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	<title>My Blog, My Thoughts &#187; health care</title>
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	<description>A new and improved blog brought to you by Chukwuma Onyeije, MD</description>
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		<title>NYT: New Objections to Baucus Healt</title>
		<link>http://onyeije.net/blog/2009/09/15/nyt-new-objections-to-baucus-healt/</link>
		<comments>http://onyeije.net/blog/2009/09/15/nyt-new-objections-to-baucus-healt/#comments</comments>
		<pubDate>Tue, 15 Sep 2009 11:52:21 +0000</pubDate>
		<dc:creator>Chukwuma</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[politics]]></category>
		<category><![CDATA[uninsured]]></category>

		<guid isPermaLink="false">http://onyeije.net/blog/?p=206</guid>
		<description><![CDATA[http://mobile.nytimes.com/2009/09/15/health/policy/15health.xml
Sent from Onyeije&#8217;s BlackBerry Storm
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<p>Sent from Onyeije&#8217;s BlackBerry Storm</p>
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		<title>Mercury Exposure in Maternal Fish Intake May Affect Fetal Growth</title>
		<link>http://onyeije.net/blog/2009/09/15/mercury-exposure-in-maternal-fish-intake-may-affect-fetal-growth/</link>
		<comments>http://onyeije.net/blog/2009/09/15/mercury-exposure-in-maternal-fish-intake-may-affect-fetal-growth/#comments</comments>
		<pubDate>Tue, 15 Sep 2009 01:07:33 +0000</pubDate>
		<dc:creator>Chukwuma</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[nutrition]]></category>
		<category><![CDATA[pregnancy]]></category>

		<guid isPermaLink="false">http://onyeije.net/blog/?p=199</guid>
		<description><![CDATA[Adapted from Medscape:
A new study suggests a link between the amount and type of fish consumed by a pregnant woman and mercury exposure may affect fetal growth.  The study was designed as a prospective, population-based mother-infant cohort study and is reported in the August 26 Online First issue of the American Journal of Clinical [...]]]></description>
			<content:encoded><![CDATA[<p>Adapted from <a href="http://www.medscape.com/viewarticle/708821?src=rss">Medscape</a>:</p>
<p>A new study suggests a link between the amount and type of fish consumed by a pregnant woman and mercury exposure may affect fetal growth.  The study was designed as a prospective, population-based mother-infant cohort study and is reported in the August 26 Online First issue of the American Journal of Clinical Nutrition.</p>
<p><img class="alignnone" src="http://healthhabits.files.wordpress.com/2008/05/mercury-fish.jpg" alt="" width="550" height="825" /></p>
<p>The objective of the study was to assess the association of consumption of different types of fish and prenatal mercury exposure with birth weight, birth length, and classification as small for gestational age (SGA) in newborns.</p>
<p>When the mothers inthe top 25% of mercury exposure were compared to those in the lowest 25% of exposure, the study noted a 143.7 gm difference in birth weigh which was statistically significant (95% confidence interval [CI], –251.8 to –35.6; P for trend = .02)</p>
<p>The study also noted that mothers who consumed less than 1 portion of canned tuna per month had a lower risk of delivering an SGA newborn than those consuming 2 or more portions per week had newborns.</p>
<p>The study authors conclude that &#8220;the role of fish in fetal growth depends on the amount and type of fish consumed,&#8221; They also suggest that the findings regarding mercury exposure warrant further study</p>
<p><a href="http://www.ncbi.nlm.nih.gov/pubmed/19710189?dopt=Abstract">Abstract</a></p>
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		<title>John McCain&#8217;s Solution for Healthcare?</title>
		<link>http://onyeije.net/blog/2008/08/31/john-mccains-solution-for-healthcare/</link>
		<comments>http://onyeije.net/blog/2008/08/31/john-mccains-solution-for-healthcare/#comments</comments>
		<pubDate>Sun, 31 Aug 2008 22:08:44 +0000</pubDate>
		<dc:creator>Chukwuma</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[politics]]></category>
		<category><![CDATA[uninsured]]></category>

		<guid isPermaLink="false">http://onyeije.net/blog/?p=156</guid>
		<description><![CDATA[When I first read this I thought it was a joke. I am still in a state of shock that a health care advisor for Republican candidate John McCain would actually say it.
But here it is, from McCain Healthcare advisor John Goodman as quoted in the Dallas News:
&#8220;&#8230;the numbers are misleading, &#8230; anyone with access [...]]]></description>
			<content:encoded><![CDATA[<p>When I first read this I thought it was a joke. I am still in a state of shock that a health care advisor for Republican candidate John McCain would actually say it.</p>
<p>But here it is, from McCain Healthcare advisor <a href="http://www.ncpa.org/abo/staff/jcgoodman.html">John Goodman</a> as quoted in the <a href="http://www.dallasnews.com/sharedcontent/dws/bus/stories/DN-Uninsured_27bus.ART.State.Edition2.4dce428.html">Dallas News</a>:</p>
<blockquote><p>&#8220;&#8230;the numbers are misleading, &#8230; anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort.&#8221;</p>
<p>&#8220;So I have a solution. And it will cost not one thin dime,&#8221; Mr. Goodman said. &#8220;The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care.</p>
<p>&#8220;So, there you have it. Voila! Problem solved.&#8221;</p></blockquote>
<p>WHAT ON EARTH IS THIS MAN TALKING ABOUT?</p>
<p>Mr. Goodman is the President and CEO for the National Center for Policy Analysis.</p>
<p>Mr Goodman.  Emergency room health care for the indigent and uninsured IS NOT the same thing as a Government sponsored health insurance.  Any novice in public health and government policy should see that.</p>
<ol>
<li>People without insurance are less likely to seek care</li>
<li>Care that is obtained late (as an emergency) is more expensive and prone to less than optimal outcomes. </li>
<li>Physicians providing this care in the emergency room are NOT compensated in the same manner as if they were providing care to  insured patients.</li>
<li>Emergency room care is not capable of providing ongoing chronic care, short term follow-up or subspecialty services.  You cannot give prenatal care or chemotherapy in the emergency room.</li>
</ol>
<p>Amazing.</p>
<p>You would think that he would know better.</p>
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