By Katie Kerwin McCrimmon Once certain that he would die young, the man born with the deadly disease now dreams of growing old. Im going to be a grandfather someday. Im going to have a really long life, says Bill Elder, a 25-year-old Stanford graduate who is now applying for medical school. Thats because of a blue pill and a new trend in drug development called venture philanthropy. Elder has cystic fibrosis (CF). Its known as an orphan disease because so few people have it only about 30,000 in the U.S. and about 70,000 worldwide so there is little incentive…
Category: Trends In Health Care - Part 11
By Ashley Mayo With all of the politics surrounding the passage and implementation of the Affordable Care Act, its easy to lose sight of the ways the law is fundamentally improving health care in Colorado and across America. In our state alone, 291,000 children with pre-existing conditions can no longer be denied coverage, 50,000 young adults have gained insurance by staying on their parents plans, and over 200,000 residents will receive rebate checks from insurers who failed to meet the 80/20 rule. On Aug. 1, Obamacare brings yet another historic reform: insurance companies must cover preventive services for women without…
By Polly Anderson Critics of the Patient Protection and Affordable Care Act call it too radical, too expensive and a threat to high quality medicine. But in truth, federal health reform emphasizes a return to the caring, personalized, evidence-based medicine that is well established at Colorados community health centers. While some are still debating the merits of expanding Colorados Medicaid program to a larger percentage of the poor, Colorado community health centers are not waiting to move forward. A growing pool of evidence tells us that our model is the future, and were preparing for a groundswell in patients, be…
By Diane Carman While political leaders across the country furiously debate how or even whether to provide health care coverage for the uninsured, Denver Health, the states largest safety net provider, welcomed a new CEO this week. Arthur A. Gonzalez will be charged with running a critical institution where 42 percent of its patients are uninsured at a time when state revenue projections are weak and the future of Medicaid expansion is in serious doubt. He succeeds Dr. Patricia Gabow, who is retiring in September after serving as CEO of Denver Health for 20 years. He will begin the new…
By Katie Kerwin McCrimmon AURORA The Colorado community devastated by a mass killing will now become one of only four sites selected for the most promising revolution in health care: hotspotting. The movement began with a different senseless shooting in 2001 in Camden, N.J., a city that tops the country for both crime and poverty. Its a place filled with urban ruins, where a tree is shooting up through a once-stately Carnegie library, where budget cuts recently forced the layoffs of half the police department and where gunshots frequently pierce the night sky. We also end up with all the…
By Chris Lindley Most pregnant women across the United States listen to and rely on sound medical advice from their doctors and other health experts when determining how to protect the health of their unborn babies. Dont drink during pregnancy is a message based on evidence that resonates with most expectant mothers and contributes to the health of future generations. The Colorado Department of Public Health and Environment would like to reinforce that message with a critique of a recent study that suggests moderate drinking during pregnancy is not harmful to young children. On June 20, a Danish research article…
By Katie Kerwin McCrimmon Latinos, who are uninsured at disproportionately high rates in Colorado, could gain the most as health reform takes hold. Thats what happened in Massachusetts, which in 2006 became the first state in the nation to require health coverage for all individuals and to implement a health insurance exchange. Massachusetts health reform law became a model for the Affordable Care Act, which the U.S. Supreme Court last month upheld. A lot of Latinos have low-paying jobs and they dont qualify for Medicaid, said Maria Gonzalez, spokeswoman of Health Care for All Massachusetts, a consumer advocacy group that…
By Ben Young and David Cohn The first seven cases of acquired immune deficiency syndrome (AIDS) diagnosed in Colorado were discovered in 1982. By the end of 2011, almost 17,000 people in Colorado had been diagnosed with human immunodeficiency virus (HIV), the virus that causes AIDS, and more than 5,000 had died from complications of the disease. These are not just numbers. They represent people our children, mothers and fathers, brothers and sisters, partners, friends, neighbors and colleagues. Today, we know more about HIV. Many of these advances over the past 30 years can be linked to Colorados role in…
By Diane Carman The question before the court in New Mexico is absurdly simple and yet impossibly complex. What is the meaning of assisting suicide? If a terminally-ill patient refuses a ventilator or a feeding tube and the physician yields to that decision, is that assisting suicide? If the patient is in excruciating pain and requests total sedation and no nutrition or fluids, can the doctor be held accountable for his death? What if the patient seeks a prescription from her physician so that when the pain of dying is overwhelming she can seek the ultimate relief on her own?…
By Mark Wallace Too often, bedbugs get in the way of delivering cost-effective, efficient, high-quality health care both literally and figuratively. In the literal sense, consider a case of a middle-aged woman Ill call Mary. A frequent visitor to emergency rooms in northern Colorado, Mary brings with her a long list of complex medical problems. She takes multiple prescription medications and suffers from behavioral health issues and chronic pain. Recently, a pilot project implemented by the North Colorado Health Alliance in cooperation with Colorado Access and Rocky Mountain Health Plan sought to determine why people like Mary keep returning to…