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Wed Jun 13, 2018, 10:31 PM

Trump administration is shutting down practice-guidelines clearinghouse for doctors

Source: STAT News

Diagnostic and treatment guidelines aren’t sexy, but they play a vital role in the practice of medicine. Physician societies, government agencies, and others issue detailed recommendations for everything from who should receive cardiac stents to which antibiotics patients should get to avoid infections after knee surgery.

These documents are essential for the provision of evidence-based care, as opposed to seat-of-the-pants treatment that might be expedient or lucrative for doctors but less than ideal for patients.

Until now, the most rigorous of those guidelines have been available for doctors to peruse in a single location: the government’s Agency for Healthcare Research and Quality’s National Guidelines Clearinghouse (NGC). NGC also takes the time to summarize the more than 4,000 guidelines it maintains, an indispensible service for the physicians who come to the site seeking information.

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“Killing these resources to save a few hundred thousand dollars per year is a penny-wise, pound-foolish decision, and your health and mine will be poorer for it,” said Dr. Kenny Lin, a family physician in Washington, D.C., who is also on the faculty at Georgetown University’s medical school.



Read more: https://www.statnews.com/2018/06/13/ahrq-practice-guidelines-clearinghouse-shutting-down/



This sucks because it was the best place to look up the current research. All this will do is benefit private companies like uptodate and dynex, which aren't as reliable and cost hundreds / year / doctor.

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Reply Trump administration is shutting down practice-guidelines clearinghouse for doctors (Original post)
Sgent Jun 13 OP
dalton99a Jun 13 #1
Marie Marie Jun 14 #4
Fiendish Thingy Jun 13 #2
OhNo-Really Jun 14 #3
summer_in_TX Jun 14 #5
KY_EnviroGuy Jun 14 #6
Hortensis Jun 14 #7
sinkingfeeling Jun 14 #8
RKP5637 Jun 14 #9
hedda_foil Jun 14 #10

Response to Sgent (Original post)

Wed Jun 13, 2018, 10:49 PM

1. "If it's good, kill it"

Good is bad in Trumpworld


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Response to dalton99a (Reply #1)

Thu Jun 14, 2018, 12:33 AM

4. Or, if it kills you, good!

The Republican Healthcare Plan - endorsed by The Insurance Industry.

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Response to Sgent (Original post)

Wed Jun 13, 2018, 11:38 PM

2. This sucks big time

It's not just for doctors, there's lots of resources for mental health practitioners, and other health care providers.

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Response to Sgent (Original post)

Thu Jun 14, 2018, 12:26 AM

3. We have already paid for that info. Can't they leave site in tact?

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Response to Sgent (Original post)

Thu Jun 14, 2018, 12:44 AM

5. Ugh, unbelievable. :-{

This never-ending attack on every gain we've had over the centuries is stunning. But this galvanized me to draft a letter to my members of Congress.

I thought I'd share my letter in case anyone else is interested in writing their own letter.

The administration’s proposal to eliminate the Agency for Healthcare Research and Quality’s National Guidelines Clearinghouse (NGC) is incredibly ill-advised. It cannibalizes one of the most important elements that ensures our medical care keeps making strides forward by zeroing out its funding.

The NGC is the place that collects all the detailed recommendations issued by physician societies, government agencies, and others, for everything from who should receive cardiac stents to which antibiotics patients should get to avoid infections after knee surgery. NGC also takes the time to summarize the more than 4,000 guidelines it maintains, an indispensible service for the physicians who come to the site seeking information.

These documents are essential for the provision of evidence-based care, as opposed to seat-of-the-pants treatment that might be expedient or lucrative for doctors but less than ideal for patients.

My personal doctor relies on the NGC to stay up on research and best treatment practices. I have been very impressed by her knowledge of the latest research, which she applies in treating any ailments I may have. By doing that, she helps reduce the spread of communicable diseases as well as preventing misdiagnoses that might lead to a spiral of care to more frequent or more expensive options. Neither she nor the practice of which she is a part can afford the cost of subscribing to the same information currently provided for free to America’s medical community.

I am convinced that cutting the funding from the NGC is going to cause medical costs to spiral out of control as ineffective treatments will be tried first, and when those don’t work another treatment that may or may not be effective iwill have to be tried. This will lower the quality of care for all Americans, is highly likely to increase the need for more expensive interventions such as hospitalization, and is likely to cost the government and communities more as the ability to contain and eradicate communicable diseases is degraded.

I urge you to work to ensure that funding remains intact and that the administration is brought up to speed on why it is most cost-effective to continue the NGC.




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Response to Sgent (Original post)

Thu Jun 14, 2018, 02:28 AM

6. Repugs justifying their tax cuts for the wealthy.

The GOP will try to eliminate any government program that benefits the public and turn it over to for-profit corporations that are not accountable to the public.

This is the type of cut that will cost us out-of-pocket, either in higher insurance premiums or higher co-pays. Republicans know they can get away with these small incremental cost increases because the public will not know where their royal screwing is coming from.

We will just notice less and less money in the bank each payday or after our SS check arrives and the bills are paid. Under tRump, I feel inflation will eat us alive and then around the year 2020, they say the cows will start coming home with federal tax increases.

So much winning for the plutocrats, I can hardly stand it.....

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Response to Sgent (Original post)

Thu Jun 14, 2018, 06:33 AM

7. Despicable.

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Response to Sgent (Original post)

Thu Jun 14, 2018, 06:41 AM

8. Soon there will be nothing left of our government except ICE and the military. This is what fascism

looks like.

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Response to sinkingfeeling (Reply #8)

Thu Jun 14, 2018, 08:06 AM

9. Sadly, I get the feeling this is what the US gov. is becoming. If the GOP maintains control of

congress after the mid-terms, I think the future of the US is abysmal.

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Response to Sgent (Original post)

Thu Jun 14, 2018, 11:09 AM

10. Horrendous! These guidelines made a big difference in quality of care.

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