Les anglonautes

About | Search | Grammar | Vocapedia | Learning | Docs | Stats | History | News podcasts - Videos | Arts | Science | Translate

 Previous Home Up Next

 

Vocapedia > Health > Patient

 

 

 

Illustration:

Chris B. Murray

 

The Doctor Is In. Co-Pay? $40,000.

 Economy | The Velvet Rope Economy

NYT

JUNE 3, 2017

https://www.nytimes.com/2017/06/03/business/economy/high-end-medical-care.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Boy and the Bubble        Retro Report        NYT

http://www.nytimes.com/video/us/100000004077071/
the-boy-in-the-bubble.html?playlistId=100000002148738

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country Doctor

Dr. Ernest Ceriani consulting with an elderly female patient.

 

Location: Kremmling, CO, US

Date taken: August 1948

 

Photographer: W. Eugene Smith

Life Images

http://images.google.com/hosted/life/65509c562dbdc536.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

patient        USA

 

https://www.npr.org/sections/health-shots/2019/07/07/
737618560/with-rural-health-care-stretched-thin-more-patients-turn-to-telehealth

 

https://www.npr.org/sections/health-shots/2019/06/08/
729351842/storytelling-helps-hospital-staff-discover-the-person-within-the-patient

 

https://www.npr.org/sections/health-shots/2018/01/03/
574701108/brush-with-death-leads-doctor-to-focus-on-patient-perspective

 

https://www.nytimes.com/2017/06/03/
business/economy/high-end-medical-care.html

 

http://www.npr.org/2015/11/08/
448406540/doctor-treats-homebound-patients-often-unseen-even-by-neighbors

http://www.nytimes.com/2015/07/26/
opinion/sunday/helping-patients-and-doctors-talk-about-death.html

http://opinionator.blogs.nytimes.com/2015/02/25/
when-the-system-fails/

 

http://www.nytimes.com/2013/10/14/
business/economy/patients-mired-in-costly-credit-from-doctors.html

http://opinionator.blogs.nytimes.com/2013/03/16/
healing-the-hospital-hierarchy/

http://opinionator.blogs.nytimes.com/2013/01/19/
when-the-patient-knows-best/

 

http://www.nytimes.com/2011/09/03/
opinion/when-doctors-become-patients.html

 

http://www.nytimes.com/2010/11/04/
health/views/04chen.html

 

http://www.usatoday.com/news/health/2006-05-31-
er-waits_x.htm

 

 

 

 

patients' safety        USA

http://www.npr.org/sections/health-shots/2015/12/07/
458049301/is-it-safe-for-medical-residents-to-work-30-hour-shifts

 

 

 

 

suffer        USA

http://www.npr.org/sections/health-shots/2017/05/26/
530012837/can-comfort-care-at-the-er-help-older-people-live-longer-and-suffer-less

 

 

 

 

sufferer        UK

http://www.telegraph.co.uk/health/healthnews/5544327/
Drug-hope-for-rheumatoid-arthritis-victims.html

 

 

 

 

medical proxy        USA

http://opinionator.blogs.nytimes.com/2015/04/29/
when-a-medical-proxy-saves-a-life/

 

 

 

 

cybermedicine / video chat        USA

http://www.npr.org/blogs/alltechconsidered/2015/04/30/
403346731/the-doctor-will-video-chat-with-you-now-insurer-covers-virtual-visits

 

 

 

 

Online Health Tools

http://www.npr.org/sections/health-shots/2015/10/23/
450936409/online-health-tools-might-not-help-the-people-who-need-it-most

 

 

 

 

 

ailing

 

 

 

 

frail

 

 

 

 

unable to walk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sick        UK

http://www.theguardian.com/lifeandstyle/2013/oct/21/
should-i-call-in-sick

 

 

 

 

sick        USA

http://www.nytimes.com/2013/11/20/
your-money/how-doctors-die.html

http://www.nytimes.com/2013/01/14/us/
eugene-c-patterson-editor-and-civil-rights-crusader-dies-at-89.html

 

 

 

 

very sick patient

 

 

 

 

sufferer        UK

http://www.telegraph.co.uk/health/healthnews/5544327/
Drug-hope-for-rheumatoid-arthritis-victims.html

 

 

 

feel yucky

 

 

 

 

under the weather        UK

http://www.theguardian.com/lifeandstyle/2013/oct/21/
should-i-call-in-sick

 

 

 

 

get sick        USA

http://www.nytimes.com/2013/09/15/
health/stephen-crohn-who-furthered-aids-study-dies-at-66.html

 

 

 

 

grow sick        USA

http://www.nytimes.com/2013/07/08/us/
politics/john-kerrys-wife-teresa-heinz-kerry-is-hospitalized.html

 

 

 

 

call in sick        USA

http://www.nytimes.com/2013/11/16/
opinion/sunday/why-doctors-dont-take-sick-days.html

 

 

 

 

sickbed

http://www.guardian.co.uk/music/2012/apr/19/
robbie-robertson-levon-helm

 

 

 

 

USA > Health care / system > Documentary > Michael Moore's Sicko        UK / USA

 

http://www.foxnews.com/story/2007/05/20/sicko-shows-michael-moore-maturity-as-filmmaker.html

http://news.bbc.co.uk/2/hi/entertainment/6673039.stm 

http://www.washingtonpost.com/wp-dyn/content/article/2007/06/28/AR2007062802280.html  

 

https://www.theguardian.com/world/2007/may/20/1 

 

https://www.theguardian.com/world/2004/dec/23/usa.film

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

paid sick days > paid-sick-leave laws        USA

 

http://www.npr.org/sections/health-shots/2017/05/06/
527053441/businesses-push-back-on-paid-sick-leave-laws

 

 

 

 

 

 

 

paid sick leave > Uber        USA

 

https://www.nytimes.com/2020/04/04/
business/coronavirus-uber.html

 

 

 

 

 

 

 

sick leave        USA

 

https://www.nytimes.com/2020/03/14/
opinion/sunday/coronavirus-paid-sick-leave.html

 

https://www.nytimes.com/2020/03/03/
opinion/trump-coronavirus-sick-leave.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

unwell

 

 

 

 

catch a cold        UK

http://www.guardian.co.uk/lifeandstyle/2012/nov/18/
should-i-do-more-to-avoid-cold

 

 

 

 

What is gastroenteritis?        UK

 

Gastroenteritis

is an infection of the stomach and bowel,

with the most common symptoms

vomiting and diarrhoea

http://www.guardian.co.uk/uk/2013/mar/03/
what-is-gastoenteritis

 

 

 

 

faint

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ill        UK

http://www.theguardian.com/society/2013/sep/11/
food-bank-britain-didnt-ask-be-ill

 

 

 

 

ill        USA

http://www.nytimes.com/2012/08/12/
health/policy/in-ill-doctor-a-surprise-reflection-of-who-picks-assisted-suicide.html

 

 

 

 

bed-ridden        USA

http://www.npr.org/sections/health-shots/2017/01/24/
511442863/victims-of-contaminated-steroids-still-hurting-my-lifes-upside-down

 

 

 

 

seriously ill        UK

http://www.guardian.co.uk/science/2013/jul/28/
stephen-hawking-doctors-life-support

 

 

 

 

become ill with a serious medical condition        USA

http://www.nytimes.com/2013/07/08/us/
politics/john-kerrys-wife-teresa-heinz-kerry-is-hospitalized.html

 

 

 

 

fall ill        UK

http://www.guardian.co.uk/lifeandstyle/2012/nov/18/
diabetes-a-lost-childhood

 

 

 

 

critically ill        UK

http://www.guardian.co.uk/world/2009/may/27/
probable-swine-flu-case-critical

 

 

 

 

terminally ill        UK

https://www.theguardian.com/world/us-news-blog/2012/apr/17/
levon-helm-musician-terminally-ill
 

 

https://www.theguardian.com/society/2010/jun/19/
howard-martin-families-reaction
 

 

https://www.theguardian.com/politics/2006/may/13/uk.health 

 

https://www.theguardian.com/society/2005/nov/30/uknews 

https://www.theguardian.com/uk/2005/mar/08/ukcrime.jamessturcke

 

 

 

 

terminally ill        USA

http://www.nytimes.com/2015/07/26/
opinion/my-periodic-table.html

http://www.nytimes.com/2015/03/23/
opinion/easing-death-for-the-terminally-ill.html

http://www.nytimes.com/2015/03/15/
opinion/sunday/offering-a-choice-to-the-terminally-ill.html

 

http://www.npr.org/blogs/health/2014/09/18/
349585612/terminally-ill-but-constantly-hospitalized

 

 

 

 

be terminally ill with cancer        UK

http://www.theguardian.com/society/2014/apr/24/
terminally-ill-teenager-cancer-stephen-sutton-fundraising-target

 

 

 

 

the terminally ill        USA

http://www.nytimes.com/2014/02/08/us/
easing-terminal-patients-path-to-death-legally.html

 

 

 

 

illness        UK

http://www.guardian.co.uk/culture/2012/jun/21/
rennaisance-man-clive-james-sydney

 

 

 

 

mild illness        UK

http://www.guardian.co.uk/world/richard-adams-blog/2010/sep/28/
jimmy-carter-hospital-stomach-pains-cleveland

 

 

 

 

rare illness > Provaria        USA

http://www.nytimes.com/2014/01/14/us/
sam-berns-17-public-face-of-a-rare-illness-is-dead.html

 

 

 

 

ailment        USA

http://opinionator.blogs.nytimes.com/2013/12/04/
stealing-time/

 

 

 

 

lung ailment

 

 

 

 

intimate ailment        UK

http://commentisfree.guardian.co.uk/dave_hill/2006/05/
i_wish_you_knew_what_fun_balls.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

palliative care        USA

http://www.nytimes.com/2010/04/11/
opinion/l11palliative.html

http://www.nytimes.com/2010/04/04/
health/04doctor.html

 

 

 

 

dying patients        USA

http://www.nytimes.com/2014/09/26/
opinion/who-speaks-for-dying-patients.html

 

 

 

 

 

cling to life

 

 

 

 

hang between life and death

 

 

 

 

hover on the brink of death

 

 

 

 

edge closer to death

 

 

 

 

be kept alive artificially

 

 

 

 

life support system        UK

http://www.theguardian.com/society/2005/aug/27/health.medicineandhealth1 

 

 

 

 

be close to death

 

 

 

 

sudden infant death syndrome    SIDS        USA

http://www.usatoday.com/news/health/2006-10-31-brainstem_x.htm

 

 

 

 

lie dying

 

 

 

 

die from a brain tumour

 

 

 

 

be declared dead

 

 

 

 

post mortem / postmortem        UK

http://www.guardian.co.uk/society/2008/jan/04/health.publicservices

 

 

 

 

 

 

 

 

 

 

 

 

 

 

patient > National Health System (NHS) Direct health advice line        UK

http://www.guardian.co.uk/society/2010/dec/23/
nhs-direct-chief-apologises

 

 

 

 

motor neurone disease patient        UK

http://www.theguardian.com/society/2006/aug/09/
health.medicineandhealth

 

 

 

 

dementia patients        USA

http://www.npr.org/blogs/health/2015/03/05/
390903112/for-dementia-patients-behavioral-therapy-helps-more-than-drugs

 

 

 

 

medical record        USA

https://www.npr.org/sections/health-shots/2018/02/14/
585715952/medical-records-may-finally-be-coming-to-your-apple-smartphone

 

 

 

 

patient record        USA

http://www.npr.org/blogs/health/2015/03/06/
388999602/sharing-patient-records-is-still-a-digital-dilemma-for-doctors

 

 

 

 

condition        UK

http://www.guardian.co.uk/world/2013/jun/27/
nelson-mandela-condition-improves

 

http://www.guardian.co.uk/society/2009/feb/05/
multiple-sclerosis-sunshine-vitamin-d

 

http://www.guardian.co.uk/lifeandstyle/2010/aug/06/
how-to-avoid-dementia-study

 

 

 

 

critical

 

 

 

 

critical        UK

http://www.guardian.co.uk/world/2013/jun/27/
nelson-mandela-condition-improves

 

 

 

 

in critical condition

 

 

 

 

serious condition        USA

http://www.nytimes.com/2013/07/08/us/
politics/john-kerrys-wife-teresa-heinz-kerry-is-hospitalized.html

 

 

 

 

remain in critical condition

 

 

 

 

worsen

 

 

 

 

fair condition        USA

http://www.usatoday.com/news/washington/2007-01-09-
johnson-improving_x.htm

 

 

 

 

stable        UK

http://www.guardian.co.uk/world/2013/jun/27/
nelson-mandela-condition-improves

 

 

 

 

 

 

 

 

 

 

 

 

 

 

improve

 

 

 

 

show signs of improvement

 

 

 

 

recover from N

http://www.guardian.co.uk/lifeandstyle/2010/jun/22/
recovering-brain-injury

 

 

 

 

recovery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

patient privacy        USA

http://www.nytimes.com/2014/02/17/
opinion/a-watchful-eye-in-hospitals.html

 

 

 

 

 

 

 

 

 

Overseas, Under the Knife

 

June 10, 2009

The New York Times

Op-Ed Contributors

By ARNOLD MILSTEIN,

MARK D. SMITH

and JEROME P. KASSIRER

 

ONE consequence of the high cost of medical care in the United States has been the rise of medical tourism. Every year, thousands of Americans undergo surgery in other countries because the allure of good care at half the price is too good to pass up.

Average total fees at well-regarded hospitals like Apollo and Wockhardt in India are 60 percent to 90 percent lower than those of the average American hospital, according to a 2007 study by the consulting group Mercer Health and Benefits (where Dr. Milstein is affiliated). Even compared with low-cost American hospitals, the offshore fees are 20 percent to 50 percent lower.

Most medical travelers seek cosmetic procedures like facelifts and liposuction, but an increasing number have high-risk operations like heart surgery and joint replacement in places like India, Singapore and Thailand.

Is this a good idea? The only way to know is to find out how foreign hospitals and surgeons compare with their American counterparts.

Which Americans consider this option? Typically, they are people who have either no health insurance or meager coverage. Though not poor enough to qualify for Medicaid, they cannot afford a good health plan. But lately, even some people with good coverage have been encouraged to take advantage of cost savings abroad.

A few pioneering American insurers like Blue Cross Blue Shield of South Carolina and self-insured employers like the Hannaford Brothers supermarket chain sent American doctors to evaluate foreign hospitals. Favorably impressed, they now offer payment for travel expenses and cash incentives as high as $10,000 for choosing offshore hospitals.

For very costly operations like open heart surgery or hip joint replacement, savings far exceed these payments. That is not to say that offshore surgery could substantially lower health care costs. Less than 2 percent of spending by American health insurers goes to the kind of non-urgent procedures that Americans seek overseas.

Other negatives are obvious: people having surgery done halfway around the world are far from their regular doctors as well as friends and family. Consider, also, what happens if an American abroad falls victim to negligent care. Arranging transfer to another hospital may be difficult — and malpractice suits typically face longer odds and smaller payments than in the United Sates. To mitigate these problems, some insurers and free-standing medical travel services offer coordination with American doctors, local concierge services and supplementary medical malpractice insurance.

There is reason to think the quality of care at some foreign hospitals may be comparable to quality in the United States. More than 200 offshore hospitals have been accredited by the Joint Commission International, an arm of the organization that accredits American hospitals. Many employ English-speaking surgeons who trained at Western medical schools and teaching hospitals.

So should offshore surgery be welcomed as a modest way to make American health care more affordable? We can’t know until we can directly compare the outcomes with those of American surgery. To begin, we must adopt a uniform way for American hospitals and surgeons to report on the frequency of short-term surgical complications.

Medicare could do this by requiring that all participating hospitals and surgeons count pre-surgical risk factors and post-surgical complications during hospitalization and for 30 days afterward, when most short-term problems become evident. The system used for many years by Veterans Affairs hospitals to reduce surgical complications is the best option for this, since it is available to all American doctors through the American College of Surgeons. So far, however, only a small minority of surgeons participate in this or any other valid national system of reporting surgical outcomes.

Patients and their surgeons also need comparable measurements of long-term success. Medicare should lead by adopting Sweden’s method of monitoring hip joint replacement outcomes. It tracks, for example, a patient’s ability to walk without pain six years after surgery.

Finally, Medicare should invite accredited offshore hospitals and their affiliated doctors to participate in all of its comparative performance reporting systems. Beyond informing Americans contemplating treatment abroad, such comparisons would allow us to learn if our care is the world’s best — and to accelerate our improvement efforts if it is not.

 

Arnold Milstein is a doctor specializing

in health care improvement.

Mark D. Smith is an internist

and the chief executive of a health care foundation.

Jerome P. Kassirer is a professor

at Tufts University School of Medicine.

Overseas, Under the Knife,
NYT,
9.6.2009,
http://www.nytimes.com/2009/06/10/opinion/10milstein.html

 

 

 

 

 

 

 

 

 

Related > Anglonautes > Vocapedia

 

patient > pain

 

 

doctors, physicians, GPs

 

 

body, health, medicine, drugs,

viruses, bacteria, diseases,

disability, health care / insurance

 

 

genetics

 

 

mental health / psychology

 

 

health, life, aging, death

 

 

USA > prescription opioid painkillers

 

 

lifestyle / health > smoking, alcohol, diet, obesity