Healthcare Triage

This week's questions: 1:50 Are zero calorie food really a thing? What could a person that really hates to exercise, but wants to lose a weight do to do so? 4:13 My dentist wishes to sell me a $140 smartphone-connected electric toothbrush. How much better are the high-end toothbrushes compared to the $20 electric toothbrushes? PS she is selling it so I have zero faith in her objectivity on the topic. 6:00 Are there benefits to getting the HPV vaccine to men above 30 years old? 7:14 The HPV vaccine has added several more strains since I had it. (I had a relatively early version.) Why isn't it recommended that I get the new vaccine for additional coverage? 8:03 My friend thinks that sunscreen has dangers and you should only use it as necessary. I don't know of any "dangers" and she just says "chemicals" in response. Are there any legitimate safety concerns about sunscreen? 11:11 One of the significant challenges with pay-for-performance models seems to be measuring the quality of outcomes. What specific things about how the U.S. healthcare system assesses and reports quality would you like to see improved in 2017? 13:00 Hey Aaron long time listener. First time questioner. Are you aware of any research on stimulation of alpha EEG waves? Alpha waves are indeed associated with relaxation but inducing them with tech? 14:02 What medical TV show do you think most accurately shows what life as a doctor is like? 16:09 We have one family member who seems very wary of using a microwave for vague (and seemingly unscientific) "safety" reasons. Specifically, they do not like to ever have a plastic container in the microwave. They will use glass or ceramic only. I have seen them actually reject and throw out food if it was heated in tupperware. Now, I'm not talking about disposable cheap plastic take-out containers that will /melt/ in a microwave... what about solid, microwave-safe plastic products like bowls or storage tubs? Is there any research on whether they d

Join us at Nerdcon Feb. 25 & 26. Tickets available here: http://www.nerdconnerdfighteria.com/ This week's questions: 2:16 What is the process of creating an HCT episode? How do you gather research and transform it into a script, make visuals, film it, etc.? Thanks! 5:24 What are high risk insurance pools? Do they work? 7:16 Any thoughts on the recent(ish) study that basically said we are in better hands with female, rather than male doctors? Did the media report the study well? 8:57 Are home remedies for heartburn, such as Apple cider vinegar and baking soda effective beyond placebo effect? 10:14 How effective are health savings accounts? 12:05 Are allergy reactions worse with each exposure? 12:43 Would you agree that those of us w/chronic expensive conditions break the "insurance" model for health care, and that's why high-risk pools keep coming up? 15:14 Public option. Pros and cons? 19:42 Are there any studies on the safety or effectiveness of the "potato hack?" (The diet where you eat nothing but potatoes for a month, popularized recently by Penn Gillete.) 21:38 What is the actual evidence regarding moderate/light drinking, say 1-2 drinks per week, during pregnancy? Books like "Expecting Better" say it's ok, but others say absolutely not. 23:06 Is there a difference between brand-name and generic prescription medicines. Some people swear yes some people swear no.is there a difference? 25:40 How does one get involved in health research? like what you do? 28:08 What's your beef with John Ionnandis?! 29:23 Are you answering questions right now? 29:30 With the recent approval to repeal ACA what is the expected replacement time? In the interim, what happens to those who are on Obamacare? How will this disrupt the insurance industry?

One of the few things that both Donald trump and Hilary Clinton seemed to agree on is that high out-of-pocket spending, specifically as it relates to the Affordable Care Act, is a problem. One of Clinton's most popular health care proposals during her campaign was to reduce out of pocket spending to more "manageable" levels for many Americans. President-elect Trump sought to fix this problem by repealing the ACA and replacing it with something better. Reducing out-of-pocket spending, however, will require some tradeoffs. No easy solution exists, but there are examples out there worthy of consideration. That's the topic of this week's Healthcare Triage. This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2016/11/28/upshot/when-having-insurance-still-leaves-you-dangerously-uncovered.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

One of my fist big efforts on my blog was a ten point series on health care spending in the US. It also led to John doing this video – which is the fourth most popular vlogbrothers video EVER, - which pretty much led to Healthcare Triage. It's not surprising, therefore, that I have an ongoing interest in spending on health. A recent publication in JAMA got into the weeds of where that money has gone. This is Healthcare Triage News. For those of you who want to read more: http://jamanetwork.com/journals/jama/fullarticle/2594716 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The recent election has caused many to question whether significant changes are about to happen to Medicaid. Repeal of the Affordable Care Act would, of course, lead to the elimination of the Medicaid expansion, which could result in significant numbers of adults losing their coverage overnight. But even without repeal, many Republican replacement proposals also result in significant changes to Medicaid, whether it be through funding, eligibility, or benefits. So, again, let's talk about what Medicaid does, and whether it's long term benefits are worth it. This is Healthcare Triage News. This episode was adapted from a post Aaron wrote for the AcademyHealth blog. Links to further reading and sources can be found there: http://www.academyhealth.org/blog/2016-12/longest-term-benefits-medicaid-are-still-worthwhile John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Obamacare's marketplaces were supposed to give consumers choices of health plans from insurers that compete to keep premiums down. But fewer insurers are participating, and premiums are increasing sharply. Fixing this problem will obviously be politically difficult with a Republican-controlled Congress that has vowed to "repeal and replace." President-elect Donald J. Trump has also said he wants to get rid of the ACA, although he amended that recently by saying he'd like to keep some elements. Replacing the law, without a Senate supermajority, would also be politically difficult. From a policy standpoint, however, some solutions to problems facing the marketplaces are ones that Republicans have endorsed before: for Medicare. That's the topic of this week's Healthcare Triage. This episode was adapted from a column FOTS Austin Frakt wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2016/11/15/upshot/politics-aside-we-know-how-to-fix-obamacare.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

http://www.nerdconnerdfighteria.com/ This week's questions: 2:46 Should a breastfeeding mother remove allergens (eg dairy) from her diet if the child has confirmed allergy to it but does not exhibit symptoms from breastfeeding, only when he eats the food directly? 4:56 I'm paranoid about germs since I can get sick very easily.I wash my hands many times, and spray Lysol on my desk and work surfaces at least twice a day. Does the Lysol actually work to combat germs? 7:36 I'm a 21 year old male in healthy physical condition and poor financial condition. I live in Tennessee where the medicaid expansion to cover people like me was rejected. Is that likely to change now? 10:57 So, I read the NYT article on weight loss. IS a calorie a calorie? 11:54 Can you offer any recommendations for managing metabolic syndrome? Thx! 12:23 What is your take on ND's (NatPaths) becoming PCP? 13:35 What are the long term effects of drug remnants and nano plastic in our drinking water and food? 15:18 Seems like my family is prone to autoimmune diseases. My mum has SLE, I have celiac. We have IBD, psoriasis and MS in the family too. Are some people more genetically prone to autoimmune disease? 16:31 I've a family history of mental illness should i smoke weed. 18:36 Can wearing contact lenses over multiple years on a day to day basis bad for the eye? 19:25 When do you think that medicinal marijuana will become mainstream for PCP's to prescribe? The literature seems to show strong evidence to support it's use in chronic pain, MS, and a few other things.

Screening for diabetes, and then preventing it, is a no brainer right? I wish. This is Healthcare Triage news. This episode was adapted from a post I wrote for the AcademyHealth blog. Links to further reading and sources can be found there: http://www.academyhealth.org/blog/2017-01/screening-seems-great-idea-except-when-its-not John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

After campaigning for years on a plan of "repeal and replace Obamacare," Republicans finally have the means within their grasp to make much of that possible. They control the presidency, the House, and the Senate. The filibuster still poses some potential threats to their plans, but it's also within their means to abolish its widespread use in such a way that they could both repeal the Affordable Care Act and replace it with something of their own design. What would that be? In contrast to what many say, there are Republican plans out there to consider. They're the topic of this week's Healthcare Triage. This episode was adapted from a post I wrote for the JAMA Forum. Links to further reading and sources can be found there: https://newsatjama.jama.com/2016/12/06/jama-forum-a-look-at-republican-plans-for-replacing-obamacare/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Three years ago, and without notice, data about patients with substance use disorders began to disappear from Medicare and Medicaid files widely used in health services research. Because researchers had been afforded access to those data for decades, the change was mystifying. Friends of the show Austin Frakt and Nicholas Bagley raised an alarm, and they began to look into it. And things happened! What we do makes a difference. This is Healthcare Triage News. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Heart disease continues to be the number one killer in the United States. Because of that, billions of dollars are spent every year on medications that reduce your risk of disease and death. Compounding this problem, many of the risk factors for heart disease seem "baked into the cake". Genetic factors can have a huge impact on people's risk, and those factors are almost always outside of one's control. Because of this, there are some who feel a certain amount of powerlessness to prevent heart disease. Recent research contradicts this, though, and should give us all renewed hope. That's the topic of this week's Healthcare Triage. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week's questions: 2:04 thoughts on collagen supplementation either as a powder or a in capsule form for a vegetarian 3:33 Is there a publicly available tool which can calculate the Bayesian probabilities for various diagnostic tests? If not, is anybody maintaining a public data set which could be used to produce such a tool? 5:31 Is it just me or are medical issues concerning only/mostly women not researched as much, not taken as seriously, and have fewer treatment options. (E.g. Chronic Fatigue, fibromyalgia) 7:33 One big selling point of repub plan is cross-state plans. Would that be effective? How would plans from FL be effective in IN? 9:30 Any advice for how to clear up an upper respiratory infection more quickly? 9:46 How much TV is bad for kids under 6? 11:35 does taking medication for symptoms slow down the body from fighting a disease? 13:03 Your recent video about marijuana usage and its effects on IBS and Crohn's...were the tests done on THC marijuana or CBD? 13:46 how do i fix my gut bacteria so i'm not depressed? 14:58 What are your thoughts on the Ben Goldacre book "Bad Pharma"? It personally hurts my faith in medical research, and I'm curious how many grains of salt I should take a medical study with. 16:20 Realistically, how hard would it be to convert the US to a more canadian single payer system? 17:53 Is it ok for me to share a water bottle with my dog on walks? She licks the opening of the bottle when i pour the water into her bowl. 20:01 Thoughts about migraine treatment and why it's solvable for some but a chronic condition for many others? 20:38 My three-month-old has a monstrous placental birthmark on the back of his head. Maybe four square inches, and kind of raised and squishy. What is with these things? It should stop growing, right? 21:38 What are some of the sites/blogs/news sources that you look go to on a regular basis? 23:10 advice as a physician for nurses on how you will like us to approach you to communicate o

As employer-sponsored insurance becomes more expensive for children, public programs are picking up the slack. This is Healthcare Triage News. This episode was adapted from a post Aaron wrote for the AcademyHealth blog. Links to further reading and sources can be found there: http://www.academyhealth.org/blog/2017-01/more-families-employer-sponsored-insurance-are-needing-public-assistance John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

In almost every year since the 1960s, health care spending has grown at least as fast as the overall economy, and often much faster. Health economists have long debated why. Strange as it may sound, how we care for our pets offers some answers. That's the topic of this week's Healthcare Triage. This episode was adapted from a column friend-of-the-show Austin Frakt wrote for the Upshot. Links to resources and further reading can be found there: http://www.nytimes.com/2017/01/09/upshot/how-caring-for-dogs-and-cats-explains-human-health-spending.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

I spend a lot of time knocking supplements for not having research behind them. It's important therefore to highlight when such research is done. Today we're looking at a very good study on whether fish oil supplements can help people who need regular outside access to their circulatory systems (for things like hemodialsys). Spolier alert: the fish oil didn't help. If you want to read more, here's the paper we're covering: Effect of Fish Oil Supplementation and Aspirin Use on Arteriovenous Fistula Failure in Patients Requiring Hemodialysis: A Randomized Clinical Trial John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Marijuana!You guys always want to know more about pot from Healthcare Triage. It's also one of the most controversial and complex subjects we cover. And it's time for an update on what we know, versus what we think, when it comes to the drug. That's the topic of this week's Healthcare Triage. You can find more information, and read the study we reference here: http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=24625&_ga=1.198930671.1791292794.1484233196 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen -- Graphics http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

It can sometimes feel like there's nothing we can do to improve population health. That's just not true. This is Healthcare Triage News. For more information, go here: http://jamanetwork.com/journals/jama/fullarticle/2601246 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How Would Republican Plans for Medicaid Block Grants Actually Work? That's the topic of this week's Healthcare Triage. This episode was adapted from an Upshot column I wrote. Links to sources and further reading can be found there: https://www.nytimes.com/2017/02/06/upshot/how-would-republican-plans-for-medicaid-block-grants-actually-work.html?_r=0 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Medical scientists and academics must publish their research to advance. Medical organizations must release health recommendations to remain relevant. News organizations feel they must report on research and recommendations as they are released. But sometimes it's hard to separate what's truly a medical certainty from what is merely solid scientific conjecture. That's the topic of this week's Healthcare Triage. This episode was adapted form a column Aaron wrote for the Upshot. Links to sources and further reading can be found there: https://www.nytimes.com/2017/01/16/upshot/how-to-prevent-whiplash-from-ever-changing-medical-advice.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

We were just in Boston for Nerdcon: Nerdfighteria and had an IRL Q&A session. Thanks to all those who showed up! If you'd rather listen via audio, we've got the podcast version here: https://soundcloud.com/healthcaretriage/nerdcon2017 This week's questions: 0:58 What are some easy wins for healthcare in the United States? 3:00 How do you think we can better support family caregivers? 4:50 How do you present complex ideas/topics about healthcare? 7:48 What is the best possible system of healthcare? 10:16 What is the trajectory of the U.S. healthcare system, specifically for 18-26 year olds? 14:14 If the mandate and tax penalties are removed, are there any GOP healthcare proposals that could bring down premiums? 17:49 Have you read the Star Wars Ahsoka book? 18:40 What advice would you give to nurses who are just starting out and want to make some sweet sweet paper? 20:35 Could applying face makeup over a period of time lead to thyroid or other health issues? 22:45 Is there any evidence suggesting what is going on with lyme disease patients? And what should insurers do with them? 24:17 What advice do you have to someone going into the healthcare field? 26:06 How do you encourage others to be more open-minded when it comes to looking at data/research? 28:48 How do you communicate the difference between medicine and public health? 29:52 What can non-medical professionals do to improve health outcomes for society? 32:37 How can I balance taking care of patients while also doing health research or education? 35:30 What do you think is the future of assisted suicide? 38:04 What steps, policy-wise, can we take to prevent medicine from dramatic price raises? 39:25 Where do you go to find a healthy diet? 42:04 If you find something through publicly funded research it's often commercialized for a profit. Is there a better way? 43:51 What can we take away from Colorado's experiment with subsidized birth control? 45:15 Mental health

Should we use beta-blockers in the elderly after they have a heart attack? It just got more complicated. This is Healthcare Triage News. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

I once received a lot of blowback for an Upshot article in which I showed (with evidence) that exercise is not the key to weight loss. Diet is. Many, many readers cannot wrap their head around the notion that adding physical activity, and therefore burning more calories, doesn't necessarily translate into results on the scale. Well, here we go again because some of those folks also believe that fitness devices - Fitbit, Vivosmart, Apple Watch - must be helpful in losing weight. Unfortunately, evidence doesn't support this belief either. That's the topic of this week's Healthcare Triage. This episode was adapted from a column I wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/02/20/upshot/wearable-fitness-devices-dont-seem-to-make-you-more-fit.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The Republican plan to replace Obamacare is here, and we've got the details! John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content.

If the new AHCA doesn't pass (which is definitely in the realm of possibility), Republicans in Congress will need to come up with another plan to fulfill their promise to repeal and replace Obamacare. Senators Susan Collins of Maine, and Bill Cassidy of Louisiana have a plan, we're going to tell you about it. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week's questions: 2:01 ​As a doctor and health services researcher, how do you feel about the show "13 Reasons Why?" Does it stimulate needed conversation on teen suicide and harassment or does it send the wrong message? 5:21 What age is old enough to drink some caffeine? My 2 year old has been drinking my decaf iced coffee (black) for about a year now. I recently switched to caffeinated and he still wants it. 6:35 Thoughts on Trump's roll back on nutrition legislation (school lunches, calorie counts on menus)? 7:46 How deterministic are you when making diagnoses or treatment recommendations? Is there a point when instinct or emotion play a role, or is it numbers all the way down? 9:49 The Win 10 Creators update is adding Night Light, a future that shifts the screen's color balance to the red end at night in order to lessen the impact of blue light on the user's sleep cycle. This brings up the question, how much research is out there on blue light exposure and sleep and does it support the reduction of blue light at night as a way to meaningfully improve sleep? 10:47 What will the world of health care and insurance look like in a few months? Should I start crying now? 12:15 Should doctors be allowed to go on strike? 13:02 Disk herniation reversible? What therapy would you recommend? 13:35 The AHCA: what does it do about employer-based coverage? Will out-of-pocket limits & lifetime maximums be eliminated? Other changes? 15:00 What would you recommend for someone who is looking for birth control options that don't contribute to estrogen in water? Is estrogen in water a real problem or just fake news? 15:55 As a pediatrician and a parent, how do you feel about co-sleeping? 17:40 My friend just found out she's pregnant and believes it's fine to smoke because her child is "still the size of a poppy seed". Do you know of any literature she should look into regarding this? I'm very concerned for her child because she's limited her smoking to 3 cigarette

And it's not a hit. Last week we talked about the new American Health Care Act, but ended on the note that it needed a score from the CBO. Well, the CBO has spoken, and it's not great news for the AHCA. Read the CBO report here: https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This episode was adapted from a column written by Austin Frakt and Jon Skinner. The original article can be found here: https://www.nytimes.com/2017/02/13/upshot/medical-mystery-why-is-back-surgery-so-popular-in-casper-wyo.html. You might think that once drugs, devices and medical procedures are shown to be effective, they quickly become available. You might also think that those shown not to work as well as alternatives are immediately discarded. Reasonable assumptions both, but you'd be wrong. That's the topic of this week's Healthcare Triage. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

A recent Viewpoint in JAMA focused on the 20 year anniversary of the DASH diet, one of the major breakthroughs in blood pressure control. Let's discuss. This is Healthcare Triage News.

A number of Republican health care policy proposals that seemed out of favor in the Obama era are now being given new life. One of these involves Medicare, the government health insurance program primarily for older Americans, and is known as premium support. Premium support enjoys support from both sides of the aisle, depending on the context. That's topic of this week's Healthcare Triage. This episode was adapted from a column Austin and Aaron wrote for the Upshot. Links to sources and further reading can be found there: http://theincidentaleconomist.com/wordpress/upshot-premium-support/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

Last week, we argued that the benefits of the Orphan Drug Act are more elusive than commonly assumed. But what are its costs? That's the topic of this week's Healthcare Triage. Sources can be found in the posts friend-of-the-show Nick Bagley has written on the subject: http://theincidentaleconomist.com/wordpress/tag/orphan-drugs/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

We did an episode on the AHCA. Then we did an episode on the CBO report on the AHCA. Then… everything seemed to fall apart. What happened? It turns out, nobody is interested in negotiating about healthcare laws. Which makes it really hard to pass a new healthcare law. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

When President Trump's White House revealed its proposed budget recently. A lot of things got cut, and much public outrage was expressed about cuts to funding for Meals on Wheels. White House budget director Mick Mulvaney portrayed the cuts as removing funding for programs that just don't work. Was he talking about Meals on Wheels? And more importantly, is Meals on Wheels effective? Spoiler alert: probably. And yes. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content.

In the United States, the median price for an orphan drug is about $100,000 per year, twenty times the price of the median non-orphan drug. Given the staggering cost, you'd think we'd have a solid handle on whether that money is well-spent. But the truth is that we don't. Friend of the show Nick Bagley, a professor of law at the University of Michigan wrote a series for our blog on orphan drugs, and it was so good, we're bringing it to you here. For the next four weeks, orphan drugs are the topic of Healthcare Triage. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content.

Drug companies love the Orphan Drug Act. They say it encourages research into breakthrough therapies for people with rare disease. And sometimes that's true. Lots of the time, though, the companies would've pursued the research anyhow. And those same companies have learned to game the Orphan Drug Act in a bunch of different ways, allowing them to jack up their prices for no good reason. How could we fix the Orphan Drug Act? That's the topic of this week's Healthcare Triage. Sources can be found in the posts Nick Bagley has written on the subject! Special thanks to him! http://theincidentaleconomist.com/wordpress/tag/orphan-drugs/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo You can directly support Healthcare Triage on Patreon: http://vid.io/xqXr If you can afford to pay a little every month, it really helps us to continue producing great content.

Measuring safety might actually improve it. Unfortunately, those improvements fade away when the measurement is over. This is Healthcare Triage News. This episode was adapted from a post Aaron wrote for the AcademyHealth blog. Links to further reading and sources can be found there: http://www.academyhealth.org/blog/2017-04/checking-hospitals-makes-them-perform-better John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo http://twitter.com/br8ybrunch And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Exercise isn't the key to weight loss. Still. But food companies want to convince you otherwise. This is Healthcare Triage News. Go read more about this here: http://www.bmj.com/content/357/bmj.j1638 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week, we continue our series on Orphan Drugs by looking at a few ways that pharmaceutical companies game the system, and shoehorn their drugs into qualifying for orphan drug status, and therefore greater patent protection. All these methods tend to translate to higher costs for consumers. Sources can be found in the posts friend-of-the-show Nick Bagley has written on the subject: http://theincidentaleconomist.com/wordpress/tag/orphan-drugs/ John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Malpractice is a complicated subject. Studies seem to indicate, however that there are some effective strategies for reducing the costs associated with medical errors. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This episode is part of Healthcare Triage’s series on Improving Reproducibility in Research. A blog post with more information on the series is here: http://theincidentaleconomist.com/wordpress/improving-reproducibility-in-research-theres-a-healthcare-triage-series-for-that/ The full Experimental Design Playlist is here: https://www.youtube.com/playlist?list=PLkfBg8ML-gIksZn5suMsE37qMqBh-RqBd The full Analysis and Reporting Playlist is here: https://www.youtube.com/playlist?list=PLkfBg8ML-gIm4PsDBIplBONOyMon2p9k- If you are interested, in earning CME for watching these videos, go here (https://iu.cloud-cme.com/aph.aspx?EID=36408&P=3000&CaseID=764) for Experimental Design and here (https://iu.cloud-cme.com/aph.aspx?EID=36410&P=3000&CaseID=768) for Analysis and Reporting. If you would please consider filling out a survey to tell us what you think of these (please!!!) go here: https://www.surveymonkey.com/r/PSCNK6P This training module is part of a series funded by the National Institutes of Health under grant R25GM116146 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo

This week's questions: 1:05 What is the reasoning behind a "fat tax" and do they work? 3:04 What's the deal with "pre-existing conditions" in AHCA? How concerned should citizens be? 6:00 Thoughts on the Star Wars VIII trailer? What did Luke mean by "It's time for the Jedi to end”? 7:04 Question: how can price transparency be improved? 7:57 How do I get massive gainz at the gym? 8:45 ​Is the House AHCA waiver an all-or-nothing? Like, can a state get the employer-based regs lifted without applying for a general waiver for preexisting conditions, etc 9:11 What are your thoughts on abstinence-only sex education? 10:19 Is it legal to pass a bill without a CBO report? 10:59 how difficult is it for primary care physicians to pay off their medical school loans? 11:48 ​Is there any good research on how to effectively train your body to take in fewer calories without constantly feeling hungry? 12:39 What is the best way of handling early COPD? 12:59 How can you tell the difference between complicated migraines with auras (numbness, blurry vision, etc) and something more serious? 14:00 What are your thoughts on Physician Assistants and their role in healthcare? Could you see them becoming the primary clinician in GPs/Primary Care settings? 15:10 How much data is needed to conduct more conclusive nutritional studies? Are there any emerging technologies that you think could make this data collection easier? 16:09 How important has Medicaid expansion been to public health? 17:20 Senator ON Jimmy Kimmel's show, Senator Bill Cassidy said most kids are covered by the CHIP program and a rollback of medicaid wouldn't affect them. Is that true? Or any thoughts on that interview? 20:12 Do you think a system like the Canadian health care is sustainable for a huge population like the US? 20:56 ​I have a friend w/ Alzheimer's in his family; he's terrified of it & tries to restrict his sugar as he's read sugar causes Alzheimer's - is this true, or actual causation, not

Narrow health insurance networks cover fewer doctors, and can be especially narrow when it comes to specialists. And, it turns out, this limited access to specialists disproportionately affects children. This is Healthcare Triage News. This episode was adapted from a blog post Aaron wrote for the AcademyHealth blog. Go read more there: http://www.academyhealth.org/blog/2017-04/narrow-networks-can-be-real-problem-kids John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

You probably know where to pump the cheapest gas and how to get price comparisons online in seconds for headphones and cars. But how would you find the best deal on an M.R.I. or a knee replacement? No idea, right? And if we could, it would be the magic fix for health care, right? Yeah… not so much. That's the topic of this week's Healthcare Triage. Special thanks to Austin Frakt, who wrote the Upshot column from which this episode was adapted. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week's questions: 3:12 My Grandma recently complained to me about "hospitalists". She says PCPs used to treat their patients in the hospital as well. When did this change? Is the new model better? Cheaper? Why'd we switch? 5:34 Any advice for someone starting medical school this fall? 6:29 I'm nursing my husband who just had tonsil/adenoidectomy. As a pediatrician, why is it so much worse for adults than children? Just the whining? 7:48 ​How long after my last NyQuil is it safe to drink again? Is it the same 6 hours it takes to clear before another Nyquil or is it longer? True for other medicines? 9:31 Hi HCT, I have a question. It's about the stability of the individual healthcare market. I just left my job to be self employed and am signing up for an Oscar Simple Plan. But will they survive Trump? 12:23 How far have advancements in treatment of Alzheimer's come in the last few years? Is the current treatment showing promise and is there a timeline for public use? 13:12 ​I'm a undergrad nursing student interested in research. How do I go about refining a question I have into a workable hypothesis? 14:09 ​Is it considered a good thing for people with chronic disease, especially older folks, to be on so many prescription drugs or does more research need to be done to reduce medications? 14:51 Why do some people develop allergies as an adult? (I never had allergies but moved to a new city- Boom! Seasonal Allergies!) 15:57 How close are we to understanding how the brain allows consciousness? 16:22 ​What is the evidence based on antibiotics interaction with birth control? I've heard mixed news on it! 18:10 ​Do you think MCDAs (Multi Criteria Decision Analysis) is the way to the future when it comes to policy decisions? 19:05 ​What is the current state of training immune systems to accept organ transplants without suppressing them? 20:27 The definition of disorders like autism include frustration. Do people with the same wiring as autism, but don't suf

You’ve all experienced it: There’s a problem with your health care bill, or you have difficulty getting coverage for the care you need. Your doctor or hospital tells you to talk to your insurer. Your insurer tells you to talk to your doctor or hospital. You’re stuck in an endless runaround. A small patient advocacy industry has sprung up to help, but that help can cost several hundred dollars an hour. Is there a way to get the customer service we deserve? That’s the topic of this week’s Healthcare Triage. Special thanks to Austin Frakt, from whose Upshot column this episode was adapted. Links to further reading and sources can be found there: https://www.nytimes.com/2017/03/13/upshot/lousy-customer-service-a-better-way-in-health-care.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Many studies have demonstrated what economics theory tells us must be true: When consumers have to pay more for their prescriptions, they take fewer drugs. That can be a big problem. This is Healthcare Triage News. This episode was adapted from a column Austin Frakt wrote for the Upshot. Links to sources can be found there: https://www.nytimes.com/2017/05/08/upshot/a-medicare-drug-incentive-that-leads-to-greater-hospitalizations.html http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

So. We have to talk about measles in 2017. Why, you may ask, are kids getting measles? More and more people neglect vaccinating their children, and dangerous diseases like measles make a comeback. http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The news tells us that arthroscopic surgery for knee arthritis and meniscal tears isn’t worth it. Healthcare Triage told you that a while ago. What’s new? This is Healthcare Triage News. For references and further reading go here: http://theincidentaleconomist.com/wordpress/?p=76099 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

While we have long known about the existence of microbes — the tiny bacteria, fungi and archaea that live all around, on and in us — our full relationship has become one of the hottest topics for research only in recent years. That’s the topic of this week’s Healthcare Triage. This episode was adapted from a column Aaron wrote for the Upshot. Links to resources and further reading can be found there: https://www.nytimes.com/2017/03/06/upshot/exciting-microbe-research-temper-that-giddy-feeling-in-your-gut.html This episode of Healthcare Triage is brought to you by Squarespace. Get a free trial by visiting http://squarespace.com/healthcaretriage. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The guidelines for screening for prostate cancer have changed. Again! And that’s ok! The USPSTF is hard at work. This is Healthcare Triage News. Links to resources and further reading can be found here: http://theincidentaleconomist.com/wordpress/?p=76171 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Cystic fibrosis is an inherited disorder that affects the lungs, pancreas, intestines and other organs. A genetic mutation leads to secretory glands that don’t work well; lungs can get clogged with thick mucus; the pancreas can become plugged up; and the gut can fail to absorb enough nutrients. It has no cure. Over the last few decades, though, we have developed medications, diets and treatments for depredations of the disease. Care has improved so much that people with cystic fibrosis are living on average into their 40s in the United States. In Canada, however, they are living into their 50s. That’s the topic of this week’s Healthcare Triage. This episode was adapted from a column Aaron wrote for the Upshot. Links to reading and further references can be found there: https://www.nytimes.com/2017/03/20/upshot/why-cystic-fibrosis-patients-in-canada-outlive-those-in-the-us.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Last year, Claire Caine Miller and I teamed up to write about the then-new AAP guidelines on infant sleep. Those guidelines recommended that infants sleep in the same room as their parents until they were one year of age. We took issue with that. New research backs us up! This is Healthcare Triage News. If you want to read more or see sources, go here: http://theincidentaleconomist.com/wordpress/?p=76196 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

For better or worse, health insurance in the United States is largely furnished by employers. One of the worse aspects of employer funded health care is that people may be less likely to change jobs, or to start a business. Here’s another possible consequence of repealing the Affordable Care Act: It would be harder for many people to retire early. That’s the topic of this week’s Healthcare Triage. This episode was adapted from a column Austin Frakt wrote for the Upshot. Links to sources and further reading can be found there: https://www.nytimes.com/2017/02/27/upshot/if-obamacare-exits-some-may-need-to-rethink-early-retirement.html Try our sponsor, Squarespace! http://www.squarespace.com/triage John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Prescription drugs are pretty awesome. They improve lives all the time. But it is possible to take too many. Over time, as patients are prescribed more an more ongoing medications, it's a good idea to sometimes step back, evaluate, and think about whether people can drop some of their long-term meds. Between interactions and long term side effects, sometimes less is more when it comes to medicating patients. Try out our sponsor, Squarespace and get a discount when you mention us! http://www.squarespace.com/triage This episode was adapted from a column Austin Frakt wrote for the Upshot. Links to sources and further reading can be found there: https://www.nytimes.com/2017/04/10/upshot/how-many-pills-are-too-many.html Try our sponsor, Squarespace! http://www.squarespace.com/triage John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Republicans in Congress continue their attempts to repeal and replace Obamacare, but the bill is moving through the Senate more slowly than Donald Trump and Mitch McConnell would like. This week, Aaron tells you all about the Better Care Reconciliation Act, what it means for the private insurance market, and what it means for Medicaid. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Substance abuse and addiction are terrible for addicts health, and they're really tough on family and friends. Addiction also drives up the violent crime rate, and the rate of property crime. This week on Healthcare Triage, Aaron Carroll is looking at research on how diverting addicts to treatment programs has a positive effect on crime rates.

The Senate is trying once again to repeal and replace Obamacare, and we've got the news on what's in the updated bill. Spoiler Alert: not much has changed. There are still big cuts to Medicaid, and some small changes to the proposed tax cuts of their previous bill Aaron Carroll has the details. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Spinal manipulation for lower back pain turns out to be a thing. For a lot of reasond, MDs have been suspicious of chiropractors and other practitioners of spinal manipulation, but new studies indicate that spinal manipulation is as effective as other treatments for low back pain. It turns out, people really do get relief from these treatments. SO. For lower back pain, at least, maybe an adjustment is appropriate. Good luck getting your insurance to pay for it, though. Try out our sponsor, Squarespace and get a discount when you mention us! http://www.squarespace.com/triage This episode was adapted from a column Aaron wrote for the Upshot. Links to sources and further reading can be found there: https://www.nytimes.com/2017/05/01/upshot/for-bad-backs-its-time-to-rethink-biases-about-chiropractors.html Try our sponsor, Squarespace! http://www.squarespace.com/triage John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Last week we talked about the Senate's bill to repeal and replace Obamacare, and whether Mitch McConnell would be able to get it passed and on to President Trump's desk. So far, no dice. Several senators have defected from the effort, and serious health problems for John McCain means the bill hasn't gotten a vote yet. And it might not have one anytime soon. AND there still isn't a CBO score. Because of the complexities added by the Cruz amendment. We've got all the details here. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

While a few people die from heart attacks while running marathons each year, a far greater number of people are impacted by the traffic disruptions marathons cause. People who suffer heart problems during marathons can face delays in treatment thanks to traffic. Those delays in both CPR and arrival at the hospital lead to measurably worse outcomes for patients. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Health issues can negatively affect people's lives in an astoundingly wide array of ways. Recent studies indicate that students who suffer from allergies may perform worse on tests when testing occurs on high pollen count days. So how can we help all these students who are sneezing their way into remedial courses? Healthcare Triage has a few ideas about that. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Last week, Republicans in the Senate didn't quite manage to repeal and/or replace the Affordable Care Act. So, why exactly can't Mitch McConnell, Paul Ryan, and Donald Trump get Obamacare repealed. For one thing, Susan Collins and Lisa Murkowski were stalwart in their resistance to taking away people's insurance without a plan to replace it. And some late-night dramatics from John McCain put the bill over the top. Or, under the bottom, I guess. It didn't pass. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Firearms have a long and unique history in the United States. They're controversial, and they have a huge impact on public health and safety. This month's special Healthcare Triage series will look at firearms as a public health issue in the United States. This week, we'll be looking at the history of guns in the US, and how gun legislation has changed over the last couple of hundred years, and how courts' interpretations of the second amendment have changed. In the next few weeks, we'll look at gun homicides, gun suicides, and firearm policy. Update: When we called the AR15 an assault rifle, we probably should have said assault weapon. Sorry for any confusion this may have caused. This series is made possible by funding from the National Institute for Health Care Management Foundation John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com Image Credits: Thinkstock Shutterstock Wikimedia Commons Videoblocks Peyker/Shutterstock.com

While the Senate and the House haven't been very effective in passing repeal of Obamacare, the ACA's provisions are still at risk. There's a lot that Donald Trump's administration can do (or not do) to undermine Obamacare's provisions and marketplaces. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Let’s be clear. The biggest thing people worry about with guns in the US is homicide. There are lots of ways to look at the data, and most don’t make the US look very good. Prepare for a deep dive. This series was produced with support from the NIHCM Foundation. Further reading – for links go here: https://goo.gl/QoTDEG Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010 Handgun Regulations, Crime, Assaults, and Homicide Firearm availability and homicide: A review of the literature The Accessibility of Firearms and Risk for Suicide and Homicide Victimization Among Household Members: A Systematic Review and Meta-analysis More Guns, Less Crime: Understanding Crime and Gun Control Laws Firearms and Violence: A Critical Review. Chapter: 6 Right-to-Carry Laws A Guide to Mass Shootings in America Mass Murder with Firearms: Incidents and Victims, 1999-2013 PUBLIC LAW 112–265—JAN. 14, 2013 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week, the Congressional Budget Office delivered a report on how Donald Trump's suggestion that the federal government may stop making cost sharing payments to private health insurance companies. This would be problematic for health insurance markets, but it would also have the knock on effect of increasing the budget deficit.

We continue our special look at guns and public health in the United States. This week, we're looking at how easily accessible firearms complicate the suicide rate in the United States. While people have always committed suicide, guns certainly make suicide attempts a lot more likely to succeed. Once again, there are things we can do to mitigate this. This series was produced with support from the NIHCM Foundation. Further reading (links can be found at https://goo.gl/GfrVMS) Guns and Suicide in the United States Jumpers Florida Bill Could Muzzle Doctors On Gun Safety Hospitalizations Due to Firearm Injuries in Children and Adolescents The Association Between Presence of Children in the Home and Firearm-Ownership and -Storage Practices Injuries and deaths due to firearms in the home Firearm-Related Injuries Affecting the Pediatric Population Youth Suicide and Access to Guns Widening Rural-Urban Disparities in Youth Suicides, United States, 1996-2010 The accessibility of firearms and risk for suicide and homicide victimization among household members: a systematic review and meta-analysis John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Let’s be honest. The real controversy around the issue of guns is… what might we do about it? It’s the potential firearms policy changes that make people squirrelly. But guns have been regulated in the United States, we can see what happened, and we can use that to inform what we might do. That’s the topic of this week’s Healthcare Triage. This series was produced with support from the NIHCM Foundation. Further reading (links can be found at https://goo.gl/u7W6xk) What Do We Know About the Association Between Firearm Legislation and Firearm-Related Injuries? State background checks for gun purchase and firearm deaths: An exploratory study Firearm Death Rates and Association with Level of Firearm Purchase Background Check Effects of the Repeal of Missouri’s Handgun Purchaser Licensing Law on Homicides Impact of California firearms sales laws and dealer regulations on the illegal diversion of guns State gun safe storage laws and child mortality due to firearms Association between youth-focused firearm laws and youth suicides Firearm-Related Laws in All 50 US States, 1991–2016 State Firearm Law Database John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Congress is back in session, and it has a full month ahead. They have to deal with hurricanes, raise the debt limit, fund the government, keep us out of war, AND they want to talk about cutting taxes, too. With all this going on, it's going to be hard to get anything done around healthcare, but there's lots that needs to be done. John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The wind and rain and flooding and destruction that happen during a hurricane are dangerous, and have obvious impacts on the health of people who live in hurricane-prone regions. But many of the health impacts of hurricanes and floods are non-obvious, and can have long-term negative effects. Preparing for a Hurricane: https://www.cdc.gov/features/hurricanepreparedness/index.html Storm, flood, and hurricane response: https://www.cdc.gov/niosh/topics/emres/flood.html This episode was adapted from an Upshot column written by Aaron and Austin Frakt. Links to further reading and references can be found there: https://www.nytimes.com/2017/08/31/upshot/the-long-term-health-consequences-of-hurricane-harvey.html?mcubz=3&_r=0 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Senate Republicans are going to give it one more try on repealing and replacing Obamacare. This week, Senators Bill Cassidy (LA) and Lindsey Graham (SC) plan to bring forward a bill to repeal and replace the Afffordable Care Act. It's got a lot of hurdles to clear. We've got the details (such as they are). John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

With all the recent studies of medical marijuana and its benefits, some researchers have become interested in researching the use of psychedelics like psilocybin, LSD, and MDMA for treating mental illness. It's hard to research though, because of the drugs' legal status as Schedule I drugs. This makes them very hard for researchers to obtain, it makes it hard to get research approved, and it make it difficult to find funding for these studies. Aaron Carroll has the details. This episode was adapted from a column Aaron wrote for The Upshot. Links to sources and further reading can be found there: https://www.nytimes.com/2017/07/17/upshot/can-psychedelics-be-therapy-allow-research-to-find-out.html John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

We had a whole other video planned for today but we have to talk about the Cassidy-Graham bill, which is getting closer to passing despite our predictions last week. -- John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

How do breathalyzers work? And will there ever be a breathalyzer for marijuana? As pot has become legal in several states, law enforcement has sought a method to detect marijuana use in drivers. This is complicated, though. Breathalyzers for alcohol work on principles that don't necessarily work for pot. And they've been extensively researched, which is difficult to do with federal controls on marijuana. There may never be a breathalyzer for pot, but one thing's is for sure: eating your own feces won't beat a breathalyzer. Aaron’s book The Bad Food Bible: How and Why to Eat Sinfully will be out November 7. Preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560

Some of our most popular HCT episodes have been about food. Or, rather, they’ve been about the science and research behind food, and the recommendations groups make about what you should, or shouldn’t eat. Good news! I’ve got a book on that topic coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder it right now, and it’s also the topic of this week’s Healthcare Triage. Preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Recently, Ron Johnson (R) of Wisconsin launched an investigation into whether the Medicaid expansion that was part of Obamacare caused America's opioid crisis. Healthcare Triage has looked at the evidence, and we think it's a dubious claim. This episode was adapted from a column Aaron and Austin Frakt wrote for the Upshot at the NYT: https://www.nytimes.com/2017/09/12/upshot/blaming-medicaid-for-the-opioid-crisis-how-the-easy-answer-can-be-wrong.html?_r=0 Good news! I’ve got a book on that topic coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder it right now, and it’s also the topic of this week’s Healthcare Triage. Preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

It’s clearly, provably better for patients to have Medicaid coverage than to be uninsured, despite what critics of the program claim. Recently, bills in the Senate and the House of Representatives have sought to greatly reduce Medicaid funding and coverage, partially justified by these claims. But is having Medicaid, as those critics also say, much worse than having private insurance? This episode was adapted from a column Aaron and Austin Frakt wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/07/03/upshot/medicaid-worsens-your-health-thats-a-classic-misinterpretation-of-research.html Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This week, Donald Trump's administration continued to try and undermine the Affordable Care Act by terminating cost-sharing payments to insurers. Ironically, in the long run, this will increase premiums, which will mean the federal government is on the hook to pay subsidies for Obamacare marketplace enrollees with lower incomes. This video is adapted from a column by Nick Bagley at the Incidental Economist: https://theincidentaleconomist.com/wordpress/cutting-off-the-cost-sharing-payments/ Nick Bagley and Craig Garthwaite's NY Times Op-ed: https://www.nytimes.com/2017/06/29/opinion/trump-care-mcconnell-obamacare.html Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

In a new rule about coverage of contraception, the Trump administration argues that birth control is bad for your health. But it’s a claim that doesn’t stand up to scrutiny. That’s the topic of this week’s Healthcare Triage. This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/10/10/upshot/doubtful-science-behind-arguments-to-restrict-birth-control-access.html Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

There's been talk in Washington DC in recent weeks that Senators Patty Murray and Lamar Alexander has come to some kind of bipartisan agreement to fix the problems with the Affordable Care Act exchanges. Well, details are scant, the president keeps changing his mind about it, and as a result, nobody knows what's going to happen. It drives a host to curse. Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The death of a child is almost too awful to complicate. The emotional toll on those who remain is high, but the death of a sibling can also have long-term health consequences, including increased mortality. This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/07/31/upshot/when-children-lose-siblings-they-face-an-increased-risk-of-death.html Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

There’s a whole new candy myth out there: Poisoning of kids by marijuana-candy. SPOILER: It isn't happening. Aaron's Book, The Bad Food Bible, comes out Nov. 7 (next week)! You can get a copy at: Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Or any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 -- John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

From 2009 onward, federal policy about sex education tended to favor an evidence based approach. If a sex education program worked, and was supported by rigorous evidence, the federal government would potentially back it. This was true of sex ed programs that taught students about STDs and contraceptives, and abstinence-based programs. As long as there was evidence for it, the program was eligible. In the last year, policy has dictated that the federal funding show a preference for abstinence only programs. And spoiler alert, the abstinence only programs don't work that well. This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/08/22/upshot/sex-education-based-on-abstinence-theres-a-real-absence-of-evidence.html Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have m

There's a lot of news this week touting a study that suggests exercise is the key to maintaining a weight loss. Welp. Guess what? It wasn't a great study. There were 14 participants, all of whom appeared on the TV reality show The Biggest Loser. We've talked before about the weight loss practices on that show, and how they aren't really reproducible in real life. Here we go again. Aaron has a book coming out November 7. It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

We're starting a podcast! We sit down with Dr. Lindsey Doe of YouTube.com/Sexplanations to discuss your questions on sex! This episode is our first in what will be a regular series of podcasts; the next one will be out on November 24th and will be on the topic of Aaron’s new book: Nutrition. If you’ve got a related question, we’d love to answer it. Head over to healthcaretriage.info and ask away. You can also find this podcast at your usual podcast purveyors. If you’d like to see more from team Healthcare Triage, be sure to visit YouTube.com/HealthcareTriage. If you’d like to support the show, we’d be eternally grateful, and you can do so at Patreon.com/healthcaretriage.

While Obamacare is has been under legislative threat all year, it's still the law of the land, which means the exchanges are open for business for 2018. So if you don't get insurance through your employer or Medicare or the VA, you should be shopping for your individual insurance coverage at the exchanges. So get to http://www.healthcare.gov, and get to shopping!

Rates of teen suicide are rising, and rates for girls are higher than any time in the last 40 years. There are a number of ways to address this problem, but why aren't we using evidence based approaches to the problem? This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/08/17/upshot/preventing-teen-suicide-what-the-evidence-shows.html Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can pre-order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

By any objective measure, the United States doesn't train enough medical doctors to meet the nation's needs. That means graduates from other countries are needed. Aaron takes a look at foreign medical graduates, an essential element of America's health care system. This episode was adapted from a column Aaron wrote for the Upshot. Links to further reading and sources can be found there: https://www.nytimes.com/2017/10/06/upshot/america-is-surprisingly-reliant-on-foreign-medical-graduates.html Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can pre-order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Budget authorization for the Children's Health Insurance Program in the US ran out a couple of months ago, and there's no reauthorization in sight. A LOT of kids are insured through this program. Aaron runs you through what's about to happen. Aaron has a new book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can preorder a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

The US healthcare system has a lot of issues, but one thing it's got going for it is innovation. More clinical trials originate in the United States, and more Nobel Physiology and Medicine Laureates are from here than from any other country. The key: the huge US health care market. We spend a LOT on health, which means there's lots of money to be made. That doesn't, however, mean that we couldn't innovate better. This episode was adapted from a column in the New York Times that Aaron wrote with Austin Frakt. Links to further reading and sources can be found there: https://www.nytimes.com/2017/10/09/upshot/can-the-us-repair-its-health-care-while-keeping-its-innovation-edge.html Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Dr. Tim Broach is our guest on this installment of the Healthcare Triage Podcast. Tim is a palliative care physician at Indiana University, an internist by training, and also an excellent Dungeon Master with a flair for storytelling. We'll talk to Tim about what a palliative care doc does, and we'll answer some of your questions, AND Aaron will tell us how he got his first cystoscopy. This podcast is also available in all the places you might normally expect to find a podcast. Your questions could all be answered on a future podcast! Ask them at http://www.healthcaretriage.info Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Nutrition research can be difficult, especially when kids, and Elmo, and careless research techniques ruin the outcome of the study. A study on kids' nutritional choices was recently retracted because there were problems with the data collection. This happens a lot, and it isn't doing science any favors. This episode was adapted from a column Aaron wrote in the New York Times. Sources and more information can be found there: https://www.nytimes.com/2017/10/23/upshot/the-cookie-crumbles-a-retracted-study-points-to-a-larger-truth.html You can see our series on reproducing and replicating studies here: https://www.youtube.com/playlist?list=PLkfBg8ML-gIm4PsDBIplBONOyMon2p9k- Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

There's a lot going on this week, and also a lot that's NOT happening. The ACA's health insurance exchanges are wrapping up the open enrollment window this week. If you need insurance, or want to shop around GO NOW and look for insurance. Also, the Children's Health Insurance Program still isn't funded, so time to panic about that. AND the Senate passed their tax bill, which includes a rollback of Obamacare's individual mandate. 2017 isn't over yet, y'all. Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

Senior Trump Administration official Seema Verma has written that Medicare is in financial trouble, and one step in fixing it is giving consumers "incentives to be cost-conscious." This may be coded language for something called premium support for Medicare, which boils down to patients paying more, and the government cutting funding for medicare. Aaron has the details. This episode was adapted from a New York Times Upshot article by Austin Frakt. You can find the article and the sources here: https://www.nytimes.com/2017/10/30/upshot/how-a-republican-idea-for-reducing-medicare-costs-could-affect-you.html Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

A couple of months ago, the Trump administration's Department of Health and Human Services created an exemption to the Affordable Care Act's requirement that employers cover birth control for their employees. Last week, a US District Court Judge said the rule couldn't go into effect. Special thanks to Nick Bagley for helping us understand all this stuff. You can find Nick's original article on The Incidental Economist, if you want more details: https://theincidentaleconomist.com/wordpress/the-trump-administration-and-contraception-coverage/ Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com

This time on the Healthcare Triage Podcast, we're talking about what exactly a nurse practitioner does. And what better way to learn about the gig than to talk to a nurse practitioner? Aimee Carroll joins us this week to tell us about what nurse practitioners do, and the liminal space they occupy between the roles of nurses and doctors. We'll also answer your questions, and talk about the latest on taxes and healthcare, and the big news this week about the so-called forbidden words in government health bureaucracy. Ask us your questions for the next podcast at http://www.healthcaretirage.info

No. It turns out, media outlets sometimes sensationalize connections like this. Hormonal birth control is safe, and while it does come with some risks, the benefits very often outweigh the downsides. Aaron has the numbers on just how much hormonal birth control increases cancer risks. Aaron has a book out now! It’s called The Bad Food Bible: How and Why to Eat Sinfully. You can order a copy now!!! Amazon - http://amzn.to/2hGvhKw Barnes & Noble - https://www.barnesandnoble.com/w/the-bad-food-bible-aaron-carroll/1125338472?ean=9780544952560 Indiebound - http://www.indiebound.org/book/9780544952560?aff=dhoom09 iBooks - http://itunes.apple.com/us/book?isbn=9780544952577&uo=8&at=1010lwmG Google - http://books.google.com/books?vid=ISBN9780544952577 Kobo - http://www.kobobooks.com/search/search.html?q=9780544952577 Any local bookstore you might frequent. You can ask for the book by name or ISBN 978-0544952560 John Green -- Executive Producer Stan Muller -- Director, Producer Aaron Carroll -- Writer Mark Olsen – Graphics Meredith Danko – Social Media http://www.twitter.com/aaronecarroll http://www.twitter.com/crashcoursestan http://www.twitter.com/johngreen http://www.twitter.com/olsenvideo And the housekeeping: 1) You can support Healthcare Triage on Patreon: http://vid.io/xqXr Every little bit helps make the show better! 2) Check out our Facebook page: http://goo.gl/LnOq5z 3) We still have merchandise available at http://www.hctmerch.com