Wednesday, April 30, 2008

Protecting Your Child From Improper Vaccination

Family Health Insurance Vaccinations are a childhood ritual and provide vital protection against diseases like measles, mumps, rubella and polio, which can be extremely dangerous for young children. But a report, issued today by the Centers for Disease Control and Prevention, found an alarming 28 percent of toddlers have not been vaccinated according to U.S. guidelines.

Elizabeth Luman of the CDC said, Family Health Insurance "It's not acceptable to have any child improperly or incompletely vaccinated, because that increases their risk of disease and also increases the risk of outbreaks in the community."

RECOMMENDED TIMES FOR YOUR CHILD'S VACCINES: Input your child's age, and this interactive vaccine scheduler will give you a list of recommended dates for all your child's vaccinations.

Gene Therapy Improves Vision For Blind Patients

Women who take the drug Fosamax for osteoporosis may be at an increased risk of developing an irregular heartbeat, a US study suggests.

Researchers have linked the drug - widely prescribed in the UK to stop bone-thinning in older women - to a condition known as atrial fibrillation.

This is not necessarily serious, but can in some cases lead to a stroke.

But the Archives of Internal Medicine study concluded for most women the drug's benefits outweighed the risks.

It is not the first research to examine a link between Merck's Fosamax - whose generic name is alendronate - Health Fitness and atrial fibrillation, but its suggestion that the drug may increase the risk by 86% is higher than previous findings - although it is a smaller study.

In the UK, about one in 200 people aged 50-60 have atrial fibrillation, and the risk increases to about one in ten people by the age of 90.

In many cases it has no symptoms, but it can make the blood clot - which can in turn cause an embolic stroke.

Researchers at the Group Health Center for Health Studies and University of Washington compared 719 women with atrial fibrillation with over 966 controls who were of a similar age and blood pressure.

"Having ever used alendronate was associated with an 86% higher risk of newly detected atrial fibrillation compared with never having used the drug," said Dr Susan Heckbert, who led the research.

But she added: "Careful judgement is required to weigh the risks and benefits of any medication for any individual patient. For most women at high risk of fracture, alendronate's benefit of reducing fractures will outweigh the risk of atrial fibrillation."

But women at risk for atrial fibrillation through existing problems such as heart disease or diabetes should perhaps discuss alternatives with their doctor, she said.

A study published last year in the New England Journal of Medicine found a slightly increased risk of atrial fibrillation among thousands of women taking Fosamax compared with those who were not, but the US Food and Drug Administration (FDA) said the differences between the two groups were not "significant".

Earlier this year Health Fitness, the British Medical Journal published a study which concluded there was no increased risk of atrial fibrillation in women taking bisphosphonates - the class of drugs to which Fosamax belongs.

Fosamax is one of the principal drugs prescribed in the UK for osteoporosis, a bone weakening condition which primarily affects post-menopausal women. It can seriously reduce quality of life.

The National Osteoporosis Society said this latest study was "interesting,Man Health but should be considered in the context with other recent research, which has not shown the same increase in atrial fibrillation".

"Fosamax is highly effective at reducing someone's risk of experiencing a fracture due to osteoporosis," said spokeswoman Sarah Leyland.

"There are a range of treatments available to people with osteoporosis and at risk of breaking bones. We would urge anyone who is concerned about possible side effects to speak to their GP about the most appropriate treatment for them."

Workers Health Insurance Costs Soar

Workers with job-based coverage for their families saw earnings rise 3% from 2001 to 2005, while their health insurance premium contribution increased 30%, according to the study by researchers at the State Health Access Data Assistance Center at the University of Minnesota.

The average cost nationally of family coverage during the period increased nearly $2,500, to $10,728 from $8,281. The average cost for job-based family coverage in California increased more than $2,650, to $10,551 from $7,898.

"Providing insurance coverage takes a bigger bite from the family budget every year," said Risa Lavizzo-Mourey, chief executive of the Robert Wood Johnson Foundation, which helped fund the research.

Mohit Ghose, a spokesman for America's Health Insurance Plans, the trade group representing the insurance companies, said the study showed the need for controls on the rising costs of drugs, medical devices and hospital care.

He said it should encourage regulators and lawmakers to give insurers the flexibility to offer plans with fewer mandated benefits, resulting in more affordable premiums.

"The aim is keeping them in," Ghose said. "The worst-case scenario would be that employers would drop coverage altogether."

The study found that was already a big problem. Between 2001 and 2005, more than 30,000 of the 3.6 million private-sector employers offering health insurance as a benefit to workers dropped it Health Sexual.

As a result, the number of people in private-sector jobs that offered health insurance benefits declined by more than 4 million, and the number of people with private insurance fell by 2.4 million, or 6%, the study found.

The study is one of several out this week examining problems with and the erosion of private health insurance. On Monday, another study warned that the worsening economy would put pressure on government health coverage programs, such as Medi-Cal.

Each percentage-point rise in the nation's jobless rate could add 1.1 million people to the ranks of the uninsured, according to the study by the Urban Institute for the Kaiser Family Foundation.

That study also found that 7% of Americans said they or someone in their household decided to marry in the last year so they could get healthcare benefits via their spouse.

The University of Minnesota study released Tuesday found that the proportion of insurance premiums workers paid for job-based family coverage between 2001 and 2005 held steady at 24%, with employers picking up the balance.

The latest study was fresh evidence of the need for reform, Mental-Health said Anthony Wright, executive director of Health Access California, a statewide healthcare consumer advocacy coalition.

Health Sexual In California, "even though health reform stalled earlier this year, the need and urgency for reform has not," Wright said. "Californians continue to face increasing costs and they worry if their coverage will be there for them when they need it Mental-Health. We need reform to provide Californians more security so they have the healthcare they care so much about."

Monday, April 28, 2008

Scholastic Book Sale Boosts Reading Camp For Youngstersx

A book sale among employees at Scholastic Book Fairs in Lake Mary amounted to $5,200 in proceeds. The company then donated the money to the University of Central Florida College of Education to support the reading camp for disadvantaged children. Scholastic Book Fairs also donates books to be given away at the camp throughout the year.

"Dr. Tim Blair's reading camp really struck home with us because he is actively engaging with children and actively working with them to improve their reading skills and that really went along with connecting kids with books," said Cristina Giammarinaro, communications specialist at Scholastic Book Fairs. " Tim was beside himself. He was overjoyed, especially since the program is funded by grants and he had virtually run out of funding so this gift from Scholastic Book Fairs came at the best time possible."

Carrabba's Italian Grill in Daytona Beach and Bright House Networks helped Halifax Urban Ministries in Daytona Beach host its second annual charity luncheon on April 2. The luncheon raised $9,000 for the ministries' programs Health Insurance, which aim to prevent homelessness through emergency assistance and basic security needs for homeless people in Volusia and Flagler counties. Carrabba's gave the ministry exclusive use of its restaurant, offered the food at a discount and donated a $100 gift card for a silent auction. Bright House Networks donated $2,600 to pay for the meals and Dillard's at Volusia Mall sponsored a fashion show during the luncheon.

Cotter Ryan Construction in Longwood contributed about $3,500 this month to benefit Central Florida Leukemia-Lymphoma Association. . . .

Insight Financial Credit Union, with locations throughout Central Florida, and the Paul H. Higgs family awarded $1,000 scholarships in February to four high school seniors who will graduate this year from Leesburg High School, East Ridge High School, Central Florida Christian Academy and Boone High School. The Paul H. Higgs Memorial Scholarship Fund honors the former chairman and active member of the Insight Financial Credit Union board for more than 28 years. . . .

Engineering and design firm, PBS&J in Orlando recently presented a $50,000 check to Orlando Mayor Buddy Dyer for Parramore Kidz Zone, a city program which aims to provide the children of Parramore with pre-kindergarten education, health care, youth jobs, mentoring, tutoring and after school programs. Funding for the donation was provided through The PBSJ Foundation Inc.

Avatar Properties Inc. Health Insurance, Central Florida Division, raised $15,389 for breast cancer education and research during its third annual Realtors, Affiliates & Friends Charity Golf Tournament and Walk-a-Thon in February.

The Orlando Magic honored those serving in the military and their families with Seats for Soldiers Night on March 21, which was sponsored by Harris Corp. For the game against the Philadelphia 76ers, the Magic offered to match the number of tickets donated by any season ticket holders, corporate sponsors or businesses. The total number of tickets came to about 1,000 and they went to military personnel from Patrick Air Force Base in Cocoa Beach, MacDill Air Force Base in Tampa, the Naval Air Force Station in Jacksonville and those from the Orlando area. . . .

Tijuana Flats celebrated its new location at 5030 W. State Road 46 in Sanford with its "Pay What You Wanna" event in March in which the restaurant asked guests to pay whatever they wanted for their order. The $2,000 raised during the event was donated to YouthBuild Sanford/Seminole County, which gives low-income students the opportunity to work toward their GED or high school diploma while learning job skills by building affordable housing for the homeless and those in need of financial support. .

Palmer Electric Co. in Winter Park and its 450 employees donated $27,500 to the Heart of Florida United Way last month.

Virtual office visits appeal to patients, physicians, insurers

Fighting a nasty cough from bronchitis a few months back, Antoinette Steinert knew she needed to see her doctor.

Only she didn't actually want to see him.

Not only would that have meant nearly an hour's round-trip drive from her Port St. John home to Dr. Frank Dienst's Titusville office. It also would have meant time sitting in his waiting room "and being around people who are sick," said Steinert, a registered nurse who, when she's well, works at Cape Canaveral Hospital.

As it happened, Steinert got what she needed without going near Dr. Dienst or his waiting room.

Sitting at her home computer in the evening after work, she spent 10 minutes on a secure Web site answering the same kind of questions Dienst would have asked her during an office visit.

The next morning, she not only had heard back from her doctor, she had the prescription antibiotic and cough medicine that he had called in to her nearby pharmacy.

The cost to her for the online consultation: zero. Her insurance company, Cigna, Health Insurance paid Dienst $35 for the virtual office visit, and under her health plan Steinert had no co-pay (compared with a $20 co-pay for an office visit).

"I'm not into computers," said Steinert, 57. "But this was easy. It's a good idea."

It's a good idea for doctors, too, said Dienst, who is among the first physicians in Central Florida to conduct online, reimbursed consultations with patients.

With three major health-insurance plans now reimbursing physicians for online consultations, Dienst expects he'll soon have plenty of company.

Blue Cross and Blue Shield of Florida has reimbursed a limited number of online visits for nearly four years, with roughly 1,000 doctors now capable of offering the service. But it's been slow to catch on, with Blue Cross officials estimating the total number of monthly online visits statewide at about 50, with fewer than a dozen being submitted for reimbursement.

"We might have gotten in too early," acknowledged Lynn Monson, the company's director of health-information technology. "But, by gum, we're ready for tomorrow. We see this taking off."

One reason for Monson's optimism is that two other major health insurers, Cigna and Aetna, announced in December they would go national with reimbursements for virtual house calls made through the RelayHealth network.

RelayHealth, the same online health-care communication service used by Blue Cross, was founded in 1999 and acquired in 2006 by the health-care information-technology giant McKesson Corp.

Dienst, whose office has been a RelayHealth pilot site for more than a year, said that more than 300 of his patients have signed up to use it. He estimated he was conducting at least 10 online consultations a week, with patients typically getting a response from their queries within an hour or two on weekdays.

He is quick to point out that the Web visits are only for non-urgent medical problems and only for patients he already knows. "Mostly what we get are sore throats, ear aches, sinuses acting up," Dienst said. "Everybody who uses it I've seen at least once, probably more."

He typically receives $25 to $30 for an online consultation, with patient co-pays ranging from 0 to $10. Careful patient selection is critical. "There are definitely patients I would not treat through this," said Dienst, because not all patients are trustworthy and some don't understand the limitations of a consultation that is not face-to-face.

David Gunsteens of Parrish Medical Center, whose responsibilities include recruiting and retaining physicians in northern Brevard County, said more than a dozen primary-care physician offices in his area would have the capability to offer online consultations by the end of this year.

He predicted a significant upswing during the next year or two in the number of primary-care physicians offering online consultations, and within a few years "the vast majority of family-practice physicians" will be offering it.

Patients already are starting to demand it, he noted, and as physician offices increasingly adopt electronic medical-record systems, doctors will be able to meet the demand

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Sitting at her home computer in the evening after work, she spent 10 minutes on a secure Web site answering the same kind of questions Dienst would have asked her during an office visit.

The next morning, she not only had heard back from her doctor, Travel Health Insurance she had the prescription antibiotic and cough medicine that he had called in to her nearby pharmacy.

The cost to her for the online consultation: zero. Her insurance company, Cigna, paid Dienst $35 for the virtual office visit, and under her health plan Steinert had no co-pay (compared with a $20 co-pay for an office visit).

"I'm not into computers," said Steinert, 57. "But this was easy. It's a good idea."

It's a good idea for doctors, too, said Dienst, who is among the first physicians in Central Florida to conduct online, reimbursed consultations with patients.

With three major health-insurance plans now reimbursing physicians for online consultations, Dienst expects he'll soon have plenty of company.

Blue Cross and Blue Shield of Florida has reimbursed a limited number of online visits for nearly four years, with roughly 1,000 doctors now capable of offering the service. But it's been slow to catch on, with Blue Cross officials estimating the total number of monthly online visits statewide at about 50, with fewer than a dozen being submitted for reimbursement.

"We might have gotten in too early," acknowledged Lynn Monson, the company's director of health-information technology. "But, by gum, we're ready for tomorrow. We see this taking off."

One reason for Monson's optimism is that two other major health insurers, Cigna and Aetna, announced in December they would go national with reimbursements for virtual house calls made through the RelayHealth network.

RelayHealth, the same online health-care communication service used by Blue Cross, Travel Health Insurance was founded in 1999 and acquired in 2006 by the health-care information-technology giant McKesson Corp.

Dienst, whose office has been a RelayHealth pilot site for more than a year, said that more than 300 of his patients have signed up to use it. He estimated he was conducting at least 10 online consultations a week, with patients typically getting a response from their queries within an hour or two on weekdays.

He is quick to point out that the Web visits are only for non-urgent medical problems and only for patients he already knows. "Mostly what we get are sore throats, ear aches, sinuses acting up," Dienst said. "Everybody who uses it I've seen at least once, probably more."

He typically receives $25 to $30 for an online consultation, with patient co-pays ranging from 0 to $10. Careful patient selection is critical. "There are definitely patients I would not treat through this," said Dienst, because not all patients are trustworthy and some don't understand the limitations of a consultation that is not face-to-face.

David Gunsteens of Parrish Medical Center, whose responsibilities include recruiting and retaining physicians in northern Brevard County, said more than a dozen primary-care physician offices in his area would have the capability to offer online consultations by the end of this year.

He predicted a significant upswing during the next year or two in the number of primary-care physicians offering online consultations, Travel Health Insurance and within a few years "the vast majority of family-practice physicians" will be offering it.

Patients already are starting to demand it, he noted, and as physician offices increasingly adopt electronic medical-record systems, doctors will be able to meet the demand.

Changing Health Care System

Thank you for your recent two-part series on "Treating the Uninsured."

Almost every day I have an e-mail or phone call from someone who has lupus but does not have insurance. Often people with lupus cannot work, so they lose their insurance --health club if they had any insurance to begin with. What money they have is used for medical bills.

Getting approval for Social Security disability payments involves a lengthy process --Health Sexual generally taking two years or more. Bankruptcy can occur before approval is secured. Patients with Medicaid are often surprised to find that rheumatologists and other specialists rarely accept Medicaid (because Medicaid often fails to reimburse the doctors).

Free and low-cost clinics do not feel competent to handle difficult diseases such as lupus. To my knowledge, only one clinic in Orange County treats the uninsured lupus patient and it operates only one day a month.

These patients are good, taxpaying people who suffer terribly in one of the richest countries in the world, but they can be treated as throwaways by our system. Recently PBS (WMFE ) aired Frontline: Sick Around the World, which reviewed the health-care systems of other developed countries and showed that it is possible to cover all citizens at a reasonable cost.

Health care in the U.S. has just got to change if we are to consider ourselves a compassionate people.

Survey: Economy Has Business Owners Feeling Pressure

Small-business owners' optimism is at its lowest point in at least six years, amid problems with cash flow, growing accounts receivable and rising gas-and-energy costs.

Only 45 percent of entrepreneurs surveyed recently responded with a positive outlook, and just 9 percent expected the economy to improve during the next six months, according to a semi-annual survey by American Express Co.'s small-business service, which polled 627 business owners and managers.

Despite the economic uncertainty, seven in 10 business owners said they plan to expand during the next six months. Still, there are red flags: 56 percent of those surveyed said they're experiencing cash-flow problems, compared with 46 percent last spring. And 24 percent said their accounts receivable are too high.

A second survey released this month confirms the anxiety felt by business owners: While expressing confidence in their own operations, 45 percent of those included in the 2008 National Small Business Association Survey of Small and Mid-Sized Business said they expect a recession in the next year.

Those responding to the association's survey also said they were worried about the cost of health insurance and the lack of available capital. Fifty-five percent said they had trouble securing credit during the past year.

"Small businesses are buckling down, with nearly a quarter reporting no-growth strategies planned for the coming year," Chairwoman Marilyn Landis said.

But being your own boss can't be too bad: The American Express survey found that 75 percent of the small-business owners would recommend entrepreneurship to a friend or family member.


Cup of recognition

Mayor Buddy Dyer tipped his hat to local entrepreneurs last week, proclaiming April 21-25 Small Business Week in Orlando. Christina Cowherd, owner of Infusion Tea, was on hand to represent local business owners along with her husband, Brad, the company's vice president.

Infusion Tea, a vegetarian tea house that sells organic teas, has 24 employees and two locations, in the city's College Park and Thornton Park sections. The business launched in 2004, after the Cowherds finished a tour with the Peace Corps in Guatemala.

While they were overseas, Christina -- health club a former technical writer -- decided she didn't want to return to a desk job. Brad joined his wife when the business blossomed.

"Anything that the city can do to make it easier for small businesses to actually conduct business in the city of Orlando is a good thing," Brad Cowherd said.

During the presentation, the city recognized small businesses for creating jobs and opportunities within the city, health club and honored small-business service organizations such as the Hispanic Business Initiative Fund, the Black Business Investment Fund, the Minority/Women Business Enterprise Alliance, SCORE Orlando, and the Disney Entrepreneur Center.

Friday, April 25, 2008

Health Maters: Hospital Destroying Wastes By Using Ozone

Instead of destroying the ozone layer to dispose of its medical wastes, Terre Haute’s Union Hospital is destroying its medical wastes by using ozone. In fact,health club it’s the first place in the world to do so, says Ozonater Industries of Regina, Saskatchewan, Canada, which makes the Ozonater bio-hazardous waste disposal machine.

Most of us know ozone as the stuff in the upper atmosphere that filters ultraviolet light or as an air pollutant on the ground. However, according to information from Ozonater Industries, it also is “one of the most powerful microbicides known to science, effective at killing even the most resistant pathogens.”

According to an article in the Jan. 31 edition of The Leader-Post in Regina, which can be accessed at tinyurl.com/6j5e8c, the Ozonater is “said to reduce the cost of processing bio-hazardous waste by 50 percent, while preventing the release of toxins into the atmosphere and reducing greenhouse gas emissions.” That’s zero emission and there also is an up to 90 percent reduction in volume, according to information from Union Hospital.

Kristi Roshel, marketing/public relations manager for Union Hospital, says that each hospital bed creates between four and five pounds of medical waste, all of which must be disposed of in an environmentally safe manner. Medical waste consists of a number of substances, including blood, plastic tubing, gauze and diapers.

Medical waste produces greenhouse gases pound for pound. Union Hospital quotes Health Care Without Harm as noting that “69 percent of all the deadly dioxins emitted into the atmosphere are directly related to the incineration of medical waste.”

Instead of using incineration, the Ozonator sterilizes the waste (which has been shredded) with ozone so it can be placed directly into landfills after treatment. Any ozone left after treatment is converted back into oxygen.

It’s also serving as a people magnet, drawing visitors to Terre Haute to check out the new piece of equipment. “We’ve hosted lots of visitors from other countries,” Roshel said Wednesday. “I think we had some from India last week.”

Bend over. Now raise up. Do it again. And again. Move those arms, using a weight. Throw in a few squats. A bit later, stretch those arms out, give a tug, and then pull back.

Exercising? Yes, but in a fun and healthy way. Digging up the ground, planting seeds, and pulling weeds not only gives you that just-picked flavor health club, the act of gardening itself can contribute to your cardiovascular health.

Now about that produce: Making your garden colorful, with purple eggplant, green beans (and, yes, even zucchini), red tomatoes, yellow corn, orange sweet potatoes has it benefits. Not only does the color add to its beauty, it’s a great source “of many vitamins, minerals and other natural substances that may help protect you from chronic diseases,” says the Centers for Disease Control and Prevention.

Of course, you do have to eat the fruits (so to speak) of your labors to get the nutritional benefits. Since eating a rainbow of fruits also is good for your health, you might want to add some red strawberries to your vegetable patch as well. In fact, plan ahead and plant an apple, cherry, peach and/or pear tree to reap (literally) the benefits of those, too.

Find out much more by going to www.fruitsandveggiesmatter.gov, which pretty much has everything you need to know about the health benefits — plus recipes and even an interactive feature that will let you know how many servings you need for your age and physical activity level.

'stimulus' And The States

The states are now in a precarious position. The economy is slowing down. Tax revenues are falling. And demand for expensive services – health care,health club food assistance and the like – is growing.

A slowing economy is never easy. But this year, the states' fiscal crunch is being made worse. That's because misguided policies put in place by Congress and the Bush administration have either forced states to spend money or driven away tax revenue.

Before anyone in Washington seriously contemplates a second "stimulus package" aimed at reviving the economy, health club I would offer two succinct pieces of advice: First, take a Hippocratic Oath to do no harm to state budgets. Second, ensure that Washington "pays its bills," just as we require of everyone else.

Let's start with doing no harm. The plain fact is that the first stimulus package violated this principle, and will result in nearly $2 billion in revenue loss to states. State taxes are based on the amount of federal taxes individuals and businesses pay. So when the stimulus package cut federal business taxes, it also cut state taxes and thereby cost us revenue.

Fortunately, Congress is considering bipartisan legislation in both the House and Senate that would provide new resources to help states.

Now, let's talk about Washington paying its bills. The Bush administration has perfected the nasty habit of cost-shifting to the states. Examples are plentiful:

- The State Child Health Insurance Program (Schip). The beauty of Schip is that it is a federal-state partnership. Yet in August 2007, President Bush stopped states from expanding Schip to cover children in families who earn more than 250% of the federal poverty level. As a result, states must now carry the additional burden of providing health care for these children.

- Medicaid. The administration has also proposed or issued eight different regulations that alter the federal-state Medicaid partnership. In most cases, these regulations simply shift costs to states and localities. Collectively, they will reduce federal investment in Medicaid by $50 billion over the next five years. It's not as if poor people no longer need health care. Instead, these regulations are simply a maneuver to have someone else (i.e., the states) foot the bill.

- State Criminal Alien Assistance Program. By law, the federal government must reimburse states for the cost of incarcerating illegal immigrants who break state laws. But for years, the federal government has only reimbursed a fraction of the cost.

Arizona's unpaid bill is nearing $500 million. As governor, I must enforce the law and pay to incarcerate these individuals. The federal government just shrugs its shoulders and walks away from its statutory obligation.

- Real ID. The federal government passed Real ID so everyone would have a secure identification card. But it didn't pay states to do the work. Estimates for implementation run as high as $11 billion.

Even if you accept the Department of Homeland Security's suggestion that costs may be closer to $3.9 billion, this is a large unfunded liability. States are not in a position financially, nor inclined from a policy perspective, to bail out the federal government on Real ID.

Green Giants: Our Love Affair With Trees

From mighty oaks to humble hazels, our sylvan treasures have never been more highly valued – or popular. As a record 10 million green-fingered Britons prepare to plant saplings, Michael McCarthy explores a root and branch revolution.

On the way to work tomorrow, as you hurry, head bowed, to the crowded bus-stop or station, or pause in the car at the red traffic light, feeling your blood pressure start to mount as you see that, on the other side of the junction, the traffic still isn't moving, do yourself a massive favour: look up.

What may swim into your line of sight is greenery. We've been without it for five months, do you realise? And now it's back. Those things called trees, those tall roadside posts that for the whole winter long you haven't glanced at, that have seemed no more than dark straggly alternative streetlamps without the lighting, have suddenly in the past 10 days sprouted life, and now, this week, are at their most intense.

For example, look at the horse chestnuts, the conker trees beloved of schoolboys, if you live in an area lucky enough to have them. Go on, look. Once you do, you'd have to have a soul made of concrete not be stirred, for right now, at least in southern Britain, the buds have just burst and the leaves have poured forth and they are of a quite spectacular colour. It's green, of course, but it's a special green, it is more than emerald, it is iridescent, as if the leaves were fresh-painted, as if they were glowing from the inside; and in the next few days they will be joined by giant upright white blossoms, big as a bunch of bananas, commonly known as Roman candles. The whole thing then looks like a living firework display, and it's free, and no streetlamp ever looked like this.

It's not just the horse chestnuts; cherry blossom and apple blossom is out now in gardens, as are the lilacs, and in hawthorn hedges there is a green mist of leaf wrapped around the branches. Greenery is bursting out everywhere on the trees in our towns and cities and suburbs, so much so that if you do look up from the slog to work and catch a glimpse of it, your soul will lift; and at last, at long, long last, someone has put a value on it.

It has a boring name (Capital Asset Value for Amenity Trees) and an acronym (CAVAT), but don't let that put you off; it's the thought that counts. Developed by the London Tree Officers' Association ( LTOA), the professional body for tree specialists working for the London boroughs, this is a system that, for the first time, assesses a tree's worth, according to its size, health, historical significance and how many people live near to enjoy it health club. It assesses worth in actual money terms; that's the point, in this age that worships cash enough to make heroes of hedge-fund managers.

The results, which were released this week, are surprising: most ordinary street trees that you might not give a second glance to (especially hurrying to work) turn out to be worth between £8,000 and £12,000, but for more special trees in more special places, even in the London suburbs, the values start to soar: an oak in Southgate, North London, for example, has been valued at £267,000 and a plane in Epping High Street at £200,000. At the top of the list, in Mayfair's Berkeley Square, yes, that urban oasis where the nightingale was meant to have sung (take it from me – it was a robin) there is a venerable plane tree on which the lads from the LTOA have stuck a value of £750,000. It has been there since Victorian times, but all the same – whew! you whistle – that's a lot of money for a trunk and some branches. There are dozens of others now valued at more than £500,000, too, in leafy and affluent boroughs such as Westminster, and Kensington and Chelsea.

The figures give people pause, they make them stop; and that's the point, that's why the system is needed, for in recent years, local authorities have been chopping down urban trees at such a rate of knots that the phrase "chainsaw massacre" has been applied to the process.

Behind it lurk those much criticised developments of the last quarter-century, the compensation culture, and the health-and-safety culture. There is no doubt that a big tree growing too near a building can, if it has a major root system, ultimately cause the building problems. It can become entangled in the foundations, and its thirst for water also leads to moisture being sucked from the ground, causing soil shrinkage and sinking buildings. (A mature deciduous growth can draw 50,000 litres of water a year from surrounding soil). Furthermore, there is no doubt that if a big old branch snaps off a big old tree it could hurt somebody.

Yet there is growing evidence that healthy mature trees are being felled by risk-averse insurers and councils because of the mere suspicion that they may affect neighbouring properties with subsidence, or fall on people.

In the past five years, London councils alone have chopped down almost 40,000 street trees, including some more than 100 years old. Some were aged, diseased or dying, but 40 per cent were removed because of insurance claims; yet a report commissioned by the London Assembly said that only 1 per cent of tree-removals were justified.

The picture is repeated nationwide, and was illustrated vividly in February in a report to the Department for Communities and Local Government, Trees in Towns II, which was the largest-ever survey of urban trees in England, covering streets, parks, schools, churchyards, allotments and private gardens in 147 towns and cities.

It found that, despite the key role they play in combating climate change, and creating pleasant environments (the report's own words), Britain's urban trees are under threat. Only 11 per cent of trees in towns are now between 50 and 100 years old, the survey discovered; only two per cent are more than 100 years old. That means: when they get big, they get chopped down. When the report was published, the Government put a gloss on it – "er, much has been done, but much remains to be done," and so on – but the Opposition got nearer the point.

Eric Pickles, the Shadow Communities and Local Government Secretary, warned that the leafy character of urban areas was under threat. "Whitehall's failure to tackle the compensation culture and the heavy-handed application of health and safety regulation is doing more harm than good," he said. "Trees have a vital role to play in tackling climate change and improving quality of life, yet Britain's leafy suburbs face a chainsaw massacre under Labour."

Tasty soundbite, eh? You can almost hear Mr Pickles's lips smacking as he uttered it. But even making substantial allowances for political point-scoring, it does seem likely that far, far too many urban trees are now coming down. The London Tree Officers' Association chairman, Andy Tipping, said that, too often, insurance companies facing a claim for subsidence were demanding that trees be destroyed, and councils were too willing to cave in to their demands.

The new CAVAT system his association has drawn up will change things, he hopes, because in future the high value of trees – in London alone the total value of them is now estimated at £6.4bn – will demand extra engineering work by insurers to prove a link between a tree and subsidence, not least because various other causes, from broken drains to drought, can be behind buildings getting that wonky look. The higher the tree's value, the more proof insurers will need that it is really causing problems before they can chop it down. It is planned to roll the system out nationwide next year.

"Often an insurer will point the finger at the tree, it is chopped down and then subsidence problems in a house persist," said Tipping, a tree officer in Barnet, north London. "Companies pay out vast sums repairing buildings and then, some months later, new cracks appear. Under the new scheme, there will be more on-site investigations to find the source of damage at the beginning of a claim."

He said that in one case he was asked to remove a 130-year-old oak that was three houses away from a property with subsidence, and there were no roots near to it. "It's an absurd situation," he said. "People still don't understand that subsidence is a problem of buildings, not trees. In many cases, trees are not the main culprit. It's other reasons instead such as Victorian drains, poorly installed double-glazing, or climate change."

The other reason for not removing them, of course, is that people love trees. Research published yesterday suggests that almost 10 million people intend to plant a tree in their garden this year. (Won't that get the insurers worried?) When trees are cut down in towns and cities, nearly always by some overweening authoritarian body, like a council, or a railway company, local people often protest vigorously: they suddenly realise they are actually very fond of what they had always taken for granted.

Why do we love trees? We can think of many practical reasons – the wood, the shade, the shelter, the apples, the pears – but there are deeper reasons too. Beauty is obviously one. The horse chestnuts in young leaf this week are so striking that they pull you up short, as are the blossoming cherries, reminding us of the opening of AE Housman's famous lyric: "Loveliest of trees, the cherry, now/ Is hung with bloom along the bough/ And stands about the woodland ride/ Wearing white for Eastertide."

It isn't only trees in spring blossom that move us; trees in autumn colours are another still-life firework display; indeed, the basis of a whole tourist industry in New England, where the hordes of visitors who come to look at the fall foliage are known as "leaf peepers". Even trees in high summer, the least interesting part of the period in leaf, can provide a spectacle, such as the beeches of the woodlands of the Chilterns, whose tall, straight trunks, combined with the light falling between them, give the appearance of leafy cathedrals.

Yet perhaps there is something even beyond beauty in our attachment to the oak and the ash, the lime and the hornbeam, the yew and the Scots pine. In the last 20 years the new discipline of evolutionary psychology has made many suggestive interpretations of the origins of human feeling, taking them back to our distant ancestors; the rationale is that we have been office workers for four generations, and we were farmers for about 400 generations; but before farming, we were hunter-gatherers for 20,000 generations or more, and much of our genetic make up must have been constructed then.

There's no proof of this, of course; there can only be suggestions, but they are powerful ones (why do all children like to hide? Because the children who didn't hide, when the predators or the attackers came, didn't survive to pass on their genes). health club Is there perhaps something in us that goes far, far back, to account for our love of trees, something more than beauty or utility? Some deeper attachment formed during the aeons when we lived in the forest?

It's fanciful, of course it is, especially now most of us only have the street, the house, or the block of flats; and we can never know. But we do know that when the trees that grace our street, our road, our courtyard, are threatened with toppling, we do not like it one bit. At least now there is a system, thanks to the London Tree Officers' Association – that gives tree-lovers a chance to fight back when the insurance company or the council sends someone with a chainsaw.

Tuesday, April 22, 2008

Danny Is Dogs' Best Friend And Lifesaver

Beauty Health A teen aiming to be a policeman may have a career as a police dog handler after saving five pups dumped in a Te Puke stream.


Danny Steer, 17, has been credited with saving the lives of at least two of the blue heeler-cross puppies, which he found yelping in Ohineangaanga Stream in the Bay of Plenty town on Monday.

The Te Puke High School year 12 pupil had finished a five-hour shift at Bayliss Packhouse just after 11pm when he heard the dogs.

"I ran over and saw these three puppies half out of the water," he said. "I pulled them out and put them on the grass and then saw two more trying to climb out."

Danny grabbed the two pups, which were "really frightened, and shivering because they were cold and wet".

He rang police, who arrived 40 minutes later and put the pups into a box to take to the SPCA.

"I was a bit worried about ringing the police because I didn't know if it was a real emergency."

He was not sure how long the two- to three-month-old pups had been in the water.

"I walked past the stream on the way to work around 5pm and they weren't there then, so whoever dumped them must have done it between 6 and 11pm.

"It's absolutely terrible for someone to do that to animals. Beauty Health It's really sad that they want to get rid of pups like that."

Danny said he would like to keep one of the pups, but that might be a problem.

"I have two cats so it may not work out and I live with my parents in a rented house, so the landlord might not approve."

The pups will be put up for adoption by the Tauranga SPCA if the owner has not claimed them within seven days.

Tauranga SPCA centre manager Matt Franklin said the pups were in reasonable health, though one had an injured hind leg.

"Danny did well to save them. Two of the pups in the water would have come a bit unstuck. He obviously cares for animals," Mr Franklin said, adding that the SPCA had clues to who the owner was. "It's a serious offence under the Animal Welfare Act to abandon animals and carries a fine of $25,000 or six months' jail."

Hospitals coping without striking doctors

Hospitals say they are coping well despite the loss of more than 2000 junior doctors who walked off the job for 48 hours yesterday.

Health Minister David Cunliffe said contingency plans were working and there were no patient safety problems, even though the hospitals were about 90 per cent full Beauty Health.

Hospitals prepare for the staff shortage by postponing thousands of surgical operations and discharging all patients who were able to go home.

Many hospitals had also taken out advertisements urging people to go to their GP rather than turning up to the emergency department if they did not have a real emergency.

The junior doctors say they want a 30 per cent pay rise over the next three years but their District Health Board (DHB) employers say the demands cannot be met.

The doctors say a base rate of $23 an hour is way too low for the job they do, while DHBs say it equates to a very adequate average annual wage well in excess of $80,000.

Yesterday the doctors' union New Zealand Resident Doctors Association (NZRDA) announced further strike action would follow, with doctors walking off the job again for two days on May 7.

The announcement was criticised by the senior doctors' union, the Association of Salaried Medical Specialists, who are due to ratify their own pay deal with the DHBs on May 8.

Union president Jeff Brown told The Dominion Post the timing of the junior doctors' second strike "may make it incredibly difficult to have that meeting".

Dr Brown said it would not be easy to postpone the meeting as it had come at the end of a two-year negotiation process.

He said they had been open about the date of the meeting and he could not understand why his colleagues chose it Beauty Health.

"I would hate to think it's a deliberate thing."

Marcia Walker from the NZRDA said the doctors were angry at the lack of headway being made in negotiations and their aggressive stance appeared to be the only way to tackle the situation.

"Our patients are being negatively affected now and the situation is getting worse by the day, so we can't really wait any longer, we need to get some action happening now," Ms Walker said.

"We've been in negotiations for nearly 12 months now with absolutely no movement and we just can't let it slip any longer."

DHBs spokesman David Meates said the threat of more strikes "beggared belief".

"This union should be more concerned about finding a way to solve the dispute rather than trying to prolong it."

Meanwhile, hospitals in Southland, Palmerston North, Wanganui and Waitemata have denied they are in danger of closing because of the staff shortages.

NZRDA general secretary Deborah Powell said the pay rise was needed to stem staff shortages which threatened to close regional hospitals, many of which had one junior doctor doing the work of five.

Senior clinicians at Palmerston North and Southland hospitals said while there could be problems getting staff at times, there was no truth in the statement that the hospitals were in danger of closure.

National leader John Key told Breakfast TV that junior doctors should not be given a 30 per cent pay rise but they had to get a "better deal" because New Zealand could not afford to keep losing them to Australia and the rest of the world.

Asked whether junior doctors should get a 30 to 40 per cent hike, he said "no".

Doctors earned "quite a lot" and whether they earned enough to keep them in New Zealand was a different story but under National's tax cut plan, they would "do pretty well", Mr Key said.

Internet Testing Just 'health Horoscopes'

Opportunist Internet companies are exploiting "the worried well" by marketing online genetic testing for everything from cancer to schizophrenia Care Health United, says an Auckland University genetics expert.

Associate Professor Andrew Shelling, head of the Medical Genetics Research Group, said such Internet sites - he had counted 27 - were essentially "health horoscopes" and were unlikely to provide meaningful data.

They were even potentially risky because they could give people needless anxiety or false reassurances.

"My concern is medical professionals are not involved in this process at all ... and that leaves people vulnerable to advertising for unproven, unsafe and over-price products," he told delegates at the National Screening Symposium in Wellington last week.

Tests have long been available for rare mutations for diseases such as Huntington's and cystic fibrosis. Recent discoveries through the Human Genome Project have identified about 3000 genetic variants linked to a raised risk of common diseases, including cancer, heart disease and diabetes, enabling rapid diagnoses and development of some specific treatments, such as herceptin for HER2-type breast cancer.

Professor Shelling said private companies had been quick to spot a market niche. "Never have we seen a move from basic science to a commercial application so rapidly."

Most companies charge about $1500 for a genotyping kit containing cheek swabs, which clients send back in a prepaid envelope. Within six weeks they can log on to read their personal risk profile for 20 diseases.

One such service, Google's 23andMe, also allows clients to trace their ancestry and discover whether their hatred of broccoli is inherited.

Online testing was relatively cheap, accessible and apparently confidential, as the results did not appear on one's medical records, Professor Shelling said. "But would you really trust Google with your personal medical information?"

Complex results needed context and interpretation, he said. For instance, the company DeCODEme claimed to test for risk of developing bipolar disorder - Care Health United but tested for only one genetic mutation when a range of genes were implicated in the condition.

Because they are registered overseas, companies are beyond the reach of New Zealand authorities to regulate. The United States Food and Drug Administration has signalled it will not act unless something untoward happens.

Professor Shelling said there was huge public demand for information about, and management of, genetic risk - health club but access to genetic testing in New Zealand was very limited.

"New Zealand is doing an appalling job of providing adequate genetic testing. We're well behind Australia and the rest of the world.

Call To Ban Car Lapbelts Health Fitness

Canterbury surgeons dealing with a series of horrific car-crash injuries inflicted by lapbelts are calling for the restraints to be banned.

Most of the countries that supply New Zealand's new cars are outlawing the belts, but the Governnment said yesterday that it would not review their use in New Zealand.

Christchurch surgeons Grant Coulter and Spencer Beasley have written to the health and transport ministers warning that many people, including children, would die if lapbelts were not outlawed.

Their letter follows a series of accidents in Canterbury in recent years in which people wearing lapbelts suffered injuries while other passengers wearing diagonal belts escaped relatively unscathed.

"For as long as there is inaction, children and adults will continue to suffer massive Health Fitness, serious and often fatal injuries if they sit in the rear centre seats of many of our modern cars," the surgeons wrote.

The Transport Ministry said it was not planning a review of the restraints because research showed people rarely used a car's centre back-seat position.

But National transport spokesman Maurice Williamson said the party would consider reviewing the use of lapbelts should it win this year's election.

In December, a boy wearing a lapbelt suffered massive internal injuries that he was still recovering from after being in a car crash in North Canterbury.

His sister, who was also in the car, suffered only minor injuries because she was wearing a diagonal seatbelt.

Of eight family members involved in a Lewis Pass crash in January, the six wearing lapbelts suffered the worst injuries.

Coulter, Health Fitness a senior surgeon at Christchurch Hospital,Travel Health Insuranc told The Press he was baffled why new cars were still able to be fitted with the "deadly" lapbelts when it was clear how little they protected those wearing them.

Sunday, April 20, 2008

Study Confirms Parkinson's-Pesticides Link

Results of a family-based, "case-control" study support a relationship between exposure to pesticides and the development of Parkinson's disease (PD).

Prior studies have shown that people with Parkinson's disease are over twice as likely to report being exposed to pesticides as people without the disease,Health Food but few studies have looked at this association in people from the same family or have assessed associations between specific classes of pesticides and Parkinson's disease.

In their study of 319 Parkinson's patients and more than 200 unaffected relatives, Dr Dana Hancock from Duke University, Durham, North Carolina and colleagues found that the Parkinson's patients were 61 per cent more likely to report direct pesticide application than were healthy relatives.

Both insecticides and herbicides - most notably organochlorines, organophosphorus compounds, chlorophenoxy acids/esters, and botanicals - significantly increased the risk of Parkinson's disease, the researchers report in the online journal BioMedCentral (BMC) Neurology.

"Further investigation of these specific pesticides and others may lead to identification of pertinent biological pathways influencing Parkinson's disease development," the investigators suggest.

Health Food It's also worth noting, they say, that "the strongest associations between Parkinson's disease and pesticides were obtained in families with no history of Parkinson's. "This finding suggests that sporadic Parkinson's cases may be particularly vulnerable to the toxic effects of pesticides, but the possibility of pesticides influencing risk of Parkinson's in individuals from families with a history of PD cannot be ruled out."

Saffron May Ease Pms Symptoms

Saffron, a spice known for flavouring Mediterranean cuisine, might also offer an antidote to premenstrual syndrome, a small study suggests.

Saffron, the world's most expensive spice, has a long history of non-culinary uses. Traditionally Travel Health Insurance, the spice has been advocated for stomach pain, digestive problems and even depression - with some recent clinical trials suggesting that saffron may in fact aid mild depression.

It's thought that the spice might influence depression symptoms via effects on the brain chemical serotonin. Because alterations in serotonin activity are suspected in PMS, a team of Iranian researchers decided to study whether saffron supplements might help relieve these symptoms.

Dr M Agha-Hosseini and colleagues at Tehran University of Medical Sciences randomly assigned 50 women to take either saffron capsules or a placebo twice a day over two menstrual cycles. The women, who ranged in age from 20 to 45, had all had PMS symptoms such as cramps, bloating, irritability and fatigue for at least six months.

At the end of the treatment period, three-quarters of the women on saffron capsules reported at least a 50 per cent reduction in their PMS symptoms. That compared with only 8 per cent of women in the placebo group, the researchers report in the medical journal BJOG.

Travel Health Insurance In addition, the researchers found, 60 per cent of the saffron group showed a 50 per cent improvement in depression symptoms, versus one woman in the placebo group.

The findings, according to the researchers, support the idea that saffron may affect serotonin activity - and help alleviate not only depression symptoms, but PMS as well.

However, they write, this study is the first they know of to test saffron for treating PMS. Larger, longer-term studies are needed to confirm the findings, the researchers conclude Travel Health Insurance.

Diet And Exercise Cuts Diabetes Risk

Quite small changes in lifestyle help reduce abdominal obesity and the occurrence of the metabolic syndrome which is linked to diabetes, Health Sexual according to a new study.

Dr. Pirjo Ilanne-Parikka, of the Finnish Diabetes Association in Tampere reports that a cluster of diabetes risk factors including elevated waist circumference, blood pressure, triglyceride cholesterol, and blood sugar, Health Sexualas well as low levels of high-density lipoproteins ("good" cholesterol) are collectively known as the metabolic syndrome.

Ilanne-Parikka and colleagues report 15 per cent reductions in both the metabolic syndrome and abdominal obesity among overweight middle-age men and women following individually-tailored diet and exercise recommendations for an average of 3.9 years.

By contrast, metabolic syndrome decreased by just 4 per cent and abdominal obesity did not decrease among people receiving usual diet and exercise advice, the researchers report in Diabetes Care.

In this secondary analysis of the ongoing Finnish Diabetes Prevention Study, the investigators followed 522 men and women who, Health Sexual at the start of the study, were 55 years old on average, overweight (body mass index 31.2), and had impaired glucose tolerance indicative of an increased risk for diabetes.

Participants in the intervention group received regular, individualized advice aimed at reducing their weight by at least 5 percent. They were counseled to improve their dietary intake of whole-grains, vegetables, fruits, low-fat diary and meat products, and vegetable oils rich in monounsaturated fatty acids. They were also advised to spend a minimum of 30 minutes each day daily walking, jogging, swimming, aerobics, in similar endurance exercise or and regularly weight-train.

People in the control group received general written and oral diet and exercise advice at the start of the study and during annual check-ups.

The findings highlight the importance of "individual, patient-centered counseling and regular follow-up," Ilanne-Parikka told Reuters Health.

Longer follow-up studies are needed to confirm if these reductions can be achieved and maintained in other groups with the metabolic syndrome and if such reductions might limit the risk of cardiovascular disease, the investigators note.

Dance Away Blues With Tango Lessons

Best known as the dance of love, the tango is now being studied as a treatment for depression.

University of New England psychology researcher Rosa Pinniger says she hopes to prove the passionate two-person dance is an effective alternative therapy for depression by carrying out a six-week trial.

Ms Pinniger says the nature of the tango is such that participants "switch off the automatic negative thought patterns that contribute to anxiety and depression".

"In learning tango movements you have to focus your attention and be completely in the present moment," Ms Pinniger says.

"You need to be constantly aware of – and connect with – your partner, and so you can't have extraneous thoughts.

"I believe that if people can experience freedom from their negative thoughts for just the three minutes of a tango dance, they'll realise that such freedom is possible."

Over the six weeks of her tango trial, Ms Pinniger will give free weekly tango lessons to 30 people who have felt depressed recently. Thirty others will be given classes in meditation, a more widely recognised alternative treatment for depression.

A control group of 30 will receive neither treatment, Health And Beauty but will be offered either tango or meditation lessons on completion of the study.

Ms Pinniger hopes tango will prove to be a viable alternative treatment for those who find meditation difficult.

"While we already know that meditation can be helpful in the treatment of depression, not everyone can meditate," she says.

"But everyone who can walk can tango.Health And Beauty It doesn't matter whether you're graceful or not – it's all mindfulness and connecting with another person."

Zinc Reduces Common Cold Symptoms

Zinc acetate lozenges taken within 24 hours of developing symptoms of the common cold reduce the duration and severity of symptoms, Family Health Insurance according to a report in The Journal of Infectious Diseases.

Previous studies of zinc treatment for common cold symptoms have yielded conflicting results, the authors explain.

Dr Ananda S Prasad from Wayne State University School of Medicine, Detroit, and associates investigated the effects of zinc acetate lozenges in treating the common cold in 50 volunteers who had cold symptoms for 24 hours or less. The participants took one zinc acetate lozenge containing 13.3 milligrams of zinc or an inactive "placebo" every 2 to 3 hours while awake.

The average duration of cold symptoms (including cough, runny nose, Family Health Insurance and muscle ache) was about 4 days in the zinc group compared with 7 in the placebo group, the authors report.

After 4 days, 56 per cent of the zinc group had complete resolution of their colds, whereas none of the placebo group was free of cold symptoms. The results of a number of biochemical tests suggested that zinc was having a true effect on the colds. The investigators observed no zinc side effects.

"Zinc acetate preparation, Family Health Insurance as used in our study, was significantly effective in decreasing the (average) duration of cold symptoms," the authors conclude. "We propose that the beneficial clinical effects seen in the zinc group were due to the antioxidant and anti-inflammatory effects of zinc."

Friday, April 18, 2008

Controlling Costs For Health Care

Ever wonder just why health care costs are increasing at such an alarming rate in the United States? Part of the answer may be: because they can.

That is not as flippant an analysis as it may appear at first glance. Health Care An illustration of why the ability of health care providers to charge more sometimes prompts them to do just that is being provided by Wheeling City Council.

Council members are considering an increase in the fee charged for use of ambulance service provided by the Wheeling Fire Department. An ordinance to increase the fee, now $200 for most ambulance trips, to $279.89 has been approved on first reading.

Why an increase of $79.89? Vice Mayor Mike Nau answered the question during a council meeting this week: “That is the amount that Medicare allows us to collect, so this is what we passed during a recent finance committee meeting,” he told a member of the public.

During a previous meeting, Councilman Brent Bush noted that fire department officials had sought an even larger increase, of $125.

And it has been noted, not everyone will have to pay the full $279.89 if council approves the new rate. The city manager has the authority to approve lesser payments in hardship cases.

There are not expected to be many of those, because most city residents are covered by some type of insurance, including Medicare.

We realize that the cost of providing any service increases. Ambulances, after all, run on the same gasoline for which nearly all of us are paying more. But the decision to set the increase at precisely the amount for which Medicare will pay makes us wonder whether a careful cost analysis has been performed. Is the new rate to be $279.89 because that much is needed to pay for city ambulance service? Or is the rate being set there because, well, city officials can charge that much?

Before City Council finalizes the new rate, questions about the cost to the city of ambulance service need to be asked and answered. If the full $79.89 increase is needed, it certainly ought to be approved. But if every health care provider sets rates according to the maximum reimbursements from insurance companies and agencies, health care costs will never, ever be brought under control.

The Pope In Quotes During His Visit To The United States

“Among the countersigns to the Gospel of life found in America and elsewhere is one that causes deep shame: the sexual abuse of minors. Many of you have spoken to me of the enormous pain that your communities have suffered when clerics have betrayed their priestly obligations Health Sexual and duties by such gravely immoral behaviour.”

“By acknowledging and confronting the problem when it occurs in an ecclesial setting, you can give a lead to others, since this scourge is found not only within your dioceses but in every sector of society. It calls for a determined, collective response."

"Children deserve to grow up with a healthy understanding of sexuality and its proper place in human relationships. They should be spared the degrading manifestations and the crude manipulation of sexuality so prevalent today. . . . What does it mean to speak of child protection when pornography and violence can be viewed in so many homes through media widely available today?"

“While it must be remembered that the overwhelming majority of clergy and religious in America do outstanding work in bringing the liberating message of the Gospel to the people entrusted to their care, it is vitally important that the vulnerable always be shielded from those who would cause harm. Health Insurance In this regard, your efforts to heal and protect are bearing great fruit not only for those directly under your pastoral care, but for all of society.”

On medical ethics

“At a time when advances in medical science bring new hope to many, they also give rise to previously unimagined ethical challenges. This makes it more important than ever to offer thorough formation in the Church's moral teaching to Catholics engaged in health care. Wise guidance is needed in all these apostolates, so that they may bear abundant fruit; Health Insurance if they are truly to promote the integral good of the human person, they too need to be made new in Christ our hope.”

On 9/11

“After the attack on the Twin Towers in September 2001, and again after Hurricane Katrina in 2005, Americans displayed their readiness to come to the aid of their brothers and sisters in need. On the international level, the contribution made by the people of America to relief and rescue operations after the tsunami of December 2004 is a further illustration of this compassion.”

The Pope’s prayer for the victims and perpetrators of 9/11 which he will pray on Sunday

"O God of love, compassion, and healing, look on us, people of many different faiths and traditions, who gather together at this site, the scene of incredible violence and pain.

"We ask you in your goodness to give eternal light and peace to all who died here -- the heroic first-responders: our fire fighters, police officers, emergency service workers, and Port Authority personnel, Health And Beauty along with all the innocent men and women who were victims of this tragedy simply because their work or service brought them here on September 11, 2001.

Lack Of Dental Insurance Creates Family Health Insurance Pressures

The call for increased access to dental care in the United States and Maine has escalated over the last 10 years. The underlying premise has been that a tremendous number of children and adults do not have access to dental care, Family Health Insurance and the primary solution has been to increase the number of providers. Though some evidence may exist to justify this expansion of the dental work force, we have seriously neglected the underlying cause of the lack of access — the proper financing of dental care, or lack thereof.

We are all well aware of the number of medically uninsured in this country. Recent estimates show that about 47 million people, or roughly 16 percent of Americans, do not have health insurance coverage. This large number of individuals without coverage causes diseases to be diagnosed late or not diagnosed at all, which results in higher health care costs. This puts a great burden on hospitals and clinics that absorb these costs and then must share these costs with insured patients through cost-sharing or write-offs. No matter how these costs are managed, all members of society end up paying for this care.

The addition of new providers has not lowered the cost of receiving medical care, it simply lowered the cost to provide the care. Health insurers are still billed the same fees whether a patient is seen by his physician or by a nurse practitioner. We should assume the same would occur in dentistry if and when we create a new dental provider. The translation is that dental care may be cheaper to provide through a community health center or dental office, but it won’t be cheaper for the patient to receive that dental care than it is today.

The issues surrounding dental care are more extreme than medicine but rarely if ever addressed when we discuss policy issues in health care. Though 16 percent of Americans have no health insurance, almost 50 percent of people in the United States do not have private dental insurance. This means more than 100 million Americans have no private dental insurance coverage, a number that is shocking. This number is compounded by the fact that there is no dental coverage for the elderly. More than 70 percent of people over age 65 lack dental coverage, even though their medical care is covered under Medicare benefits. This would translate to more than 650,000 Mainers living without private dental insurance.

Access to dental care is highly dependent on whether or not one has private dental insurance. In fact, the greatest indicator of the likelihood of an individual having had a dental visit in the last 12 months was based on insurance status. This indicator doesn’t change if one is in an area of high or low concentrations of dental providers.

In Maine, as in most states, we also must deal with the issue of being underinsured. The state Medicaid system, MaineCare, pays providers a fraction of the fees billed for most services, creating a severe disincentive for greater participation. Most MaineCare reimbursement for dental procedures is below the cost of providing this care. Even though more than half of dentists are active MaineCare providers, this number is inadequate to manage the extent of disease in this population. It is estimated that 80 percent of dental disease occurs in 20 percent of the population, the 20 percent being primarily low-income populations. More importantly, MaineCare only provides emergency coverage for adults, leaving MaineCare adults to pay cash out of pocket for comprehensive dental care.

Not surprisingly, the No. Family Health Insurance 1 unmet health care need reported by enrollees into the Dirigo health plan was dental care. Yet as a society, it seems that we do not place enough value on dental care to include it as a standard component of basic health benefits.

The risk of expanding the dental work force without addressing the enormous gap between the insured and uninsured is clear. Though some in need may be able to access care through an expansion of the dental work force, the realistic result will be that more care will be provided to those with resources and dental insurance, further widening the gap in dental disparities in Maine and the United States. This is what happened in Canada after they created a new dental provider intended for poor native populations — these providers went into more lucrative private practices.

Real change will require real dental benefits, which would then allow an expansion of the dental work force with a more equitable distribution of services. However, the real solution to change the oral health of our most needy is primary dental prevention, not treatment.

Considering we know how to prevent tooth decay and with the limited available public resources we have for dental services, Family Health Insurance it is imperative that we develop and implement a universal early dental preventive system for children 3 years of age and younger using nondental health professionals in nondental settings. Dental care financing and then work force expansion should follow the development of a universal prevention system.

Singapore's Health Ministry To Regulate Beauty Treatments

Singapore's Health Ministry has decided to advise doctors to stop a range of controversial, unproven beauty treatments, local newspaper reported Thursday.

Tan Chor Hiang, the ministry's head of regulations, Care Health United told English language daily The Strait Times Wednesday that they will advise doctors to "stop these practices immediately".

The profession's watchdog is already investigating the aesthetic medicine practices of six doctors, including a specialist, said the report.

Over 1,000 general practitioners (GPs) and specialists have taken to offering a wide range of unproven treatments, including fat-busting injections, skin treatments, remove flaws or "whiten" the complexion, as well as applications of growth hormones or stem cells for a more youthful appearance.

The official told the newspaper "this is not medicine", saying "Such services should never be offered on the pretext that they are medical in nature and are medically beneficial."

She added that "without having proper scientific evidence,Care Health United it is not known whether these practices can cause harm in the medium or long term."

The ministry is in talks with the Academy of Medicine and the College of Family Physicians to draw up proper procedures and the minimum training doctors need before offering them, said the report.

Banning the beauty treatments will threaten to wipe out millions of dollars in business for countless doctors engaged in the lucrative aesthetic medicine scene, the newspaper said.

Changes To Come To Annual Blood Draw

Spring time is the season for health fairs throughout the Eastern Oregon region. For more than 20 years St. Elizabeth Health Services has offered reduced fee laboratory tests during the annual Blood Draw. The Administrators of St. Elizabeth and the Medical Staff took a hard look at national standards for community health screenings and made the decision to provide the same lab services we always have for this year’s draw, and prepare the community for changes next year, which will reflect national standards.

The $50 charge for the lipid panel, CBC, CMP, TSH, LDH and Uric acid was set by the hospital. The Health Fairs in La Grande and Halfway set their own blood draw prices. These two sites offer fewer lab tests which lowers the cost of the services. We have taken extra steps to ensure that our screening prices Beauty Health, when compared to others are of value to our customers.

St. Elizabeth Health Services aims to provide an annual community health screening that is clinically recommended and that meets the unique needs of our population. This year’s Health Fair will address the three main causes of death in Baker County, provide opportunities for free screenings, education for disease prevention and highlight resources for the needy.

We are excited about the improvements we have made to provide the best health care for our community Beauty Health. We appreciate the opportunity to provide quality health screenings.

Wednesday, April 16, 2008

Patrick Kennedy Says Personal Struggles Help Him In Congress

Patrick Kennedy says his personal struggles to recover from depression, health club alcoholism and substance abuse have made him a more compelling advocate in Congress for improved mental health care coverage.

The Rhode Island Democrat, a son of Sen. Edward Kennedy of Massachusetts, played a leading role winning House passage last month on a bill to expand coverage for people needing mental health and addiction treatment.

"My own story gave a lot of my colleagues a comfort level to tell me their own stories, privately," he said in a recent telephone interview with The Associated Press. "In the process it tied them into this debate personally in ways I think that gave traction to this legislation early on."

Kennedy, 40, crashed his car into a Capitol barricade in the middle of the night nearly two years ago, and agreed to a plea deal on a charge of driving under the influence of prescription drugs. He speaks publicly about his own recovery in hopes of ending the stigma of mental illness that prevents people from seeking treatment.

Kennedy, who has battled addiction since high school, said he's pleased his father can "see now at this stage of the game that some of my perceived darker moments turned out to be the silver linings in this great battle that I fought."

Those darker moments, he said, "gave me a platform and a credibility and a stature and a human quality in the House as a spokesperson on this issue that allowed me to cut through a lot of the white noise that insulates members from really facing these issues and addressing them honestly when they're being lobbied so heavily by special interests."

Kennedy and his father are on different sides as the House and Senate try to forge a compromise on expanding coverage for people needing mental health and addiction treatment. Big health care, insurance and pharmaceutical interests are waging a high-stakes fight in Congress over what has come to be known as mental health parity.

The younger Kennedy helped lead the push for the House bill that would require equal health insurance coverage for mental and physical illnesses when policies cover both.

His father was instrumental in winning Senate approval last September of a narrower version of the bill with support from business and insurance groups.

The elder Kennedy, D-Mass., has a reputation as one of the most skilled legislators in Congress, often working with Republicans to craft major bills during more than four decades in the Senate. He said he enjoys working with his son, despite their differing views.

"We're always in contact," the senator said. "We talk all the time. There are some important differences, you don't minimize those ... We still have a ways to go, health club but I think it's important that we are making progress."

The congressman hopes his father can help win GOP support for whatever compromise emerges.

"I am so glad my dad is there with me at the table, because if there's anybody who knows how to work with Republicans and can work as good a deal as possible to try to break this free ... it's my dad," he said.

The House bill says that if a plan provides mental health benefits, it must cover mental illnesses and addiction disorders listed in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, which is used by mental health professionals.

That bill, the "Paul Wellstone Mental Health and Addiction Equity Act of 2007," was named for the late Minnesota Democratic senator who championed the issue for years and who was killed in a 2002 plane crash. It was sponsored by Kennedy and Jim Ramstad, R-Minn., a recovering alcoholic who is Kennedy's Alcoholics Anonymous sponsor.

Kennedy said the bill favored by his father does not go far enough in providing coverage for people who need it health club. The Senate bill gives insurers more leeway on the types of mental disorders they would have to cover. It was a compromise reached after negotiations with businesses, the insurance industry and mental health advocates. Business and insurance groups had fought previous versions, arguing the proposals would drive up insurance costs.

Bill Would Extend Health Insurance Program To Aloha Workers Children

The children of more than 2,000 Aloha Airlines workers laid off after the airline shut down on March 31 could be eligible for a new medical insurance program being proposed by state lawmakers.

The proposed legislation to provide temporary health insurance through Dec. 31 for children of Aloha employees is intended as a stopgap while their parents look for new jobs, lawmakers said yesterday.

Lawmakers estimate between 800 and 900 children would be eligible.

"It's real limited -- just to try to get them through a crunch time," Health And Beauty said Sen. Rosalyn Baker (D-Maui), a member on the Senate Committee on Health.

The latest draft of Senate Bill 69 would provide basic medical and dental coverage for children 31 days to 18 years old. If approved, the program is expected to take effect in mid-May.

The measure specifies "children of workers employed on March 29, 2008, by a Hawaii interisland air carrier that was in bankruptcy proceedings on that date."

The bill, which would modify a three-year Keiki Care pilot project that began April 1, waives a requirement that a child be uninsured for six continuous months in the case of laid-off Aloha employees. It also has no income or asset limits.

"Of course we realize Aloha aren't the only employees out there suffering, but they were the largest mass layoff in the history of our state," said Rep. Maile Shimabukuro, (D-Waianae, Makaha, Makua).

Costs of the proposed program would be split between the Hawaii Medical Service Association Foundation and the state Department of Human Services, which estimates its cost would be $23,000 a month.

While all laid-off workers may obtain temporary continuation of health coverage at group rates under federal law, they must pay the full cost of those premiums, including the portion that their former employer had been paying.

The bill is scheduled to be heard today by the House Finance Committee. Health And Beauty If approved, the measure would need to be voted on by the full House before moving on to Gov. Linda Lingle for final approval.

Ky. Health Insurance Program Receives Grant For Medicare

Kentucky’s State Health Insurance Assistance Program (SHIP) has been awarded additional funding by the federal government to help Medicare beneficiaries in Kentucky get more information about health care choices.

The Centers for Medicare and Medicaid Services (CMS) announced today it will give $702,460 to Kentucky’s SHIP program as part of the nearly $36 million being distributed to SHIPs during the most recent round of funding Health And Beauty. Overall, CMS will provide more than $50 million to SHIPs across the United States in 2008.

CMS expects the SHIPs to use the increased 2008 funding to conduct targeted, community-based outreach to an increasing number of beneficiaries who may be unable to access other sources of information.

"This round of funding will allow us to further SHIP’s mission, as well as that of the Department for Aging and Independent Living (DAIL)," said DAIL Commissioner Deborah Anderson. "We are committed to helping Kentucky’s Medicare recipients understand their health benefits and consumer rights."

Kentucky SHIP provides information, counseling and assistance to seniors and disabled individuals, their family members and caregivers. Local counselors provide this free service.
Kentucky SHIP:

– Educates seniors on health insurance coverage, benefits and consumer rights.
– Provides assistance and education on a one-on-one basis or through educational forums.
– Protects consumers against fraud or misdirected collections.
– Empowers consumers to make informed health insurance choices.

"We are excited to receive this funding and are looking forward to working with the Medicare beneficiaries in Kentucky," said Tina Babbs, director of SHIP. "With this funding we will be able to reach people who qualify for – and desperately need – extra help."

SHIPs will continue their outreach and assistance to current and newly eligible Medicare beneficiaries and their caregivers, Health And Beauty as well as reaching out to beneficiaries with limited incomes who may be eligible for the extra help.

Kaiser Daily Health Policy Report

The health insurance industry is "closest to the parasitic relationship imposed by the Mafia," with companies "raking in hefty profits and bloating cost, without providing any benefit at all," Jonathan Kellerman, a clinical professor of pediatrics and psychology at the University of Southern California Keck School of Medicine and a novelist, writes in a Wall Street Journal opinion piece.

According to Kellerman, in any industry, the "middleman interposed between seller and buyer raises the price of a given service or product," and, although some "intermediaries justify this by providing benefits" or physical facilities, health insurers "provide nothing other than an ambiguous, shifty notion of 'protection.'"

The health insurance business model "is unique in that profits depend upon goods and services not being provided," he writes, adding that, as a result, the "consequences of any insurance-based health care model" will "be progressively draconian rationing using denial of authorization and steadily rising copayments" for consumers and "massive paperwork and other bureaucratic hurdles, Health Food and steadily diminishing fee-recovery," for health care providers. Kellerman writes that, although most health care reform efforts "emphasize the need to get more people insured," such an approach makes health insurance an "important commodity," rather than a "service delivered by doctor to patient."

He adds that "perhaps the solution" to increased health care costs, bureaucracy and "diminishing levels of service" is "a radically different approach: fewer people insured." In the event that "substantial numbers of health care providers shook off the insurance monkey on their back" and the "supply of providers was substantially increased by opening more medical schools,"Health Food a "more honest, cost-effective system benefiting everyone" except health insurers would result, according to Kellerman.

Park Employees Get Health Insurance

Beginning June 1, the Jackson County Park Board's four full-time employees will receive the same health insurance coverage as other county employees.

The county commission voted Tuesday to add the workers to its health plan after Chairman James Tidmore said the county's insurance provider had no problem with it Family Health Insurance. He also said the Park Board agreed to pay the costs for getting the employees on the plan.

District 3 Commissioner Carl "Cheese" Marona of Dutton, who recently retired as the board's park manager, told the commission at a recent meeting that park employees cannot afford to pay monthly insurance premiums on their own. He said he had worked there several years without any health insurance.

But District 1 Commissioner Darren Blizard of Bridgeport, who abstained from voting, said at the recent meeting that park employees knew what they were getting into when they were hired. Providing them with health insurance, he said, would open it up to other autonomous boards in the county.

The commission appoints the members of the County Park Board and other boards.

Family Health Insurance In another matter, the commission agreed, after meeting privately for about 30 minutes, to hire JH Partners architectural firm of Huntsville to oversee the courthouse window replacement project.

On County Attorney John Porter's recommendation, the commission voted 3-0 to go into executive session to discuss the issue and an unrelated matter concerning the good name and character of a county employee. Blizard abstained from voting without commenting.

Family Health Insurance In an April 8 letter to the commission, Porter advised the commission to meet privately in order to discuss the costs of the windows because bids will have to be solicited for the project.

"Those cost estimates should be discussed in executive session and remain unpublished until the bids for the windows are taken and awarded," he wrote.

Insurers To Patients Heal Thyself Or Pay

Sticking the critically ill with a hefty tab for expensive medications is enough to turn my stomach. But the practice may become widespread among health-insurance companies.

Insurers are embracing new pricing plans for drugs that typically require patients to pay between 20% and 33% of certain high-price medications, according to a report by The New York Times. The plans often require that patients suffering from serious afflictions such as hepatitis C and cancer shell out thousands of dollars, instead of predetermined co-pay amounts.

One such drug, Copaxone, developed by Teva Pharmaceutical(TEVA - Cramer's Take - Stockpickr) in Israel, Mental Health is a treatment option for multiple sclerosis patients.

Why shortchange the seriously ill? Apparently, insurers want to keep premiums down. Requiring patients to fork over significant cash to treat a life-threatening illness, however, defeats the purpose of health insurance.

Health insurance premiums for employers increased by 6.1% in 2007 -- two times the rate of inflation, according to the National Coalition on Healthcare, a Washington, D.C.-based nonprofit health-care advocacy group. The increase parallels the rise in national health expenditures, which were expected to rise 6.9% last year.

It seems that many Americans -- and their employers -- pay more every year to reap less. Sure, there may be coverage for the more predictable medical expenses such as preventive care, childbirth and perhaps an appendectomy. The emerging trend in drug coverage, however, is disturbing evidence of diminishing coverage for Americans who need it most -- and who are, perhaps, the least capable of fighting back.

Medical expenses seem to consume more of my family's bottom line every year. That's scary, because my family enjoys the best situation possible. We're a healthy bunch with good coverage under a free employer-sponsored plan. But our coverage has changed over the years, due to rising, employer-funded premiums.

We once enjoyed the former gold standard -- Mental Health a fee-for-service service plan under which we could freely choose our medical providers, visit specialists without referrals and reap 80% coverage for allowable expenses. A "point of service" plan ultimately replaced that coverage. We choose from a network of physicians, whom we can see for nominal co-pays, or we can visit out-of-network doctors, which are typically covered at 70%.

I've never allowed the lure of inexpensive co-pays to dictate the selection of my family's medical professionals. That's especially true when it comes to my children. They see an out-of-network pediatric group that doesn't accept insurance. Some people have gasped when I've mentioned this -- Mental Health and erroneously assumed that the doctors were unreasonable ogres.

But their insistence on steering clear of insurance companies has meant superior care for my children. It's an office where people remember my name, take their time while speaking with me, and make recommendations based on medical protocol -- not whether we've exceeded a limit for strep tests. As for payment, I write a check and submit the bill to my insurance, just like my mother did upon visiting my old-fashioned childhood pediatrician.

Mental Health It's always a bonus when my favorite physicians are in-network providers. But I'm also resigned to pay the 30% in some circumstances. The latter option, however, requires me to weigh risks and benefits. For example, if my "out of network" physician discovers a problem that may someday be the onset of a major illness, my family could be stuck with less generous "out of network" insurance reimbursements throughout the process.

In a perfect world, none of us would have to contemplate how to get the most for our health care bucks, or contemplate financial devastation due to illness. Choosing medical services requires far more serious considerations than buying bulk cereal at Costco.

Monday, April 14, 2008

Sex Workers Smell Corruption In Fee

Some commercial sex workers in this city have suspected corruption as official receipts issued by the city government for payments of smear test fee recorded only P50, not the P100 that they have actually been paying weekly since February.

“Even as some call us prostitutes, what we do is still work. Who made money from our labor?” a woman who wanted to be identified only as Jenny told the Philippine Daily Inquirer (parent company of INQUIRER.net).

The interview happened two hours before she went up the stage to dance, almost bare, before an audience of foreigners on Saturday night in one of the clubs at Fields Avenue here.

Jenny and the 10 or so women, as dancers, make P130 nightly. The dance routines last 30 minutes hourly in the eight-hour shift.

Doing bar fine, or offering sex through night clubs, get to earn them half of the rates that range from P1,000 to P3,000 for every customer. Jenny makes two to three bar fines a night to raise money for a cancer-stricken mother.

“Money is hard to earn so every centavo counts,” she said, ruing that male, female and gay sex workers have not been spared from what could be corruption.

It is the latest issue that has hounded the city’s flesh trade industry perennially suspected of engaging in sexual trafficking, illegal drugs trade and money laundering.

It is seldom that sex workers, estimated last year to be 25,000, have spoken against physical violence, health risks and labor concerns.

The P100 is either paid entirely by the sex workers or half by the bar owners. It is rare that bar owners shoulder half of the cost, Health Food it was learned.

“That’s how many kilograms of rice?” said Thelma, a waitress who earns P80 a night.

The P400 monthly cost of smear test or half of that amount is deducted from the salaries of the workers.

In the alleged collection scam, a maximum of P600,000 may have been ripped from the hard work of sex workers at Fields, at the adjacent red light district of Friendship Road, and at Area, where the so-called poor man’s prostitution dens operate.

The Inquirer arrived at the estimate based on the official figures of the Reproductive Health and Wellness Center (RHWC), which is at 480 to 600 clients daily.

The five women interviewed by the Inquirer all referred to the RHWC as “hygiene.” The former name of RHWC is Social Hygiene Clinic.

A recently retired bar manager, who heard the so-called irregularity from her wards, estimated the RHWC’s clients to be at 5,000 weekly, increasing the amount supposedly lost to corruption at P1 million monthly.

An “original” receipt issued to one of the sources bore no watermarks that local governments usually have for their sets of receipts. The absence of watermarks indicated that the receipts could be fake.

Dr. Lucielle Ayuyao, RHWC chief, said an employee of the city treasurer’s office is assigned at the RHWC and issues receipts to the clients. The Inquirer had tried but failed to reach that employee for comments.

Ayuyao confirmed that P100 is collected. The P50 goes to the city government while the other P50 goes to the League of Angeles City Entertainers and Managers (LACEM) as “organization fee.”

LACEM, she said, issues it own receipts. Inquirer sources said they could not recall being told that LACEM gets P50 as a share in the payments.

“It used to be that the (RHWC) collects P60. Only P50 is reflected in the receipt. Our girls didn’t get receipts for the P10,” the retired bar manager said.

Ayuyao said she or the RHWC did “not collect or handle” money from the smear test fee.

An Inquirer source at Fields said LACEM only gets P10 from out of the “missing” P50. The P40 reportedly goes to a group identified as the “Jojo Group.”