December 29, 2010

Flu Viruses Gaining Resistance, Study Confirms

Filed under: Uncategorized — cleavelandinsurance @ 3:33 pm

Flu Viruses Gaining Resistance, Study Confirms

HealthDay
December 08, 2010

HealthDay

With only two classes of drugs now approved, expert fears treatment options will be limited

Certain influenza virus strains are developing increasing drug resistance and greater ability to spread, a new study warns.

American and Canadian researchers confirmed that resistance to the two approved classes of antiviral drugs can occur in several ways and said this dual resistance has been on the rise over the past three years.

The team analyzed 28 seasonal H1N1 influenza viruses that were present in five countries from 2008 to 2010 and were resistant to both M2 blockers (adamantanes) and neuraminidase inhibitors (NAIs), including oseltamivir and zanamivir.

The researchers found that additional antiviral resistance can rapidly develop in a previously single-resistant influenza virus through mutation, drug response, or gene exchange with another virus.

The study also found that the proportion of tested viruses with dual resistance increased from 0.06 percent in 2007-08 to 1.5 percent in 2008-09 and 28 percent in 2009-10.

The findings are published online Dec. 7 in advance of print publication Jan. 1 in the Journal of Infectious Diseases.

“Because only two classes of antiviral agents are approved, the detection of viruses with resistance to drugs in both classes is concerning,” study author Dr. Larisa Gubareva, of the U.S. Centers for Disease Control and Prevention, said in a journal news release.

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HealthDay

“If circulation of these viruses with dual resistance becomes more widespread among any of the predominant circulating influenza A viruses, treatment options will be extremely limited,” she added. “New antiviral agents and strategies for antiviral therapy are likely to be necessary in the future.”

Another study in the same issue of the journal examined an outbreak of oseltamivir-resistant pandemic H1N1 influenza in a hematology unit in a British hospital. The researchers concluded “that oseltamivir may not be the frontline drug of choice in hematology patients, and zanamivir may prove to be more beneficial.”

In an editorial accompanying the two studies, experts said increased monitoring and creative prevention and treatment choices will be needed as unpredictable and antiviral-resistant influenza viruses continue to appear.

With only two classes of antiviral drugs approved for use in most countries, future research should focus on the effectiveness of zanamivir and combination antiviral therapy and the development of new types of antiviral drugs, wrote Dr. Frederick G. Hayden, of the University of Virginia School of Medicine, and Dr. Menno D. de Jong, of the University of Amsterdam in the Netherlands.

December 28, 2010

Youth Sports Injuries Reaching Epidemic Levels, Experts Report

Filed under: Uncategorized — cleavelandinsurance @ 3:53 pm

Youth Sports Injuries Reaching Epidemic Levels, Experts Report

HealthDay
December 08, 2010

8,000 kids are treated in ERs daily, trainers’ association says

Youth sports injuries have become rampant in the United States, with emergency departments treating more than 8,000 children a day for sports-related injuries, safety experts reported Tuesday.

As more children play school sports and in organized leagues, they are suffering an ever-increasing number of injuries, the experts from the National Athletic Trainers’ Association said in presenting their grim picture at a conference in Washington D.C.

Statistics released by the organization also revealed that:

  • Forty-eight youths died as the result of sports injuries in the past year.
  • About 63,000 high school athletes suffer brain injuries every year.
  • High school athletes suffer 2 million injuries, 500,000 doctor visits and 30,000 hospitalizations each year, according to the U.S. Centers for Disease Control and Prevention.

The numbers led the association to issue a national report card on youth sport safety, giving the nation a C- for 2010.

“This is a neglected population in terms of focusing on health and safety during sports participation,” said Marjorie J. Albohm, president of the 30,000-member organization. “The numbers of young people far outweigh the numbers of elite or professional athletes, yet we haven’t given them the attention they deserve in terms of health and safety.”

Sudden cardiac arrest accounted for nearly half the deaths in the last year, while concussion accounted for three, heat illness three, and exertional sickling (a result of sickle cell trait, causing collapse due to muscle breakdown) caused one, according to the organization.

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“Most coaches don’t really understand sickle cell and what can happen,” explained Brian Robinson, head athletic trainer at Glenbrook South High School in Glenview, Ill. “What you see is similar to heat stroke symptoms, but it can happen a lot faster.”

Robinson, who is also chairman of the association’s Secondary School Committee, called the youth sports injury situation a “public health issue,” because of the long-term ramifications of many of the injuries that kids suffer while playing sports.

For example, knee injuries, which are very common, can lead to arthritis later in life, according to Albohm. “An injury that a 14- or 16-year-old suffers can affect them for the rest of their lives,” she noted.

The association created the Youth Sports Alliance, along with about 40 other health and sports organizations, to push for legislation, and to educate coaches and others involved in youth sports to prevent injuries and provide appropriate medical services to injured athletes.

Additional data provided at the conference showed that:

  • High school athletes suffer three times as many serious injuries as college athletes each year.
  • Female high school basketball players sustain 240 percent more concussions than their male peers (13,000 annually)
  • Sixteen percent of football players who lose consciousness after brain injuries return to play the same day.

Professional sports organizations such as Major League Baseball, the National Football League and the National Basketball Association typically have several athletic trainers working with other health-care professionals to determine whether an injured player can return to action or still needs medical attention. Most colleges and universities also have athletic trainers at sports events, said Albohm.

But below the college level, decisions about returning to play are made by coaches, who face pressure to win, Albohm explained.

“Coaches shouldn’t be making these decisions. It’s not their job to be health-care professionals,” said Albohm.

The association has worked since its inception to change what it sees as an often-stoic attitude toward injuries in athletics, Albohm added.

“We have been fighting the ‘playing through pain’ culture since as long as we’ve been in existence, since 1950, when the organization was founded,” she said.

“It’s the warrior mentality, and we see it every day in high school sports,” added Robinson. In addition to coaches who want to win, student athletes often hesitate to report an injury, or want to return to play to please the coach, he said. That is why the presence of a health-care professional is critical, both Albohm and Robinson said.

December 15, 2010

Johns Hopkins Update

Filed under: health insurance — cleavelandinsurance @ 1:42 pm

Johns Hopkins Update - 
This is an extremely good article. Everyone should read it.
AFTER YEARS OF TELLING PEOPLE CHEMOTHERAPY IS THE ONLY WAY TO TRY (‘TRY’, BEING THE KEY WORD) TO ELIMINATE CANCER, JOHNS HOPKINS IS FINALLY STARTING TO TELL YOU THERE IS AN ALTERNATIVE WAY. 

Cancer Update from Johns Hopkins: 

1. Every person has cancer cells in the body. These cancer  
  cells do not show up in the standard tests until they have
  multiplied to a few billion. When doctors tell cancer patients
  that there are no more cancer cells in their bodies after  
  treatment, it just means the tests are unable to detect the
  cancer cells because they have not reached the detectable
  size. 

2. Cancer cells occur between 6 to more than 10 times in a  
  person’s lifetime. 

3. When the person’s immune system is strong the cancer 
  cells will be destroyed and prevented from multiplying and
  forming tumors. 

4. When a person has cancer it indicates the person has
  nutritional deficiencies. These could be due to genetic,
  but also to environmental, food and lifestyle factors

5. To overcome the multiple nutritional deficiencies, changing
   diet to eat more adequately and healthy, 4-5 times/day 
    and by including supplements will strengthen the immune system. 

6. Chemotherapy involves poisoning the rapidly-growing
  cancer cells and also destroys rapidly-growing healthy cells
  in the bone marrow, gastrointestinal tract etc, and can 
  cause organ damage, like liver, kidneys, heart, lungs etc. 

7.. Radiation while destroying cancer cells also burns, scars 
  and damages healthy cells, tissues and organs. 

8. Initial treatment with chemotherapy and radiation will often
  reduce tumor size. However prolonged use of
  chemotherapy and radiation do not result in more tumor
  destruction. 

9. When the body has too much toxic burden from
  chemotherapy and radiation the immune system is either
  compromised or destroyed, hence the person can succumb
  to various kinds of infections and complications. 

10. Chemotherapy and radiation can cause cancer cells to
    mutate and become resistant and difficult to destroy.
    Surgery can also cause cancer cells to spread to other
    sites.

11. An effective way to battle cancer is to starve the cancer
    cells by not feeding it with the foods it needs to multiply. *CANCER CELLS FEED ON:

a. Sugar substitutes like NutraSweet, Equal, Spoonful, etc are made
  with Aspartame and it is harmful. A better natural substitute
   would be Manuka honey or molasses, but only in very small
   amounts. Table salt has a chemical added to make it white in
  color Better alternative is Bragg’s aminos or sea salt

b. Milk causes the body to produce mucus, especially in the
  gastro-intestinal tract. Cancer feeds on mucus. By cutting
  off milk and substituting with unsweetened soy milk cancer
  cells are being starved. 

c. Cancer cells thrive in an acid environment. A meat-based
  diet is acidic and it is best to eat fish, and a little other meat, 
   like chicken. Meat also contains livestock
  antibiotics, growth hormones and parasites, which are all
  harmful, especially to people with cancer. 

d. A diet made of 80% fresh vegetables and juice, whole
  grains, seeds, nuts and a little fruits help put the body into
  an alkaline environment. About 20% can be from cooked
  food including beans. Fresh vegetable juices provide live
  enzymes that are easily absorbed and reach down to
  cellular levels within 15 minutes to nourish and enhance
  growth of healthy cells. To obtain live enzymes for building
  healthy cells try and drink fresh vegetable juice (most
  vegetables including be an sprouts) and eat some raw
  vegetables 2 or 3 times a day. Enzymes are destroyed at
  temperatures of 104 degrees F (40 degrees C).. 

e. Avoid coffee, tea, and chocolate, which have high
  caffeine Green tea is a better alternative and has cancer
  fighting properties. Water-best to drink purified water, or
  filtered, to avoid known toxins and heavy metals in tap
  water. Distilled water is acidic, avoid it. 

12. Meat protein is difficult to digest and requires a lot of
    digestive enzymes. Undigested meat remaining in the
    intestines becomes putrefied and leads to more toxic
    buildup. 

13. Cancer cell walls have a tough protein covering. By
    refraining from or eating less meat it frees more enzymes
    to attack the protein walls of cancer cells and allows the
    body’s killer cells to destroy the cancer cells. 

14. Some supplements build up the immune system
    (IP6, Flor-ssence, Essiac, anti-oxidants, vitamins, minerals,
    EFAs etc.) to enable the bodies own killer cells to destroy
    cancer cells.. Other supplements like vitamin E are known
    to cause apoptosis, or programmed cell death, the body’s
    normal method of disposing of damaged, unwanted, or
    unneeded cells. 

15. Cancer is a disease of the mind, body, and spirit.
    A proactive and positive spirit will help the cancer warrior
   be a survivor. Anger, un-forgiveness and bitterness put
   the body into a stressful and acidic environment. Learn to
   have a loving and forgiving spirit. Learn to relax and enjoy
   life. 

16. Cancer cells cannot thrive in an oxygenated
    environment. Exercising daily, and deep breathing help to
    get more oxygen down to the cellular level. Oxygen 
    therapy is another means employed to destroy cancer
    cells. 

1. No plastic containers in micro

2. No water bottles in freezer

3. No plastic wrap in microwave.. 

Johns Hopkins has recently sent this out in its newsletters. This information is being circulated at Walter Reed Army Medical Center as well. Dioxin chemicals cause cancer, especially breast cancer. Dioxins are highly poisonous to the cells of our bodies. Don’t freeze your plastic bottles with water in them as this releases dioxins from the plastic. Recently, Dr Edward Fujimoto, Wellness Program Manager at Castle Hospital , was on a TV program to explain this health hazard. He talked about dioxins and how bad they are for us. He said that we should not be heating our food in the microwave using plastic containers. This especially applies to foods that contain fat He said that the combination of fat, high heat, and plastics releases dioxin into the food and ultimately into the cells of the body. Instead, he recommends using glass, such as Corning Ware, Pyrex or ceramic containers for heating food You get the same results, only without the dioxin. So such things as TV dinners, instant ramen and soups, etc., should be removed from the container and heated in something else. Paper isn’t bad but you don’t know what is in the paper. It’s just safer to use tempered glass, Corning Ware, etc. He reminded us that a while ago some of the fast food restaurants moved away from the foam containers to paper The dioxin problem is one of the reasons. 
Please share this with your whole email list……………………. 
Also, he pointed out that plastic wrap, such as Saran, is just as dangerous when placed over foods to be cooked in the microwave. As the food is nuked, the high heat causes poisonous toxins to actually melt out of the plastic wrap and drip into the food. Cover food with a paper towel instead. 

This is an article that should be sent to anyone important in your life.

December 14, 2010

Association Brief – Veto Session Update

Filed under: health insurance — cleavelandinsurance @ 2:53 pm

December 7, 2010
INDUSTRY NEWS
General Assembly Veto Session Update
Work Comp Reform Hearings
Illinois State Senate and House Work Comp Reform Committees held their first hearings last week in Springfield and Chicago. Several individuals representing the Joint Employers Group on Workers Compensation offered testimony on reforms that would make Illinois’ work comp system and rates more competitive with surrounding states. Illinois-specific issues targeted for reform included primary cause of an injury, wage differential, choice of physician, requiring the use of AMA guidelines for determining extent of injury, greater emphasis on utilization review reports, and lack of resources committed to work comp fraud by the Department of Insurance.
A panel of labor leaders from the AFL-CIO testified that the special committees should only abide by the “agreed bill process” where any changes have to be agreed to by all parties. Representatives from the Illinois Trial Lawyers Association blamed the insurance industry for Illinois’ high costs and called for rate regulation and the creation of a state-run fund to compete with private insurers.
Both chambers’ bipartisan committees will continue hearings in December with the goal of passing a bill in early January. Reforming Illinois work comp laws is a daunting task even when business, labor, trial lawyers and the insurance industry agree. If labor and the trial bar don’t participate, it will be challenging for democratic leaders to sway rank and file members to vote for changes opposed by these groups.

December 10, 2010

How civil union law would work

Filed under: Uncategorized — cleavelandinsurance @ 1:26 pm

How civil union law would work

Illinois Senate vote seals the deal on historic legislation, which now goes to the governor

How civil union law would workHope Barrett, left, and Natalie Bennett, with their son Kai Barrett-Bennett, 8, in Beverly. The couple plans to take advantage of the law. (Phil Velasquez/Tribune)
    The civil unions bill that now awaits the governor’s promised signature will provide same-sex couples in Illinois with sweeping protections and benefits, many of which were previously unattainable or required an expensive array of legal paperwork.

    At its essence, the bill says that two people who have entered into a civil union are entitled to the same legal treatment under Illinois law that is presently given to spouses. If a gay man is hospitalized, his partner will have every right to visit him and will be the first in line to make medical decisions on the man’s behalf. If a lesbian died without a will, her assets will go to her partner.

    “It provides a lot of really crucial benefits in terms of protecting couples’ ability to take care of one another in times of need,” said John Knight, director of the Lesbian, Gay, Bisexual, Transgender Project of the ACLU of Illinois. “That includes hundreds of different things that many people don’t think about every day.”

    Things like protecting gay and lesbian couples who have entered into a civil union from having to testify against each other in state courts, and giving a surviving partner the right to file a wrongful death lawsuit. If a person has a pension, a same-sex partner in a civil union will be entitled to a survivor pension benefit.

These are legal rights — not previously available to same-sex couples — that heterosexual couples in Illinois have always gotten for the price of a marriage license.

Here’s a look at some of the ways the bill will help same-sex couples and their families who choose to take advantage of it:

Medical issues

David and Lee Neubecker took legal steps several years ago to protect themselves and their two adopted children, creating medical powers of attorney that should guarantee them access to a hospital if one of them falls ill.

But they welcome the new civil unions law, knowing from experience that even with legal documents, their rights weren’t ever guaranteed. David Neubecker recalled a night when a friend’s partner, who was very ill, was taken to the hospital. The friend stayed with the Neubeckers and got a call in the middle of the night saying his partner had died.

The Neubeckers rushed the man to the hospital, but first had to stop by his condo so he could pick up all the documents that explained their relationship.

“We rushed to the hospital, and when we got there, the nurse on duty didn’t understand the paperwork,” David Neubecker said. “She wouldn’t let him see his partner. We were right there, and he still couldn’t go into the room to say goodbye to him.”

Ray Koenig, a Chicago attorney who often helps gay and lesbian clients with estate planning, said hospital visitation rights and the ability for partners in a civil union to make health care decisions for each other are key parts of the bill. Previously, he said, a same-sex partner would be the last person allowed to make a medical decision for someone incapacitated, following all manner of blood relatives and falling under the classification of “close friend.”

“In the past, if you didn’t have a power of attorney that spelled that out, you were out of luck,” Koenig said.

Estate planning

Hope Barrett and her partner, Natalie Bennett, have gone to the expense — which for many can cost several thousand dollars — of creating legal documents such as wills and powers of attorney that would give them and their 8-year-old son some measure of security.

Those documents need updating, but Barrett said that with the passage of the civil unions law, they know should be able to avoid the expense.

“I’m kind of glad we haven’t,” she said, “because now we have this.”

Christopher Clark, senior staff attorney in the Midwest Regional Office of Lambda Legal, a national gay and lesbian civil rights organization, said the new law will benefit many couples who couldn’t afford the costs of proper estate planning.

“Very often heterosexual couples go and put financial documents in place, but absent that, they have certain presumptions under the law if they haven’t done that,” Clark said. “But same-sex couples had no rights like that. It’s an expensive process, and many can’t afford it.”

Now, Clark said, a same-sex partner will have the same inheritance rights as a spouse in a heterosexual marriage. Benefits from a state pension will pass on when the worker dies.

“Pensions are huge,” Clark said. “If an Illinois policeman or fireman is killed in the line of duty, the spouse gets a surviving pension benefit. That, prior to this law, was not available to same-sex couples.”

No federal protection

Although the new law will give same-sex couples extensive protection on the state level, their relationships remain unrecognized by the federal government.

The federal Defense of Marriage Act prevents gay and lesbian couples — even those in a civil union or married in a state that allows same-sex marriage — from receiving a Social Security survivor’s benefit or filing joint federal tax returns.

“Also,” Clark said, “the value of domestic partner benefits is treated as income and taxed by the federal government.”

Economic impact

Although the law will require companies that provide spousal insurance coverage to offer the same coverage to partners in a civil union, there is little expectation that the new law will put economic pressure on businesses or the state itself.

First off, many Illinois companies already provide benefits for same-sex partners. Of the 192 Illinois companies in the database of the employee benefits consulting firm Aon Hewitt, 62 percent provide same-sex coverage.

“There have been studies completed on this question on whether allowing for civil unions or LGBT marriage has an economic impact,” said Michael McRaith, director of the Illinois Department of Insurance. “What they show is that, in fact, when a state like Illinois allows for civil unions, the impact on the economy is positive.”

The Williams Institute, a research center on sexual orientation law and public policy at the UCLA School of Law, has examined this question in depth.

Brad Sears, the institute’s executive director, said that with regard to health care costs: “When you extend health care benefits to same-sex couple, the take-up rate is low because the LGBT population is small and the same-sex couple population is even smaller. It’s just not a significant cost.”

The biggest savings for the state can come from the way civil unions affect social services. For example, Sears said that if a person in a same-sex relationship applies for Medicaid, the partner’s income isn’t factored into the equation unless the couple are either married or in a civil union.

“If there’s a civil union partner, that person gets considered, and the combined income might make the person ineligible,” he said. “That effect can result in millions or even tens of million in savings for state government.

“It’s not going to solve any economic or budget crisis, but it should have a slight positive impact for the state.”

December 9, 2010

Iowa should demand public reports of errors at hospitals

Filed under: health insurance — cleavelandinsurance @ 5:56 pm

The Nov. 21 article, “Inaction on Medical Errors Draws Fire,” was very concerning and at the same time very important for several reasons.

First, public reporting of patient safety and medical errors such as “never events” in Iowa hospitals is essential for patients and consumers.

Second, the Iowa Department of Inspections and Appeals and its director are trying to do their job and should be supported and commended.

Third, it raises a larger question about conflict of interest of hospitals and the role of the Iowa Hospital Association. Are they really serving the public’s interest or their own?

Public reporting of hospitals’ and other health care providers’ quality and patient safety is essential. It is important for consumers, patients and families to be aware. For instance, there are about 195,000 preventable deaths from medical errors in hospitals each year.

Transparency of this information has also proven to be an important catalyst for improvement in health care. What will it take to motivate hospitals and other providers to make health care of higher quality and safer?

The Iowa Department of Inspections and Appeals is charged with protecting the health and safety of Iowans. It is responsible for inspecting, licensing and/or certifying hospitals and other health care providers, among others. The department is on target with the effort to require Iowa hospitals to publicly report “never events,” as these are a major patient safety issue.

Never events are 28 occurrences on a list of inexcusable outcomes in a health care setting. The list was compiled by the National Quality Forum. They are adverse events that are serious, largely preventable and of concern to both public and health care providers for purposes of public accountability. They include surgery performed on the wrong body part, a foreign object in a patient after surgery and patient death or disability associated with a medication error. Iowa should join 27 other states that already require reporting of these events.

Iowa is often mentioned as a state with high quality care compared to other states. However, new information shows Iowa’s overall health care quality was ranked in the average range by the Agency for Healthcare Research and Quality. Average isn’t nearly good enough. Studies show there is wide variation in the quality of care in Iowa by health facility and provider group and much opportunity for improvement. There is a growing consensus that health care quality and patient safety need to be greatly improved across the country. Iowa should strive to be “best in class,” or in the top 10 percent nationally. Transparency is a key to achieving this.

AARP recently released a poll showing 75 percent of older Iowans feel the state should require hospitals to publicly report the number of serious errors that occur in their facilities. We believe the majority of all Iowans agree. Yet the Iowa Hospital Association, its lobbyists and others from the industry continue to resist public reporting and accountability.

The Department of Inspections and Appeals should continue to actively pursue public reporting of hospital patient safety – including never events – to the fullest. We hope that whoever the department director is in 2011 and beyond will see this as a key priority. Also, it is time for a major overhaul of the Iowa Hospital Licensing Board membership. The department is charged with protecting the health and safety of the
public. In order to carry out its responsibility the board membership should be broad based and not be a creature of the hospital industry, as its majority is today.

December 8, 2010

Consumer-Driven, High-Deductible Plans Grow

Filed under: Uncategorized — cleavelandinsurance @ 6:00 pm

Consumer-Driven, High-Deductible Plans Grow

FierceHealthPayer
Dina Overland

December 07, 2010

Although participation in consumer-driven and high-deductible health plans remains low, it continues to grow, reaching 22 million customers this year, according to a new report by the Employee Benefit Research Institute.

The report found that enrollment in consumer-driven health plans (CDHP) rose to 5 percent of the privately insured population–5.7 million people–in 2010, up from 4 percent in 2009. Participation in high-deductible health plans (HDHP) increased to 14 percent of the privately insured population–17.2 million people–this year, up from 13 percent in 2009, reports CQ HealthBeat.

People who enroll in these plans are more cost-conscious than those who have traditional health insurance policies–53 percent routinely check to see whether their plan would cover specific care, compared with 47 percent of traditional policyholders. Likewise, more than 50 percent check if a generic drug is available, compared with 44 percent in traditional plans, CQ reports.

In addition, CDHP and HDHP enrollees were more likely than traditional plan enrollees to choose doctors based on their use of health information technology. CDHPs enrollees also were more likely to exercise and less likely to be obese compared with traditional health plan enrollees, according to the EBRI.

Paul Fronstin, director of the Institute’s Health Research and Education Program, believes employers who offer their workers coverage are turning to these plans to control costs, notes MSNBC.

December 7, 2010

Americans Split Over Health-Care Reform

Filed under: health insurance — cleavelandinsurance @ 6:22 pm

Like Congress, Americans Split Over Health-Care Reform

HealthDay
Amanda Gardner

December 06, 2010

HealthDay

Americans are still deeply divided over the nation’s new health-care reform package, with 28 percent of adults wanting to repeal the legislation while 31 percent favor keeping all or most of the reforms.

Another 29 percent aren’t sure what should be done.

Those are several key findings in a new Harris Interactive/HealthDay poll, taken three weeks after the November elections that saw Republicans gain control of the House of Representatives with a pledge to dismantle — or, at the very least, curtail — the controversial legislation signed into law by President Barack Obama in March.

But the poll revealed an interesting paradox: Large percentages of even those people who want the law repealed are happy with many of its provisions.

“Pluralities want to repeal all or most of the law, but want to keep much of what’s in it,” said Humphrey Taylor, chairman of The Harris Poll. “As we showed in the last Harris/HealthDay poll, it’s easy to believe all the bad things about the law if you don’t know what’s in it,” he added.

Two-thirds of the poll’s respondents said they like the fact that the reform package prevents insurers from denying coverage to people with pre-existing medical conditions. Another 60 percent want to keep the provision for tax credits so small businesses can afford coverage for employees. Fifty-five percent like the idea that the law allows children to stay on their parents’ insurance plans until they are 26. And just over half support the idea of new insurance exchanges where people can shop for insurance.

Only one part of the new law is widely unpopular: the stipulation that people without health insurance buy it or face a penalty. Fifty-seven percent of the respondents oppose this and only 19 percent support it.

Ambivalence towards parts of health-care reform appeared even among those who said they would like the legislative package repealed. For example, 44 percent of this group said they would like to keep the provision that bars insurers from denying coverage to people with pre-existing medical conditions, and 38 percent favor offering tax credits to small businesses to help pay for employees’ insurance.

Most of those who want to repeal all or some of the Patient Protection and Affordable Care Act said they think it’s an unwarranted expansion of big government that will lead to “higher taxes,” “rationing” of health care, and possibly even “socialism.”

Eighty-two percent of opponents think the law is a “government takeover of the health-care system”; 81 percent feel it is “too expensive” and “will mean higher taxes”; 77 percent believe it will reduce the quality of individuals’ health care; and 74 percent believe it will lead to a “rationing of health care.” Seventy-one percent call it a “form of socialism.”

“This squares with other recent polls that are showing a split in overall public support for the law, but with majorities in favor of specific provisions allowing children to stay on their parents’ insurance until they’re 26 and helping small businesses pay for insurance coverage,” said Sara Collins, vice president for Affordable Health Insurance at The Commonwealth Fund in New York City.

Experts such as Thomas R. Oliver, professor of population health sciences at the University of Wisconsin School of Medicine and Public Health, hope that understanding of the 2,500-page law will improve as time goes on.

“There’s a substantial gap in the general public understanding, [but] the more informed people are, the more they understand,” Oliver said. “They’ll realize they have a connection with problems experienced by millions of Americans.”

Meanwhile, provisions of the law are rolling forward, and by 2014 most of the major pieces will be in place, at least according to the legislation’s timeline, Collins said.

“Right now it is the law of the land and the provisions are rolling out,” she said.

The poll was conducted online within the United States from Nov. 19- 23, and included 2,019 adults aged 18 and over. Figures for age, sex, race/ethnicity, education, region and household income were weighted where necessary to bring them into line with their actual proportions in the population.

More information

Read more about the poll methodology and findings at Harris Interactive.

SOURCES: Humphrey Taylor, chairman, The Harris Poll; Sara Collins, Ph.D., vice president, Affordable Health Insurance Program, The Commonwealth Fund, New York City; Thomas R. Oliver, Ph.D., professor of population health sciences, University of Wisconsin School of Medicine and Public Health, and associate director for health policy, University of Wisconsin Population Health Institute, Madison; Harris Interactive/HealthDay poll, Nov. 19-23, 2010

Copyright © 2010 HealthDay. All rights reserved.

Lifestyle Key to Preventing Stroke, Guidelines Say

Filed under: health insurance — Tags: — cleavelandinsurance @ 6:17 pm

Lifestyle Key to Preventing Stroke, Guidelines Say

HealthDay
Steven Reinberg

December 03, 2010

HealthDay

Maintaining a healthy lifestyle can cut your risk for first-time stroke by 80 percent, according to new guidelines from the American Heart Association and the American Stroke Association.

Also, as more Americans use hospital emergency departments for primary health care, ER doctors are in a position to identify those at high risk for stroke, make referrals and begin preventive therapy, the guidelines point out.

The recommendations, updated for the first time since 2006, are published in the December issue of Stroke.

As the U.S. population ages and obesity increases, more strokes are occurring — 795,000 a year, 77 percent of them first-time — but deaths from stroke have decreased, experts say.

“There has been about a 30 percent decrease in stroke-related mortality,” said Dr. Larry B. Goldstein, director of the Duke Stroke Center in Durham, N.C., and lead guideline author.

“We think a good part of the reduction is due to improved prevention,” he said.

A healthy lifestyle, which includes not smoking, maintaining a healthy weight, exercising and eating a diet rich in fruits and vegetables, has the biggest impact on preventing stroke, Goldstein said.

“There is nothing we are going to do in medicine to beat that,” he said.

Keeping cholesterol and blood pressure low are also important for reducing stroke risk, Goldstein added.

The guideline authors address the whole stroke spectrum: ischemic stroke, which involves a blocked blood vessel in the brain; non-ischemic (hemorrhagic) stroke, in which a ruptured vessel bleeds in the brain; and transient ischemic attack (TIA), a temporary stroke that can be an indicator of risk for a more serious stroke.

Prevention of each type of stroke is basically the same, Goldstein stated. “People need to take charge of their own lives,” he said. “The best way to treat a stroke is never to have one.”

Other prevention-related information included in the guidelines:

- Genetic screening for stroke may be appropriate for some at-risk patients, but not for the general public.

- Treating patients with a blocked neck artery (carotid artery) with a stent or surgery (endarterectomy) should be decided on a case-by-case basis.

- Screening for narrowing of the neck arteries is not recommended.

- Aspirin is advised only for people at high risk of stroke for whom the reduction in stroke risk outweighs the bleeding risk of aspirin.

Stroke is the third leading cause of death in the United States after heart disease and cancer, and a major cause of disability.

Dr. Ralph L. Sacco, professor and chairman of neurology at the University of Miami Miller School of Medicine and president of the American Heart Association, agrees with the emphasis on healthy lifestyles for preventing both heart disease and stroke.

“The heart association is focusing on what we call ‘Life’s Simple 7,’” he said. “The seven key health factors that can improve people’s health.”

These include controlling blood pressure, blood sugar and cholesterol, in addition to exercising, eating healthfully, not smoking and maintaining a healthy weight, he said.

“We, as Americans, need to take control of our health,” Sacco said.

More information

For more information on stroke, visit the U.S. National Library of Medicine.

SOURCES: Larry B. Goldstein, M.D., director, Duke Stroke Center, Durham, N.C.; Ralph L. Sacco, M.D., professor and chairman of neurology, University of Miami Miller School of Medicine, president, American Heart Association; December 2010, Stroke