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Barbara Feder Ostrov

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<p>How will health reform affect the nation’s emergency rooms? The AP’s Carla K. Johnson provides a glimpse of the future in <a href="http://www.washingtonpost.com/wp-dyn/content/article/2010/07/02/AR20100… story</a>, and it’s crowded. She writes:</p><p style="padding-left: 30px;"><em>Emergency rooms, the only choice for patients who can't find care elsewhere, may grow even more crowded with longer wait times under the nation's new health law.</em></p>

<p><img src="/files/u47/The_Clash.jpg" width="91" height="127" style="float: left; margin-left: 15px; margin-right: 15px;" />I’ve been thinking lately about what we can learn from culture clashes within groups of people living with various diseases. Patient groups aren’t monoliths, but sometimes they’re covered as if they are. Journalists don’t always distinguish between people with Type 1 and Type 2 diabetes, for example. That’s a bigger deal than you might think.</p>

<p>As patients, we tend not to think much about generic medications, except to appreciate that they’re a lot cheaper than brand name drugs.</p> <p>That’s why this <a href="http://www.thehealthcareblog.com/the_health_care_blog/2010/06/top-10-ge… of top 10 lifesaving generic medications</a> by <a href="http://drpullen.com/">Dr. Ed Pullen</a> of Puyallup, Wa. was such an interesting read, particularly in this recession. Pullen offers some historical context:</p>

<p>The number of obese American children <a href="http://www.philly.com/inquirer/local/pa/20100628_Study_finds_childhood_… be declining slightly</a>, but adults? Not so much. <a href="http://www.reuters.com/article/idUSTRE65S4PJ20100629?feedType=RSS&amp;f… new report</a> finds more grownups getting fatter in 28 states, a hefty number of them in the South.</p> <p>Here’s an excerpt from <a href="http://www.reuters.com/article/idUSTRE65S4PJ20100629?feedType=RSS&amp;f…’s Reuters’ story</a>:</p>