Archive for March 15th, 2011

Here’s your new Medicaid card … good luck.

March 15, 2011

Punch line: Being on Medicaid was associated with the longest length of stay, the most total hospital costs, and the highest risk of death.

According to the WSJ

Dozens of recent medical studies show that Medicaid patients suffer for it.

Foe example, 2010 study of 893,658 major surgical operations performed between 2003 to 2007, published in the Annals of Surgery, found that being on Medicaid was associated with the longest length of stay, the most total hospital costs, and the highest risk of death.

In all of these studies, the researchers controlled for the socioeconomic and cultural factors that can negatively influence the health of poorer patients on Medicaid.

So why do Medicaid patients fare so badly?

Payment to providers has been reduced to literally pennies on each dollar of customary charges because of sequential rounds of indiscriminate rate cuts, like those now being pursued in states like New York and Illinois.

As a result, doctors often cap how many Medicaid patients they’ll see in their practices.

Meanwhile, patients can’t get timely access to routine and specialized medical care.

Source: WSJ, Medicaid Is Worse Than No Coverage at All, March 10, 2011. 

But, I just want plain old toothpaste …

March 15, 2011

TakeAway:  An explosion of specialized pastes and gels brag about their powers to whiten teeth, reduce plaque, curb sensitivity and fight gingivitis, sometimes all at the same time.

Add in all the flavors and sizes, plus ever-rising prices, and the simple errand turns into sensory overload. 

Manufacturers acknowledge the problem and are putting the brakes on new-product introductions.  In this case, more product variety isn’t always better.

* * * * *

Excerpted from the WSJ, “Whitens, Brightens, and Confuses By Ellen Byron,February 23, 2010

 

P&G, maker of Crest, says it has “significantly” reduced the number of oral-care products it makes world-wide in the past two years.  Crest hit the market in 1955 and in 1960 became the first fluoride toothpaste to gain the American Dental Association’s “seal of acceptance.” Toothpaste was elevated from cosmetic to therapeutic status, and sales of Crest nearly tripled within the next two years. The 1980s brought tartar-control formulas, raising consumer expectations of what toothpaste could do. Ever since, companies have brought out benefits and ingredients, in search of the next game-changing upgrade.

Each new benefit is a chance for toothpaste makers to push prices upward and drive sales. With some 93% of U.S. adults using toothpaste, according to Mintel, there’s little room to recruit new users.

Packaging plays its part in toothpaste-aisle clutter. “The toothpaste carton is a certain size and shape and sits on the shelf in a certain way. That makes it hard to communicate effectively when there’s a meaningful difference in a new product,” says Jonathan Asher, senior vice president at Perception Research Services, which specializes in packaging and shopper marketing.

This year, Colgate-Palmolive introduced packages meant to be more easily deciphered. It standardized sizes of the Colgate logo, the “sub-brand” and the flavor or benefit, so shoppers will notice them in that order. It did what it calls “shelf tests,” timing how long it took shoppers to find new packages of Colgate Total Advanced Whitening and other variations, versus older packages. “The new packaging was not only preferred but it was easier to find,” says Nigel Burton, president of Colgate’s global oral care, consumer insight and advertising.

Many dentists think differences between brands aren’t very meaningful. “Just make sure it has fluoride and has the American Dental Association seal,” says Ada Cooper, a New York dentist and consumer adviser for the ADA, which evaluates toothpaste claims. The ADA’s seal “tells you that the product has been tested, that it’s effective in doing what it says it’s going to do, and has the right mix of ingredients.”

Edit by AMW

 

Unemployment, Budget, Libya, Japan … Fore!

March 15, 2011

Media widely report that Pres Obama took a 4 a.m. phone call from Sec. of Staff Bill Daley last week.

Many inferred that it was the news of the Japan earthquake and tsunami.

Au contraire.

Appears that it was a wake-up call for his 61st round of golf.

As Alfred E. Newman would say, “What me worry?”

President Obama just could not wait for spring weather to arrive.

For the second week in a row, the most powerful man in the world stepped away from the White House to hit the golf course.

Even as his administration and the U.S. military help Japan recover from a devastating earthquake, and as the world worries about Fukushima’s nuclear reactor, the president could not resist taking advantage of the 48-degree weather in the Washington, D.C., area.

The president left the White House Saturday afternoon for a short trip to Joint Andrews Base in Camp Springs, Md.

With cloudy skies, it’s not the best weather for golf, but Obama loves to spend his Saturdays on the greens. Last fall, Obama went golfing darn near every weekend.

These are never quick “work on your swing” trips; usually the president plays 18 holes, as he did last week.

ABC News, Just Warm Enough for Golf, Obama Back on the Course
a. March 12, 2011