Stories about: James Mandell blog

My thoughts on federal health reform

MandellEarlier this week, we shared on our Thrive blog some comments about the new health reform legislation by Judy Palfrey, MD, president of the American Academy of Pediatrics and a long-time pediatrician at Children’s Hospital Boston.

Reactions to the post were both positive and negative when it was shared on our Facebook page, with some people wondering why we would share our “political” views. First let me say that I think it’s important to distinguish views about political candidates and political parties from “policy” views about things that are good or bad for children and the providers who care for them. I also think it’s important to recognize and give voice to the incredible breadth of knowledge and expertise we have here at Children’s. Dr. Palfrey has spent her entire career working on child advocacy issues and is nationally recognized on the subject, and we’re fortunate to be able to share her knowledgeable voice on our blog.

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Globe article on the cost of care at Children's

MandellA Boston Globe article this morning brought the cost of care here at Children’s Hospital Boston into question, saying, among other things, that “Children’s charges the highest fees for both outpatient and inpatient care.” It’s based on data by Harvard Pilgrim Health Care (HPHC) that we don’t feel accurately reflects the care that we provide.

While the writer, Liz Kowalczyk, did say that because about 30 percent of our patients are on Medicaid, we have to “make up the lost revenue from private insurers,” I don’t think she went far enough in explaining why our costs tend to be higher than other hospitals in the state.

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This week on Thrive: Nov. 2 – 6

Here’s a quick look at what Thrive was up to last week.

Read why the days of jumping back into a game after a possible concussion are over. A new study shows that adult survivors of childhood cancer are much more likely to experience suicidal thoughts than their peers. Children’s expert Ellen Hanson, PhD, questions whether autism really is on the rise. An experimental heart valve saves a child with H1N1. Children’s has established and unprecedented partnership with the state’s largest health plans. The HealthMap team gives its weekly H1N1 update. Children’s Dennis Rosen, MD, questions whether sleeping late can keep your child slim and Joanne Cox, MD, answers parents’ questions about H1N1. Our resident mediatrician tackles the question of graphic violent and sexual images in the media and a teen guest blogger writes about teens and self-esteem.

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How health care reform can benefit children and adolescents

image1-150x150The debates around federal health reform continue to involve complex decisions, and many of them originate from an “adult medicine” perspective.

Both the American Academy of Pediatrics (AAP) and the National Association of Children’s Hospitals have taken leadership roles to assure that child health needs are appropriately recognized in the final legislation. Judy Palfrey, MD, Children’s Hospital Boston’s longtime chief of General Pediatrics, has been an eloquent and engaged voice for pediatric care and has spent a great deal of time in Washington recently in her role as president-elect of the AAP. Her recent article in The New England Journal of Medicine lays out some of the critical issues we have been watching and working as a child-health community.

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