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House Passes Medicare Physician Payment Reform Act Advocacy groups applaud passage of bill that would permanently repeal and replace SGR.

Clinical PET-MRI Moves Closer to Reality Thanks to a European grant for the HyperIMAGE project, a consortium of scientists across Europe have worked with Philips to develop a proof-of-concept, pre-clinical combined MR-PET scanner that could one day lead to improved radiation therapy and cardiology treatments.

Aural Trumps Oral for Ear Treatment A novel microfluidic drug delivery system makes it possible to reach parts of the body poorly served by oral and injectable medications.

Scientists Find Unusual Immune System Activity in Brains of Schizophrenics The "germ theory" of schizophrenia got a mild boost this week as scientists discover that recently afflicted schizophrenics show higher levels of inflammatory proteins in the brain.

Senate Health Care Reform Bill Unveiled Legislation may go to cloture vote this weekend. Read the details.

RSNA 2009 Preview This year's RSNA should provide a very interesting look at the effects of the economy on the major OEMs. As always, vendors are whipping up the hoopla, and inside this story are great previews of what's being debuted. But DOTmed reporters will also be there to get the real buzz. Look for video interviews in our Online News direct from the show.

Interview With Fred Robertson, President & CEO of TomoTherapy TomoTherapy president and CEO Fred Robertson talks with DOTmed about his perspective on ASTRO's 2009 annual meeting, changes in the radiation oncology industry and two important TomoTherapy product launches that occurred at the show. Watch the HD video.

Health Care Reform Round-Up: CBO Pegs Senate Bill at $849 Billion The numbers are in on the Senate's version of reform. Also read about the wide-ranging impact that the legislation would have.

Pen-Sized Microscope Aims for Precise Brain Surgeries A confocal microscope picking up brain-safe fluorescent dyes could result in more accurate and streamlined surgeries to remove tumors from the brain.

U.S. Preventive Services Task Force Has Stunning New Guidelines on Mammography Agency recommends no routine screening for women 40-49, no self-examination. Read the details.

A simple program can reduce disease

The Savings Power of Preventive Strategies for Heart Disease

by Joan Trombetti, Writer
According to Dr. William Davis and colleagues -- developers of the Track Your Plaque program for heart disease detection and prevention -- billions of healthcare dollars could be saved each year by applying a simple program of heart disease detection and prevention in the United States.

Davis, a Milwaukee cardiologist and his colleagues have developed a cost model to predict how much money could be saved by the adoption of new preventive strategies on a broad scale. Dr. Davis stated that the cost savings are startling, and if males in the 40-49 age range were to undergo a simple CT heart scan for early detection of coronary heart disease, followed by a purposeful yet focused program of prevention using widely available tools, the cost model shows that the American public would save over $20 billion annually. Extending this calculation to the broader population would multiply savings according to Davis.

The single largest healthcare category in the US is heart care, and those who can afford it spend an increasingly greater portion of their disposable income to maintain it. The Agency for Healthcare Research and Quality predicts that, at the current rate of growth, healthcare costs will soon balloon to absorb 20% of American Gross Domestic Product (GDP), or about $4 trillion in the next 10 years.

The "crash and repair model" that Davis and his group have dubbed the conventional procedure-based approach to heart disease management focuses on urgent procedural intervention that takes place in hospitals, and is extremely costly. As reported by the American Heart Association, a heart catheterization (performed 3,553 times per day, seven days a week) costs an average of $24,893; a coronary bypass operation (1,170 times every day, seven days a week) -- averages $67,823 (hospital costs, 2004 - the latest year for which data is available) And, this does not include long-term costs incurred in the years following the procedure or time lost from work.

High payments to physicians and hospitals; the exceptional costs of high-tech, high-ticket heart procedures could become increasingly unnecessary if better heart disease preventive practices were delivered on a broad scale -- "more or less like seatbelts, preventive measures for heat disease are more cost effective and extract a far lower toll in human suffering than the "crash and repair" approach," says Dr. Davis. He went on to say that his calculations bear out the enormous savings that are possible, and that all of the tools necessary to deliver a method of early heart disease detection and prevention are now available -- they just need to be taken advantage of. The cost calculator program can be found at www.trackyourplaque.com - an informational and education website devoted to showing people how CT heart scans can be used as a start for a program of heart disease prevention and reversal.

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