Thursday, February 21, 2008

between 2004 and 2006, median real income levels rose ... number of uninsured Americans increased by 3.4 million ...

CQ HEALTHBEAT NEWS | Feb. 20, 2008 – 4:37 p.m. | Study Finds Health Benefits, Not Wages, Key to Increasing Coverage | By Jesse Stanchak
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The study found that the average number of Americans who lost their insurance each year increased faster during the economic recovery of 2004-2006 than the recession years of 2000-2004. The study concludes this is because the number of Americans receiving coverage from their jobs continued to decline, while wage increases failed to match growing insurance premiums.

“In good economic times and bad, the dominant factor behind the growing number of uninsured was the decline in employer-sponsored health coverage,” study lead author John Holahan says.

During the recession of 2000-2004, when real median household wages fell from $49,163 to $47,323, the poverty level rose from 11.3 to 12.7 percent and the number of uninsured rose by 6 million.

In contrast, between 2004 and 2006, median real income levels rose by nearly $800 and the poverty rate fell by 0.4 percent, two common indicators of a robust economy. Yet the number of uninsured Americans increased by 3.4 million during those years, to an annual average rate of 1.7 million newly uninsured persons during 2004-2006, versus an average of 1.5 million during the recession years of 2000-2004.
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Population increases also are a factor in rising rates of the uninsured. The U.S. population rose by 10 million people between 2000 and 2004 and by another 10 million people between 2004-2006. The study also concludes that illegal immigrants are a factor in the rising number of uninsured persons, comprising about 20 percent of the newly uninsured. The study found that the biggest decline in employer coverage came in the southern and western parts of the country, where population levels are rising faster and there are fewer manufacturing jobs.

Wednesday, February 20, 2008

“many [poor] children ... experience unhealthy levels of stress hormones, which impair their neural development.” ... yet poverty increasing ...

Monday, February 18, 2008 by The New York Times | Poverty Is Poison | by Paul Krugman

“Poverty in early childhood poisons the brain.” That was the opening of an article in Saturday’s Financial Times, summarizing research presented last week at the American Association for the Advancement of Science.

As the article explained, neuroscientists have found that “many children growing up in very poor families with low social status experience unhealthy levels of stress hormones, which impair their neural development.” The effect is to impair language development and memory - and hence the ability to escape poverty - for the rest of the child’s life.

So now we have another, even more compelling reason to be ashamed about America’s record of failing to fight poverty.

L. B. J. declared his “War on Poverty” 44 years ago. Contrary to cynical legend, there actually was a large reduction in poverty over the next few years, especially among children, who saw their poverty rate fall from 23 percent in 1963 to 14 percent in 1969.
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Mainly, however, excuses for poverty involve the assertion that the United States is a land of opportunity, a place where people can start out poor, work hard and become rich.

But the fact of the matter is that Horatio Alger stories are rare, and stories of people trapped by their parents’ poverty are all too common. According to one recent estimate, American children born to parents in the bottom fourth of the income distribution have almost a 50 percent chance of staying there - and almost a two-thirds chance of remaining stuck if they’re black.

That’s not surprising. Growing up in poverty puts you at a disadvantage at every step.
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Poverty rates are much lower in most European countries than in the United States, mainly because of government programs that help the poor and unlucky.

And governments that set their minds to it can reduce poverty. In Britain, the Labor government that came into office in 1997 made reducing poverty a priority - and despite some setbacks, its program of income subsidies and other aid has achieved a great deal. Child poverty, in particular, has been cut in half by the measure that corresponds most closely to the U.S. definition. ...

Cardiac arrest: avoid nights and weekend: study ... at least partly because of inadequate staffing ...

Cardiac arrest: avoid nights and weekend: study | Tue Feb 19, 2008 4:16pm EST | By Julie Steenhuysen

CHICAGO (Reuters) - People who have a cardiac arrest in the hospital at night or on the weekend are far less likely to survive than those who suffer one during the day, U.S. researchers said on Tuesday.

Studies suggest this may be at least partly because of inadequate staffing at off-peak hours.

The researchers found only 14.7 percent of people whose hearts stop pumping during the night survive, compared with nearly 20 percent of people during the day. ...

Music helps stroke patients recover faster ... 60% better improvement in verbal memory

Music helps stroke patients recover faster | Agencies via Xinhua News Agency February 20, 2008

A new Finnish study has revealed that listening to music can help stroke patients recover faster, according to the journal Brain as quoted by media reports Wednesday.

Researchers said that stroke patients who listened to music for a couple of hours each day were able to recover faster than those who did not listen to music.
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The stroke patients who listened to music showed a 60 percent better improvement in verbal memory. ...

Wednesday, February 13, 2008

Bush threatens to veto bill to improve health care for American Indians -- get 50% less than felons and Medicaid

Vetoing History’s Responsibility | Published: January 28, 2008

President Bush’s threat to veto a bill intended to improve health care for the nation’s American Indians is both cruel and grossly unfair. Five years ago, the United States Commission on Civil Rights examined the government’s centuries-old treaty obligations for the welfare of Native Americans and found Washington spending 50 percent less per capita on their health care than is devoted to felons in prison and the poor on Medicaid. ...

Blue Cross wrote last week asking doctors to rat out their patients with undisclosed prior medical conditions so the insurer can dump them ...

Blue Cross letter brings outrage | Julia Prodis Sulek | Mercury News | Article Launched: 02/12/2008 06:21:15 PM PST
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Doctors, patient advocacy groups, small business associations - and even Gov. Arnold Schwarzenegger and presidential candidate Hillary Clinton - piled on the outrage. It came in response to a letter Blue Cross wrote last week asking doctors to rat out their patients with undisclosed prior medical conditions so the insurer can dump them from its rolls.

The move comes just months after Blue Cross was fined $1 million by the state for unfairly revoking coverage to scores of its policy holders.

"For a company that has gotten a real black eye over the issue of rescinding coverage over the past year - to actually be more aggressive rather than less is simply stunning," Anthony Wright, executive director of HealthAccess California, a health care advocacy organization. ...

Tuesday, February 12, 2008

Baghdad drowning in sewage: Iraqi official

Baghdad drowning in sewage: Iraqi official | Sun Feb 3, 1:56 PM ET

BAGHDAD (AFP) - Baghdad is drowning in sewage, thirsty for water and largely powerless, an Iraqi official said on Sunday in a grim assessment of services in the capital five years after the US-led invasion.

One of three sewage treatment plants is out of commission, one is working at stuttering capacity while a pipe blockage in the third means sewage is forming a foul lake so large it can be seen "as a big black spot on Google Earth," said Tahseen Sheikhly, civilian spokesman for the Baghdad security plan.

Sheikhly told a news conference in the capital that water pipes, where they exist, are so old that it is not possible to pump water at a sufficient rate to meet demands -- leaving many neighbourhoods parched.

A sharp deficit of 3,000 megawatts of electricity adds to the woes of residents, who are forced to rely on neighbourhood generators to light up their lives and heat their homes. ...

Chicago, Cleveland, Detroit, and Milwaukee—may face elevated health risks from being exposed to dioxin, PCBs, ...

Great Lakes | Danger Zones? | By Sheila Kaplan

Here’s the report that top officials of the Centers for Disease Control and Prevention thought was too hot for the public to handle—and the story behind it.

For more than seven months, the nation’s top public health agency has blocked the publication of an exhaustive federal study of environmental hazards in the eight Great Lakes states, reportedly because it contains such potentially “alarming information” as evidence of elevated infant mortality and cancer rates.

The 400-plus-page study, Public Health Implications of Hazardous Substances in the Twenty-Six U.S. Great Lakes Areas of Concern, was undertaken by a division of the Centers for Disease Control and Prevention at the request of the International Joint Commission, an independent bilateral organization that advises the U.S. and Canadian governments on the use and quality of boundary waters between the two countries. The study was originally scheduled for release in July 2007 by the IJC and the CDC’s Agency for Toxic Substances and Disease Registry (ATSDR).

The Center for Public Integrity has obtained the study, which warns that more than nine million people who live in the more than two dozen “areas of concern”—including such major metropolitan areas as Chicago, Cleveland, Detroit, and Milwaukee—may face elevated health risks from being exposed to dioxin, PCBs, pesticides, lead, mercury, or six other hazardous pollutants.

In many of the geographic areas studied, researchers found low birth weights, elevated rates of infant mortality and premature births, and elevated death rates from breast cancer, colon cancer, and lung cancer. ...

Mythbusting Canadian Health Care -- Part I

Mythbusting Canadian Health Care -- Part I | By Sara Robinson | February 4th, 2008 - 4:23pm ET
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I'm both a health-care-card-carrying Canadian resident and an uninsured American citizen who regularly sees doctors on both sides of the border. As such, I'm in a unique position to address the pros and cons of both systems first-hand. ...
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1. Canada's health care system is "socialized medicine."
False. In socialized medical systems, the doctors work directly for the state. In Canada (and many other countries with universal care), doctors run their own private practices, just like they do in the US. The only difference is that every doctor deals with one insurer, instead of 150. ...

2. Doctors are hurt financially by single-payer health care.
True and False. Doctors in Canada do make less than their US counterparts. But they also have lower overhead, and usually much better working conditions. ... One unsurprising side effect of all this is that the doctors I see here are, to a person, more focused, more relaxed, more generous with their time, more up-to-date in their specialties, and overall much less distracted from the real work of doctoring. You don't realize how much stress the American doctor-insurer fights put on the day-to-day quality of care until you see doctors who don't operate under that stress, because they never have to fight those battles at all. Amazingly: they seem to enjoy their jobs. ...

3. Wait times in Canada are horrendous.
True and False again -- it depends on which province you live in, and what's wrong with you. ... When I lived in California, I had excellent insurance, and got my care through one of the best university-based systems in the nation. Yet I routinely had to wait anywhere from six to twelve weeks to get in to see a specialist. Non-emergency surgical waits could be anywhere from four weeks to four months. After two years in the BC system, I'm finding the experience to be pretty much comparable, and often better. The notable exception is MRIs, which were easy in California, but can take many months to get here. ...

4. You have to wait forever to get a family doctor.
False for the vast majority of Canadians, but True for a few. ... It is, absolutely, harder to get to a doctor if you live out in a small town, or up in the territories. But that's just as true in the U.S. ...

5. You don't get to choose your own doctor.
Scurrilously False. Somebody, somewhere, is getting paid a lot of money to make this kind of stuff up. ... For the record: Canadians pick their own doctors ...


6. Canada's care plan only covers the basics. You're still on your own for any extras, including prescription drugs. And you still have to pay for it.
True -- but not as big an issue as you might think. The province does charge a small monthly premium (ours is $108/month for a family of four) for the basic coverage. However, most people never even have to write that check: almost all employers pick up the tab for their employees' premiums as part of the standard benefits package; and the province covers it for people on public assistance or disability. ... "The basics" covered by this plan include 100% of all doctor's fees, ambulance fares, tests, and everything that happens in a hospital -- in other words, the really big-ticket items that routinely drive American families into bankruptcy ...

7. Canadian drugs are not the same.
More preposterious bogosity. They are exactly the same drugs, made by the same pharmaceutical companies, often in the same factories. The Canadian drug distribution system, however, has much tighter oversight; and pharmacies and pharmacists are more closely regulated. If there is a difference in Canadian drugs at all, they're actually likely to be safer. ...

8. Publicly-funded programs will inevitably lead to rationed health care, particularly for the elderly.
False. And bogglingly so. ...

9. People won't be responsible for their own health if they're not being forced to pay for the consequences.
False. ... Third, there's a somewhat larger awareness that stress leads to big-ticket illnesses -- and a somewhat lower cultural tolerance for employers who put people in high-stress situations. Nobody wants to pick up the tab for their greed. ...

10. This all sounds great -- but the taxes to cover it are just unaffordable. And besides, isn't the system in bad financial shape?
False. On one hand, our annual Canadian tax bite runs about 10% higher than our U.S. taxes did. On the other, we're not paying out the equivalent of two new car payments every month to keep the family insured here. When you balance out the difference, we're actually money ahead. When you factor in the greatly increased social stability that follows when everybody's getting their necessary health care, the impact on our quality of life becomes even more signficant.

And True -- but only because this is a universal truth that we need to make our peace with. Yes, the provincial plans are always struggling. So is every single publicly-funded health care system in the world, ...

[Vietnam and Agent Orange] 800,000 people continue to suffer serious health problems and are in need of constant medical attention

Agent of suffering | A third generation of Vietnamese are suffering deformities caused by US chemical warfare and still Washington refuses to accept responsibility | Tom Fawthrop, Guardian | February 10, 2008

Not only are Vietnamese still maimed from treading on unexploded bombs, they are also victims of this insidious scourge that poisons water and food supplies, causing various cancers and crippling deformities. Eighty million litres of Agent Orange were sprayed on the jungles of Vietnam, destroying swathes of irreplaceable rainforest through massive defoliation and leaving a toxic trail of dioxin contamination in the soil for decades. The legacy of this chemical warfare can even be inflicted on the unborn, with Agent Orange birth deformities now being passed on to a third generation.

In the 3,160 villages in the southern part of Vietnam within the Agent Orange spraying zone, 800,000 people continue to suffer serious health problems and are in need of constant medical attention. Last month, members of a US Vietnamese working group reported that it will cost at least $14m to remove dioxin residues from just one site around the former US airbase in Danang. The cost of a comprehensive clean-up around three dioxin hotspots and former US bases is estimated at around $60m. The $3m pledged by US Congress last year is a pathetically inadequate amount set against the billions spent in waging war and deploying weapons of mass destruction.

The recent study of one Agent Orange hotspot, the former US airbase in Danang, found dioxin levels 300 to 400 times higher than internationally accepted limits. The study confirmed that rainwater had carried dioxin into city drains and into a neighbouring community that is home to more than 100,000 people. ...