In November 2014, Mental Health America, a mental health advocacy group, published what it describes as its first annual report to provide a more complete picture of the mental health status in America. Titled “Parity or Disparity: The State of Mental Health in America 2015,” the report attempts to establish a baseline from which they […]

Over the course of my more than 20 years as an emergency physician, I have seen thousands of patients with painful conditions. During that same time, I have witnessed the remarkable evolution of modern pain medication – its potential and its pitfalls. We can now help patients manage both short-term pain and long-term pain. Yet, […]

The Affordable Care Act was signed into law to improve the quality, affordability, and accessibility of healthcare across the country.  As a result of this, the federal government requires that in 2014 all states offer a marketplace (also known as an exchange) where individuals and small businesses may purchase health care plans. The Health Assistance […]

Palliative care is care directed at comfort and quality of life for patients facing serious illness. The focus is on living and helping people retain as much of themselves and what matters despite difficult illness, largely through controlling symptoms and providing supportive care. We also help people formulate plans for when they are at the […]

OneCare Vermont is an excellent example of Vermonters partnering to tackle a complex challenge: lowering the cost of health care and providing even greater quality of care.  In our last blog post, we shared what an ACO is, how OneCare Vermont originated, and cleared up some myths about how it operates.  Now, we want to […]

Since the Patient Protection and Affordable Care Act passed in 2010, we have received a number of questions from members of our community about a new aspect of that law: the Accountable Care Organization (ACO). We wanted to take time to share with you what is myth and what is reality when it comes to […]

The recent New York Times article, “The $2.7 Trillion Medical Bill,” observed a more significant factor in the nation’s $2.7 trillion annual health care bill may not be the use of extraordinary services, but the high price tag of ordinary ones.  The article goes on to highlight colonoscopies as a compelling case study, noting they […]

Vermont became the fourth state in the nation to make it legal for a patient with a terminal illness to obtain a prescription with the intent to hasten their death. Unlike most new laws, where there’s usually a period of several months before they go into effect, this one went into effect last week, immediately […]

The average kid in America, depending on their age group, is drinking between 41 and 108 gallons of sugar sweetened beverages per year. Think about that for a minute. That’s up to 108 gallons of regular soda, sugar sweetened juice, and sports drinks, like Gatorade, PowerAde and Vitamin Water That’s between 35 and 90 pounds […]

As a pediatric resident, I can attest to the effects of children who have not been vaccinated, and the consequences are devastating. Given the success of vaccines over the past decades, it is not surprising that the public is unaware of how devastating vaccine-preventable diseases can be since we don’t see many of them anymore […]