Managed care bias found in NY heart surgery choices
A study in the Journal of the American Medical Association reports New York managed care groups directing heart bypass patients to higher death rate hospitals. Dr. Lars Erickson and colleagues analyzed 58,902 bypass cases from 1993 to 1996, noting post operative deaths within hours. Companies pick hospitals via contracts, prompting calls to use state mortality data in placement decisions.
MENTIONED IN THIS ARTICLE
New York
acRenge
Journal of the American Medical Assn
Lars Erickson
Harvard University
Informa
Tion
New York State Department of Health Statistics
Erickson
Study Finds ERs Miss Heart Attack Signs Varying by Demographics
A study of 10,689 patients at 10 hospitals shows ERs misdiagnose unstable angina or heart attacks in about 2 percent overall, but 4.3 percent of black patients and 7 percent of women under 55 are sent home wrongly. The findings urge routine hospital monitoring amid cost pressures.
MENTIONED IN THIS ARTICLE
U.S
Harry Selker
New England Medical Center
Boston
New England Journal of Medicine
East
Midwest
Selker
Large studies doubt cancer protection from anti-cancer diet
Two large experiments found no clear cancer reducing effect from a low fat high fiber diet or high fiber supplements on colon or rectal growths over up to four years. The findings echo a January 1999 Nurses Health Study result of 88 757 participants.
MENTIONED IN THIS ARTICLE
New England Journal of Medicine
Nurses
Vermont approves civil unions for same sex couples
Vermont Senate passes civil unions bill creating a legal structure parallel to marriage for gay and lesbian couples granting about 300 state benefits including medical decision making, tax breaks and inheritance. The House and Senate must reconcile changes before Gov. Dean is expected to sign. Beth Robinson notes a step toward equal rights despite not legalizing marriage.
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Montvemer
Bobbi Whitacre
Sandi Cote
Vermont
Senate
America
Cote
Beth Robinson
Vermont Supreme Court
House
Michael Obuchowski
Howard Dean
Senate Judiciary Committee
Richard Sears
Pentagon Defends Food Stamp Policy for Soldiers
Defense Secretary William Cohen rejected a proposal to cut food stamps for low paid service members and said the department will work with the Agriculture Department to change eligibility calculations. He noted the policy sent mixed signals and emphasized officers receive all federal benefits they are entitled to. The Pentagon reported about 6,300 military personnel on food stamps in 1998, down from 12,000 in 1995, with a sergeant’s January base pay set at 1691 dollars per month.
MENTIONED IN THIS ARTICLE
Washington
William Cohen
Cohen
Agriculture Department
Pentagon
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