Vol. 168 April 1, 2017 Trump Tweets About Medical Tourism

April 1, 2017


“Medical Tourism is where people who live in one country travel to
another country to receive medical, dental and surgical care.”

Medical Tourism Association


We believe the market size is  $45 – 72 Billion based on approximately 14 million cross-border patients worldwide spending an average of $3,800-6,000 per visit.  We estimate some 1,400,000 Americans will travel outside the US for medical care this year (2016).”
 – Patients Beyond Borders


@realDonaldTrump
 
 People will do ANYTHING to escape Obamacare. TRUE fact! #obamacareimploding


“Using US costs across a variety of specialties and procedures as a benchmark, average range of savings for the most-traveled destinations:
Brazil: 20-30%
Costa Rica: 45-65%
India: 65-90%
Malaysia: 65-80%
Mexico: 40-65%”

@realDonaldTrump 
TREMENDOUS deals, and I love a deal. Except maybe for that Mexican country. I want them making big profits to pay for the wall. #BEAUTIFULwallfrombladders/gall

“Igor Lanskoi, Advisor to the Russian Health Minister, says the number of medical travelers coming to Russia is increasing, with four times as many foreign patients entering the country in 2015 than in 2014.  Last year, foreign patients brought in nearly 10 billion rubles, or $154 million, in revenue for Russia. More and more Americans are traveling to Russia to improve their health. “

@realDonaldTrump
                             Just watched the totally biased and fake news reports of my partnership with the Putin Institute of Plastic                                 Surgery and Tanning in Moscow on NBC and ABC. Such dishonesty! #palesbycomparisonwithTRUTH!

@realDonaldTrump
                              How would they know? More FAKE news! I don’t even know where my money is. All my businesses are                                      with my kids now. #note2IRS#4getCaymanIslands  

When someone wants to undergo treatment in his own country but his insurance doesn’t cover it, he gets angry and chooses to come to Russia since here he can receive the same medical services at a much lower price,” said Yakov Margolin, General Director of the Clinical Hospital in Yauza.  – Rise of Medical Tourism in Russia
 
@realDonaldTrump
I usually don’t agree with the Russians, but America hates Obamacare! SAD but TRUE.
  Suck it up liberal                                  
Democrats… and Freedom Caucus.  #PaulRyan/wimp

Cosmetic and dental surgery are the most frequent treatments sought by medical tourists. Plastic surgery is a close third.

@realDonaldTrump
                              I don’t care. NOT interested. Ivanka needs none of that anymore! #URbeautifulbabe#hairtransplant

Medical travel to Israel has shown significant growth over the years and was recently ranked as the world’s third most popular medical travel destination by VISA and Oxford Economics. – Medical Tourism Magazine 

@realDonaldTrump
                              NO new hospital buildings on the West Bank! Jared says we have an agreement. BETTER BE                                                          TRUE! #gojewishsoninlaw

@realDonaldTrump
                             I love Jews. I have made lots of H-Y-UGE deals with Jews. The Palestinians? Not so much.                                                                     
#go4thejewishvote  

“Some insurers and large employers have formed alliances with overseas hospitals to control health care costs, and several major medical schools in the United States have developed joint initiatives with overseas providers, such as the Harvard Medical School Dubai Center, the Johns Hopkins Singapore International Medical Center, and the Duke-National University of Singapore.” – CDC Yellowbook on Medical Tourism

@realDonaldTrump
                             Like Ghandi – a great friend of mine – said last week, “Just follow the money”. #greatquote

The administration’s reduction and delay in issuing H-1B visas will drastically reduce the number of International Medical Graduates allowed to enter the U.S.  Since 25% of U.S. working physicians are IMGs this will exacerbate our physician shortage, particularly in underserved rural areas.  – New England Journal of Medicine

@realDonaldTrump
                             If you can’t find a doc here, just go to THEIR country. SIMPLE! #betterthanOcare

Funds withdrawn from Health Savings Accounts (HSAs) can be used for medical treatments outside the country.

@realDonaldTrump
                              But come to Florida for your tan.#tanningboothtax/gone

HAPPY APRIL FOOLS DAY
(but only the tweets are made up)


Vol. 145 April 1, 2016 Trump Health Plan Revealed

March 31, 2016

Hub thumbnail 2015Trump

As a recognized health care blogger, I was fortunate enough to secure an interview with Donald Trump, a Republican primary candidate for President of the United States. He invited me to ride with him in his TrumpMobile to Air Force One Trump One on his way to Florida. He specifically stipulated that my questions had to be restricted only to his plan to replace Obamacare with his own health plan. Here is the interview verbatim.

Me: Thank you for letting me interview you today. I know you are a very busy man.

Trump: Yes, Yes, I am HUGELY busy. Glad to talk about my health plan… but your office said they’d be sending a woman interviewer.

Me: We couldn’t find a volunteer. The one we appointed quit her job.

Trump: Sorry to hear that. Jobs are scarce under Obama you know. Hope she gets another one. Oh well, doing the interview with you won’t be nearly as much fun… nice hair, though.

Me: Right back at you. What are you going to call your health plan?

Trump: “The Best Health Care Plan in the World”, or “TrumpaCare” for short. One letter longer than Obamacare and much better, … in fact, the BEST. Length matters, you know.

Me: When will you release some of the details of the plan?

Trump: On the second day of my presidency. The first day will be taken up entirely with the building of the wall.

Me: In Mexico?

Trump: Of course that one, but also the one in Canada to keep all the disgruntled Americans from leaving. No way that socialist-liberal Trudeau will pay for his wall, so I’ll sneak the cost into the Mexican deal.

Me: Lets get back to the health plan. Are you going to ….

Trump: The Mexican wall IS part of my health plan. The wall will be topped with electronic bug zappers every 9 feet alternating with sprinklers of full strength 25% DEET. My wall will even keep out Zika.

Me: “Every 9 feet” ? That sounds like an odd distance.

Trump: The German engineering plan called for “3 meters”, but I rounded it off to American units.

Me: So other than mosquito zappers, what else is in your plan?

Trump: The plan will be managed by THIC (Trump’s Huge Insurance Company) which will privatize all state health insurance exchanges established by Obama except for the one in Massachusetts. That business will be subcontracted to Mitt Romney in return for his sitting out the convention. No one will have to change their physician unless he ran against me for President, and lost. I hate losers! 

Me: How will TrumpaCare actually differ from Obamacare?

Trump: Each policy holder will be offered the Trump Wellness Package which will “provide smart food and exercise options, so you will be at your best and perform at your best throughout your stay.”

Me: ”throughout your stay”? In a hospital?

Trump: Oops, sorry, that’s from  the Trump SoHo brochure, a AAA 5, yes five, Diamond hotel of 391 rooms in New York City. I stayed there last night. It’s wonderful!. I run a lot of businesses. Sometimes I mix up the marketing pieces.

Me: It almost sounded like a hospital brochure. Will TrumpaCare be building hospitals?

Trump: Absolutely not! I thought casino finances were complicated … until I looked at hospital economics. It’s crazy. Even I can’t figure out who is a winner and who is a loser. Perhaps if I threw in a perk like my $35 hotel package of Trump Milk and Dark Chocolate “bullion”, hospital economics might work.

Me: One of the more popular elements of Obamacare prohibits insurance from  denying coverage for pre-existing conditions. Does TrumpaCare have that provision?

Trump: Absolutely. It is part of the deal … except for people of Mexican ancestry, homosexuals, anyone considering transgender surgery, single mothers with more than one child, hair transplant procedures, and any family with more than five children. I have five myself you know. Dissenters will NOT be excluded, like from my rallies. They’ll be offered a special benefit of time in a remotely located sound-proof chamber to allow them to rant and rave at will without any influence on others. Medicaid patients will be automatically covered as soon as they sign the pledge, “Back to Work Is the Way Back to Health.” The rumors that they will have to learn to salute and say, “Heil Trump” are not true. That will be required only of foreign immigrants.

Me: What would you say is the biggest difference between TrumpaCare and Obamacare?

Trump: Patients will be encouraged to actively negotiate deductions and co-pays for ER visits directly with the ER at the time of their visit. My mantra is “Everything Is Negotiable.” There is no reason ERs should be protected from market forces.

Me: What about women’s health services?

Trump: In that same vein, Emergency Rooms will be required to have a separate entrance for women. I certainly believe in “Equal but Separate”. How the ERs handle their restrooms and water fountains is up to them. My plan does not want to micro-manage.

Me: What about mental health benefits?

Trump: We will adopt the model of mental health benefits successfully developed by the early HMOs: A slap across the face with a shouted, “Shape up!”

Me: You say that TrumpaCare will be less costly than Obamacare. How will you accomplish that?

Trump: We’ll abandon this Electronic Medical Record nonsense with its governmental bribes for “meaningful use”, whatever the hell that means. The doctors hate it, it is very expensive, and there is nothing to show that it improves quality. We’ll go back to paper and pencil. The pencils will be provided by the Trump Pencil Company, the BEST pencils in the world.  All those computers bought by doctors and hospitals will be donated to colleges and universities so that they can halve their tuition fees, … or else. 

Me: How will TrumpaCare be funded?

Trump: We’ll use the money we take back from Planned Parenthood plus a new tax on Americans who emigrate to Canada. Also anybody who thinks that France or England has a better health care system can go there,  after paying a departure tax.

Me: Can you legally do that?

Trump: I can do anything I want. You just wait and see.

HAPPY APRIL FOOLS DAYTrump 2


Vol. 122 April 1, 2015 Athena Health Buys Myspace!

March 31, 2015

hub“Even as the public decries government spying programs and panics at the news of the latest data-breach the daily traffic to sites like Facebook and Twitter—especially through mobile devices—not only stays high, but continues to grow. Both the collective behavior of social sharing, and the technology for analyzing and interpreting social data, are already widely in place. The trick is to actually merge the two—which does not necessitate a whole new system.”

– Victoria Wangia, Professor of Health Informatics, University of Cincinnati
quoted in “The Facebook Model for Socialized Health Care” by Edgar Wilson, The Health Care Blog, 2/26/2015

Athena Health, a major provider of electronic health records (EHR) NOT to be confused with Anthem, has announced its purchase of MySpace, the pioneer social network.

MySpace (original spelling) was the first social network on the internet, but has steadily lost users to its competitor Facebook. Myspace (current spelling) was bought by Justin Timberlake in 2008. Despite efforts to revamp and redirect, Myspace user registrations continued to decline, and it has become a limited network for musical performers. Mr. Timberlake is confident that this move with Athena Health will broaden the scope of his company positively, “I am looking forward to making a more significant contribution to society than singing “D**k in a Box” on Saturday Night Live’s Christmas show”.

Jonathan Bush, CEO of Athena Health and related to both presidential Bushes, says he is making this move because it is time that health care providers make more innovative use of the social networks. Athena Health, based in Massachusetts, already provides electronic medical record (EMR) capability to health care providers nationwide. AthenaClinicals, its popular cloud-based electronic medical record and billing program, is available on desktop and mobile computers via AthenaNet. Its 2007 initial stock price of $18 is now at $120.

Using well-tested Facebook-like methodology Athena Health will create a wall, “The Health Wall”, in everyone’s Myspace account which will be renamed AthenaFace. This will add new meaning to “updating your status”. “Sick”, “Well”, “Recovering nicely”, “Waiting to find a doctor”, and “A little worried about what is happening to me” will be examples of clickable boxes.

Pop-up ads and informational banners will be health-oriented. Such as:
“Check your immunization score FREE”,
“Need help figuring out your Health Insurance deductible, Obamacare tax credit, or fine?”,
“Find the Nearest Medical Marijuana Dispensary”, and
“Special discounts on fitness club dues”.

AthenaFace representatives neither denied nor confirmed plans to link up with Groupon, another semi-floundering internet company, that provides discount coupons for a whole variety of services and products.

Record entries will be encrypted and saved, of course, though users will have the “Snapshot option” of having certain parts of the record being deleted within 30 seconds of being read. “The Health Wall” will accept postings of pictures and videos which will certainly enhance the robustness of the medical record for skin rashes, wounds, gait disturbances, and seizure disorders.

Efforts to link with relevant mobile apps like “Breathalyzer”, “Fitbit”, “Sleepbot”, “Whazthat!?”, etc. have already begun.  An app to link with Uber for the “Next available doctor to see you” will be in the first upgrade. However, that app, UberDoc, will include a charge. Prices will vary depending on circumstances, so customers will be urged to settle on the price before taking the appointment.

In response to critics who worry about the security of personal information in a combined health care/social network platform Jonathan Bush has stated, “Lots of people are obviously not at all concerned about such privacy issues. They are sexting and sending pictures of their genitalia all over the internet. Why would they care if somebody knew their blood pressure and cholesterol level? ”

But, AthenaFace will have different levels of privacy options that can be set by the user. On the user-sharing side the options will include:
“All”,
“Family and Friends”,
“Just Family”.
“Just (insert name here) ”, and
“Nobody”.

For provider-sharing the options for the customer will include:
“All”,
“Specialists Only”,
“Primary Care Only”,
“Dr.(insert name here)” , and
“Nobody, especially that nosey office nurse who thinks she runs the place.”

Why wait until your physician and hospital catches up with the federal EMR incentives for establishing a patient portal?

Do it yourself with AthenaFace!

Coming soon to your internet browser, but most probably after 2016 … depending on election results.

HAPPY APRIL FOOLS DAY.


Vol. 110 April 1, 2014 PUTINCARE UNVEILED

April 1, 2014

 

Putin on horseback  PUTIИCAЯE UNVEILED

Vladimir Putin, President of the Russian Federation, today unveiled his country’s plan for universal medical care, the Accessible Care Act (ACA) or Putincare. The act was passed by a unanimous vote in both the Upper and Lower Houses, “an easy task of collective wisdom once we eliminated the ‘individual mandate’ clause.” Mr. Putin remarked that he had hoped to make the announcement while on the crest of success of the Sochi Olympics, but that the unexpected expression of states’ rights in the Ukraine distracted him. “I understand”, Mr. Putin went on to say, “that Mr. Obama sometimes has his own problems with state’s rights, but our Georgia is not like his Georgia”.

Putincare will establish medical care Exchanges in all states belonging to the Russian Federation. Every citizen (Yes, EVERY citizen. After all, the number of immigrants into Russia is not an issue.) will be able to bring in pigs, or chickens, or even potatoes and exchange them for medical care. Each Exchange will set its own eligibility criteria and rates. For example, in Georgia one pig could be exchanged for a throat culture and ten days of penicillin while in Moscow the same would cost one pig PLUS the names of two suspicious neighbors. The urban-based social networks, like “2Facebook”, will encourage this.

Full implementation of Putincare will depend on increasing the number of doctors and nurses in Russia since many towns have none. Despite the concerns expressed by the BAR Association (Babushka Assistants of Russia) that new doctors and nurses will compete unfairly with their services, Putincare calls for the immediate recruiting of as many Indian and Pakistani providers as possible. “It seems to have worked for Britain and America.” Mr. Putin expressed great confidence in their ability to avoid some of the early problems experienced by Obamacare. “Our computer expert, Mr. Snowden, assures us that we will have no problems. Of course, if he is wrong, he will return to America sooner rather than later.”

Putincare, like Obamacare, will not cost any additional money. The medical care provided through the Exchanges will get sick people better and reduce the work days lost due to death. The plan will increase revenue as a result of more pigs, chickens, and even potatoes… not to mention the increased number of State enemies identified in Moscow alone. As proof of the need for this program State spokesmen confirmed reports that one of the Exchanges had collapsed under the weight of 200 pigs. “We were expecting about 25 an hour the first day and so had a floor that could support 100 an hour, but the sudden traffic just overwhelmed us, and we crashed.”

Implementation of the requirement for small business to participate in the Exchanges has been postponed because of unfamiliarity with the term “small business”, some concerns about “creeping capitalism” which would enrich the Exchanges, and the cessation of operations in Russia by Visa and Master Charge brought on by U.S. sanctions. Most of Putin’s close associates were unavailable for comment, being occupied in trying to recover their own frozen assets.

Mrs. Putin, who rarely makes public appearances, will be launching a Russia-wide children’s education effort to support this plan; SISCAK, “Stay In School, the Chinese Are Coming” (rough translation).

Foreign critics of Putincare dismissed this announcement as an obvious attempt to deflect international attention away from the Ukraine. If you read the plan carefully, and we’re not certain anyone has, you will see that there is no Exchange designated for the Crimea. “Federal Russia will provide.”

Donald Berwick, MD, failed-appointee for Chief of Obamacare in America, commented, “Russia needs to improve its cost/quality ratios a great deal. Putincare is a step in the right direction, but I am not certain that even Mother Russia is ready for a Health Czar.”

Several courageous  Soviet scientists introduced a sense of urgency to the discussion, “Because of the current state of the world we should not delay. The Siberian permafrost is already getting squishy, … and the Chinese are coming.”

Putin officially ended the press conference with, “We are confident that all the States and Provinces in the Russian Federation will embrace and implement this plan, …and also visit Sochi to help us pay for it. If they do not, the army will march.”  Putin’s exit words, whispered aside, were unintentionally recorded, rebroadcast on both The Daily Show and The Colbert Report, and immediately went viral;  “Eat your heart out Barrack!

hubHAPPY APRIL FOOLS DAY.

 

 

 

 


%d bloggers like this: