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Health Care

Finally

Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act

Entrenched bureaucracies – or if you prefer, that long march through the insitutions – can be terribly difficult to dislodge. Even when it’s moron trying to return childbirth – that most dangerous thing a woman ever does – to it’s natural rate of being the biggest cause of adult mortality other than the diseases of old age.

Why anyone let the cretins do this is one thing, stop[ping them is another. And we really must stop them.

How unlikely this story is

Under the Ayushman Bharat medical insurance scheme, launched in 2018, poor patients are entitled to cover worth 500,000 rupees a year for each family. Most importantly, the treatment is available not only at the crowded and frenetic government facilities but also at private hospitals across India that offer a better standard of care. So far, 822m Ayushman Bharat health account (ABHA) numbers have been issued.

OK.

But this is where the scheme is foundering. Nationwide, the unpaid claims for medical care stand at more than 1tn rupees (£8.5bn). In the state of Kerala alone, there are 4bn rupees in pending claims.

Government doesn’t like paying up, eh?

And more!

Often the delays are down to complicated paperwork. Claims can be rejected or delayed over trivial issues such as misprints or minor discrepancies.

And the babus inist upon a pile of paperwork and bureaucracy, do they?

Who could have predicted this, in India of all places?

So if the birds work full time will this cover it?

GPs in England threaten action over online appointment booking plan
Doctors’ union says GPs will be overwhelmed by ‘triage tsunami’ and gives ministers 48 hours to take measures

GPs in England are threatening to take action over government plans to increase patients’ online access to appointments which they say will lead to a “tsunami” of extra demand.

GP is a majority female occupation these days. We have more of them too. We also have a large portion of those female GPs working part time. The supply of GP’ing has fallen even as we spend more on that £250k cost of training a GP.

Which does lead to an interesting question. If the birds now worked full time would we have enough GP’ing going on?

We could even take a leaf from Spud’s work. He once said – in a TUC budget submission no less – that high paid birds are uniquely subject to hte income effect. Raise their tax rate an they’ll work more hours in order to continue to enjoy that life of loooxury.

So, increase the tax rate on GPs – or, in fact the same effect, lower their pay – and watch as GP’ing labour hours increase.

Solved, eh?

Of course, that does rather depend upon Spud having got his economics right….

This does not add up

The NHS must change how black men are treated for prostate cancer to prevent “an epidemic of unnecessary deaths” in which twice as many die as white men, campaigners have warned.

Academics are seeking to raise awareness that one in four black men are getting this cancer, twice the rate of white men, which is one in eight, according to Prostate Cancer UK’s analysis of patient datasets for England. One in 12 black men are at risk of dying of this condition compared with one in 24 white men.

If the same number – or portion – get the disease but more die of it then it’s differential treatment. If the same portion of those who get it die then it’s not differential treatment and if more people get it but the same portion who do die then again, it’ not treatment that’s different. It’s something before treatment.

But then this is being driven by the ususal type of race grifter (an expert in forensic archaeology apparently) so there we are.

RFK is a one, eh?

Donald Trump’s administration is on Monday expected to tie pregnant women’s use of the popular medicine Tylenol – known as paracetamol elsewhere in the world – to a risk of autism, contrary to medical guidelines, the Washington Post has reported.

Trump officials are also expected to announce an effort to explore how the drug leucovorin could purportedly and potentially treat autism, according to the Post report published Sunday, which cited four sources with knowledge of the plans who spoke on the condition of anonymity because the announcement had not been made.

Not sure which of those two I disbelieve the more.

Either are possible, obviously, at the paracetemol and autism one I’ve never evern heard of. But RFK and vaccines has me suspicious of both…

There’s an interesting question here

Black women in England are still facing poorer outcomes in their maternity care due to systemic racism, alongside failures in leadership and data collection, according to a group of MPs.

Across the UK, black women are more than twice as likely to die in childbirth compared with their white counterparts, while babies born to black mothers are at an increased risk of stillbirth.

Is there any society in which these aren’t both true? Where maternal mortality and stillbirth rates are not higher for blacks than whites?

If there isn’t then two explanations present themselves. One that the whole world’s racist – which might even be true but would be a surprise as an outcome in ocuntries where blacks have the political power these days. Or, there is something genetic going one. Which, obviously there is – black skin for example – but is there something more. Say, propensity to gestational diabetes? And those with actual medical knowledge could no doubt expand that list.

It seems like one of those things that it would be worth finding out about, no?

This is an unforced error

One of Robert F Kennedy Jr’s health advisers will tell Reform members that Covid vaccines cause cancer at the party’s conference on Saturday.

Dr Aseem Malhotra, a British doctor who works on the US health secretary’s “Make America Healthy Again” campaign, is a prominent sceptic of mRNA vaccines and has been invited to the conference by Nigel Farage.

He believes that Mr Farage supports his plan to pause the rollout of all vaccines until they have been independently reviewed for side-effects, including cancer and heart problems.

Malhotra (see C Snowden, passim) climbs aboard every passing health care fad. And always on the wrong side of it. Salt, sugar, now vaccines – presumably because van Tulleken has taken the ultraprocessed foods gig.

Reform should really drop this one.

So, AI works on doctoring then

Diagnostic software triples rate of full recovery in stroke patients
Specialised AI-assisted tool used on 60,000 people works up to an hour faster than traditional scans, allowing almost half to make total return

We can cut the number of trainee doctors and pay them less then.

Excellent.

Seems reasonable

However, new modelling by Stanford University and Italian researchers suggests that while the vaccines did save lives, the true figure was “substantially more conservative” and closer to 2.5 million people worldwide over the course of the pandemic.

The team estimated that nine of 10 prevented deaths were in the over-60s, with jabs saving just 299 people aged under 20, and 1,808 people aged between 20 and 30 globally.

Overall 5,400 people needed to be vaccinated to save one life, but in the under-30s this figure rose to 100,000 jabs, the paper suggests.

Given that, with rare exceptions, covid itself was only dangerous to the over 60s.

The lower these numbers get the worse lockdown looks as well, eh?

Yep, obviously

Exposure to certain forms of air pollution is linked to an increased risk of developing dementia, according to the most comprehensive study of its kind.

Air pollution is the result of doing something. If we do something then we live longer. Long enough to get dementia rather than starving to death in our 30s.

QED.

Oh Aye?

NHS will use AI to prevent next Letby scandal
Pioneering tech to scan data in real time to detect serious failings in care

AI is pattern recognition. As is the way Letby was caught. But pattern recognition works on something that has happened – it’s not a preventative, it’s a detection.

Reductios are all very well but….

People dying early from cancer costs the UK economy £10.3 billion a year, according to the most comprehensive analysis of its kind.

Researchers from Cancer Research UK calculated the number working years lost to the disease, alongside people’s expected economic output in that time.

They found that cancer deaths among young adults aged 25 to 49 were having a significant effect on overall economic output, costing £3.2 billion every year.

0.1%. I’d hesitate to call that significant but very well.

As part of its plan, the charity wants the Government to take further action on smoking, obesity and alcohol, all of which contribute to cancer.

Ah, but if we’re doing such reductios then we do have to include the savings to the NHS of a shorter lifetime of health care provision. And the lack of a pension to pay and so on.

If you’re going to do a cost benefit analysis then you’ve got to do a cost benefit analysis.

A GP writes

Taxing sugar and fat would be one way of altering the nation’s diet, and we should also look at the quality of school meals. Beyond food regulation, we need to buy back school playing fields, offer opportunities to exercise for free, and encourage active transport by making pavements pleasant and cycle routes safe. The current obesity crisis arises from a complex mix of social and commercial determinants of health and these are not problems that can be fixed with a simple injection.

Well, yes. We can just stop having rabies injections too. What do you mean you want to go abroad where rabies exists?

Lifestyle changes cure everything, d’ye see?

Beneficiaries?

Experts said the rising cases were a “terrible indictment” of the state of the NHS, with Poland, Germany, Italy and Belgium among the main beneficiaries.

It’s the state healthcare systems treating UK patients. That’s a benefit to hte patients, to the NHS, not to the foreign places and systems.

What next eh? What next?

NHS services could face cuts to cover the cost of carrying out assisted deaths, the Health Secretary has warned.

Under the Bill passed on Friday, the NHS will be expected to carry out the assisted dying procedures. Analysis suggests that implementation of assisted dying may cost the health service close to half a billion pounds within a decade, with each death costing the taxpayer more than £15,000.

You can guess, can’t you? Bully a few more of those whoi wouldf cost £50k in treatment costs to take the cheaper option.

Anyone who does not think this will happen is a fool.

Again?

Prostate cancer screening must be rolled out nationally, Rishi Sunak has urged.

Haven’t we all been through this before? And it was found that as 50% of men will die with it and only 8% (or whatever) of it then and therefore screeing up to about 70 seems sensible, after that why worry everyone?

Now, that might be mixing in a bit of the American experience. But population health isn’t all that different.

Take the wind out of their sails

Resident doctors are demanding another 30 per cent pay rise as Labour faces a “summer of discontent”.

The medics, previously known as junior doctors, are threatening more walkouts despite getting a pay rise that they sought three years ago.

Go back to calling them student doctors. Then they can argue with the public about the wages of student doctors….

Interestink

The UK is becoming “the sick person of the wealthy world” because of the growing number of people dying from drugs, suicide and violence, research has found.

Death rates among under-50s in the UK have got worse in recent years compared with many other rich countries, an international study shows.

While mortality from cancer and heart disease has decreased, the number of deaths from injuries, accidents and poisonings has gone up, and got much worse for use of illicit drugs.

The trends mean Britain is increasingly out of step with other well-off nations, most of which have had improvements in the numbers of people dying from such causes.

The increase in drug-related deaths has been so dramatic that the rate of them occuring in the UK was three times higher in 2019 – among both sexes – than the median of 21 other countries studied.

So the UK is becoming more like the US in its pattern of deaths. Which means that it’s not the NHS v insurance based health care which causes the American pattern of death, right?

Ah

Weight-loss injections could cut the risk of cancer by almost half, research suggests.

Researchers analysed the health records of more than 6,000 obese patients with Type 2 diabetes, half of whom were given bariatric surgery while the others were prescribed GLP-1 weight-loss jabs.

The Israeli team found that while weight-loss surgery cut the risk of obesity-related cancer by up to 42 per cent, the impact of the injections might be even better.

So it’s not the injections, it’s the weight loss. And the injections are better at the weight loss than the surgery, and so and therefore…..