Results for Think Out Loud (Other Results)

The Republican Challengers To Merkley And Kitzhaber

Differences among the Republican candidates for U.S. Senate and Oregon Governor became clearer this weekend at a gathering of conservatives in Portland.

Segmentarticle - Jan. 27, 2014

News Roundtable: Year In Review

Our news roundtable takes a look back at the year's big stories.

Segmentarticle - Dec. 27, 2013

Northwest Clinicians Will Share Notes With Patients Online

A group of nine medical care providers is the first to regionally adopt an online medical information portal.

Segmentarticle - April 15, 2014

What's On The Docket For Oregon's New CIO?

Alex Pettit started as the state's chief information officer on Jan. 6. He's in charge of overseeing all of the IT projects in the state, including Cover Oregon.

Segmentarticle - Feb. 26, 2014

Health Exchange Enrollment Strong in Washington, Delayed in Oregon

Three weeks after the nationwide health exchange roll-out, users in Washington have had few issues but those in Oregon have encountered many obstacles.

Segmentarticle - Oct. 22, 2013

Oregon's Values And Beliefs Revealed

What do Oregonians truly value? A new study by DHM Research reveals how people across the state feel about everything from education to religion, and more.

Segmentarticle - Oct. 4, 2013

News Roundtable: October 25, 2013

We review some of the biggest state, national and international news stories of the week.

Segmentarticle - Oct. 25, 2013

Should Health Insurance Pay For Telemedicine Visits?

Northwest-based ZoomCare would like to change Oregon law to require insurance companies to reimburse for virtual visits to the doctor.

Segmentarticle - Dec. 19, 2013

President Obama Speaks on Russia, Healthcare and the Economy

President Obama will hold a press conference today at noon. Topics will include Russian relations, Edward Snowden and the state of the economy. We'll have reactions to the speech with our News Roundtable immediately following the press conference.

Segmentarticle - Aug. 9, 2013

What Does Gluten-Free Mean?

In the past decade, the phrase gluten-free has gone from an obscure term to a household one. Supermarkets now devote entire sections to gluten-free products, and even beer makers have gotten into the act. But what exactly does it mean to say something is gluten-free? The answer has significant health implications not just for those diagnosed with Celiac's disease, but many others who experience gluten-intolerance. The FDA defines gluten-free as a product containing no wheat, barley, rye or hybrids of any of these. However, the gluten-free label is a voluntary one, with the only directive that labels not be untruthful or misleading. Some legislators, including Oregon Senator Ron Wyden, have called for universal requirements for gluten-free labels. The FDA has been working on labeling requirements for gluten-free foods since 2005. Recently, they sent recommended requirements to the Office of Information and Regulatory Affairs (OIRA). Gluten-free advocates are anxiously awaiting OIRA's approval now that the 90-day public comment period has expired.

Segmentarticle - July 11, 2013

Our Town Southern Oregon

For the final day of the Our Town tour this year, we head to southern Oregon: Lakeview and Roseburg. Lakeview The town of Lakeview sits in south-central Oregon a mere 15 miles from the California border. Residents can drive to Reno, Nevada in four hours — half the time it takes to get to Portland. Several schools, ranching, a mill, and a prison provide many jobs for the town. Additionally, natural resource industries are an integral part of Lakeview's economy. A natural gas pipeline finished construction last year, and PGE recently announced plans for its first commercial-scale solar power facility in Lakeview. The town has begun to embrace geothermal energy, though early attempts have sparked some controversy. The town was slated to be the site of an Iberdrola biomass plant, but low energy prices have put the project on hold indefinitely. Lakeview is also home to an FSC-certified timber operation. The surrounding area is known for its prime hang gliding and birding territory. As always, we've put together a companion website for Lakeview. Head over there to check out our interactive map which includes interviews and photographs of the people and places of Lakeview.

Segmentarticle - Dec. 28, 2012

Remembering Booth Gardner

Booth Gardner served as the governor of Washington State from 1985 to 1993. He passed away over the weekend from complications of Parkinson's disease. Having only served as state senator and Pierce County executive before running for governor, he was known for a campaign slogan that winkingly acknowledged his relative statewide anonymity: "Booth Who?" But he overcame his lack of name recognition to become a two-term governor that brought changes to education, healthcare, and land use. After leaving office, he lived a quiet life, until reemerging into political view to advocate for Washington's Death with Dignity Act.

Segmentarticle - March 19, 2013

Legislature May Intervene In Salem CCO Dispute

Willamette Valley Community Health, the Salem-area coordinated care organization (CCO), is having trouble getting Salem Health to agree with the financial details of its healthcare plans. Salem Health runs the Salem and Dallas hospitals. Last fall it sued the CCO over what it saw as low reimbursement rates. Now a bill in the legislature could kick Salem Health out of the CCO. But stakeholders in other CCOs worry the law may hurt providers in other parts of the state. We'll check in on the disagreement that could threaten the future of the CCO in Salem.

Segmentarticle - June 13, 2013

Circumcision Decisions

The American Academy of Pediatrics released a new policy statement Monday that has reignited the debate over whether or not boys should be circumcised. The AAP stopped short of a blanket recommendation on whether or not to remove the foreskin from the tip of the penis, saying the decision should be left to parents. The academy did say the health benefits of circumcision outweigh the risks. According to the Agency of Healthcare Research and Quality, 55-56 percent (PDF) of newborn American males were circumcised in 2009 (the most recent year for which numbers were available). That rate is even lower in the western United States and the practice has been on the decline nationwide. Some adament detractors protested outside of an AAP chapter office after the academy announced released their statement. In Oregon, arguments over circumcision flared up a few years ago when a custody case evolved into a legal battle over whether or not a 12-year-old boy should be circumcised.

Segmentarticle - Aug. 30, 2012

Using Universal Screening And Assessment In Schools

After the shootings at Clackamas Town Center and the Sandy Hook massacre of 20 elementary school children, we've been exploring various responses and approaches to preventing such violence in the future. The idea of early assessment and intervention was an aspect of prevention that came up briefly in our show about getting mental health care to transition age youth (16 -24). The basic idea is that along with reading tests grade school kids get, there would also be a formal behavior evaluation. But what would that look like? Who would do it? How early would it start? What are the benefits? We'll ask those questions and more of Jeffrey Sprague, from the University of Oregon, one of the principal researchers in the area. And we'll check in with one of the early adopters of this idea in Corvallis to see how it's working there. 

Segmentarticle - Feb. 19, 2013

Gauging The State Of Healthcare At OHSU

Portland's largest private employer, Oregon Health & Science University, recently announced a hiring freeze. Chief financial officer, Lawrence Furnstahl says while there will be some select hiring for critical staff, the freeze is necessary to contain costs. Since most federal research money comes from discretionary spending, sequestration is hitting OHSU and other research institutions hard, Furnstahl says. OHSU relies on the federal government for about 40 percent of its two billion dollar budget. Furnstahl told the Portland Business Journal that the uncertainty of federal funds and the rising cost of public employee retirement benefits are prompting OHSU to do some serious belt-tightening.

Segmentarticle - March 11, 2013

How To Coordinate Care

When he's asked to explain how coordinated care organizations (CCOs) work, Oregon Governor John Kitzhaber has a favorite hypothetical example he likes to bring up. The example goes like this: There's a 92-year-old woman with well-managed congestive heart failure who lives in an un-air-conditioned apartment. A heat wave would be enough of a strain on her system to send her to the emergency room, which would cost a lot of money. Under the new CCO system, Kitzhaber argues, a community health worker would be checking in on this hypothetical nonagenarian and would prevent the expensive emergency room visit by providing her with an air-conditioner. Kitzhaber mentioned this example just last month when we interviewed him at the City Club of Portland and a few weeks later when he spoke to the New York Times. He also used it in a 2011 speech on health care reform and when he was on the campaign trail in 2010. This story left us wondering: Who exactly pays for the air-conditioner? Who decides it's medically necessary? And what about the doctors at the emergency room who never see this patient — how do they get paid under this new system focused on preventative care?

Segmentarticle - April 24, 2013

Getting Mental Healthcare To Transition Age Youth

After the mall shooting deaths of two people at Clackamas Town Center and the incomprehensible loss of 20 young children and seven adults at Sandy Hook Elementary, we're looking into some of the potential ways to prevent such tragedies. We've discussed security in schools, mental health resources for parents and kids, and most recently, gun laws. On this show, we'll find out what kind of mental health care is available to youth ages 16-25, also called "Transition Age Youth." That's generally the age range of those who commit these kinds of unspeakable acts of violence. And it's the age group that several years ago, the state found was 80 percent less likely (pdf) to get the mental health care they need compared with other age groups. 

Segmentarticle - Jan. 9, 2013

Are Violent Video Games Related to Violence in Real Life?

In the wake of the recent shootings at the Clackamas Town Center and Sandy Hook Elementary School, we're looking into some of the potential ways to prevent such tragedies in the future. We've discussed security in schools, mental health resources for parents and kids, gun laws and, most recently, mental health care available to "transition age youth." Next we will explore whether or not there is a relationship between violent video games and violence in the real world. As the national conversation around gun violence progresses, video games have been cited as a contributing factor. But while some are blaming violent video games, others assert that there is no link between playing violent games and actually being violent. And while there seems to be agreement that violent behaviors are rarely spurred by a single factor, the role and weight of each factor, including violent video games, is still being debated.

Segmentarticle - Jan. 16, 2013

Looking Back On 2012

It's been a big year in a lot of ways. There was the presidential election and the London Olympics, but there was also a lot going on in our neck of the woods. Oregon saw its biggest wildfire in almost 150 years. We dealt with a mass shooting in our own back yard and felt the aftermath of shootings in other parts of the country.  Oregonians began implementing changes to the healthcare system by setting up some of the first Coordinated Care Organizations (CCOs). And we saw some new things happening on the individual level as well. Portland author Cheryl Strayed, for example, had a great year. She had not one, but two, books on the New York Times bestseller list: her memoir Wild and a collection of her "Dear Sugar" columns called Tiny Beautiful Things.

Segmentarticle - Dec. 31, 2012

Day After the Debate

Oregon candidates for governor John Kitzhaber and Chris Dudley met September 30 in what may well be their only debate before Election Day. They were asked about their different takes on economic issues, tax policy and the environment as well as the experience they each bring to the table. Some of the questions were submitted by the public. Republican Chris Dudley is an investment adviser, and a former center for the Portland Trail Blazers. He currently heads a foundation for children with diabetes. Democrat John Kitzhaber is a medical doctor, who served two previous terms as Oregon's governor from 1995-2003 and currently leads a healthcare advocacy organization. A poll over the summer showed the two candidates neck and neck. A recent poll still reflects a close race, with Dudley pulling ahead by a few points.

Segmentarticle - Oct. 1, 2010

Primary Conversations: Washington's 3rd

Brian Baird's retirement from Washington's 3rd Congressional District — which spans the southwest corner of the state from the Columbia up to Olympia — is getting quite a buzz, and quite a bit of national attention, as Democrats try to hold on to the seat, and Republicans fight to get it. Coming up to the top-two primary on August 17th we'll talk to the candidates about the region. What do you want to ask them?

Segmentarticle - Aug. 12, 2010

Primary Conversations: Governor (D)

Sometimes I wonder why candidates don't travel together as they end up at the same place so often. Democratic gubernatorial candidates Bill Bradbury and John Kitzhaber have faced off on TV for KGW and the Oregonian, and in front of crowds at Willamette Women Democrats, The University of Oregon, and the state's business community. They've talked about how to create jobs and how to pay for education, whether to create a state bank and how to reform healthcare. This, of course, is only a partial list of the many appearances they've made — and the many topics they've discussed — across the state.

Segmentarticle - May 4, 2010

Rx: The Final Health Care Bill

Over the past year we've discussed many aspects of possible healthcare legislation on Think Out Loud, from the role of employers in providing health insurance to the region's low Medicare reimbursement rates. We've explored health promotion, doctors' salaries, and personal healthcare values. All that while the country debated the future of healthcare in this country. Now that's coming to an end. On Sunday night Congress passed a major overhaul of the nation's healthcare system. President Obama is expected to sign it into law on Tuesday. The Senate will take up some of the revisions probably this week. Oregon's four Democratic representatives voted yes on the bill. Republican Greg Walden voted no. Congressman Peter DeFazio had a particular hand in getting an adjustment in Medicare reimbursement rates that's kept them particularly low in Oregon. After the vote he told OPB reporter, Rob Manning: When the administration knew we were serious, and they could lose the whole bill, we negotiated around the clock, and we got something that is justifiable, that’s been studied time and time and time again by experts and panels and commissions saying this system is not fair, it’s not equitable, it doesn’t work. And it penalizes the states that are doing a better job, and rewards states that are doing a worse job, and it’s costing the taxpayers money.

Segmentarticle - March 23, 2010

RX: Containing Costs

As often happens, we had a spirited conversation in the studio after a show last week. We'd been talking about the signing of the healthcare reform bill with John Evans, an anesthesiologist and the president-elect of the Oregon Medical Association, and Pam Mariea-Nason, the director of health policy and community engagement for CareOregon. John Evans was worried about a provision in the new law that will give a presidentially appointed board the ability to decide what will — and won't — be covered by Medicare. He and Mariea-Nason both spoke approvingly of Oregon's own historic efforts at healthcare prioritization and, more broadly, its culture of cost containment And they both agreed that — somehow — the cost of healthcare has to be brought under control. But they are not at all sure that the new law will do that. In short, they gave us the ingredients for another hour of radio.

Segmentarticle - April 1, 2010

Thanks to our Sponsors:
become a sponsor
Thanks to our Sponsors
become a sponsor