Rahm Emanuel: Health Care About the 'Art of the Possible'
from CBS News
 It's often said that when it comes to complicated issues like health care reform, the perfect can be the enemy of the good. The question, then, is what concessions are necessary to advance one's agenda? In a recent interview with the New York Times, White House Chief of Staff Rahm Emanuel made note of the politics at play in the health care debate.
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Quotes of the Day: 'This is a Health Care Bill, Not an Abortion Bill'
from ABC News
"This is a health care bill, not an abortion bill." -- President Obama, recently to ABC’s Jake Tapper
"Let’s be honest. The goal isn’t to see whether I can pass this through the executive board of the Brookings Institution. I’m passing it through the United States Congress with people who represent constituents. I’m sure there are a lot of people sitting in the shade at the Aspen Institute -- my brother being one of them -- who will tell you what the ideal plan is. Great, fascinating. You have the art of the possible measured against the ideal." -- White House Chief of Staff Rahm Emanuel, on the practical matter of pushing health care reform through the Congress.
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'Opt-Out' Proposal Puts State Leaders to the Test
from The New York Times
In the two weeks since the Senate majority leader, Harry Reid, embraced a proposal that would allow states to opt out of a new government health insurance plan, state leaders have begun debating whether to participate, and the question has emerged as a litmus test in a number campaigns for governor.
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Connect with Your Peers Using the SHCA List Serv
Step 1: Sign Up today and be a part of our continually growing SHCA Learning Network – ask questions and hear from peers in the profession with similar experiences. It takes two minutes to sign up!
Step 2: Maximize your member benefit and start to learn from your peers today!
How do I send a message to the list?
Send an e-mail to SHCA-LEARNING-NETWORK@ahals.aha.org. Make the subject line of the e-mail clear and concise, so other subscribers can discern the relevance of the message. Include your name and e-mail address for follow-up.
How do I reply to a message?
To reply to a message, hit "reply to" -- the e-mail address for the list - SHCA-LEARNING-NETWORK@ahals.aha.org - should appear in the "to" line of your e-mail. Write your message in the body and hit send. Replies to an individual should be sent directly to the individual's e-mail address and not to the list.
How do I change my listserv delivery settings? (Access online archives of postings)
Go to the SHCA Listserv home page and log in to your account. If you do not have an account, follow these instructions. Click on the link for "Subscribers Corner" at the top of the page. Click on "My Settings," then on the "[Settings]" link next to the SHCA list name. For a detailed explanation of each setting, click on the question mark icons.
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Hospitals Restrict Visitors
from NorthJersey.com
Several New Jersey area hospitals are barring children and anyone who is sick from visiting patients as a way to prevent swine flu from spreading. St. Joseph's Regional Medical Center in Paterson and its sister hospital in Wayne, along with Chilton Memorial Hospital in Pequannock, have already temporarily banned young people who are not patients.
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Mental Patients Stuck in Emergency Rooms for Days
from The Charlotte Observer
Across North Carolina, mental patients are routinely languishing for days in emergency rooms ill-equipped to care for them, waiting for a bed to open at one of four state-run psychiatric hospitals. Often, they pass the time handcuffed or sedated. Law enforcement officers assigned to guard patients at community medical centers such as Grace Hospital in Morganton have occasionally resorted to using Tasers to shock them into submission.
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Society Online Education Presents:
Cultural Psychosocial Aspects of Family Members in a Crisis Situation
Wednesday, December 2, 2009
1:00 p.m. CST
A critical illness or a sudden death may create a crisis for the family. They find themselves facing a threat of loss or in a situation of devastating loss. It is a time of great stress and requires those involved to have effective strategies to help the family. One will see a wide range of behaviors and emotions displayed and depending on the personalities involved and the cultural value systems that come into play.
Physical symptoms also present challenges to manage. The actions of the person involved in addressing the needs of the family at this vulnerable time carries enormous responsibility. Non effective communication and situation management can have lasting consequences to the family.
To learn more and register, click here.
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Doctor Visits Get Longer, but Care Quality 'Poor'
from Reuters
It may come as a surprise to many patients, but a new study shows that primary care visits have actually gotten a little longer since the late 1990s. This is particularly remarkable, say the researchers, given the increased pressure on primary care doctors to be efficient in the face of rising numbers of patients and declining income.
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Merck Cholesterol Pill Sales May Drop 20 Percent After Study
from Bloomberg
Merck & Co. may face a third negative study result within two years for its cholesterol pills, Vytorin and Zetia, which have lost 14 percent of sales since January and could sink further. The latest trial, scheduled to be presented Nov. 16, pits Merck’s drugs against Abbott Laboratories’ Niaspan, a modified form of vitamin B3 used to maintain healthy cholesterol levels. A win by Niaspan may discourage more doctors from prescribing Merck’s Vytorin and its component Zetia, said Steven Nissen, chief of cardiology at the Cleveland Clinic in Ohio.
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Volume Two: The Sky is Falling...So They Called Me!
Call for Stories: November 2 – December 31, 2009
Special Incentives!
Each story submission will be entered into a drawing to win prizes including a SHCA webinar registration, a bookstore coupon and…a 2010 Annual Conference Registration! The drawing will take place January 8, 2010.
Submission guidelines:
Authors must be SHCA members and include their contact info (name, title, facility, email address, fax and phone numbers)
Must be original work (no copyrighted stories or poems, please)
Minimum of 100 words and be an original
To assure patient privacy, use fictitious patient and facility names
Submitting your story is easy!
Complete the online entry form by December 31 and be entered in to a contest to win a 2010 Annual Conference registration!
Please join us in making this second volume an even bigger success!
Submit your story today!
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Doctor Gives Risky Drugs at High Rate
from Chicago Tribune
Inside Chicago's Maxwell Manor nursing home, Dr. Michael Reinstein's patients suffered from side effects so severe that they trembled, hallucinated or lost control of their bladders. Staffers told state investigators that so many patients were clamoring to complain to Reinstein about their medications that a security guard was assigned to accompany him on his visits.
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Regarding Tamiflu, Doctors and Patients Face a Question of When to Act
from The New York Times
When Dr. Matt Thompson, a pediatrician at the Kids Clinic in Spokane, Wash., found about a month ago that his six children had come down with H1N1, or swine flu, he did not give them the antiviral medication that might have made their sickness a bit shorter. “They don’t have asthma; they’re not immune-compromised; they don’t work in a health care setting,” Dr. Thompson said. “I don’t tell that story to minimize concern about this virus, but here was a case where my kids weren’t that sick.” Dr. Thompson is on the conservative side of the question of when to give patients Tamiflu, the most frequently prescribed antiflu medicine, saying he fears creating a resistant strain of the virus.
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