"Health & Medical News"

Physicians say a Missouri Supreme Court ruling, though narrow, recognizes the significance of medical staff bylaws and offers doctors some recourse in the face of unfair discipline.

Breaking with a 43-year-old precedent, a unanimous high court opened the door for medical staff members to sue hospitals over privileging disputes if the facilities fail to follow staff bylaws. Justices departed from a long-held principle that hospital privileging decisions were not subject to judicial review, noting that was the “nationwide majority rule” at the time of the high court’s 1965 decision.

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Women seeking recovery from addiction often must also overcome a history of sexual abuse as well as the challenges of raising children, poverty, lack of education and other obstacles, the Lexington Herald-Leader reported Oct. 17.

Sexual abuse, domestic violence and depression can be both a cause and effect of alcohol and other drug use among women, experts say. One study estimated that 70 percent of female addicts have a history of sexual abuse, compared to 12 percent of men, including incest and sexual trauma as children or teenagers.

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 “Governor Schwarzenegger’s health care proposal has taken several important steps forward by recognizing the need to regulate some of the worst practices of health care insurers.  

“We are particularly pleased with the Governor’s proposal to require insurers to offer health insurance to all Californians and to spend a significant amount of premium dollars on actually providing care. The current practice of excluding any individual that might have even the smallest of health problems undermines the very idea of pooling risk through insurance. 

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