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Newspaper
Cedar Rapids Gazette
Location
Cedar Rapids, Iowa, United States of America
Date
Apr 04, 2012
Page
1
Nine medical societies representing about 375,000 physicians release a list of 45 tests and treatments to question and avoid in most cases. The groups lack enforcement power and fear malpractice pressure may keep doctors ordering as before.
The piece notes broad health policy changes in the United States as debates over President Obama’s health overhaul unfold. It highlights the countries spending more on medical care than peers yet delivering mediocre results, and discusses implications for employers lawmakers insurers and doctors.
The United States spent 2.6 trillion on health care in 2010. A IMS Institute study finds 5 percent of privately insured patients accounted for half of costs, highlighting high concentration of spending among the very sick.
The text estimates potential savings from fully implementing 45 recommendations but notes uncertainties. It suggests tens of billions of dollars could be saved initially and possibly hundreds of billions over time, though the overall issue of high health care costs remains unresolved.
The recommendations will be circulated to consumers and doctors by Choosing Wisely, a group that includes employer groups, unions, AARP and Consumer Reports. The insurance industry and government were not involved in the process.
Guidelines warn against unnecessary imaging and procedures across conditions. Statements urge avoiding early MRIs for low back pain, brain imaging after fainting without seizures, overuse of CT scans in URIs, routine preoperative chest X-rays without indication, repeated colorectal cancer screening only after negative colonoscopy, and initiating dialysis without shared decision making.
The Iowa House approved a traffic camera ban 58 to 42 amid party lines. The measure heads to a Senate unlikely to vote, after a contentious path from early momentum to revival by House leadership.
Cedar Rapids advances flood recovery with $13.8 million federal disaster payments for the hydro plant at the 5-1 bridge and state legislation to fund flood protection. The Iowa House passed a bill to help communities tap incremental sales tax for flood projects, with Gov Branstad's stance not indicated. Mayor Ron Corbett called the bipartisan action a win for Cedar Rapids and the state.
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