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View Diary: NPR Hatchet Job at Trying to Discredit Medicaid and Obamacare: Prime Example of a Corporate Shill (183 comments)

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  •  Anyone with a diabetes or HTN (2+ / 0-)
    Recommended by:
    kovie, emelyn

    diagnosis is going to get lifestyle and nutrition counseling...it is standard of care.

    Problem is patient compliance.  Solving patient compliance means home health visits and follow up.

    While I am a big fan of nutrition, exercise, and other lifestyle solutions for the prevention and control of chronic disease, it is difficult to get someone to quit smoking, eat healthy, and start exercising if they have never done so in the past.  Also, most people have the opinion that they can just see the doctor, get a diagnosis, get a pill, and be healthy.  I guess it is because most people get their medical info from House.

    •  Advise and counseling aren't enough (2+ / 0-)
      Recommended by:
      New Rule, Ray Pensador

      As such they're effectively more legal and moral CYA than actually effective treatment. More interventionist techniques need to be employed to deal with these chronic health, lifestyle and even psychological issues. The weekly nurse visits appear to be helping. We need more solutions along such lines, perhaps local health centers that focus on healthy eating and living, offering cooking lessons, shopping advice, fitness coaching and facilities, etc. Something also has to be done with the lack of healthy food shopping and eating options in lower-income areas. It doesn't have to all be done under Medicaid but clearly government has to get involved here. We need to not only save and restore the original New Deal, but a "New New Deal" to deal with all that it left un or underdealt with. It's not just morally right, but economically smart.

      "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

      by kovie on Thu May 02, 2013 at 08:39:32 AM PDT

      [ Parent ]

      •  A Green / Holistic New Deal, or so we can hope (2+ / 0-)
        Recommended by:
        kovie, Ray Pensador

        "..The political class cannot solve the problems it created. " - Jay Rosen

        by New Rule on Thu May 02, 2013 at 09:46:06 AM PDT

        [ Parent ]

        •  A "Whole Deal", if you will (3+ / 0-)
          Recommended by:
          Ray Pensador, TiaRachel, New Rule

          Since the original one and its Great Society followup failed, partly through necessity, partly through choice, to complete the whole deal, a cradle to grave guarantee of minimally acceptable levels of health care, nutrition, housing, education, communications, transport, and overall quality of life, which is not just morally right, but economically smart. We're a society, damn it, not just a collection of self-reliant individuals. That myth needs to die.

          "Liberty without virtue would be no blessing to us" - Benjamin Rush, 1777

          by kovie on Thu May 02, 2013 at 09:59:09 AM PDT

          [ Parent ]

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