health care

Flickr Photo/Greg McMullin (CC-BY-NC-ND)

Ross Reynolds interviews journalist and author Steven Brill about his new book, "America’s Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Health Care System."

While finishing the book Brill had his chest sawed open for emergency heart surgery. A dream he had the night before the operation revealed a truth about the health care system. 

New Kidney Transplant Rules Aim For Equity

Jan 22, 2015

More than 100,000 people in the U.S. are waiting for a kidney transplant. That’s a longer waiting list than for any other organ. Each year, only about one-sixth of those patients will get one.

Who’s next in line is a delicate and high-stakes question and the answer has recently changed. From the Here & Now Contributors Network, Joanna Richards of WCPN reports from Cleveland.

Doctor
Flickr Photo/Alex Proimos (CC-BY-NC-ND)

For the past two years primary care doctors who saw Medicaid patients were given a pay increase. The extra money was an incentive for doctors to take in new patients who became eligible under Medicaid expansion. But starting January 1, 2015, that pay increase expires. Marcie Sillman talks to KUOW’s healthcare reporter Ruby de Luna about how this change might impact Medicaid patients.

Marcie Sillman talks to David Kopacz about his new book, "Re-humanzing Medicine: A Holistic Framework For Transforming Your Self, Your Practice, and the Culture of Medicine."

Flickr Photo/cursedthing (CC-BY-NC-ND)

Jeannie Yandel talks with Pat Justis, rural health manager at the Washington State Department of Health, about the myriad of health issues facing rural areas.

Flickr Photo/hapal (CC-BY-NC-ND)

Ross Reynolds has a wide-ranging discussion of end-of-life issues with Atul Gawande, author of “Being Mortal: Medicine and What Matters in the End."  

Gawande discusses  several issues such as how medical science views death as a failure, and does not always examine how medical treatments affect people at the end; innovations in assisted living and hospice to not only improve the quality of life, but also allow people to live longer; and how health care professionals are trying to become better at end of life care.

KUOW Photo/John Ryan

If today is a typical day in the United States, about 200 hospital patients will die with an infection they picked up while they were in the hospital.

Only one patient in the United States has ever died of Ebola, and many deadly diseases spread much more easily than Ebola.

Flickr Photo/camknows (CC-BY-NC-ND)

Ross Reynolds talks to Heather Stephen-Selby about nurses' preparedness for Ebola in Washington state. Stephen-Selby is the assistant executive director of practice, education and research for the Washington State Nurses Association. 

Also Dr. Scott Lindquist, Washington's chief epidemiologist, explains how the state is preparing and what the state still needs to do.

Flickr Photo/Penn State (CC-BY-NC-ND)

Ross Reynolds talks with Group Health family practitioner Dr. Matt Handley about a new report that looks at unnecessary medical testing in Washington state.

Exactly one year ago, the Obamacare insurance exchanges stumbled into existence. Consumers struggled to sign up for its online marketplace — and the Obama administration was pummeled. Eventually, HealthCare.gov's problems were mostly fixed, and two weeks ago, the administration announced 7.3 million people have bought insurance through it so far this year.

So, was the health exchanges' first year a success — or something less?

Ask President Obama, and he says you measure the Affordable Care Act's success this way:

The heavyset man with a bandage on his throat is having trouble repeating a phrase. "No ifs ..." he says to the medical students and doctors around his bed at Brigham and Women's Hospital in Boston.

"Can I hear you say no ifs, ands or buts?" says Dr. Allan Ropper, the Harvard neurologist in charge. The patient tries again. "No ifs, buts, ands or," he says.

Kevin Wiehrs is a nurse in Savannah, Ga. But instead of giving patients shots or taking blood pressure readings, his job is mostly talking with patients like Susan Johnson.

Johnson, 63, is a retired restaurant cook who receives Medicare and Medicaid. She has diabetes, and has already met with her doctor. Afterward, Wiehrs spends another half-hour with Johnson, talking through her medication, exercise and diet.

Mobile Medical
KUOW Photo/Kara McDermott

About twice a month, King County’s Mobile Medical van comes to Renton. It opens at 4:30, but it’s often slow until closer to 6:30, when the church across the street begins serving hot meals for homeless people.

The inside of this RV has been retrofitted so there’s an exam room, a nurse’s station and a waiting area.  A generator gives off a droning buzz as it powers this efficient little clinic.

Dow Constantine in the KUOW studios.
KUOW Photo/Jason Pagano

Marcie Sillman talks to King County Executive Dow Constantine  about the new 2015-2016 budget.

Three times in one week, 34-year-old Michael Granillo returned to the emergency room of the Northridge Hospital Medical Center in Southern California, seeking relief from intense back pain. Each time, Granillo waited a little while and then left the ER without ever being seen by a doctor.

"I was in so much pain, I wanted to be taken care of 'now,' " says Granillo. "I didn't want to sit and wait."

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