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  • ACA Architect Gruber Insults Voters November 21, 2014
    MIT economist Jonathan Gruber (an architect of Obamacare) has emerged in a handful of videos insulting the American public. In one video, Gruber discusses how voters’ “lack of economic understanding” enabled a politically unpopular tax on “Cadillac” health plans to …
  • Are You Vitamin D Deficient? November 19, 2014
    Many Americans believe they are not at risk for Vitamin D deficiency because they eat D-fortified foods. These foods do not contain enough Vitamin D to benefit your health. Vitamin D is not a regular vitamin, but a steroid hormone …
  • Ambulance Drones Could Help You Survive a Heart Attack November 17, 2014
    Heart disease is the #1 cause of death in the United States. The odds of surviving a heart attack outside of a hospital is only 8%. Four out of five heart attacks occur at home where there is no emergency …
  • Eugenics in America – In the Name of Science November 17, 2014
    Marilyn M. Singleton, M.D., J.D. presents at the AAPS 71st Annual Meeting, September 5, 2014, Charleston, South Carolina
  • Supreme Court to Examine Issue of Obamacare Subsidies November 14, 2014
    The Supreme Court will decide the fate of Obamacare yet again. This new case challenges the key issue of subsidies used to assist in purchasing insurance in the exchanges. This decision to hear the King v. Burwell case has surprised …
  • Apples to Protect Against Obesity November 12, 2014
    An apple a day may be as beneficial as daily statin use. Apples and pears reduce the risk of stroke by more than 50%. A new study has found that the bioactive compounds in apples not absorbed during digestion boost …
  • Diabetes Awareness: Testing & Treatment is Important November 10, 2014
    Diabetes mellitus, known commonly as diabetes, is a metabolic disease where a person has high blood glucose (sugar) because they do not produce enough insulin or the body’s cells do not respond properly to insulin. Glucose cannot enter our cells …
  • Tau Protein Causes Alzheimer’s, Not Plaque November 7, 2014
    A new study has discovered that the protein tau (the “tangles”) is the main cause of Alzheimer’s disease, not plaque as was previously believed. Tau determines how much amyloid protein stays in the cell and how much is secreted outside …
  • Direct Primary Care Reduces Healthcare Costs November 5, 2014
    Direct primary care benefits both the patient and the physician. Many people could afford medication if they could afford the office visit it stems from.  Clinics that take insurance have to hire extra people and invest in special technology in …
  • The Problem and Solution for Our Healthcare System November 3, 2014
    by Timothy D. Wingo, MD; Owner – Atlas Healthcare, PA It is obvious to everyone that the healthcare system in our country is broken and getting worse. What is not so obvious is what it would take to fix it. …
  • 3 Steps to Get Rid of Heartburn and GERD Forever October 31, 2014
    Heartburn and GERD are caused by too little stomach acid and bacterial overgrowth in the stomach and intestines. There are three steps to treat heartburn and GERD without drugs and keep them from returning. Reduce factors that promote bacterial overgrowth …
  • OMTEC 2014 – Keynote Interview with Industry Leaders (Installment 5 of 5) October 31, 2014
    Original, essential content from OMTEC. Industry leaders Michael Butler, Dirk Kuyper and Mike Matson discuss the intricacies of supplier relationships within the orthopaedic industry.
  • OMTEC 2014 – Keynote Interview with Industry Leaders (Installment 4 of 5) October 31, 2014
    Original, essential content from OMTEC. Industry leaders Michael Butler, Dirk Kuyper and Mike Matson discuss the intricacies of supplier relationships within the orthopaedic industry.
  • OMTEC 2014 – Keynote Interview with Industry Leaders (Installment 3 of 5) October 31, 2014
    Original, essential content from OMTEC. Industry leaders Michael Butler, Dirk Kuyper and Mike Matson discuss the intricacies of supplier relationships within the orthopaedic industry.
  • The Wasting of Taxpayer Money October 29, 2014
    by G. Keith Smith, MD If you are looking for proof of the fact that the wonderful folks in D.C. are more interested in lining the pockets of their pals than demonstrating good stewardship of the loot from the robbery …
  • Giving Birth in America is Most Expensive in the World October 27, 2014
    While a woman is preparing for giving birth, one worry she doesn’t want to have is about the cost of delivery. Insured women are finding that some policies do not cover maternity care, services that most often do not have …
  • Physicians are Not Medicine’s Top Earners October 24, 2014
    Physicians are the most highly trained members of the medical industry’s force, yet have median compensation.  The largest salaries go to the Medicrats who oversee the business of medicine. Insurance CEOs average $584,000 compared to surgeons ($306,000) or a general …
  • Health Benefits of Honey October 22, 2014
    Honey has been used as a natural sweetener long before sugar. Bees collect pollen from  plant to plant, which is passed along from bee to bee until it eventually is deposited into the honeycomb. They beat their wings to evaporate …
  • Rotten Food and the VA Hospital October 20, 2014
    by G. Keith Smith, MD Imagine for a moment that you own and operate a restaurant knowing that if you provide spoiled food and rotten service, you will subsequently make more money.  You openly employ strong-arm and intimidation tactics to …
  • Hospitals want patients to pay in advance October 17, 2014
    Hospitals are asking for payments from patients before they leave the facility so they don’t end up with unpaid bills. Knowing the costs before the procedure is important because insurance deductibles are increasing and so are procedure costs. Obamacare policies …

Cancer screening delayed by Obamacare

by Constance Uribe, MD

shacklesIt is common knowledge that over 500,000 Americans die from cancer every year. Americans have become increasingly conscientious about the concept of early detection as it pertains to breast and prostate cancer. One in six men will develop prostate cancer, and about one in eight women will be diagnosed with some form of breast cancer. Eighty-five percent will have no family history.

We have improved the survival of breast cancer patients, especially in those who are diagnosed before the age of 50. While it is true much of this success can be attributed to improved treatment regimens, early detection through screening mammograms has played a major role.

Many elderly men have undiagnosed prostate cancer. It has been estimated 70 to 90 percent will have malignant cellular changes in their prostates by the age of 80. The prostate-specific antigen blood test can save an estimated 17,000 men every year from presenting with the disease in an advanced stage.

The federal government has once again driven a wedge between patients and physicians by creating its own criteria for the screening of these two prevalent malignancies. Instead of trying to improve on something that was working pretty well, Washington decided to scrap the idea because it did not fit the current agenda.

Our own government is avoiding early diagnosis and treatment of these two known killers, turning a blind eye as these malignant terrorists invade our bodies. Only Washington could take something as straight forward as cancer screening and turn it into a complicated quagmire, and a deadly one at that.

These bureaucrats recruited members of my own profession to fall back on the Hippocratic doctrine of “first, do no harm.” To use simple examples: A physician should not order a mammogram, even if he can pick up an early cancer, because the mammogram is radiation and that is dangerous. Also, he should not order a prostate-specific antigen test on a patient because it might turn out “positive,” and the patient might have a side effect from the treatment. That would be bad.

This idiocy began with the United States Preventative Services Task Force, an organization created by the U.S. Department of Health and Human Services. The task force is composed of primary care physicians and epidemiologists to make recommendations regarding clinical preventative tests. It would seem their assignment was to come up with reasons to deny clinical preventative tests, such as mammograms and the prostate-specific antigen.

The panel members came to the conclusion physicians would “overdiagnose” and “overtreat” early, indolent breast and prostate cancers. If left alone, these tumors may not develop into more aggressive forms until much later. They also suggest we work on finding genetic testing to discover which of these tumors fit this indolent category, yet there is no recommendation to continue early screening until then.

According to our government, only women above the age of 50 are to have screening mammograms, and then only every other year. A younger woman would qualify for a mammogram if she had a mass that was large enough to be palpable. By then, her stage and treatment options would be different, and the same task force concerned about “overtreatment” would be subjecting this patient to modalities fraught with more
possible complications.

Likewise, the task force reports the prostate-specific antigen shows no benefit for diagnosing prostate cancer and claims the risks outweigh the benefits. The American Urological Association has an entirely different opinion. This organization, made up of specialists, believes ordering the prostate-specific antigen test results in a reduction of the number of men presenting with the advanced form of the disease.

According to Dr. Edward Messing at the University of Rochester Medical Center in New York, many more men will present with far advanced prostate cancer if physicians stop doing the prostate-specific antigen test. “Almost all men with clinically apparent metastases (spread) at initial diagnoses will die from prostate cancer,” Dr. Messing explained.

How does Obamacare come into play here? Under the Affordable Care Act, the same medically challenged agency which created this task force will be the one overseeing the healthcare of this nation. The Secretary of Health and Human Services will have the final word on all the rules and regulations regarding the distribution of health services, and those will include the ones related to preventative care.

I foresee the day when physicians will not only have difficulty ordering screening exams on their patients, but they will be penalized if they do. Health and Human Services will take the screening recommendations from this task force very seriously, and the agency will enforce them. Even if Congress attempts to pass legislation overriding any of the regulations, Health and Human Services will still have the final word.

President Obama, the Secretary of Health and Human Services and Congress have no major investment in the new cancer screening guidelines. They will be getting mammograms and prostate-specific antigen tests whenever their doctors recommend. It’s not about them and their husbands and wives and sons and daughters. It’s about you and yours.

Dr. Constance Uribe is a general surgeon and author of “The Health Care Provider’s Guide to Facing the Malpractice Deposition” (CRC Press, 1999).



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