Delivery World Class Healthcare to Your Employers at Half the Cost," became a Kindle #1 best seller.  Mr. Chase and The Health Care Rosetta focus on replicating health economies that rebuild hope and community through improved outcomes, lower spending and higher performing models.   

Information on Mr. Chase's book is at: https://healthrosetta.org/friends/

For more on The Health Rosetta, go to: https://healthrosetta.org/

 

11/15/2018

Professor Kristie Ebi Discusses the IPCC Report's Findings Related to Global Warming on Human Systems (November 14th)

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The below November 7th podcast post provides a link to an essay that, in part, provides an overview of the United Nation's International Panel on Climate Change's (IPCC's) recent report titled, "Global Warming of 1.5°C."  As noted in the essay, what is particularly noteworthy about the IPCC's report is its conclusion that keeping or holding temperature increases to below 2°C, the goal of the Paris climate accord, would not avoid the more serious effects of global warming.  For example, at 1.5°C of warming a significant percent of vertebrates, insects and plants would lose half of their climatically-determined geographic range and 70 to 90 percent of coral reefs would be lost.   

During this 28 minute conversation Professor Kirstie Ebi begins by briefly explaining the IPCC's work, she then discusses several of the findings in chapter 3, that she co-authored and is titled, "Impacts of 1.5°C Global Warming on Natural and Human Systems.," Professor Ebi makes note of the international climate change research communities' upcoming meeting in Poland, next issue of the US's Climate Science Special Report, anticipated in December, and comments on the health care industry's responsibility and opportunity to contribute to solving the climate crisis. 

Professor Kristie L. Ebi, is the Director of the Center for Health and Global Environment (CHanGE) and the Rohm and Haas EbiEndowed Professor in Public Health Sciences at the University of Washington.  She is the author of multiple national and international climate change assessments, including the IPCC's recently published Report on Global Warming of 1.5C.  Professor Ebi co-chairs the International Committee on New Integrated Climate change assessment Scenarios (ICONICS) that created five scenarios of socioeconomic development over this century.  Professor Ebi's scientific training includes a MS in toxicology and a Ph.D. and a Masters of Public Health in epidemiology and two years of post-graduate research at the London School of Hygiene and Tropical Medicine  She has edited four books on aspects of climate change and over 200 publications.

The IPCC report is at: http://www.ipcc.ch/report/sr15/ 

Though not noted during this discussion, it's worth noting here the much discussed essay by Will Steffen and colleagues published this past August in the Proceedings of the National Academy of Sciences (PNAS) regarding "hothouse earth."  The essay, "Trajectories of the Earth System in the Anthropocene," is at: http://www.pnas.org/content/115/33/8252

 

11/07/2018

Essay, "The IPCC Confirms Life As We Know It Will Soon Cease to Exist" (November 7th)

Listeners of this podcast may recall I've written several essays concerning global warming over the past three years that I've posted links to via this website.  This is my latest, posted yesterday at THCB.  It is at: https://thehealthcareblog.com/blog/2018/11/06/the-ipcc-confirms-life-as-we-know-it-will-soon-cease-to-exist/.