Tag Archives: health affairs

A ‘Health Shock’ for Youth with Diabetes

While the financial impact of diabetes on the delivery of medicine and related health care is a popular area of research, the nonmedical implications for young adults “have gone virtually unexplored,” lead author Jason M. Fletcher, Ph.D.,  associate professor of public health at Yale University, declared in the January 2012 issue of Health Affairs.

Jason M. Fletcher, Ph.D./Photo courtesy Yale University

According to results from a study Dr. Fletcher conducted with his associate Michael R. Richards, a doctoral candidate at Yale, the nonmedical consequences of diabetes can occur early in life and are associated with certain adverse effects. For example, a person with diabetes can expect to earn significantly less income over his or her working life compared with one who does not have the disease. Diabetes patients also more likely to drop out of high school and less likely to attend college.

The study was based on a survey of nearly 15,000 youth in grades 7-12 who participated in the National Longitudinal Study of Adolescent Health in 1994 and 1995 and who completed follow-up surveys in 1996, 2001/2002, and in 2008, when most were about 30 years old (Health Aff. 2012; 31:27-34). The researchers found that the high school dropout rate among people with diabetes was 6% higher than the rate among people without the disease. In addition, people with diabetes were 8%-13% less likely to attend college compared to their peers without the disease. Interestingly, having a parent with diabetes lowered the chances of attending college by another 4%-6%.

Over a 40-year work lifetime, people with diabetes can expect to earn $160,000 less in wages compared with people who do not have the disease. The researchers termed the double-whammy of adverse impact on schooling and wages as a “health shock” to people with diabetes.

“These results highlight the urgency of attacking this growing health problem, as well as the need for measures such as in-school screening for whether diabetes’s impact on individual learning and performance begins before the classic manifestations of clinical diabetes appear,” the researchers concluded.

— Doug Brunk


Filed under Endocrinology, Diabetes, and Metabolism, Family Medicine, IMNG, Internal Medicine, Internal Medicine News, Pediatrics, Primary care

Docs Brace for Cuts: The Policy & Practice Podcast

image courtesy of iStock

The ink may be dry on the debt ceiling and deficit reduction agreement, but there are still plenty of questions about what it will mean for doctors. The plan to cut trillions in federal spending did not address the Sustainable Growth Rate formula (SGR), the loathed payment formula used to set Medicare physician fees. On Jan. 1, 2012, physician payments are slated to be cut by 30% because of the SGR. Some physicians say that without congressional action to avert the scheduled cut, access to health care could be in jeopardy.

Meanwhile, the debt agreement set up a bipartisan committee that will recommend additional spending cuts. This committee could take aim at Medicare, Medicaid, and the Affordable Care Act.

In other bad news for physicians, a new study in the journal Health Affairs shows that American doctors spend nearly $83,000 per year to deal with health plans and paperwork. That’s four times what their counterparts in Canada spend. For details on this and more, check out the Aug. 8 edition of the Policy & Practice Podcast.

Take a listen and share your thoughts.

The Policy & Practice team will be taking a short summer break, but check back on Aug. 22 for all the latest news on health reform and what it means for you.

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Filed under Family Medicine, Health Policy, health reform, Hospice and Palliative Care, IMNG, Internal Medicine News, Obstetrics and Gynecology, Physician Reimbursement, Podcast, Practice Trends, Primary care, Uncategorized