By Rozalynn Goodwin. Everyone seems to be quoting and tweeting the tender line of Miss Aibileen in “The Help”, “You is kiiiind. You is smaaaart. You is important.”

But there was another line in the blockbuster movie that moved me even more. I heard it and the heavens seemed to open. The light bulb came on.

Hilly Holbrook’s new maid is $75 short on one of the college tuitions for her twin sons and asks Hilly and her husband for a loan so she doesn’t have to choose which son should go to college. Doing the ‘Christian thing,’ Hilly refuses, “God does not give charity to those who are well and able.”

Twelve simple words from a fictional 1960’s character summed up our nation’s current political will regarding the poor. And allow me to condense this into just one word: selfishness.

We movie-goers were quick to see the bigotry in Hilly’s statement. The maid and her husband had been saving money from their meager wages for a long time and she wasn’t seeking a hand-out, but a loan she would pay off with her thankless labor. But I was also quick to see the hipocracy in those of us who identify ourselves as Christians regarding the poor–many like this maid are in temporarily tight spots by no fault of their own. I was convicted by the thought that a selfish Christian is just as much of an oxymoron as a Christian murderer. (more…)

By Mary Grealy. When we talk about people who don’t have access to healthcare, there’s a natural assumption that it’s because they can’t afford it.  A new study shows that’s not necessarily the case.

According to the study published in the journal Health Services Research, 21 percent of American adults said they had delayed care for non-financial reasons compared to 19 percent that cited cost as the primary reason for not seeking healthcare.

Those non-financial reasons included not being able to get to a doctor’s office during working hours, long commutes to the medical office, or not being able to get an appointment soon enough.  As the study’s lead author said, “In reality, there are all kinds of reasons why people can’t get the care they need when they need it.”

There are at least a couple of important points to take from this report.  One is that healthcare providers have to continue exploring creative ways, from telemedicine to non-traditional office hours, to meet the needs of today’s patient population. (more…)

By Jane Sarasohn-Kahn. Nuns and priests were CEOs at 770 of 796 Catholic hospitals in the U.S. in 1968. This year, there are only 8 of them leading 636 hospitals. Sister Mary Jean Ryan, who retired as CEO of SSM Healthcare, says, “We’re a dying breed.”

Why has this happened, and why should we care — whether or not we’re Catholic?

The New York Times covered this story on August 22, 2011, titled, Nuns, a ‘Dying Breed,’ Fade from Leadership Roles at Catholic Hospitals. NY Times editors smartly placed this story in the “U.S.” section and not under the “Religion” corner of the paper.

At the crux of this historical transition at religious hospitals is whether the values that drove the heart and soul of these institutions — caring for the needy, the safety net population, and the larger community — will translate when MBAs and MHAs take over leadership of these organizations. The Times wrote, “Although their influence is often described as intangible, the nuns kept their hospitals focused on serving the needy and brought a spiritual reassurance that healing would prevail over profit, authorities on Catholic health care say.”

This is not a marginal issue in American health care: in 2009, 1 in 6 hospital admissions was in a Catholic hospital.

Health Populi’s Hot Points: With the U.S. economy in decline or stasis in most of the nation, and health benefits for covered workers lucky enough to be covered by a health plan, moving more financial burden onto employees, more health citizens in the U.S. have been moving into safety-net, under-insured, or un-insured status. As such, more people seek care in emergency rooms and outpatient care in the community, and more have a difficult time paying for health care (my blog posts have featured this issue over the past 4 years; search on the topics of safety net, Medicaid, self-rationing, and medical home in Health Populi‘s search box). (more…)

More than 1.7 million Americans are currently living with limb loss, and each year, more than 150,000 more face either full or partial amputation. For many of these people, the option of prosthetics proves invaluable, allowing them to maintain their quality of life. And now, other members of the animal kingdom are getting in on the act! As HuffPost’s Weird News reports, Winter the dolphin, of Clearwater Beach, Fla. is one such fortunate recipient of a prosthetic limb. Winter, who lost her tail to a crab trap at only three months old, had her quality of life restored when experts from Hanger Prosthetics were able to successfully design her a prosthetic tail. For her part, Winter earned a starring role in the forthcoming Warner Brothers film, Dolphin Tale.

You can read the full HuffPost story here: http://www.huffingtonpost.com/2011/08/20/dolphin-with-prosthetic-tail_n_927463.html#s330792&title=Dolphins_Fake_Tail

Yesterday, Healthcare IT News reported that a study due out later this month found that the addition of social media tools to online health programs seemed to positively influence the effectiveness of the programs. The study, which is being published in the Journal of Medical Internet Research, found that “adding an interactive online community to an Internet-based walking program significantly decreased the number of participants who dropped out.” This is just the latest in eHealth innovations – from mobile health apps to electronic medical records and so, so, so much more – leaving the medical community wondering how eHealth will fare moving forward.

How do you feel about health-related social networking? Would you join an online health program? What concerns – privacy, quality of service, etc. – do you think this presents?

Read the full text of the Healthcare IT News post here: http://healthcareitnews.com/news/social-media-tools-may-reduce-attrition-online-health-programs

By Archelle Georgiou. A report of child abuse is made every ten seconds and three million cases involving almost 5.5 million children are reported each year.   This tragedy occurs at every socioeconomic level, across ethnic and cultural lines, within all religions and at all levels of education.

This issue has never impacted me, my family or anyone close to me, but since childhood, I have been passionate about protecting children from abuse.  As early as age ten,  I was in Rock Creek Park (in Washington, DC) on a picnic with my family when I saw a mother whipping her young children with a tree branch.  I marched up to her and demanded that she stop.  As recently as a month ago, while patiently waiting for a table at IHOP,  I noticed a mom yanking so hard on her toddler’s arm that she was pulling her up from the floor.  “Um…excuse me,” I said calmly as I kept texting on my phone, “but if you keep doing that you might dislocate her shoulder.”  She stopped yanking then and angrily tried to defend herself.  I stayed within her striking striking distance and secretly hoped that she’d hit me so that I could call the police…and protect an innocent 2 year old.  (more…)

The Disruptive Women in Health Care blog is looking for an editorial intern for the Fall 2011 Semester. The Editorial Intern will be responsible for assisting the Disruptive Women team in the day-to-day aspects of managing and maintaining what HealthTech recognized as “one of the top health policy blogs” in the country. This will include not only editing and monitoring content submissions, but also researching and writing posts as well. Ideal candidates for this position might be Journalism/Political Science/English/Public Policy majors with experience writing/reporting/editing (especially for the web) who want the opportunity to develop their blogging and social media repertoire. The Editorial Intern will have his or her own writing (with byline) published on a syndicated site, assist in the creation and implementation of special features, bolster social media communications efforts surrounding the blog and serve as an integral part of the editorial process from start to finish.

Responsibilities include, but are not limited to:
-  Serving as a member of the Disruptive Women editorial team
- Assisting in the day-to-day operations of one of the country’s top-rated health policy blogs
- Reporting and writing for the blog – conducting interviews, covering events, writing posts for publish (with byline), etc.
- Assisting the blog editors in overseeing the editorial content of the blog – copy editing, fact checking, etc.
- Maintaining the blog’s resource sections – including the calendar, multimedia and about tabs
- Assisting in the blog’s social media outreach/communications efforts
- Promoting and providing logistical support for blog-sponsored events

Schedule and Compensation:
- 10-15 hours/week (7 in office, 3-8 remotely)
- Flexible hours
- This is an unpaid internship
- Class credit available on a conditional basis
Note: The office is located in downtown DC. Applications are limited to those in the DC metro area. We regret that we are unable to provide compensation for travel expenses to and from the office.

Qualifications:
- Competency in Microsoft applications, including Word, Excel and Powerpoint
- Exceptional organizational and communication skills
- Familiarity with blogging/online reporting
- Experience using wide array of social media platforms, including but not limited to: Twitter, Facebook Pages, LinkedIn, YouTube, etc.
- Must be able to work effectively and independently as an editorial team member
- Must be precise, alert and attentive to details

Interested? Email a cover letter (detailing availability), resume and relevant writing sample to hditto (at) amplifypublicaffairs (dot) net.

Earlier this year, author and Huffington Post contributor Brienne Walsh wrote an impassioned essay entitled, “An Open Letter to the Women Who Are Telling Me It’s My Fault I’m Not Married,” much to the pleasure of single women across America. In it, Walsh suggests that it is women’s lack of expectations for men and their dating behavior that creates the uneven power structure so prevalent in relationships – and fictional portrayals of relationships – today and therefore prevents women from feeling fulfilled in relationships, which in turn then leads to more and more women remaining single. She blames a culture that will go so far to accommodate a man’s “fear and insecurity” of marriage, among other things, for the growing trend of women never making that much-anticipated trip down the aisle.

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WATCH exclusive video interviews with 15 of this year’s Top 25 Women in Healthcare!
They discuss some of the key factors that have contributed to their career success and share their advice for other women considering a career in healthcare administration.

The following is a guest post by Janice Lynch Schuster who  works at the Altarum Institute, a new voice in the field of aging and end of life issues. This post orginally ran on July 14th on Health AGEnda.

By Janice Lynch Schuster. When I was a little girl, country singer Glen Campbell had a variety show on television called “The Glen Campbell Good Time Hour.” As I remember it, it was a good time; in my young imagination, I often confused him with my father, who I thought was just as handsome and talented and fun as Glen. I loved his songs and wanted to learn to play guitar so I could be more like him.

Sadly, Mr. Campbell has been diagnosed with Alzheimer’ disease. As most people know, Alzheimer’s is the primary cause of dementia, a gradual loss of brain function that becomes more common as we age. As the disease slowly and insidiously strips us of our thoughts and memories, it strips us of our lives and torments our loved ones in a grim process that can take years to unfold. Mr. Campbell’s decision to put a face on this awful disease by continuing to tour is a mark of real courage and heart. I don’t know how long he’ll last on the road—and early reviews, pre-diagnosis, panned him for being so forgetful and bumbling—but I hope that road takes him into some kind of good night, Rhinestone Cowboy.

Not many celebrities let us come so close. In our wild pop culture pursuit of public figures, we are eager to hear the details of their private lives—we buy up People and Star and Us by the ream. We want to know who’s pregnant, who’s with whom, who’s sleeping where, who’s in rehab, and who’s out. We want to hear about celebrities’ brave battles against one illness or another—bipolar disease or addiction, cancer or diabetes. We are thrilled when a gaunt but apparently cured Michael Douglas emerges from chemotherapy. We are sad when Patrick Swayze falls to pancreatic cancer.  And we cry when Clarence Clemmons succumbs to a stroke. We collectively mourn the deaths each week of various celebrities whose lives, we think, touched our own. (more…)

The following is a guest post by WomanCare Global CEO Saundra Pelletier. Besides serving as the founding CEO of WomanCare Global, Saundra is an international marketing expert, published author, keynote speaker and executive coach.

By Saundra Pelletier. In 1965, Griswold v. Connecticut gave a married woman the right to use birth control to prevent or delay pregnancy as she saw fit. This guarantee of a basic human right led to other reforms that allowed millions more American women to decide the direction of their own reproductive lives.  This summer, we are proud to see another key reform go through: starting next year, the Affordable Care Act will allow even more women in the United States to be in charge of their own health by requiring new health plans to provide free birth control without a co-payment. These are hard-fought wins for women’s health and for women’s rights of which we can all be proud, but sadly the ability of a woman to choose when and whether to become pregnant is far from assured in other parts of the world.

Pause for a moment and imagine you’re not American, but from Sub-Saharan Africa – Ethiopia for example. You are 20 years old and have four children – the first of which you had when you were 15 and newly married. You’re worried about becoming pregnant again. You tried to get birth control once, but arrived at the clinic only to find the shelves bare and no way to access any form of birth control.  The thought of another pregnancy, whether by a husband who won’t take no for an answer, or by a stranger who might force his way upon you while making your way to fetch water for the family is overwhelming. You’re not in great health, and another pregnancy would take its toll on your weakened body. The chances are high that you might not survive pregnancy or labor to be able to take care of your family.

Globally, 215 million women would like to be able to prevent or delay pregnancy, but do not have access to the supplies that would allow them to take control of their lives. As American women, we know from our own experience that the ability to make our own fertility decisions has made an immeasurable impact on our own lives. For women in the developing world, access to reproductive health supplies would save lives and improve health, as well as the economic and social well-being of families and communities.

(more…)

The following was orginally posted last Thursday, August 4th on NIH’s Feedback Blog by Dr. Kathy Hudson.

This week a true pioneer in women’s health, Dr. Vivian Pinn, announced that she’s retiring from NIH. Vivian was the first Director of the Office of Research on Women’s Health (ORWH) and tirelessly led that office for almost two decades. But she was more than the leader of ORWH, Vivian has brought wide spread attention to the absence of women participants in biomedical research and the exclusion of women’s health in clinical decision-making. She made it her mission to highlight the importance of sex-specific differences in disease development, progression, and response to clinical interventions. She has tirelessly monitored the landscape of health research for women and has led efforts to set the research priorities. She understands that priorities won’t set themselves; it takes a passionate, intelligent, experienced, and insightful individual, with an incredible amount of support, to gather the right folks and figure out what we still don’t know but need to know.

Dr. Pinn has also been a leader in the effort to increase the representation of women in biomedicine and to make sure that women who pursue careers in health sciences have equal footing with their male colleagues. Looking around NIH today and the vibrant extramural community, women are an integral part of the science that goes on across the US. I know that Vivian can remember a time when that was not the case, in fact she sat amongst only white male classmates in medical school in the 1960’s. What a difference we have seen and we owe so much of that to women like Vivian Pinn.

This is a big loss for all of us who have worked with her over the years, but she leaves behind a robust legacy of putting women’s issues on the radar at NIH. Vivian, we wish you the best. We will keep pushing for women’s health and hope that we will make you proud.

Eleanor Clift

Veteran reporter Eleanor Clift wrote the essay Hospice And The ‘End Game’ after her husband’s death from cancer. In it she concludes that hospice “should be front and center in the debate over the kind of health care future that we want.” Disruptive Women plans to cover the topic of hospice, end of life and caregiving next year, so stay tuned.

Read the essay here.  To listen to a podcast of the essay click here.

The essay appears in Health Affairs‘ August 2011 issue.

Women for a Healthy Future

Non-communicable diseases (NCDs), commonly known as chronic diseases, cause two out of three deaths worldwide, and are the leading cause of death for women around the world.

We have a once-in-a-lifetime opportunity to tackle NCDs, considered to be one of the 21st century’s greatest health and development challenges. In September, world leaders will gather at the United Nations (UN) for a historic summit on NCDs. The decisions they make will impact the lives of millions.

NCDs threaten women’s lives and our children’s future. Yet, we know that 80% of cardiovascular disease and diabetes and 40% of cancers can be prevented by avoiding tobacco, increasing physical activity and eating healthy foods. It’s going to take strong commitments from the world’s leaders and sweeping policy changes to reduce women’s and children’s vulnerability to NCDs.  

As a result, organizations representing global health, women’s health, child rights, and youth perspectives have come together to form the Women for a Healthy Future movement. This movement is aligned with UN Secretary-General Ban Ki Moon’s “Every woman. Every child” initiative and is mobilizing women from around the world to demand action against NCDs.

Raise your voices. Sign the petition. Tell your friends.

If we gather 10,000 women’s signatures, we will take them to the media, to world leaders gathered at the UN, and to business leaders. We need your support to show the world how deeply we care, and to ignite action against NCDs.

The following is a post by Dr. Jessie Gruman from the Center for Advancing Health. This blog post was originally published at Prepared Patient Forum: What It Takes Blog.

“There is a better way – structural reforms that empower patients with greater choices and increase the role of competition in the health-care marketplace.” Rep. Paul Ryan (R-WI)August 3, 2011

The highly charged political debates about reforming American health care have provided tempting opportunities to rename the people who receive health services.  But because the impetus for this change has been prompted by cost and quality concerns of health care payers, researchers and policy experts rather than emanating from us out of our own needs, some odd words have been called into service.  Two phrases commonly used to describe us convey meanings that mischaracterize our experiences and undervalue our needs: “empowered patient” and “health care consumer.”

As one who has done serious time as a patient and who spends serious time listening to talks and reading the literature that use these words to describe us, I ask you to reconsider their use.

“Empowered patient” The fabrication of the verb “to empower” from the noun “power” was used in the civil rights and community development movements to describe a benevolent bestowal of influence on disenfranchised individuals and groups by those who had previously excluded them.  When used in relation to health care, the word perpetuates the idea that we are passive entities, waiting to be gratefully endowed by our clinician or a new policy with the right and ability to act on our own behalf.  Our “empowerment” takes place not as a result of our own will or preference, but rather because we have been given permission to act in a different way by some external agent. (more…)