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As our centennial series continues, and as the shooting of UnitedHealthcare's CEO led to an outpouring of frustration from consumers, Elisabeth Rosenthal, senior contributing editor at KFF Health News, former ER physician and author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back (Penguin Press, 2017), breaks down the perception and reality of health care and health insurance in the United States over the last century.
Dr. Elisabeth Rosenthal is the author of the 2017 book, An American Sickness: how healthcare became big business and how you can take it back. The Washington Post describes the book as: “An authoritative account of the distorted financial incentives that drive medical care in the United States . . . Every lawmaker and administration official should pick up a copy of [it].” Dr. Rosenthal was for 22 years a reporter, correspondent, and senior writer for The New York Times before becoming the editor in chief of Kaiser Health News, an independent journalism newsroom focusing on health and health policy. She holds an MD from Harvard Medical School, trained in internal medicine, and has worked as an ER physician. For over a decade she has been responsible for a popular segment on National Public Radio called, “the Medical Bill of the Month.”Click here for, "Where the frauds are legal: welcome to the weird world of medical billing," by Elisabeth Rosenthal from The New York Times, Dec. 7, 2019.
The elevation of Vice President Kamala Harris to the top of the presumed Democratic presidential ticket is newly energizing the debate over abortion, while former President Donald Trump attempts to distance himself from more sweeping proposals in the “Project 2025” GOP blueprint put together by his former administration officials and the conservative Heritage Foundation. Lauren Weber of The Washington Post, Alice Miranda Ollstein of Politico, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News' Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News' Elisabeth Rosenthal, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” about a preauthorized surgery that generated a six-figure bill. Plus, for “extra credit” the panelists suggest health policy stories they read this week they think you should read, too: Julie Rovner: The Washington Post's “Online Portals Deliver Scary Health News Before Doctors Can Weigh In,” by Fenit Nirappil. Alice Miranda Ollstein: ProPublica's “A Lab Test That Experts Liken to a Witch Trial Is Helping Send Women to Prison for Murder,” by Duaa Eldeib. Lauren Weber: The Tributary's “Testimony: Florida Wrongly Cut People From Medicaid Due to ‘Computer Error,' Bad Data,” by Charlie McGee. Sarah Karlin-Smith: KFF Health News' “Why Many Nonprofit (Wink, Wink) Hospitals Are Rolling in Money,” by Elisabeth Rosenthal; and The Hollywood Reporter's “New York's Largest Hospital System Is Setting Its Sights on the Entertainment Business,” by Alex Weprin. Hosted on Acast. See acast.com/privacy for more information.
Part 1Eileen Appelbaum is Co-Director of the Center for Economic and Policy Research, Washington, DC, Fellow at Rutgers University Center for Women and Work, and Visiting Professor at the University of Leicester, UK.We discuss the structural determinants of healthcare in the US. This means the financial aspects of setting up health care systems, including financing the construction of hospitals and clinics. There are concerns about how this is done, and the problems of rural facilities. Part 2:We talk with Elisabeth Rosenthal, senior contributing editor at KFF Health News and author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back.”, We discuss how hospitals that are “non-profit” are actually in profit-making enterprises, and not paying the appropriate taxes. How does this affect the communities in which they operate?WNHNFM.ORG production
To our guest today, the current American healthcare system feels less like a means to get well and more like a gigantic racket. We've gone from hospital visits in the 1950s costing five dollars a day to getting billed for everything from the oxygen reader on your finger to the IV bag. So how did we get here?Elisabeth Rosenthal is the senior contributing editor at KFF Health News and the author of the book, An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Before her career in journalism, she spent some time practicing medicine at an emergency room in New York City. Elisabeth and Greg discuss the puzzling economics behind healthcare pricing, how medical bills balloon because of too many hands in the honey pot, and some practical advice for people heading to the hospital. *unSILOed Podcast is produced by University FM.*Episode Quotes:Private equity goes with where the opportunity is, and it's in health care04:32: One person told me, when I was writing my book, between the hip manufacturer, the implant manufacturer, and the patient's bill, that there are 13 people taking a cut of the price of that implant. 13 middlemen, and we just keep adding middlemen who take more money from the system. So the interesting thing is how much of that, now 3.5 trillion dollars that we spend on healthcare, how much of that is actually going to care, and how much of that is being siphoned off for profit, for executive salaries, for investor profit. I don't know what the percentage is, but it's like a Rube Goldberg machine for extracting money. And the poor patient is, well, what about me? You're just kind of an ATM; it's really sad. Private equity goes where the opportunity is, and it's in healthcare.Which side are the insurers truly on?11:48: People have this misguided thinking that, ‘Oh, my insurers are in my corner' They're not in your corner. They're like, ‘They take in premiums, and they pay out claims.' And if they can raise the premiums and raise the copays and deductibles, they don't really care if the prices go up. Plus, they have these very sophisticated deals with big hospital systems.Are we regulating the wrong things in healthcare? 39:33: We regulate all the wrong things. Yes, putting stitches in your hand is fine. You don't need a doctor to do that. A tech can do that fine. But in the U.S., you are going to be billed as if a doctor did it, whether a doctor did it or not. You might be billed for the physician assistant who did it too. You might be charged for both because the doctor might have come and looked at it and said, "Yeah, that needs stitches." So it will be billed in this crazy way, but I think on the other hand, the physician assistants and nurse practitioners are looking for independent licensing. Mostly everything they do is billed as if the doctor did it, even if the doctor was 50 miles away. So that's why some of the bills are so high.Navigating consumer rights and prices50:23: When you go to a hospital, and they give you that clipboard to sign 20 forms or even a tablet, I always cross out the part that says I will pay for anything that my insurance doesn't cover because that's in one of those forms that are always in there. And people should never sign that; you can shop for the electives, small-dollar items. You can get estimates, and to me, this is where the government should come in.Show Links:Recommended Resources:Uwe ReinhardtWillie SuttonRube Goldberg machineNo Surprises ActDiagnosis: Debt (KFF Health News)March of DimesJuvenile Diabetes Research FoundationGuest Profile:Professional Profile at KFF Health NewsHer Work:An American Sickness: How Healthcare Became Big Business and How You Can Take It Back How Your In-Network Health Coverage Can Vanish Before You Know It (KFF Health News)
In this episode of the Medical Matters Podcast, Dr. Peter Brier and Nurse Practitioner Kelly McCormack discuss how policy changes could leave patients holding the bag. Elisabeth Rosenthal of KFF Health News has written widely on healthcare issues, including a recent opinion piece that recently appeared in the Washington Post.Rosenthal is also the author of the book, An American Sickness. She discussed her findings in this NPR interview.
Part 1:We talk with David Dayen about student loan relief as currently being implemented by the Biden administration. There were many laws passed since the 1960's that provided some relief, but were not implemented. Biden used these methods to provide loan forgiveness to Americans. We talk about the several provisions, and how much ($1.2B) forgiveness has been provided, despite the objections of the Republicans, and despite the Supreme Court not allowing forgiveness in previous attempts.Part 2:We speak with Elisabeth Rosenthal, a Health Care reporter for KFF. Specifically, we discuss the rising incidence of GoFundMe requests for the purpose of paying for health care. This has become very common, even to the extent that hospitals and medical practitioners have recommended this path to patients who cannot afford to pay for treatment. It should be noted that GoFundMe is now run by a for profit private equity group, like many medical practices and hospitals. Patients are encouraged to beg for money for their treatment. WNHNFM.ORG production
For the first time, a jury has convicted a parent of a school shooter of charges related to the child's crime, finding a mother in Michigan guilty of involuntary manslaughter and possibly opening a new legal avenue for gun control advocates. Meanwhile, as the Supreme Court prepares to hear a case challenging the FDA's approval of the abortion drug mifepristone, a medical publisher has retracted some of the journal studies that lower-court judges relied on in their decisions. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachana Pradhan of KFF Health News join KFF Health News' Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.Julie Rovner: The Alabama Daily News' “Alabama Lawmakers Briefed on New ‘ALL Health' Insurance Coverage Expansion Plan,” by Alexander Willis. Alice Miranda Ollstein: Stat's “FDA Urged to Move Faster to Fix Pulse Oximeters for Darker-Skinned Patients,” by Usha Lee McFarling. Sarah Karlin-Smith: The Atlantic's “GoFundMe Is a Health-Care Utility Now,” by Elisabeth Rosenthal. Rachana Pradhan: North Carolina Health News' “Atrium Health: A Unit of ‘Local Government' Like No Other,” by Michelle Crouch and Charlotte Ledger. Hosted on Acast. See acast.com/privacy for more information.
Guest Hosts: Marty Carpenter & Taylor Morgan Americans have turned to crowd-funding to try and keep up with their medical expenses. Is financial sympathy from strangers enough to save us from the crushing medical debt weighing on the country? How many people have the kind of disposable income it would take to make a contribution? How did GoFundMe become a normal way to afford medical care? Elisabeth Rosenthal joins Taylor and Marty with her article in the Atlantic.
Editor-In-Chief of KFF Health News and Emergency Physician, Dr. Elisabeth Rosenthal, joins the Glaucomfleckens to talk about how big business is taking over healthcare, how she used to be a journalist at the New York Times and how she got there from being a practicing emergency physician. Dr. Rosenthal also talks about her time in China, her experience with health care in the 90s, and how the US health care system is so expensive, compared to her time aboard. — Want to Learn About Dr. Elisabeth Rosenthal? Twitter/Instagram: @RosenthalHealth — We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. This episode is brought to you by pRxcision. To see a demo, Go to http://www.prxcision.com/kkh. Today's episode is brought to you by the Nuance Dragon Ambient Experience (DAX). It's like having a virtual Jonathan in your pocket. If you would like to learn more about DAX Copilot check out http://nuance.com/discoverDAX and ask your provider for the DAX Copilot experience. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
This week on Moral Matters, we're sharing another episode from Searching for Medicine's Soul. In this episode, Dr. Rothstein talks with Dr. Elisabeth Rosenthal, a senior contributing editor at Kaiser Health News, former New York Times reporter and New York Times best selling author of American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Drs. Rothstein and Rosenthal talk about the failures of the American healthcare system and the untenable costs and burdens it foists on both doctors and patients. We are grateful to the Searching for Medicine's Soul podcast for letting us share this episode with you. For more information about Searching for Medicine's Soul:https://searchingformedicinessoul.podbean.com/ Dr. Rosenthal's book: https://www.anamericansickness.com/ Support the podcast: https://www.fixmoralinjury.org/get-started Twitter - @fixmoralinjury Instagram - @moralinjury Facebook - @moralinjuryofhc LinkedIn - Moral Injury of Healthcare
The percentage of working-age adults with health insurance went up and the uninsured rate dropped last year, the U.S. Census Bureau reported this week. There isn't much suspense about which way the uninsured rate is now trending, as states continue efforts to strip ineligible beneficiaries from their Medicaid rolls. But is the focus on the uninsured obscuring the struggles of the underinsured? Also, employer-sponsored insurance costs are climbing, while a mystery is unfolding in Medicare spending. And the CDC recommends the new covid booster for everyone who's at least 6 months old.Margot Sanger-Katz of The New York Times, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News' Emmarie Huetteman to discuss these issues and more. Click here for a transcript of the episode. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too: Emmarie Huetteman: KFF Health News' “The Shrinking Number of Primary Care Physicians is Reaching a Tipping Point,” by Elisabeth Rosenthal. Sarah Karlin-Smith: MedPage Today's “Rural Hospital Turns to GoFundMe to Stay Afloat,” by Kristina Fiore. Joanne Kenen: ProPublica's “How Columbia Ignored Women, Undermined Prosecutors and Protected a Predator for More Than 20 Years,” by Bianca Fortis and Laura Beil. Margot Sanger-Katz: Congressional Budget Office's “Raising the Excise Tax on Cigarettes: Effects on Health and the Federal Budget.” Hosted on Acast. See acast.com/privacy for more information.
Elisabeth Rosenthal, senior contributing editor at KFF Health News and former ER physician, explains the effects of hospital conglomerates on health care costs and the difficulties in preventing mergers.
A listener's doctor wanted her credit card info up front — before her appointment. She wondered: Do I need to give it to them? We did too. After all, who wants the risk of being overcharged — and then having to fight for money back?Experts gave us their best advice, including a couple of tricks to try, and a legal protection you may be able to rely on. Meanwhile, Elisabeth Rosenthal, senior contributing editor at KFF Health News, filled us in on the rapid growth of medical debt as a financial product, including specialized credit cards and financing plans pushed by hospitals and other providers.They can come with steep interest rates, and (surprise, surprise) the terms aren't always spelled out clearly. The federal Consumer Financial Protection Bureau has been issuing reports, including a handy FAQ, but hasn't taken enforcement action in a decade.Here's a transcript of this episode. Send your stories and questions. Or call 724 ARM-N-LEG.And of course we'd love for you to support this show. Hosted on Acast. See acast.com/privacy for more information.
In this episode of Searching for Medicine's Soul, Aaron was joined by Dr. Elisabeth Rosenthal, senior contributing editor at Kaiser Health News, former New York Times reporter, and New York Times Best Selling author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Dr. Rothstein and Dr. Rosenthal talked about the failures of the American healthcare system and the untenable costs and burdens it foists on patients and doctors.
Join Elsa and Riya for the final episode of season 4 where they conclude their discussion of Dr. Elisabeth Rosenthal's book. Elsa and Riya will talk about the true importance of screening for disease, medical technology such as FitBits and Apple Watches, and the pros and cons of telemedicine. Thank you for listening and enjoy the final episode!
In this episode, Dr. Elisabeth Rosenthal shares a treatment plan for our healthcare system. Elisabeth is an ER doctor turned reporter, and author of the New York Times bestselling book, An American Sickness: How Healthcare Became Big Business and How You Can Take it Back. Her book reveals the dangerous, expensive, and dysfunctional American healthcare system, and tells us exactly what we can do to fix it. Dr. Rosenthal spent 22 years as a correspondent at the New York Times before joining Kaiser Health News as Editor-in-Chief about five years ago. Follow Dr. Elisabeth Rosenthal.Follow host Halle Tecco.Visit the Heart of Healthcare website for more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Join Elsa and Riya this week as they discuss tips on how you can save money in your doctor's visits and hospital trips. The content is based on Dr. Elisabeth Rosenthal's book “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back”. Listen as Elsa and Riya discuss the importance of asking questions and paying attention to the affiliation of the facility, the professionals you come in contact with, and the type of visit you are having - observation or admission. Elsa and Riya also discuss topics such as doctors self-referring to their own labs and the need for malpractice law reform. Finally, they discuss the Michelin Guide of healthcare and call for more governmental action. If you are in need of financial savings in healthcare, this is not an episode you will want to miss!
Join Elsa and Riya as they continue discussing Dr. Elisabeth Rosenthal's book "An American Sickness: How Healthcare Became a Big Business and How You Can Take it Back". One would think that innovations in healthcare would be beneficial for patients and doctors, as it should cut costs and give doctors more time to focus on other tasks. However, financial incentives for hospitals such as innovative technology, outsourcing dialysis treatment, and private hospital rooms seem to be having the opposite effect in a lot of scenarios. Elsa and Riya discuss the Affordable Care Act and a few ways national policy can change to make healthcare better in America.
Join Elsa and Riya as they discuss Dr. Elisabeth Rosenthal's book “An American Sickness: How Healthcare Became a Big Business and How You Can Take it Back”. Elsa and Riya explain how insurance has become profitable by discussing its history. Reasons for outrageous hospital bills are explored as Elsa and Riya discuss various patient experiences. If you find American Healthcare confusing, listen in to Elsa and Riya as they try to work through the mud.
Health care is heavily regulated. But can the FDA effectively regulate AI in health care? It's episode three of our series “Smarter health." Elisabeth Rosenthal, Finale Doshi-Velez and Yiannos Tolias join Meghna Chakrabarti.
Join us as Caroline shares her top tips for navigating the healthcare system when you're patient or caregiver (or both!). We focus on ways to protect your mental and emotional energy as you engage with a complex system during a difficult season of life. From compassion to role delegation to systems and strategies, we cover practical and actionable tips to reduce overwhelm as you navigate your health journey. Have your own tips to share? Email caroline@morrisclinic.com and we'll feature them in a future episode. In overwhelm now? Schedule an intro call to talk through your concerns. Resources Cancer Chameleon: How You and Your Caregiver Can Take Control of Your Cancer Trek by Andrew Trice An American Sickness: How Healthcare Became Big Business and How You Can Take It Back by Elisabeth Rosenthal
Brian Stelter catches up with two public health experts who helped explain Covid-19 when the pandemic first upended American life two years ago this week. Dr. Elisabeth Rosenthal and Dr. James Hamblin discuss the initial "communication vacuum," the decline of trust in information sources, and the potential end of the pandemic. To learn more about how CNN protects listener privacy, visit cnn.com/privacy
Can we create incentives to make medicine do the right thing? Is healthcare a public good or a commodity? Join for a conversation around the business of medicine with Dr. Elisabeth Rosenthal, Kaiser Health News Editor-in-Chief, NY Times Contributor and author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back". Learn about Elisabeth's journey toward becoming an author and journalist, and her recommendations for what can be done to bring reform to the healthcare system. --- Send in a voice message: https://anchor.fm/tdio/message
What are some of the biggest problems facing American healthcare? How should we think about the tradeoffs of private vs public-run healthcare? In this episode, we answer all these questions and more with our guest Elisabeth Rosenthal, MD.Elisabeth is the editor-in-chief of Kaiser Health News, a contributing Opinion Writer at The New York Times who previously spent 22 years at the Times, and the author of 'An American Sickness', A NY Times best-seller, an eye-opening investigation into America's healthcare system. A former ER physician, Dr Rosenthal is an award-winning reporter, correspondent, and patient advocate. She has had an immense impact on American healthcare policy and public discourse, and Washingtonian Magazine recently named her one of the most influential people in D.C. right now.
Elisabeth Rosenthal is a physician and journalist who is currently working as the editor-in-chief of Kaiser Health News. She graduated from Harvard Medical School and completed residency and worked as an Emergency Physician before she began working for the New York Times as a reporter. In 2017, she published a book titled, “An American Sickness: How Healthcare Became Big Business and How You Can Take it Back”, which looks at the American healthcare system and how financial incentives have impacted it. We hope you enjoy this episode where we talk about healthcare costs, physician payment models, strategic billing and more. Questions we asked: What led you to make the switch from being a physician to being a journalist? What do you mean by “health insurance as the original sin” in healthcare?What are your thoughts on alternative models such as Direct Primary Care or Concierge Medicine? Do salary based physician payment models improve overtreatment and overbilling? Could whole genome sequencing further unnecessary medical care and treatment? What are other countries doing to better align healthcare cost and effectiveness? What can the next generation of physicians do to cure this American Sickness?What books would you suggest to medical leaders? Quotes & Ideas: Paying Till it Hurts column by Dr. RosenthalInsurance separates the consumer from the true cost of medicine which allows for business to increase pricing. “When you receive a ER bill for $17,000 and you're out $3,400 for a COVID screen... that's not skin in the game, that's like having a kidney in the game.” Patient's can't shop around for healthcare prices if they don't know the prices. “Why does it cost that much? Because it's legal and people can.” “Salary based physician payment often becomes salary plus incentives for revenue generation.” “The goal of the physician and nursing workforce is to deliver good care to patients… The goal of the business side of healthcare is often to generate revenue.” Kaiser Health News Bill of the Month Bad medicine is often good business. “People say pharma's bad or PBM's are bad, but It's the way the system interacts with itself that is the problem.”“If physicians don't bring in patients, these hospitals are nothing.” Book Suggestions: An American Sickness by Elisabeth Rosenthal The Price We Pay by Marty Makary
In this episode, Dr. Elisabeth Rosenthal shares a treatment plan for our healthcare system. Elisabeth is an ER doctor turned reporter. She's the author of the New York Times bestselling book, An American Sickness: How Healthcare Became Big Business and How You Can Take it Back. Her book reveals the dangerous, expensive, and dysfunctional American healthcare system, and tells us exactly what we can do to fix it. Dr. Rosenthal spent 22 years as a correspondent at the New York Times before joining Kaiser Health News as Editor-in-Chief in 2016. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Tonight: Trump escalates threats against a Capitol police officer. Then, meet the local Texas official defying the governor's anti-mask mandate. Plus, the head of the National Institutes of Health joins to talk about the need for booster shots—and what's the best way to get people to take the vaccine?Guests: Rick Wilson, Ruth Ben-Ghiat, Rep. Sheila Jackson Lee, Dr. Francis Collins, Judge Clay Jenkins, Dr. Elisabeth Rosenthal, Dr. Adam Gaffney
Medical education must always keep up with the times. But the pandemic forcing medical students to learn virtually revealed new fault lines and opportunities to rethink the way medical professionals should learn. The medical field is grappling with which of those changes should become permanent and which ones could jeopardize the quality of healthcare. To get a better understanding of how technology has enabled new ways of approaching medical education, NPR's Jonaki Mehta visits Kaiser Permanente's Bernard J. Tyson School of Medicine, a school that was uniquely positioned to adapt to the conditions imposed by the pandemic since it opened during quarantine. Elisabeth Rosenthal, editor-in-chief of Kaiser Health News and a non-practicing physician, shares her concerns about the medical field leaning more heavily on telemedicine as a result of the pandemic. In participating regions, you'll also hear a local news segment that will help you make sense of what's going on in your community.Email us at considerthis@npr.org.
Medical education must always keep up with the times. But the pandemic forcing medical students to learn virtually revealed new fault lines and opportunities to rethink the way medical professionals should learn. The medical field is grappling with which of those changes should become permanent and which ones could jeopardize the quality of healthcare. To get a better understanding of how technology has enabled new ways of approaching medical education, NPR's Jonaki Mehta visits Kaiser Permanente's Bernard J. Tyson School of Medicine, a school that was uniquely positioned to adapt to the conditions imposed by the pandemic since it opened during quarantine. Elisabeth Rosenthal, editor-in-chief of Kaiser Health News and a non-practicing physician, shares her concerns about the medical field leaning more heavily on telemedicine as a result of the pandemic. In participating regions, you'll also hear a local news segment that will help you make sense of what's going on in your community.Email us at considerthis@npr.org.
We learned many long-distance lessons during the pandemic. One of the most important involved visiting the doctor. As Dr. Elisabeth Rosenthal, author of *An American Sickness: How Healthcare Became Big Business and How You Can Take It Back* and Editor-in-Chief of *Kaiser Health News,* tells our Jonathon Swersey in the latest episode of *The Resonance Test:* “Many of us spend *way* too much time schlepping into doctors' offices for things that could be done *perfectly* well over the phone.” The pandemic took telemedicine mainstream. Many who previously had only heard of it were forced to experience, practice, and pay for it. The question is: What's it worth? “Is it 50% of a real, in-person visit? 70%? 100%? Sometimes [it's] 120%! But I think it really depends on the kind of visit, and how it's used, and who is creating the telemedicine system.” Regarding the myriad unresolved details of telemedicine—what works well remotely, what must be done in person, how to value all these different treatment options—Rosenthal says: “We have a lot of sorting out to do.” Rosenthal is, admittedly, somewhat skeptical about virtual care. “My worry always that it will be sold as useful because it's commercial, before it's useful—and that could give the whole field a bad name, frankly.” But whatever happens when the big telemedicine sort finally happens, it must ultimately be about creating balance. People will always need to do some things in a non-virtual way. As Rosenthal reminds us: “You can't test someone's reflexes on a screen.” Host: Alison Kotin Engineer: Kyp Pilalas Producer: Ken Gordon
Dr. Elisabeth Rosenthal is an internal medicine physician. She is also a New York Times best-selling author and the current Editor-in-Chief of Kaiser Health News.Elisabeth has had an extremely successful career exploring and writing about the complexities of US healthcare system and the human body. She entered the physician-training pipeline as a traditional pre-med/biology major but got the writing bug, started writing for anyone and everyone, and never looked back.Join us for a fascinating discussion with Elisabeth about challenges inherent to the American healthcare system, how physicians are uniquely positioned to write about them, and the steps you can take to do so.You can reach Elisabeth at:ERosenthal@KFF.orgHer book:An American Sickness: How Healthcare Became Big Business and How You Can Take It BackLinks to people and things discussed in this episode:Science DigestDiscoverLeon DanielMarshall AllenSarah KliffMarty MakaryKHN Bill of the MonthPerri KlassOne School Project
When Adam Woodrum's insurance denied a claim for an ER bill, he sent his story to NPR... because he happened to KNOW how to deal with it. And he figured it would be a friendly thing to share what he knew. (Kudos, Adam!)This story was originally reported by Julie Appleby for our pals at Kaiser Health News, and KHN editor-in-chief Elisabeth Rosenthal weighs in at the end. See acast.com/privacy for privacy and opt-out information.
The infamous fact is that we in the US spend vastly more on healthcare than any other country without necessarily getting better services or outcomes. The last time I checked, we spend about 20% of our national GDP on healthcare. Anecdotally, I know tons of people, including myself, who have dealt with outrageous and unpredictable medical bills. In fact, in a 2009 study in the American Journal of Medicine, 62% of bankruptcies were caused by medical issues. With that said, how should we view healthcare? As a commodity like anything else that we consume? Or as a social good, as a right, where any and everyone receives proper and affordable healthcare? With the complexity of this issue, we could only do it justice by covering it in 2 parts. In part one, we dive into the area that most concerns us: cost. We discuss the role that insurance companies, hospitals, doctors, and pharmaceutical companies play in cost.In part two: we compare the US system to other systems around the world. You may be surprised but there’s a lot that we can learn. We hope this series sheds light on the mystifying world of the US healthcare system while helping us understand the pressing need for us to reform it. When we say that it’s time to build a new America, we mean that. I got the amazing opportunity to speak to Dr. Elisabeth Rosenthal. She's the author of the New York Times Best Selling Book An American Sickness - How Healthcare Became Big Business and How You Can Take it Back. Dr. Rosenthal was for 22 years a reporter, correspondent, and senior writer at The New York Times before becoming the editor in chief of Kaiser Health News, an independent journalism newsroom focusing on health and health policy. She holds an MD from Harvard Medical School, trained in internal medicine, and has worked as an ER physician.
Medical matters. Humans seek relief for every known malady. Some problems are serious -- others as trivial as boredom. We crave entertainment and information. Dr. Elisabeth Rosenthal is a renowned MD and New York Times' writer covering health care, climate change, China, and the world. Dr. Rosenthal worked as an emergency room physician before becoming a journalist and she is a fascinating guest. Dr. Rosenthal is the author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back” and editor-in-chief of Kaiser Health News. Most recently, she wrote powerfully following the massacre of the Boulder Ten with her Washington Post column titled, “I was a Teenage Gun Owner, then an ER Doctor. Assault-style Weapons make me Sick.” Let's never forget what happened in Boulder. Or Aurora. Or Columbine. Let's not forget or ignore threats around such as racism, climate change, and police brutality at the hands of the Officer Chauvins of the world. Our Troubadour Dave Gunders gifts us with his wonderful song, Way of Forgetting. Let it be a healing song for those grieving in Boulder. Peter Schaffer is a famous sports agent and attorney whose clients include Jerome Bettis, Barry Sanders, and Joe Thomas. Peter dominates Craig's Lawyers' Lounge discussing the NFL draft, pro sports' future, race relations, LeBron James, the Broncos, and the Chauvin trial and verdicts. Listen to the medical battles the Schaffer family is fighting and how to help. www.headstrong.org Rundown - Dr. Elisabeth Rosenthal - 00:02:05 Dave Gunders - 00:54:38 Peter Schaffer - 01:09:54
Unpredictable chaos adds up to something over time. That’s David Smith’s story, and it’s also the origin story behind our broken health care system. This week, we explore why sickness pays and health doesn’t, and how we got here in the first place. Our guests this episode are economic historian Melissa Thomasson, health care journalist Elisabeth Rosenthal and futurist Ian Morrison. Keep up with David on twitter @CHIDavidSmith. Resources from the episode: Learn more about the history of our health care system from Melissa Thomasson on Planet Money Elisabeth Rosenthal’s book, An American Sickness Bill of the Month series, a Kaiser Health News + NPR collaboration Keep up with David on twitter @CHIDavidSmith. Have you been hit with a surprise bill or had an infuriating run-in with the health care system? If you want to submit a patient story, email us at costofcare@lemonadamedia.com or leave us a voicemail at 833-453-6662. Support for this podcast comes from The Commonwealth Fund, a health care research foundation working to improve the U.S. health system. Visit commonwealthfund.org/costofcare, and stay connected by following us on Twitter, LinkedIn, and Instagram. Commonwealth Fund: Affordable, quality health care. For everyone. You can click this link for a full list of current sponsors and discount codes for this show and all Lemonada shows. To follow along with a transcript and/or take notes for friends and family, go to https://www.lemonadamedia.com/show/thecostofcare/ shortly after the air date. Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.
Elisabeth Rosenthal, MD and editor-in-chief for Kaiser Health News identified five Trump Policies she feels should continue.We cover them and discuss the IT implications.
March 1, 2021: Anne Weiler, health tech entrepreneur and advisor to This Week in Health IT joins Bill for the news. What happens after you sell a successful health startup? What are the stages of a CEO getting back into the real world? We call it health tech CEO recovery. Retail giant Walmart might be slowing down their ambitious expansion into healthcare. With the growth of telemedicine, how many handy clinics do you actually need? How much data is healthcare generating every single day? What do we have to do to clean it up? The platform Truveta will use machine learning and AI to take billions of clinical data points provided by the health systems for searchable health insights. Microsoft announced a new portal called Viva. IBM are trying to sell off their Watson Health business and CVS Health launched a senior medical alert system called Symphony. Plus how fine is the line when technology tries to start telling you how you're feeling?Key Points:At what point do we have a saturation of handy clinics? [00:09:20] Walmart may not be in the edgy tech space but they're still one of those companies that does experiment, learn, experiment, learn, experiment, learn and then scale [00:10:35] An American Sickness book by Elisabeth Rosenthal [00:15:50] IBM are trying to sell off their Watson Health business [00:18:05] No matter how smart your machine learning is, if it's not being trained on anything it's not going to get any smarter. [00:20:26] Microsoft announced a new portal Viva [00:32:22] CMS are starting to loosen their pocket books to reimburse for things that are going on in the home [00:42:05] CVS Health launched a senior medical alert system called Symphony [00:42:15] Stories:Walmart may roll back its ambitious push into healthcare - BeckersMicrosoft launches Viva, a bet on the future of remote work - The VergeIBM sale of Watson Health could enable renewed focus on cloud growth - Healthcare IT news Leading health systems form Truveta to aggregate and sell anonymized patient data - Healthcare FinanceMachine Learning In Healthcare: How To Avoid GIGO - Wellpepper blogCVS Health Launches Senior Medical Alert System, Symphony - HIT Consultant
Air Date 2/10/2021 Today we take a look at the rollout of COVID-19 vaccines in the US and around the world. Between White and Black in the US, Israeli and Palestinian in Israel and the Global North and Global South broadly, the legacies of colonialism and racism predictably play themselves out. Be part of the show! Leave us a message at 202-999-3991 or email Jay@BestOfTheLeft.com Transcript MEMBERSHIP, Gift Memberships and Donations! (Get AD FREE Shows & Bonus Content) MERCHANDISE! REFER-O-MATIC! Sign up, share widely, get rewards. It's that easy! EPISODE SPONSORS: BOMBAS.COM/BEST | C-Span Want to advertise/sponsor the show? Details -> advertisecast.com/BestoftheLeft SHOW NOTES Ch. 1: Elisabeth Rosenthal on Troubled Vaccine Rollout - CounterSpin - Air Date 1-15-21 Many could and did predict that the distribution of the Covid-19 vaccine would be marred by the Trump administration being the Trump administration, and the hollowing out of public health infrastructure. Ch. 2: The Perils of Pandemic Doomsaying (and Other Covid Messaging Mix-Ups) - On the Media - Air Date 1-29-21 Zeynep Tufecki [@zeynep], associate professor at the University of North Carolina, Chapel Hill, explains why public health officials send mixed messages on everything from masks to variants. Ch. 3: Racial Disparities Already Taking Shape In Covid Vaccination Rates - MSNBC - Air Date 2-6-21 Rachel Maddow looks at how even though people of color suffer disproportionately more from Covid-19, vaccination statistics are already showing disproportionately fewer people of color being inoculated Ch. 4: A Pastor's Plight to Address Vaccine Skepticism in Black Communities - On the Media - Air Date 12-4-20 The Rev. Paul Abernathy on his work addressing vaccine skepticism in Black communities, starting by earning trust and recruiting vaccine trial volunteers in predominantly Black neighborhoods in Pittsburgh. Ch. 5: "Medical Apartheid" - Israeli Vaccine Drive Excludes Millions of Palestinians in Occupied Territories - Democracy Now! - Air Date 1-5-21 "Israel actually is violating international law because it is denying its responsibility as an occupying power," says Dr. Mustafa Barghouti, member of the Palestinian Parliament "Israelis are getting the vaccines, and Palestinians are getting nothing." Ch. 6: Vaccine Apartheid: US Media's Uncritical Adoption of Racist "Intellectual Property" Dogma Part 1 - Citations Needed - Air Date 1-27-21 As COVID-19 raged and pharmaceutical companies raced to develop a vaccine, Western media routinely asserted the premise that vaccine 'intellectual property' is a zero-sum possession that's been 'stolen' by malicious foreign actors & blackmarket criminals. Ch. 7: Who Owns the COVID-19 Vaccines? - On the Media - Air Date 1-29-21 Dean Baker [@DeanBaker13], senior economist at the Center for Economic and Policy Research, on why intellectual property may be getting in the way of vaccine distribution. Ch. 8: Vaccine Apartheid: US Media's Uncritical Adoption of Racist "Intellectual Property" Dogma Part 2 - Citations Needed - Air Date 1-27-21 As COVID-19 raged and pharmaceutical companies raced to develop a vaccine, Western media routinely asserted the premise that vaccine 'intellectual property' is a zero-sum possession that's been 'stolen' by malicious foreign actors & blackmarket criminals. MEMBERS-ONLY BONUS CLIP(S) Ch. 9: Vaccine Priorities: Politics and Ethics. Gregg Gonsalves on Covid-19 - Start Making Sense - Air Date 12-30-20 Vaccine priorities: political and ethical questions about who comes first, after health care workers. Gregg Gonsalves considers the arguments. Ch. 10: "A Moral Catastrophe": Africa CDC Head Says Lack of Vaccines for the Continent Will Imperil World - Democracy Now! - Air Date 2-5-21 40+ African countries have been hit by second wave, and just six have received relatively small vaccine shipments. John Nkengasong, director of the Africa CDC and Prevention, says the world faces "a moral catastrophe" without vaccine equity. VOICEMAILS Ch. 10: Thoughts on "moral panic" - Christina FINAL COMMENTS Ch. 12: Final comments on corporations resisting reasonable regulation to avoid setting precedents MUSIC (Blue Dot Sessions): Opening Theme: Loving Acoustic Instrumental by John Douglas Orr Voicemail Music: Low Key Lost Feeling Electro by Alex Stinnent Activism Music: This Fickle World by Theo Bard Closing Music: Upbeat Laid Back Indie Rock by Alex Stinnent Produced by Jay! Tomlinson Visit us at BestOfTheLeft.com SUPPORT THE SHOW Listen Anywhere! Check out the BotL iOS/Android App in the App Stores! Follow at Twitter.com/BestOfTheLeft Like at Facebook.com/BestOfTheLeft Contact me directly at Jay@BestOfTheLeft.com
Discover what you can do today to ensure that you are safely and efficiently vaccinated. Elisabeth Rosenthal joins Tom to discuss the logistics necessary for the differing COVID vaccines, and why the economy will remain stunted until herd immunity is achieved. Learn more about your ad choices. Visit megaphone.fm/adchoices
If you appreciate Parallax Views and the work of J.G. Michael please consider supporting the show through Patreon at https://www.patreon.com/parallaxviews On this edition of Parallax Views, the U.S COVID-19 vaccine rollout has not been off to the best start. What has led to these failings that have turned obtaining the vaccine into a Hunger Games-style Darwinian competition? And how can these failings be remedied? Elisabeth Rosenthal, editor-in-chief of Kaiser Health News and a contributing writer for the New York Times, joins us to discuss these issues and more. Rosenthal, author of the book An American Sickness: How Healthcare Became Big Business And How You Can Take It Back and the recent NYT op-ed "Yes, It Matters That People Are Jumping the Vaccine Line", takes us through the problems of inequity that have arisen due to a hollowed-out public health system, the mistakes made during the Trump administration's Operation Warp Speed, the lack of central planning in dealing with the vaccine rollout, people "jumping the line" to get the vaccine, how the most in need of the vaccine are not always the first in line to receive it, and what can be done under the Biden administration to remedy these issues.
Dr. Elisabeth Rosenthal, bestselling author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back," visits Passing Judgment to talk about our some of the systemic problems of America's healthcare system, our dismal response to the COVID-19 pandemic, and what we can do moving forward.
Historians are shaking their heads as media talk about January 6 as "unprecedented"; while shocking and dispiriting, it has layers and layers of precedent that need to be learned and engaged, if we are ever to actually have the racial reckoning that corporate media are forever insisting we've already had.
Diane talks with Elisabeth Rosenthal, editor-in-chief of Kaiser Health News, a contributing opinion writer for the New York Times and author of “An American Sickness: How Healthcare Became Big Business and How You Can Take It Back."
President-elect Joe Biden announced his health care team this week. We check out their credentials and ask if they're up to the task of pushing back the pandemic and pushing forward health care in America. Elisabeth Rosenthal, Kathleen Sebelius and Dr. Rajesh Gandhi join Meghna Chakrabarti.
Abdul reflects on the outcome of the election in the context of the COVID19 pandemic. Then he interviews Kaiser Health News Journalists Sarah Jane Tribble (host of the new podcast “No Mercy”) and Dr. Elisabeth Rosenthal about America’s rural healthcare crisis and COVID19. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Kaiser Health News Editor-in-Chief Elisabeth Rosenthal joins John Williams to explain how Gilead chooses the price of Remdesivir, with it being the first drug to treat intensive care coronavirus patients.
Kaiser Health News Editor-in-Chief Elisabeth Rosenthal joins John Williams to explain how Gilead chooses the price of Remdesivir, with it being the first drug to treat intensive care coronavirus patients.
A racism reckoning for the media industry? Plus... Why the press should be careful when forecasting "waves;" an interview with journalist Linda Tirado, who was blinded at a protest and is now suing police. Dr. James Hamblin, Dr. Elisabeth Rosenthal, Dan Diamond, Jenna Ellis, Sara Sidner, Linda Tirado, Tai-Heng Cheng and Farai Chideya join Brian Stelter.
The death toll from coronavirus continues to mount, as does the economic fallout. Our week in the news roundtable reflects on another unprecedented week. Jonathan Karl, Lisa Desjardins and Elisabeth Rosenthal join Jane Clayson.
When an outbreak like the Covid-19 pandemic hits, local journalists serve as first responders for global surveillance efforts. Elisabeth Rosenthal was a young physician when the AIDS epidemic hit New York City; she later covered the SARS crisis in China for the New York Times. Samantha Pak is senior editor at the Kirkland Reporter, the local paper covering Life Care Center nursing home, where 19 residents have died from the coronavirus. On this week's Kicker, Rosenthal, who is editor-in-chief of Kaiser Health News, and Pak speak with Kyle Pope, editor and publisher of CJR, about the advantage of the local news template and what happens when we substitute politics for science.
As coronavirus spreads in the United States and around the world, businesses, schools, and individuals are taking steps to prevent further spread of the respiratory virus. Efforts are being made to test more people in the country. Meanwhile, some officials are worried about the costs associated with testing and treatment and how they — and health insurance — could pose a barrier to care. Kerri Miller talked with the editor-in-chief of Kaiser Health News and an epidemiology professor about where the country stands in terms of how it responded to the spread of coronavirus and how individual families can prepare. Guests: Dr. Elisabeth Rosenthal is editor-in-chief of Kaiser Health News. Dr. Robyn Gershon is a clinical professor of epidemiology at New York University’s School of Global Public Health. She’s also an interdisciplinary occupational and environmental health and safety researcher with experience in disaster preparedness and healthcare safety and risk assessment and management in high-risk work occupations. To listen to the full conversation you can use the audio player above. Subscribe to the MPR News with Kerri Miller podcast on: Apple Podcasts, Google Podcasts , Spotify or RSS.
Plus... How Bernie Sanders' critiques of the media differ from Trump's; one full year without a W.H. press secretary briefing; why the Trump campaign is suing CNN, the NYT, and WaPo. Elisabeth Rosenthal, Dr. Seema Yasmin, Kathleen Sebelius, TJ Ducklo, David Sirota, Errin Haines, Joe Lockhart and Sara Fischer join Brian Stelter.
The coronavirus outbreak in China is causing panic worldwide. The World Health Organization has declared it a global health emergency and all we hear about are doubling infection rates, massive quarantines, and drugstores running out of masks. In this episode of How To!, we ask Dr. Elisabeth Rosenthal, former New York Times reporter and author of An American Sickness, how she and her family survived the previous SARS epidemic in Beijing. We also revisit our conversation with Dr. Tom Inglesby, Director of the Johns Hopkins Center for Health Security, about what to do—and what not to do—if the coronavirus becomes a full-blown pandemic and spreads to where you live. Do you have a question you want us to investigate? Send us a note at howto@slate.com. Slate Plus members get bonus segments and ad-free podcast feeds. Sign up now. Learn more about your ad choices. Visit megaphone.fm/adchoices
The coronavirus outbreak in China is causing panic worldwide. The World Health Organization has declared it a global health emergency and all we hear about are doubling infection rates, massive quarantines, and drugstores running out of masks. In this episode of How To!, we ask Dr. Elisabeth Rosenthal, former New York Times reporter and author of An American Sickness, how she and her family survived the previous SARS epidemic in Beijing. We also revisit our conversation with Dr. Tom Inglesby, Director of the Johns Hopkins Center for Health Security, about what to do—and what not to do—if the coronavirus becomes a full-blown pandemic and spreads to where you live. Do you have a question you want us to investigate? Send us a note at howto@slate.com. Slate Plus members get bonus segments and ad-free podcast feeds. Sign up now. Learn more about your ad choices. Visit megaphone.fm/adchoices
Excessive medical billing may be technically legal, but it is morally indefensible. In a Kaiser Health News story that was also published by the New York Times, Elisabeth Rosenthal provides evidence that in medical billing, fraudulent charges can pass as legal. Also, Kaiser Health News and NPR have teamed up for a series called “Bill of the Month”. This month highlights the $25,865 paid to check whether a head cold was Strep throat.
Some people can’t imagine exercise without having their cellphone. You can listen to music, text and chat and it helps the time fly by. Well, there is also a problem with exercising with your cellphone and we will discuss what this is in this episode of the podcast. http://www.mensfitness.com/training/pro-tips/heres-how-your-phone-could-be-ruining-your-workoutHave you heard of oxytocin? It’s sometimes called the “moral molecule.” Oxytocin is the brain chemical that helps us trust each other and feel good about each other. What’s interesting is that we know how to cause oxytocin to be released and when you understand how it works, it has implications for all our relationships with people who love, people know and even strangers. Neuroscientist Paul Zak, author of The Moral Molecule (https://alexa.design/2osVKNw) joins me for this fascinating discussion.People talk about healthcare a lot – but things only seem to be getting worse. And generally, I think people feel helpless to do anything. Perhaps you will feel more empowered when you hear Elisabeth Rosenthal, author of the bestselling book, An American Sickness (https://alexa.design/2pniwUd). Elisabeth was trained as a physician and spent years as a writer for the New York Times and is now editor-in-chief of Kaiser Health News.Everyone knows that arguing isn’t good. But actually it may just be the thing to keep your relationships alive. We’ll explore why in this episode of the podcast. http://www.nbcnews.com/id/38698442/ns/health-behavior/t/go-ahead-argue-it-can-be-good-your-health/
Teach and Retire Rich - The podcast for teachers, professors and financial professionals
Part two of our interview with Dr. Carolyn McClanahan, a medical doctor who became a certified financial planner. We touched on a cross section of healthcare and planning topics: 00:23 Which Senator killed the public option? 01:48 Importance of the public option 02:10 Elisabeth Rosenthal book How Health Care Became Big Business and How You Can Take It Back 04:25 Ideas for fixing healthcare 5:16 Origin of “ObamaCare” 06:11 Ted Kennedy and healthcare 06:35 Nixon had a good healthcare plan 08:24 The craziness of employer based healthcare 09:56 Is Long-Term Care Insurance worth it? 11:44 The Big Four of Aging 15:44: "Primary Care for All!" 19:58 Aging parents and healthcare Time to Expand Community Health Carolyn McClanahan, MD, CFP® Meridian Wealth Management 403bwise.org
Recognize the importance of cost-of-care conversations and identify resources to facilitate these discussions with help from Gwen Darien, executive vice president at the National Patient Advocate Foundation, and Dr. Jessica Dine, Associate Professor and Chief of the division of Pulmonology and Critical Care at Perelman School of Medicine. We review barriers to cost-of-care conversations and identify tools to help make these conversations a part of routine care discussions. Full show notes at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and Produced by: Elena Gibson, MD Infographic and Cover Art: Elena Gibson, MD Hosts: Elena Gibson MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Matthew Watto MD, FACP; Emi Okamoto MD Guest: Gwen Darien and Jessica Dine MD Partners and Grant Support The American College of Physicians. Check out this supplement to the Annals of Internal Medicine from May 2019 on Fostering Productive Health Care Cost Conversations https://annals.org/aim/issue/937992 The Robert Wood Johnson Foundation https://www.rwjf.org provided grant support for this episode. Time Stamps 00:00 Pun, disclaimer, sponsor 01:10 Intro, guest bios 06:10 Guest one-liners 07:22 Picks of the week*: Sing Unburied Sing (book) by Jesmyn Ward ; The Quiet American (book) by Graham Greene; An American Sickness: How Healthcare Became Big Business and How You Can Take It Back (book) by Elisabeth Rosenthal 09:35 Best Advice: Always question received wisdom; Listen! 14:10 Cost of treatment versus cost of care 15:35 How does cost of care affect outcomes?; Talking about money (finances) with patients 18:52 Defining “underinsured”; High deductible plans 22:41 Why are physicians scared to talk about cost? 26:16 Why is cost of care so difficult to determine? Who’s benefiting from lack of transparency? 28:35 Stuart explains his theory on why costs make no sense 30:00 How to have cost of care conversations 32:10 How to estimate cost; Specific tools 42:10 Cost of care plans 50:03 Take home points and plugs: National Patient Advocate Foundation; NeedyMeds.com; ACP High Value Care; AAFP Neighborhood Navigator Tool 53:00 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will recognize the need for routine cost-of-care conversations and identify resources to improve the quality of such conversations in order to deliver high-value care. Learning objectives After listening to this episode listeners will… Recognize the importance of cost-of-care conversations between physicians and patients Describe barriers to conversations concerning healthcare costs Feel comfortable initiating routine conversations with patients on the cost-of-care Identify where and how to access resources to assist with healthcare cost conversations Disclosures Gwen Darien and Dr. Jessica Dine report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Dine J, Darien G, Gibson E, Brigham SK, Williams PN, Okamoto E, Watto MF. “#172 Cost-of-Care Conversations”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list September 11, 2019.
This week, we look at three MRIs with four different price tags, and an enormous range. Liz Salmi and a view of her brain. (Photo: Kaiser Health News)The first two price tags come from listener Liz Salmi, who has been living with brain cancer for more than a decade.Liz gets MRI scans twice a year, to make sure the cancer isn’t growing. A couple years ago, Liz changed insurance, changed providers… and got serious sticker-shock when she saw the bill for a scan: $1,600 — AFTER insurance.So when she needed a follow-up scan, she shopped around — and found an option that set her back less than 90 bucks.Which is great news, and useful — as far as it goes: As Liz points out, not everybody has six months to shop around.But Liz’s experience isn’t even the craziest MRI-price-tag story we look at this week. Stick around for that.Coming in to bat cleanup — to help us understand why these prices are so crazy, and so variable — is journalistic super-star, friend of the show, and my new colleague:Elisabeth Rosenthal, editor-in-chief of Kaiser Health News and author of An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. She breaks it down in an authoritative, funny, clear-as-glass way.(Reminder: Kaiser Health News — our co-producers for this season — is not affiliated with the health care provider Kaiser Permanente. It’s a great story, and we’ve got it for you right here.)This is the first of three episodes where we look at where health care prices come from. So this week it’s MRIs.Next up: Prescription drugs. And then: Insulin. Yep, we are going there. See acast.com/privacy for privacy and opt-out information.
Elisabeth Rosenthal is a physician and a noted writer and Editor In Chief of Kaiser Health News. She recently published An American Sickness, a book exploring how the business of medicine has gotten in the way of doctors delivering great care to patients and made the system increasingly complex and expensive for patients to navigate. She joins us this week! If you enjoy the show, please rate, review & subscribe to us wherever you listen. We’d love to hear feedback and suggestions, so you can tweet at us @RoSpodcast or @HMSPrimaryCare or drop me a line at contact@rospod.org.
Dr. Matt Wetschler’s story represents the best and the worst of our healthcare system. Matt tells us about his near fatal injury, his miraculous recovery (thanks to modern medicine), and the complications with billing that plagued him for months after his accident. Matt’s story is one of several in the recent media highlighting the issue of “surprise billing”, and a subset of this issue referred to as “balance billing”. Drawing from his health policy background, Matt helps us understand balance billing and how patients are affected. Then, Dr. Tom Sugarman joins us to further explain the complexities of surprise billing. He shares how he and others are advocating at the national level to change the billing process, and offers some potential solutions going forward. This is a hot button issue! Please remember that the opinions expressed in this podcast may not represent those of UC Davis or the University of California. Have you had any experiences with surprise billing? As a health care provider, how do you address this issue with your patients? What potential solutions do you envision? Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com. Please subscribe and rate us on iTunes - it helps us reach more people! Registration is now open for UC Davis Emergency Medicine Update: Hot topics 2019! November 5-9 at the Kahala Hotel and Resort in Honolulu, Hawaii Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Matthew Wetschler, Emergency Physician with a Masters in Public Health and Health Policy, motivational speaker, and practicing artist in San Francisco, CA Dr. Tom Sugarman, Chair of Emergency Medicine at Sutter Delta Medical Center in Antioch, Senior Director of Government Affairs for Vituity, and active member and former President of Cal ACEP Media Credit: Opening audio is from a short film by Scott Fitzloff. Watch the video in its entirety at www.matthewwetschler.com Resources: More on Dr. Matt Wetschler’s personal experience with billing via CNBC. Since his accident, Matt (AKA the Resurrection Artist) has rediscovered his passion for art. More on his story and his work at MatthewWetschler.com Dr. Wetschler recommends the book An American Sickness, by Elisabeth Rosenthal. AMA Issue brief explaining balance billing ACEP policy on balance billing ACEP Commitment to Best Practices for EM Practice Groups President Trump’s recent comments on ending surprise medical billing ************************************ Dr. Matthew WetschlerPhoto by Saroyan HumphreyDr. Tom SugarmanDr. Julia MagañaDr. Sarah MedeirosPodcast RecordingPodcast RecordingRecording Dr. Wetschler Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.
Innovators and seasoned industry thought leaders Drs. Robert Pearl, Elisabeth Rosenthal and Archelle Georgiou MD weigh in on a range of issues from patient empowerment to health system innovation imperatives. This episode is an audio mashup of top talent in the health innovation imperative was sourced from the 19th Population Health Colloquium curated by David B. Nash, MD, MBA, founding and current serving Dean of the Jefferson College of Population Health. In this broadcast, my colleague and co-host Fred Goldstein engages with Robert Pearl, MD, best selling author of Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong and former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, with 9,000 physicians and 35,000 staff. Elisabeth Rosenthal, MD Editor-in-Chief, at Kaiser Health News and author of An American Sickness: How Healthcare became Big Business and How You Can Take it Back. A graduate of Stanford University and Harvard Medical School and Rosenthal briefly practiced medicine in a New York City emergency room before converting to journalism. Dr. Archelle Georgiou a nationally recognized physician, advocate, advisor and author Healthcare Choices: 5 Steps to Getting the Medical Care You Want and Need, a former Chief Medical Officer of UnitedHealthcare where she dismantled many of the company’s legacy policies in order to minimize the bureaucratic burdens imposed on patients and physicians.
This audio mashup of top talent in the health innovation imperative was sourced from the 19th Population Health Colloquium curated by David B. Nash, MD, MBA, founding and current serving Dean of the Jefferson College of Population Health. In this broadcast, my colleague and co-host Fred Goldstein engages with Robert Pearl, MD, best selling author of Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong and former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, with 9,000 physicians and 35,000 staff. Elisabeth Rosenthal, MDEditor-in-Chief, at Kaiser Health News and author of An American Sickness: How Healthcare became Big Business and How You Can Take it Back. A graduate of Stanford University and Harvard Medical School and Rosenthal briefly practiced medicine in a New York City emergency room before converting to journalism. Dr. Archelle Georgiou a nationally recognized physician, advocate, advisor and author Healthcare Choices: 5 Steps to Getting the Medical Care You Want and Need, a former Chief Medical Officer of UnitedHealthcare where she dismantled many of the company’s legacy policies in order to minimize the bureaucratic burdens imposed on patients and physicians.
Through her investigative research, Elisabeth Rosenthal has exposed corrupt healthcare players, fought outrageous medical bills and advocated tirelessly for American patients. The post Episode 9: Elisabeth Rosenthal on how patients can fight the system appeared first on Fixing Healthcare Podcast.
Turns out, insurance companies allow — even encourage — crazy price-gouging by hospitals. For example, the leg brace Blake needed was available for $150 on Amazon. But thanks to his insurance, he paid more than $500.Investigative reporter Jenny Gold’s work helps us understand how that kind of thing happens.She compares health care to shopping for a gallon of milk.“We can look at the cost of a gallon of milk at lots of different stores and decide which one is the best,” she says.At the store, there’s maybe there’s a couple different brands, with the prices on the shelf. We pick the one we want, pay on the way out.“Now with healthcare,” she says, “the analogy would be, you go to the store for a gallon of milk. You have no idea what it costs. You don’t know what it costs at that store compared to other stores. You walk into a random store, pick out a gallon of milk, go through check-out. You still don’t know what it costs. You give them your credit card information and then a few weeks later you get a bill telling you how much they charged you.”Super-crazy. Jenny’s reporting shows how insurance companies help to keep those prices hidden, and keep them high.Jenny Gold works for Kaiser Health News — which, we should explain, is not part of Kaiser Permanente health care. It’s part of an independent foundation that basically runs on an endowment set up by Mr. Kaiser, more than 50 years ago.RESOURCE ALERT: Jenny’s boss, former New York Times reporter Elisabeth Rosenthal, published an amazing book in 2017: An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. I have been studying it like a bible and a playbook since I started working on this show. If you want to really get mad — and learn a ton about how health care got so crazy in the U.S. — this is the book to read.An audio version of Jenny’s story ran on the public-radio show Marketplace. Thanks to Kaiser Health News, and to Marketplace for the story and for the tape of Sarah Azad and Ken Weber.Photo, above: by Liza, via Flickr. CC 2.0 license.Thanks again to the great Mucca Pazza for the use of their tune War of Amusements at the close of this episode.Find Us OnlineWebsite: http://armandalegshow.comTwitter:
Gaby takes the pulse of our health care system, and the prognosis is grim. To help understand it all, we have Elisabeth Rosenthal, editor-in-chief of Kaiser Health News, and author of "An American Sickness: How Healthcare became Big Business and How You Can Take it Back." Then we hear from Maly Ly, chief marketing officer at YouCaring, about how crowdfunding sites have risen to the challenge of fixing this broken system. And... don't hold your breath. Lauren Berliner, assistant professor at the University of Washington Bothell explains how crowdfunding really isn't an effective bandaid. Learn more about your ad choices. Visit podcastchoices.com/adchoicesOur Sponsors:* Check out Arena Club: arenaclub.com/badmoney* Check out Chime: chime.com/BADMONEY* Check out Claritin: www.claritin.com* Check out Indeed: indeed.com/BADWITHMONEY* Check out Monarch Money: monarchmoney.com/BADMONEY* Check out NetSuite: NetSuite.com/BADWITHMONEYAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Gaby takes the pulse of our health care system, and the prognosis is grim. To help understand it all, we have Elisabeth Rosenthal, editor-in-chief of Kaiser Health News, and author of "An American Sickness: How Healthcare became Big Business and How You Can Take it Back." Then we hear from Maly Ly, chief marketing officer at YouCaring, about how crowdfunding sites have risen to the challenge of fixing this broken system. And... don't hold your breath. Lauren Berliner, assistant professor at the University of Washington Bothell explains how crowdfunding really isn't an effective bandaid. Learn more about your ad choices. Visit megaphone.fm/adchoices
Today, a conversation about new breakthroughs in cancer research. Nearly 1.7 million people are diagnosed with cancer in the U.S every year, and nearly 600,000 of those people die from the disease. Those who survive often face difficult surgeries, and long rounds of chemotherapy, radiotherapy, or costly immunotherapy. Cancer is one of the world’s leading killers because it’s usually discovered too late, after tumors have grown and spread to other parts of the body. If detected early enough, most cancers would be survivable. But until recently, there have been no reliable early-screening methods for the most aggressive forms of cancer. Now, a team of physicians at Johns Hopkins has devised a new kind of blood test that can screen for 8 different kinds of cancer. Taken together, those eight cancers account for more than 60 percent of cancer deaths in the United States each year. That team is led by one of Tom's guests today, Dr. Bert Vogelstein. He is the Clayton Professor of Oncology and Pathology, and a Howard Hughes Medical Institute investigator at The Johns Hopkins Medical School and the Sidney Kimmel Comprehensive Cancer Center here in Baltimore. He’s a pioneer in the field of cancer genomics. His research papers have reportedly been cited more often than those of any other scientist, in any discipline.And joining us on the line from the studios of Kaiser Health News in Washington is Dr. Elisabeth Rosenthal. She’s a former emergency room physician. She spent 22 years covering health issues for the New York Times. She was appointed the editor and chief of Kaiser Health News in 2016. She’s also the author of American Sickness: How Healthcare Became Big Business and How You Can Take It Back, which was published exactly one year ago today. (Dr. Rosenthal spoke with Tom about her book on the Aug. 9, 2017 Midday, and you can listen to that conversation here.)Drs. Vogelstein and Rosenthal will be co-panelists again at the Maryland Science Center starting at 7pm on Tuesday, April 24th, in a talk entitled Truths, Myths and Breakthroughs in Medical and Cancer Research, part of this year’s Great Talk series. Follow the link for program and ticket information.
Elisabeth Rosenthal diagnoses the sickness at the heart of the U.S. health care system. Music: Piano Concerto No. 20, Wolfgang Amadeus Mozart. Courtesy of Internet Archive.
For our November Narrative Medicine Rounds, we welcome back Elisabeth Rosenthal, who is a Harvard-trained medical doctor and veteran journalist, first with The New York Times and currently editor-in-chief of Kaiser Health News, the independent foundation funded reporting project focusing on health and health policy news. Dr. Rosenthal will talk about what she discovered researching and reporting the way healthcare has become a business in the last twenty-five years and many of the lessons she learned while writing An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Elisabeth Rosenthal spent 22 years as a correspondent at The New York Times, where she covered a variety of beats from healthcare to environment to reporter in the Beijing bureau. While in China she covered SARs, bird flu and the emergence of HIV/AIDS in rural areas. Her two-year-long NYT series “Paying Till it Hurts” (2013-14) won many prizes for both health reporting and its creative use of digital tools. She is a graduate of Stanford University and Harvard Medical School and briefly practiced medicine in a New York City emergency room before converting to journalism.
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, and Margot Sanger-Katz of The New York Times discuss the potential health impact of Hurricane Harvey on the Texas Gulf Coast, and what impact the relief effort in Washington could have on an already jam-packed September agenda. Also this week: an interview with Elisabeth Rosenthal about why medical care costs so much.
The House and Senate and the president have all left town for the August recess. Just before they left they were deep in the drama of the Senate Republicans? failure to repeal and/or replace Obamacare, otherwise known as the Affordable Care Act. During this exodus of all politicians from Washington we?ll put politics aside for a moment and ask: What should the healthcare system and healthcare coverage in the U.S. look like? Can we take the system we?ve got and make it work better? And if we were starting from scratch, what kind of system would we create? Two experts who have been thinking and writing about healthcare for years join Midday to answer these questions. Dr. Elisabeth Rosenthal is editor-in-chief of the non-profit Kaiser Health News . She was a reporter for the New York Times for 22 years, covering health and other subjects. While at The Times, she wrote a prize-winning, 10-part series about the high-cost of medical care called ? Paying Till It Hurts .? She is the author of
Doctor and activist Dr. David Ansell discusses "The Death Gap: How Inequality Kills." Journalist Dr. Elisabeth Rosenthal discusses "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back." Open Stacks is the Official Podcast of the Seminary Co-operative Bookstores. This episode was produced by Kit Brennen and Imani Jackson.
Elisabeth Rosenthal is the author of a provocative and powerful book on healthcare delivery in the United States called “An American Sickness.” She joins us during a nationwide debate over healthcare reform to evaluate our current state and how to move forward.
Elisabeth Rosenthal is the author of a provocative and powerful book on healthcare delivery in the United States called “An American Sickness.” She joins us during a nationwide debate over healthcare reform to evaluate our current state and how to move forward.
Stacey is co-president of Aventria Health Group, a marcomm agency helping employers, payers, pharma and pharmacies develop and leverage partnerships with other health care organizations. For twenty years, Stacey has used her expertise to innovate inspiring collaborative health solutions benefiting all stakeholders, and most of all the patient. 00:00 Elisabeth Rosenthal, “An American Sickness: How Healthcare Became Big Business.” 02:25 Look at the bills your insurance company is paying. 02:45 “All of your out-of-pockets are a function of how much your insurance is paying on your behalf.” 03:20 “If no one is questioning what those costs are, then providers will fill in whatever they think they can get.” 04:05 Is your practice owned by a hospital, or licensed as a surgery center? 04:35 Ask your physician to only refer you to other physicians in your network. 05:00 Request that labs be in-network. 06:15 Ask in advance how much a procedure will cost. 07:30 “It's up to us to inform our Physicians about costs.” 07:50 “How will this test or exam change my treatment?” 08:20 Ask which blood test or exam they're taking and why. 09:00 “Where will this test or surgery be performed, and how does that place affect the price?” 10:00 “Who else will be involved in my treatment, and will I be getting a separate bill?” 11:25 “Watchful Waiting,” - the Value in waiting to seek treatment. 13:30 Price Transparency. 14:45 Fight back on Gag Clauses.
A conversation with the author of AN AMERICAN SICKNESS: HOW HEALTHCARE BECAME BIG BUSINESS AND HOW YOU CAN TAKE IT BACK.
Our country’s healthcare system needs serious work—but how did it get so bad? In An American Sickness, award-winning New York Times reporter Dr. Elisabeth Rosenthal breaks down the nature of this affliction, explaining the symptoms, identifying the causes, and outlining a course of treatment. Rosenthal shares strategies on how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you need. She discusses the doctor-patient relationship, explaining why the medical profession lacks transparency and how patients can navigate the byzantine system. Rosenthal lays out the social and financial incentives that have encouraged a deeply flawed system and outlines a plan for its rehabilitation. Recorded live at Town Hall Seattle Monday, April 24, 2017
A panel discussion on how right-wing populist politics are shaping the debate about public health. Speakers: Jonathan Cohen, Chloë Cooney, Gregg Gonsalves, Naa Hammond, Ronald Martin, Elisabeth Rosenthal. (Recorded: Mar 28, 2017)
Rich Dad Radio Show: In-Your-Face Advice on Investing, Personal Finance, & Starting a Business
Health care is the #1 cause for personal bankruptcy in the U.S. and the most profitable business in the U.S. Find out why so many Americans are fighting mad at insurers, doctors, pharmacists and health administrators. And let’s not get started with the politicians. Robert talks to Elisabeth Rosenthal, a doctor-turned-writer, who exposes the rotten health-care system and offers practical steps for anyone trying to navigate health care. Learn more about your ad choices. Visit megaphone.fm/adchoices
The cost of healthcare and prescription drugs in the US are astronomical, but help is here in the form of Dr. Elisabeth Rosenthal, author of "An American Sickness: How Healthcare Became Big Business and How You Can Take It Back." In Mailbag, choosing the best credit card, financial planning for single women and exchange-traded funds (ETFs).
Elisabeth Rosenthal writes about our broken healthcare system in her new book, An American Sickness: How Healthcare became Big Business and How You Can Take it Back. She says the system, comprised of hospitals, doctors, insurance companies, and drug manufacturers, is in tatters. Social and financial incentives have infected it, she says, rendering it disastrous and immoral. How has the Affordable Care Act impacted the system? And what kind of effect would a repeal have? Rosenthal is an emergency room doctor turned journalist. She spent 22 years at The New York Times before becoming editor-in-chief at Kaiser Health News.
Episode 06: “MacGyver Creativity” “Go Live” is the official podcast from the Association of Clinical Informatics Fellows (ACIF). Host: Chase Parsons Topics: iHealth 2017, Social media and our patients’ health, ‘Cake’ Startup Guest interview: Dr. Kevin Johnson, Professor and Chair of Vanderbilt’s Biomedical Informatics Department by Jake Lancaster Co-hosts: Jake Lancaster, Chancey Christensen, Mark Zhang ProTips: ‘An American Sickness’ by Elisabeth Rosenthal, ExpenseIt from Concur, SquareCash, Doximity DocFax Twitter: @ACIFellows Music: Thanks to Ozzed.
Show #165 | Guest: Elizabeth Rosenthal, editor-in-chief of Kaiser Health News. | Show Summary: Healthcare, Obamacare, Medicare … what does it all mean? Elisabeth Rosenthal has spent her career dissecting the monolith of today’s healthcare system, and her report back is grim. Find out how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. After 22 years as a correspondent at the NYT Elisabeth Rosenthal is now editor-in-chief of Kaiser Health News, an independent not-for-profit newsroom focusing on policy in DC. She received a B.S. degree in biology from Stanford University, an M.A. degree in English literature from Cambridge University, and an M.D. degree from Harvard Medical School.
Anna Maria Barry-Jester interviews the author of "An American Sickness: How healthcare became big business and how you can take it back."
Elisabeth Rosenthal talks about “An American Sickness”; and Jill Filipovic discusses “Unwanted Advances,” by Laura Kipnis, and “The Campus Rape Frenzy,” by KC Johnson and Stuart Taylor Jr.
Our science podcast crew discusses the state of American health care, and what consumers can do about it. This month's book: "An American Sickness" by Elisabeth Rosenthal.
Elisabeth L. Rosenthal, a New York Times correspondent who trained as a medical doctor, is the author of Paying Till it Hurts, an award-winning 2 year-long series on health care costs and pricing. She is currently completing a book about the commercialization of American medicine, to be published by Penguin Random House early in 2017. During 20 years as a reporter/correspondent for the New York Times, she has covered a wide variety of beats – from health care to international environment to general assignment reporting for 6 years in China. She is a frequent contributor to the New York Times’ Sunday Review section. Ms. Rosenthal’s journalism awards include the Victor Cohn Prize for medical reporting, the Association of Health Care Journalists’ beat reporting prize, the Online New Association’s award for Feature reporting and the Asia Society’s Osborn Elliott prize. She has been a Poynter Fellowat Yale and a Ferris Visiting Professor at Princeton. Born in New York City, Ms. Rosenthal received a B.S. degree in biology from Stanford University and an M.A. degree in English literature from Cambridge University. She holds an M.D. degree from Harvard Medical School. She trained and worked at Weill-Cornell Medical Center in the Emergency Department before becoming a full-time journalist.
Host John Schumann speaks with Elisabeth Rosenthal of the New York Times, author of Paying Till It Hurts, a series on health care costs in the New York Times. Gary Schwitzer of HealthNewsReview.org reviews the week's health news, and Shara Yurkiewicz reads her viral essay Post Operative Check. This program originally aired on Public Radio 89.5 KWGS.
A panel of six current and former New York Times China correspondents — Seymour Topping, Fox Butterfield, Nicholas Kristof, Elisabeth Rosenthal, Joseph Kahn and Edward Wong — join moderator Orville Schell in a lively discussion marking the launch of Asia Society's new website ChinaFile. (1 hr., 31 min.)
Cutting Through the Matrix with Alan Watt Podcast (.xml Format)
Craziness called Christmas - High Holy Days, Commercialization - Chocolate, Tablet, "Falling off the Ladder", "12 Steps". Terrorism - Mental Illness, "Rights" - Monitoring, Ideal Design, New Culture - United Nations: Jolly Clean Green Giant - Food-Oil Scandal - GM Food (Modifying Us). UN Food Quotas - Patented Seeds - Military Warfare Strategy - Small Farmers, Droughts, Aerial Spaying - Agri-Businesses, Restaurants - Vegetarian World. Openly Declared War - Scientific Socialism - Totalitarian System - Soviet Union, Night Raids - Obedience, Unity through Fear. Money, Nobility, Priesthoods, Peasants - Religion, Feudalism, Norman Invasion, Roman Catholic Church, Monarchy - Charlemagne - Conquistadors. Democracy, Elections, Voting Double-Think - Tyranny in Government - Thomas Jefferson. Illusionary and Real Worlds - Genocide - Highland Clearances of Scotland - American Indians, Canadian Ojibwa - Economic Agenda. Middle East, Iraq, UNESCO, Western "Values" - Hypocrisy, Selfishness - Empathy for Others. (Article: "World food stocks dwindling rapidly, UN warns" by Elisabeth Rosenthal, International Herald Tribune (iht.com) - Dec. 17, 2007.) *Dialogue Copyrighted Alan Watt - Dec. 27, 2007 (Exempting Music, Literary Quotes, and Callers' Comments)