Wednesday, March 24, 2010

plus 3 more “A sober assessment of the health care bill - Tucson Citizen”

plus 3 more “A sober assessment of the health care bill - Tucson Citizen”


A sober assessment of the health care bill - Tucson Citizen

Posted: 22 Mar 2010 12:05 AM PDT

Medicare built on Franklin D. Roosevelt's New Deal notion of government as insurer, with citizens making payments to government, and government paying out benefits. That was the central idea of Social Security, and Medicare piggybacked on Social Security.

Obama's legislation comes from an alternative idea, begun under the Eisenhower administration and developed under Nixon, of a market for health care based on private insurers and employers. Eisenhower locked in the tax break for employee health benefits; Nixon pushed prepaid, competing health plans, and urged a requirement that employers cover their employees. Obama applies Nixon's idea and takes it a step further by requiring all Americans to carry health insurance, and giving subsidies to those who need it.

So don't believe anyone who says Obama's health care legislation marks a swing of the pendulum back toward the Great Society and the New Deal. Obama's health bill is a very conservative piece of legislation, building on a Republican rather than a New Deal foundation. The New Deal foundation would have offered Medicare to all Americans or, at the very least, featured a public insurance option.

. . .

Most Americans continue to be suspicious of government. That distrust is deeply etched in our culture and traditions. Our system of government was devised by people who distrusted government and intentionally created checks and balances, three separate branches, and almost insuperable odds against getting big things done. The period extending from 1933 to 1965 — the New Deal and the Great Society — was an historical aberration from that long tradition, animated by the unique crises of the Great Depression and World War II, and the social cohesion that flowed from them for another generation. Ronald Reagan merely picked up where Calvin Coolidge and Herbert Hoover left off.

But Reagan's view of government as the problem is increasingly at odds with a nation whose system of health care relies on large for-profit entities designed to make money rather than improve health; whose economy is dependent on global capital and on global corporations and financial institutions with no particular loyalty to America; and much of whose fuel comes from unstable and dangerous areas of the world. Under these conditions, government is the only entity that can look out for our interests.

Five Filters featured article: Chilcot Inquiry. Available tools: PDF Newspaper, Full Text RSS, Term Extraction.



image

NBC ADDS NEW ALTERNATIVE SERIES TO SUMMER 2010 PROGRAM ... - TVbytheNumbers

Posted: 16 Mar 2010 12:22 PM PDT

via press release:

NBC ADDS NEW ALTERNATIVE SERIES TO SUMMER 2010 PROGRAM LINEUP

"Losing It with Jillian" to Debut Tuesday, June 1 (10-11 p.m. ET) Starring Jillian Michaels (NBC's "The Biggest Loser")

UNIVERSAL CITY, Calif. – March 16, 2010 – NBC announced today the premiere date of an additional alternative series joining its previously announced summer 2010 schedule as "Losing It with Jillian" will debut on Tuesday, June 1 (10-11 p.m. ET) starring Jillian Michaels from NBC's hit weight loss show "The Biggest Loser."

The premiere will follow the debut of the summer's top rated series "America's Got Talent" and then move into its regular time slot, Tuesdays (8-9 p.m. ET) on June 8.

In the hour-long series, Michaels — in her distinctive, tough love style — will tackle the obesity epidemic of American families head on as she travels across the country to transform one family at a time.

In the series, Michaels will be moving in with a different family each week to help change their diet and exercise habits. She will focus on getting to the bottom of the issues each family member faces — ones that affect their health and happiness — and will arm them with the tools necessary to make life-altering changes. The families are in for a huge wake up call as Michaels — tired of hearing all the excuses — will show America that anyone can make a change.

"Losing It with Jillian" is produced by Reveille in association with Empowered Media. Jillian Michaels, Giancarlo Chersich, Mark Koops ("The Biggest Loser," "Breakthrough with Tony Robbins"), Howard T. Owens ("The Buried Life," "Breakthrough with Tony Robbins"), Ellen Rakieten ("The Oprah Winfrey Show," NBC's "The Marriage Ref") and Stef Wagstaffe ("Undercover Boss," "Wife Swap") are the executive producers.

Five Filters featured article: Chilcot Inquiry. Available tools: PDF Newspaper, Full Text RSS, Term Extraction.



image

Alternative health care 101 - Vancouver Sun

Posted: 19 Mar 2010 09:12 AM PDT

When the economy is down, there's always one safe investment: your health.

If you've struggled to manage your diet or a chronic condition, you may want to enlist some help beyond our overstressed health-care system.

But who, exactly, does what?

Here's a breakdown of a few of the alternative health-care practitioners available, explaining the basics of what they offer and tips about their trade.

To find one, ask your friends and family for names of practitioners they like.

And always ask the practitioner for references, says holistic nutritionist Barb Thomas.

"You don't want to just see their licence or ask where they've studied; you want to know if they've actually helped people," says Thomas, owner of Love2Eat Nutritional Consulting in Calgary.

Discuss your plans with your regular doctor to ensure there'll be no conflicts with current treatments or medications. Some alternative treatments may be covered by third-party insurance, so check with your provider.

Dietitians

What they do

Assess the foods you eat, develop better nutrition strategies, help you implement them and evaluate your success. The goal is to improve health and, in some cases, to treat illness through nutrition. Must have a bachelor's degree specializing in foods and nutrition, as well as a period of practical training in a hospital or community setting. In Alberta, a Registered Dietitian (RD) and Registered Nutritionist (RN) have the same education and training. However, use of the term "nutritionist" is not protected by law in Alberta, so anyone can use it.

Qualifications

Look for these titles or initials: Registered Dietitian, Registered Nutritionist, Dietitian or RD.

To find one

Visit Dietitians of Canada at dietitians.ca and click on Find a Nutrition Professional.

Source: dietitians.ca and collegeofdietitians.ab.ca

Naturopathic doctors (or naturopaths)

What they do

Primary care using natural medicine to help the body heal itself. Practitioners are trained in herbal medicine, homeopathy, nutrition and supplementation, among other things.

Qualifications

Must have graduated from an accredited naturopathic college or university and passed the Naturopathic Licensing Exams, which are standardized in North America.

To find one

Visit the Canadian Association of Naturopathic Doctors at cand.ca.

Source: naturopathic-alberta.com and Bruce Lofting, ND

Holistic nutritionists

What they do

Assess your lifestyle, emotional well-being, activity level, supplementation and nutrition. Practitioners use food -- especially locally grown, whole foods -- to correct imbalances in the body. They do not diagnose or treat disease.

Qualifications

Most holistic nutritionists are graduates of the Canadian School of Natural Nutrition, but there are other accredited schools in Canada. Many choose to register with the International Organization of Nutritional Consultants (IONC).

Tips

Find out where the practitioner studied and ask if he or she is registered with the IONC.

To find one

Visit the IONC site at ionc.org and click on Member Directory.

Source: Barb Thomas, RHN, owner of Love2Eat Nutritional Consulting

Chinese medicine practitioners

What they do

Beyond examining your background, including previous conditions and family history, practitioners examine your tongue and take your pulse on both arms to get an overall reflection of how the body is doing internally.

To treat, they use a mix of herbology, acupuncture and other techniques, such as massage and energy work.

Qualifications

Most study at Canadian colleges that offer programs in acupuncture and traditional Chinese medicine, such as the acupuncture program at Grant MacEwan College in Edmonton or the Alberta College of Acupuncture and Traditional Chinese Medicine in Calgary.

Tips

Make sure the practitioner is registered for acupuncture by asking to see his or her licence.

To find one

Visit the Chinese Medicine and Acupuncture Association of Canada at cmaac.ca.

Source: Dennis Lee, dean of students at ACATCM

Homeopathic doctors (or homeopaths)

What they do

Treat medical conditions using substances from plants, minerals and animals that are highly diluted in water and alcohol.

Qualifications

There are no regulations, so buyer beware. Homeopaths should have completed a three- to four-year homeopathy program from a recognized school that you can verify on the Internet.

Ask practitioners where they studied, confirm that they graduated, and check the program online. Another good benchmark is to ask if they have at least 1,200 to 1,800 hours of homeopathic training.

To find one

Above all, seek referrals from other people.

Conduct an Internet search for or check the Yellow Pages.

Source: Helen Hardinge Field, president of the National United Professional Association of Trained Homepaths

Five Filters featured article: Chilcot Inquiry. Available tools: PDF Newspaper, Full Text RSS, Term Extraction.



image

Alternative healthcare and health reform - Salon

Posted: 23 Mar 2010 04:03 PM PDT

These days it seems that natural medicine is everywhere and most people seem all for it. Before I started med school, many questioned the wisdom of my choice (if it's really a med school, why not go do the regular school and then just do the natural stuff?). Now, people are getting it that wellness and medicine do not always go hand in hand, and that the beginning of wellness starts with the patient. Not in the "ask about the purple pill" kind of way, but the internal wake up call that this constant string of troubles doesn't just happen to you out of nowhere (most of the time).

I totally support a healthcare revolution on many fronts in this country, and I believe that alternative and natural treatments have their place in the spectrum of quality health care that hopefully all of us will have access to. I believe in socializing many parts of medicine, as my time living in Europe showed me how much better life is all around when you get timely and appropriate care.

So, why don't I take insurance? I practice in a state that allows me to contract with some of the major healthcare providers, so I actually could if I wanted to. Why wouldn't I want to? I want to get paid for my work.

A patient visit typically takes 60-90 minutes of me asking lots of questions and covering everything we can think of, in person, in detail. Not just a questionairre filled out in the waiting room, but something I personally go over with you and we get to the real answers, including all the stuff you forgot about. The stuff you didn't think was relevant. I spend a fair amount of time after you have left reading the notes, looking up different approaches to treatment, calling to get your lab results, faxing your other physicians, and coming up with a plan that is about you, personally.

Physicians on insurance bill by procedure and complexity and allowed amount per visit, so they check off everything they can apply to the situation or limit the questions to three, and have an assistant or nurse do most of the work. They have to do this to keep the office running, and they have to see so many patients an hour due to their contractual obligations with insurance. And to pay to keep that office running. They may command much bigger salaries than I can, there is no way I can see 50 patients a day.

On the other hand, I am a lot less expensive all around. I am the person patients come to when many visits to their PCP or OB or GP or whomever has completely failed to uncover the problem. I may not be a psychic or the most skilled physician in the world, but repeatedly my patients tell me that the time they spent with me was the most useful office visit they have ever had, in understanding themselves and their health. I teach them how to get better. I listen to the true story behind all the pain, anxiety and depression that has been dogging them. No amount of antidepressant medication is going to make your marital problems resolve on their own, or your economic situation improve with a snap. My job is to help you learn how to handle your life better, and make decisions with what you can change to make that handling a whole lot easier.

When MDs and DOs buy into the medical industrial complex, they more or less make a tacit agreement to just go with the flow and in turn, the money will flow to them. As many of them figure out, they will still get screwed over, and understandably good doctors are trying to move away from that system. However, if they went to a state school, the federal govt subsidized lots of their education, as did the companies that they will ultimately work for (big pharma, etc). They have access to scholarships and student loan payback that just do not exist in the alternative medicine world. They have access to an automatic patient base and payment system. They pretty much just have to show up to work.

3 or 4 years of fulltime oriental medicine school or 4 years of full time naturopathic medicine school costs a whole lot of money, and we can now acquire federal aid (for accredited programs). Then we become business entrepreneurs and have to learn marketing and business building and do all sorts of public lectures and talks to get people to come to us. Then we have to hear the indignation of patients who do not think they should have to pay "so much" for our services. We still have to pay our rents and overhead, our licensing fees, our malpractice, our continuing education, our student loans and somehow eke out a life suitable to the many years of med school learning we put in. On top of all that, we still have to keep on top of the world of "regular" medicine as well as the new stuff in our own fields.

Gladly, since I don't contract with your insurance company, they cannot limit what I do or the time I spend with you. If I think something is better handled by your MD, I send you back (mostly to help you out financially with the insurance paying for it and all). When people ask me "do you take my insurance?" they mostly understand that I really just want to get paid for my services and time, instead of some open ended bargaining arrangement with EOBs and deductibles and allowed amounts and appropriate referrals (and it costs money to pay someone to do all that paperwork). I do my best to make it as simple as possible, and keep it as transparent as I can. My billing involves one piece of paper, and it is tax deductible for some. I envision affordable and sustainable medicine for all of us, and that should include natural and alternative medicine. That starts in how we do the business of medicine and not just the practice. 

 

Five Filters featured article: Chilcot Inquiry. Available tools: PDF Newspaper, Full Text RSS, Term Extraction.



image

0 comments:

Post a Comment