Experts say many thousands of Americans are now going abroad for dental care. The growing phenomenon of dental tourism is believed to make up a sizable portion of the worldwide multibillion-dollar medical tourism market.
While exact numbers are impossible to find, and even estimates are scarce, the Deloitte Center for Health Solutions estimated that 1.6 million Americans would traveled abroad for all types of medical care in 2012 with dental treatments heading the list of procedures sought.
Find out why people are leaving the country for care, some of the concerns about receiving care in other countries as well as some sources for reporting in this new tip sheet.
Health care is but one element of what makes the biggest difference in health outcomes – social factors play a far more significant role. Income and its distribution, education, employment, social supports, housing, nutrition, and the wider environment – what we have come to know as the social determinants of health – are the most powerful predictors of wellness and longevity. This has been understood for centuries, and empirically validated in recent decades with study after study demonstrating significant inequalities in health outcomes between wealthy and disadvantaged populations.
Why is it that, when we talk about health promotion, we still get stuck talking about the “Trinity Trap” of smoking, diet and exercise when we know that social factors have the biggest influence on health outcomes?
In this new tip sheet, family doctor and medical professor Ryan Meili discusses the importance of fully understanding the social determinants of health.
Image by Jay Reimer via flickr.
Medical study authors routinely claim to have “controlled” for socioeconomic status.
That kind of sweeping assertion should set off alarm bells. The authors probably haven’t come close to fully accounting for something as difficult to measure as a person’s place in the hierarchy of self-determination and power, neighborhood quality, working conditions, job security, income and wealth.
To assume otherwise is a mistake that can lead to misleading conclusions.
Consider, for example, a recent study in the journal Nature Medicine describing a genetic variation that might account for lower heart disease survival among African Americans. News coverage of the study caught my attention because whatever role genetics plays in the black/white disparity in heart disease, it’s probably small.
Some researchers have concluded that socioeconomic disadvantage is the most significant root of the problem, not genetic differences. And there is pretty good evidence that the traditional risk factors (diabetes, high blood pressure, lack of physical activity, obesity, smoking) account for all of the difference in heart disease mortality between black and white men in the United States, and most of the difference between black and white women. Continue reading
Image by Herald Post via flickr.
Children’s dental benefits are listed among the 10 essential health benefits under the Patient Protection and Affordable Care Act (ACA). Yet there is no federal requirement that people buy dental coverage for themselves or their children when obtaining health insurance on state marketplaces.
That lack of a mandate is having an impact, a new study from the American Dental Association concludes.
An average of just 15.9 percent of children obtained stand-alone dental coverage along with their medical plans across the 37 states included in the study. By the same measure, more adults – an average of 20 percent – obtained dental benefits along with their medical plans, according to the ADA’s analysis of data gleaned from the February 2014 marketplace enrollment report submitted by the U.S. Department of Health and Human Services. Continue reading
Joseph Coughlin, director of the MIT AgeLab, is fascinated by the intersection of technology and aging. As a keynote speaker at this year’s American Society on Aging conference, he challenged the audience to think about how evolving technology can not only improve health outcomes but can improve aging as a whole.
“The disruptive demographics of a new aging society is presenting a new generation gap,” he said. “This is a generation of new expectations when it comes to living longer.”
Technology is a cornerstone of how this generation views aging. However, don’t get taken in by “gee-whiz” gadgets that don’t enhance quality of life. “There’s a big difference between invention and true innovation.” Continue reading
We put up a tip sheet the other day on how to interpret sign-up vs enrollment numbers. This piece by Carol Ostrom of The Seattle Times asks a lot of good questions as she looked at enrollment in her state.
Washington does a better job than many states in separating who paid versus who signed up, but there are other essential questions about enrollment. Who gained coverage? Who switched coverage? How many people’s plans were cancelled? Did they end up in the exchange or in another private plan? How do they feel about it a few months into the new system?
And how do we measure the success of the law? Especially given its cost. Continue reading
Please welcome these new professional and student members to AHCJ. All new members are welcome to stop by this post’s comment section to introduce themselves.
- Matt Parker, student, Boston University School of Medicine, Boulder, Colo.
- Laura Broadwell, independent journalist, Brooklyn, N.Y. (@Laura_Broadwell)
- Heather Cygan, vice president of news/managing editor, Gannett Healthcare Group, Schaumburg, Ill. (@hcygan)
- Jennifer Garcia, independent journalist, Houston
- Matthew Glasser, health & medical producer, KNBC, Universal City, Calif (@mediamatthew)
- Eleanor Kennedy, reporter, Nashville Business Journal, Nashville (@NSHBizKennedy)
- Tami Luhby, senior writer, CNN Money, New York
- Susan Moran, independent journalist, Boulder, Colo.
- Tom Murphy, reporter, The Associated Press, Indianapolis
- Margery Rosen, independent journalist, New York
If you haven’t joined yet, see what member benefits you’re missing out on: Access to more than 50 journals and databases, tip sheets and articles from your colleagues on how they’ve reported stories, conferences, workshops, online training, reporting guides and more. Join AHCJ today to get a wealth of support and tools to help you.
In the United States, far too many people – including many older adults – don’t get the vaccines they need to prevent getting and spreading preventable diseases. In a recent CDC press release, Director Tom Frieden, M.D., M.P.H, says many people think “that infectious diseases are over in the industrialized world.”
However, global travel and trade can spread diseases quickly, leaving seniors vulnerable to infection. Here, Eileen Beal discusses the risks of not being vaccinated and the reasons seniors aren’t getting vaccinations, and also provides resources for people looking for more information on vaccines.
Ten days before the (expected) close of open enrollment, The Philadelphia Inquirer reported that the federal exchange’s window-shopping tool – the one that the administration encourages everyone to check before applying for Marketplace insurance – was using the wrong year’s poverty-level guidelines. Neither the Obama administration nor any health-care consultants or policy experts that reporter Don Sapatkin could find had noticed it and the site was corrected within hours after the story was posted.
In theory, almost anyone going on the site got slightly incorrect information for 35 days. Most seriously affected, however, were people just above the poverty line in states that have not expanded Medicaid. When they put their information into the tool, it responded: “Not eligible for help paying for coverage.” Many of them may have given up right there and not submitted the actual applications (which were using the correct poverty stats and were assessed correctly). It’s impossible to tell from the notification letter whether errors were made.
Read about how Sapatkin uncovered the error and what the response was from the Centers for Medicare and Medicaid Services.
Attend AHCJ’s free Rural Health Journalism Workshop for a better understanding of what’s happening – or will be happening – in rural regions, and return to work with dozens of story ideas you can pursue.
Compared with city dwellers, people in rural America have higher rates of cancer, diabetes, disabling injuries, and other life-shortening health problems.
Among the less talked about aspects of the Affordable Care Act are measures intended to help reduce rural health disparities. But health professionals working in remote small towns aren’t convinced that the well-intentioned steps will bring enough relief – and do it quickly enough – to reverse problems that many fear are getting worse, such as lack of economic opportunity for rural residents, and limited access to high-quality medical clinics and hospitals.
“There’s definitely joys, but right now the change is huge. It’s going to make it hard for many of us to survive,” said Dean Bartholomew, M.D., a family medicine physician in Saratoga, Wyo., a town with 1,700 residents that is nearly an hour’s drive away from the nearest hospital. Bartholomew was among the panelists at the Health Journalism 2014 session on rural health.
Rural health difference
For Bartholomew, the joys include the rich relationships he’s been able to build with patients and the community. He’s found himself serving as the volunteer team physician for the local high school, for instance, and taking care of sick pets on occasion. Continue reading