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NHS Instructed To Plan For Up To 65,000 Swine Flu Deaths, UK
In a week that has seen the British swine flu death toll reach 29 and it is estimated that 55,000 people have caught the virus, hospitalizing 652 of them, the

Statistics Show Drop In Births, Lower Demand For Infertility Services During Recession
More people in the Atlanta area and across the U.S. are delaying pregnancy in a possible reaction to the current economic recession, leading to a decline in the number of couples seeking infertility treatments, the Atlanta Journal-Constitution reports. According to the Journal-Constitution, 13 states saw a decrease in the number of recorded births in 2008 compared with 2007. The Georgia Hospital Association reports that there were 5,352 fewer recorded births in Georgia in 2008 than in 2007. Mark Perloe of Georgia Reproductive Specialists said there has been a 20% decline in the number of people seeking infertility services. To retain business during the economic downturn, Perloe said Georgia Reproductive Specialists is offering a discount on select services of as much as 70%.Elisabeth Burgess, a Georgia State University sociology professor who focuses on families, said, "In times of economic downturns, different people react in different ways." For some people, "[f]amily becomes more important, so you might decide to have a child." The Journal-Constitution reports that one cycle of treatment can cost $15,000 or more, which some people pay for through credit, retirement savings or home equity loans. Evelina Sterling, co-author of a book on budgeting finances for infertility treatments, said that 70% of infertility patients cover the costs of the treatments completely out of pocket. She added that some older infertility patients "can"t wait on" the economy to recover to start a family.Carol Hogue, a professor of maternal and child health at Emory University, said there has been a "very predictable" pattern of reduced births during periods of economic recessions dating back to the Great Depression. The Journal-Constitution reports that some people delay planned pregnancy because of concerns over job security, health insurance, income and the cost of raising a child. Statistics from USDA show that the average middle-class family will pay $11,000 to raise a child in the first year, with the largest portion of that cost going to child care. The Agency for Healthcare Research and Quality reported in 2007 -- the latest year for which data are available -- that prenatal care and routine delivery costs about $7,600 after insurance (Cash, Atlanta Journal-Constitution, 5/24).
News of the day
Secretary Sebelius Releases New Success Story Report: Community-Based Prevention Program In Nebraska Helps Prevent Heart Disease And Stroke
HHS Secretary Kathleen Sebelius today released the second in a series of health care success story reports that document innovative programs and initiatives that can serve as models for a reformed American health care system. Today"s report highlights the Nebraska WISEWOMAN program. WISEWOMAN is a community intervention program funded by the Centers for Disease Control and Prevention that helps prevent heart disease and stroke by providing screenings and counseling for low-income women. The report is available at http://www.healthreform.gov.
Endocrinology

Waits To See Specialists In Boston Increased To Average Of 50 Days, Study Finds

The average time patients in Boston wait for an appointment to see a specialist has increased over the last five years to an average of 50 days and can be up to one year, despite the fact that the city has an "abundance" of specialists, according to a recent study, the Boston Globe reports. For the study, Merritt, Hawkins & Associates, a Texas-based consulting and physician recruiting firm, surveyed 1,162 physician offices in 15 metropolitan areas to try to re-create the situation of a new patient seeking a nonurgent appointment in five specialty areas -- cardiology, dermatology, family medicine, obstetrics-gynecology and orthopedic surgery. The average wait time in Boston is more than three weeks longer than any other city included in the study. The study determined that while Boston patients had the longest wait times for appointments to see dermatologists, ob-gyns and family practitioners, Dallas had the longest wait times to see orthopedic surgeons, followed by Boston. Miami, Minneapolis and San Diego all had longer wait times to see cardiologists than Boston.According to the study, while Boston patients have long faced delays, the problem may have been exacerbated by an increase in patients seeking care following the implementation of the 2006 Massachusetts health insurance law. While the study did not pinpoint a cause for longer wait times in Boston, the study"s authors wrote that the city"s experience "may signal what could happen nationally in the event that access to health care is expanded through health care reform."Brian Rossman, research director for Health Care for All, said the reason for long wait times also is because many specialists in Boston work for academic medical centers and do not see patients full time (Kowalczyk, Boston Globe, 5/15). The survey is available online (.pdf). Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.


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