A Quote by Atul Gawande

We now have 30 percent, for example, of Medicare patients who are seeing doctors who are rewarded for doing this kind of work, like high blood pressure control. So, the Affordable Care Act has pushed this direction down the road.
Go back to the '30s, '40s, '50s, and it was the discovery of heroic interventions, the ability to cure people with penicillin or do an operation to stop disease that was what saved the day. Primary care physicians couldn't do all that much that really demonstrated a difference. The people who control and work with you to control your blood pressure, they're not rewarded for doing that or to be innovative about doing that. So, the result is half of Americans have uncontrolled high blood pressure, despite seeing clinicians.
Excess dietary salt is most notorious for increasing blood pressure. Americans have a 90 percent lifetime probability of developing high blood pressure - so even if your blood pressure is normal now, if you continue to eat the typical American diet, you will be at risk.
I am very careful about my health... For example, I have body check-ups regularly and take some medicines to control my blood pressure, because I have a little bit high blood pressure.
In terms of Medicare, I'm in favor of sitting down and having a serious discussion about the likely impact of the Affordable Care Act, health-care reform, on the cost issue and changing the fee-for-service structure.
A central notion in the Affordable Care Act was we had an inefficient system with a lot of waste that didn't also deliver the kind of quality that was needed that often put health care providers in a box where they wanted to do better for their patients, but financial incentives were skewed the other way... We don't need to reinvent the wheel; you're already figuring out what works to reduce infections in hospitals or help patients with complicated needs.
I think it's important, especially in health care, to take this step by step, whether it's the replacement of the Affordable Care Act, how we make Medicaid work better, how we save Medicare for the long term.
Safe care saves lives and saves money. Adverse events like high levels of infection, blood clots or falls in hospital, emergency readmissions and pressure sores cost the NHS billions of pounds every year. There is a serious human cost, too, with patients ending up injured, or even dead. Most are avoidable with the right care.
Right at the heart of the Affordable Care Act is the ban on insurance companies discriminating against people with a pre-existing condition. And this part of the Affordable Care Act makes sure that health care is not just for the healthy and wealthy.
What Republicans want to do is to put doctors and patients and patients' families back in charge of people's health care rather than having pencil pushers of the government or in some insurance office doing that job.
The supportive care that we're able to provide in the United States is so much better, so much more sophisticated, than what's available in West Africa. ... So we can move that needle of survival way down. Even Doctors Without Borders in West Africa are moving the fatality rate from 50 percent down to 30 percent-I bet we can do substantially better than that here.
Even Doctors Without Borders in West Africa are moving the fatality rate from 50 percent down to 30 percent-I bet we can do substantially better than that here.
When we, doctors, ask patients what their priorities are if time is short, what we do is we use what is available to us - whether it's geriatric care or palliative care or hospice care - to make sure they're living the kind of life that they want to live.
Americans need health care focused on them, not Washington. They want choices, not more mandates. They want affordable plans with ready access to local doctors and hospitals - not high-priced plans with doctors they don't know.
I am on the Health Education Labor Committee. That committee wrote the Affordable Care Act. The idea I would dismantle health care in America while we're waiting to pass a Medicare for all is just not accurate.
There is survival behavior, and doctors need to learn from patients who do not die when they are supposed to, instead of saying, 'You're doing very well, so keep doing whatever you are doing.' They should be asking what their patient is doing and pass the information to other patients.
The less control people had over their work, the higher their blood pressure during work hours. Moreover, blood pressure at home was unrelated to the level of job control, indicating that the spike during work hours was specifically caused by lack of choice on the job. People with little control over their work also experienced more back pain, missed more days of work due to illness in general, and had higher rates of mental illness-the human equivalent of stereotypies, resulting in the decreased quality of life common to animals reared in captivity.
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