Topic

medical care

29 petitions

Update posted 2 weeks ago

Petition to Politicians, Governments, Medical Associations

PETITION FOR BRIGGS FOR A NEW ERA IN MEDICAL CARE

My wife Briggs would still be alive if not for all the harm that was done to her in the course of her treatment.  We had begun turning around her cancer when I lost her to medical errors in what was meant to be a short emergency hospital stay. I wrote a book about her cancer journey, "Briggs: Love, Cancer, and the Medical Profession".  A sister petition to this one, the Petition for Briggs for Cancer Immunotherapy for All, has been signed by 30 stars, legends, eminent professors, and a founder of Stand Up to Cancer.  A recent study in the British Medical Journal confirmed one of my chapter titles, that medical errors are still the third leading cause of death in the U.S. I took the shot above very early in the morning.  All Briggs cared about was that a nurse had just given her a warmed blanket.  Her loop colostomy had failed.  She was about to have a revision surgery, a more radical end colostomy which put her through hell for months to come with a 24-hour-a-day discharge.  Loop colostomies regularly fail.  There are three methods to avoid it.  In going over Briggs's medical records for the book, I found her doctor had used none.  He's a premier surgeon at one of the most prestigious cancer centres in Manhattan, if not the world. A retired nurse wrote in a review of the book, "We need this type of information long before something happens because in the throes of it one becomes so drained they cannot decide which way to go!!" A doctor calls it "a major eye opener." He messaged me separately to say it's overturned his approach to medicine, and told me of saving a boy's life by intervening with a colleague. I quote a Harvard professor's estimate that between 90 and 99 percent of side effects go unreported.  The FDA relies on those reports to determine the ongoing safety of a drug once it's on the market.  The side effects of an anti-anemia drug Briggs was given just one time put her in the hospital for 30 days.  I later found there'd been a Congressional hearing on the safety of it. Briggs had almost died even after the paramedics came. A University of Minnesota study found that morphine increases sensitivity to pain (hence the constant increases) and can cause tumors to grow.  The State of Ohio has filed lawsuits against five major drug manufacturers, accusing them of misrepresenting the risks of other prescription opioids such as OxyContin.  (One of those companies is Johnson & Johnson.  It's now lost four cases, with 2400 more pending, over claims their talc-based have long caused ovarian cancer.) I cite a study co-funded by the National Institutes of Health and led by a team at the University of California, San Francisco.  Depending on the facility, it found that CT scans can deliver up to 13 times their already-high base radiation. There are dozens more examples in the book.  Another reader wrote, "My own experience, and the unflinching witness of Paul Sanderson's enraging, moving, generous tribute to his wife, communicate that damage comes far more easily than healing when principles and intentions become distorted…So, read this book as a warning, as an opportunity, as a privilege."Susan Sarandon writes, "He's giving us the tools to avoid the 'died of complications from' in too many patients' obituaries at the same time as setting out to usher in a new era in cancer twenty years ahead of time. Let's join him in the fight."Please join me in calling for a new era in medical care and treatment, including by extension the pharmaceutical industry.  We need standardized procedures; a new approach to the approval and dispensing of drugs; far more analysis of their effectiveness and safety compared with well-documented natural alternatives; patients and caregivers being given crucial, comprehensive information; the list goes on and on, including addressing such issues as a recent study in the Annals of Internal Medicine finding that for every hour physicians were seeing patients, they needed to spend almost two additional hours on paperwork. This petition is meant to begin the conversation in earnest. Paul

Paul Sanderson
145 supporters
Started 1 month ago

Petition to United States Supreme Court, Donald Trump, Department of Justice

Mandate allowance of Medicated Assisted Treatment in all Community Corrections Programs

An estimated 65% of individuals in United States prisons or jails have a substance use disorder, and an additional 20% of individuals in United States prisons are substance involved. For many years, the percentage of incarcerated individuals with substance use disorders and other substance involvement has been rising at a level disproportionate to the overall rise in the United States prison population.A substantial number of incarcerated individuals with substance use disorders are addicted to opioids, such as heroin and prescription pain medication. In 2000, forexample, a median of 5.6% of adult male arrestees and 6.6% of adult female arrestees tested positive for opiates at arrest, with the numbers much larger in some urban areas (a range of 10% to 27% in ten of thirty-five urban areas sampled). An estimated 9% of all individuals in state prisons and jails were using opiates in the month prior to incarceration, and an estimated 12% of individuals in jails and 15% of individuals in state prisons have used opiates regularly at some point. The percentages of people with substance use disorders at all other phases of the criminal justice system are at least as high, and often higher. For example, 69% of probationers reported past drug use, with 32% reporting illegal drug use in the month before their offense. The enormous amount of substance use among individuals with criminal justice involvement has far-reaching consequences. Substance use has been clearly linked to the commission of crimes. For the overwhelming majority of incarcerated individuals, substance involvement was a factor in their crimes. Recidivism rates are higher among incarcerated individuals with substance involvement than among other incarcerated individuals: in 2006, 53.4% of incarcerated individuals with substance involvement were re-incarcerated, as opposed to 38.9% of other incarcerated individuals. Substance use among incarcerated individuals also impacts families and children. In 2006, it is estimated that 1 million substance involved parents, with 2.2 million minor children, were incarcerated in U.S. prisons and jails, leading to significant negative effects on children and families. Substance use in United States jails and prisons also impacts broader public health issues. Both methadone and buprenorphine have been found to reduce health problems linked to heroin use, including the transmission of infectious diseases and overdose deaths. Scientific research has firmly established the success of drug treatment in reducing addiction and criminal activity more effectively and at far less cost than incarceration. This includes addiction treatment that utilizes medications that have been proven effective for treatment of opioiddependence (commonly called “Medication Assisted Treatment,” or “MAT”), such as methadone and buprenorphine. MAT uses “agonist” or “partial agonist” medications, such as methadone or buprenorphine, to normalize brain chemistry, block the euphoric effects of opioids, relieve physiological cravings, and normalize body functions without the negative effects of the short-acting drugs of abuse.Methadone maintenance treatment (“MMT”) has been available for over 40 years and has been confirmed clinically effective for opioid dependence in more than 300 published research studies. In 1997, the U.S. Department of Health and Human Services’ National Institutes of Health (“NIH”) Consensus Panel found that various treatments available, methadone maintenance treatment, combined with attention to medical, psychiatric and socio-economic issues, as well as drug counseling, has the highest probability of being effective.” The NIH report also recommended that “all opiate-dependent persons under legal supervision should have access to [MMT] and the U.S. Office of National Drug Control Policy [“ONDCP”] and the U.S. Department of Justice [“DOJ”] should take the necessary steps to implement this recommendation.” The Office of National Drug Control Policy has also described methadone as a “rigorously well-tested medication that is safe and efficacious for the treatment of narcotic withdrawal and dependence.”A 2009 study found buprenorphine at least as effective as methadone, when administered in a correctional setting. The National Institute on Drug Abuse (“NIDA”) found that both methadone and buprenorphine “have been shown to help normalize brain function” for individuals addicted to heroin. A number of studies have shown buprenorphine to be effective in managing opiate withdrawal and dependence. MAT in the criminal justice system would reduce costs in addition to improving health care. While MAT costs about $4,000 per person each year, incarceration in United States prisons has an average annual cost of $22,279.19 Numerous studies also have shown that MAT reduces drug use and criminal activity among opiate addicted persons, “with effects many times the size of hospitalbased detoxification, drug-free outpatient treatment, and residential treatment.” Yet, in many Community based Community Corrections Center Across the country, there are blanket policies banning this treatment, directly contributing to the recedivism rate and not helping anyone. As a addict myself, i was once on house arrest, a single father with custody of my son, a full time worker, brother, son, uncle, and grandson. i suffered a injury and am in need of medication, the only medicine that is allowed is opiates!?!?! why? as a man that has spent 7 years (all for opiates, and the person they make me become) i am finally stong enough to say that i do not want opiates, i do not want to be that man i was before. i refuse to get them and used the buprenorphine instead. Now, i have lost 195 days of my good time, have lost my son, and have had my house arrest revoked, and put on work release instead. i am now on the verdge of going back to prison all because of this uneducated policy that our goverment helps fund to "help people get better". America is the highest incarcerated country per capita in the world!!!!!! As the great leaders of this country, tell me this, are we here to help our country? or is incarceration a buisness? Please sign this petition and thank you all for your support. Mr Trump, you declared this a National Emergency, require these places to give us addicts the help we need or cut there funding!!!!! LETS MAKE AMERICA GREAT AGAIN!

Charles Simpson
29 supporters
Started 2 months ago

Petition to Donald Trump, Ted Cruz, Trey Gowdy, United States Department of Health and Human Services

Get CPT codes and allow Doula's to be included in insurance

Many years, in America women make the conscious decision to use a midwife and prefer to labor at home. The decision to birth at home, a birthing center, or at a hospital is their choice and right, as well as the providers they elect to assist with the birth of her baby. It has been studied and well documented that a Doula can be a valuable asset to a mom during labor, birth, and postpartum. Doula's provide lactation support, postpartum classes and training for new moms, and also increase the mortality rate of a home birth. While Doula's are NOT healcare providers in the sense of being a RN, or a DR. We are advocates for mom, we help relieve pressure and pain from the birthing process and many of us are certified to provide this service. We are even allowed to have a NPI number, which is a step in the right direction, but if we bill an insurance company then it's considered "insurance fraud" which confuses many doula's because we are under the impression that if we have the NPI we can bill insurance and we feel we should be able to provide quality care for mom! Here are some statistics on how DOULAS help during birth: Twenty-two trials involving 15,288 women met inclusion criteria and provided usable outcome data. Results are of random-effects analyses, unless otherwise noted. Women allocated to continuous support were more likely to have a spontaneous vaginal birth (RR 1.08, 95% confidence interval (CI) 1.04 to 1.12) and less likely to have intrapartum analgesia (RR 0.90, 95% CI 0.84 to 0.96) or to report dissatisfaction (RR 0.69, 95% CI 0.59 to 0.79). In addition, their labours were shorter (MD -0.58 hours, 95% CI -0.85 to -0.31), they were less likely to have a caesarean (RR 0.78, 95% CI 0.67 to 0.91) or instrumental vaginal birth (fixed-effect, RR 0.90, 95% CI 0.85 to 0.96), regional analgesia (RR 0.93, 95% CI 0.88 to 0.99), or a baby with a low five-minute Apgar score (fixed-effect, RR 0.69, 95% CI 0.50 to 0.95). There was no apparent impact on other intrapartum interventions, maternal or neonatal complications, or breastfeeding. Subgroup analyses suggested that continuous support was most effective when the provider was neither part of the hospital staff nor the woman's social network, and in settings in which epidural analgesia was not routinely available. No conclusions could be drawn about the timing of onset of continuous support. AUTHORS' CONCLUSIONS:Continuous support during labour has clinically meaningful benefits for women and infants and no known harm. All women should have support throughout labour and birth. cited from https://www.ncbi.nlm.nih.gov/pubmed/23076901 A second study : When continuous labor support was provided by a doula, women experienced a: 31% decrease in the use of Pitocin*28% decrease in the risk of Cesarean*12% increase in the likelihood of a spontaneous vaginal birth*9% decrease in the use of any medications for pain relief14% decrease in the risk of newborns being admitted to a special care nursery34% decrease in the risk of being dissatisfied with the birth experience*For four of these outcomes,* results with a doula were better than all the other types of continuous support that were studied. Our petition to you is to allow us to continue use of certified doulas, and help us reduce the over all cost of births, you can accomplish this by allowing doulas bill insurance providers and having insurance providers cover our services to moms.

Doula Relief Network
17 supporters