Wellness Forum by Nathan Kagan

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Prevention Is To Be Proactive

In defense of the Affordable Care Act.

Healthcare means to take care of your health, to stay healthy. In America we have sickness care. And that keeps medical establishment happy while you are sick.

Not enough attention to one very important aspect of the Obamacare is that it encourages and promotes prevention.

Unfortunately Democrats and the current White House suck at public relation and the propaganda about it’s accomplishments.

Real problem with the Affordable Care Act (ACA) is the administration did a terrible job explaining the important parts of this new law. One of which is prevention. In a long run just this (prevention) should greatly improve people’s health and reduce healthcare cost overall.

Here are some facts.

Healthcare reform’s preventive coverage rule that kicked in last year is already making big waves, according to the latest report from the federal government.

The Department of Health and Human Services (HHS) just announced that the healthcare reform law provided approximately 54 million private health plan participants with at least one new free preventive service in 2011.

In 2011, the healthcare reform law put employers on the hook for preventive care by prohibiting co-pays or deductibles on things like mammograms, Pap smears, colonoscopies, well-child visits, flu shots and other medical services designed to catch and prevent serious conditions before they become bigger problems.

The law also made preventive services free for most people on Medicare, and it’s estimated that another 32.5 million people on Medicare received at least one free preventive service in 2011. That brings the law’s beneficiary grand total to 86 million. http://www.hrmorning.com/86-million-benefit-from-obamacare-mandate/

The fact that getting more people access to the healthcare when ‘small’ illnesses can be treated before they become more complicated and dramatically more expensive, will save considerably more money than we spend in the long term.

A new study conducted by The University Of California Irvine and the Virginia Commonwealth University Health System, has produced some results that indicate that the approach taken by the ACA(Affordable Care Act) may be very much on the right track.

The study involved giving health insurance to some 26,000 previously uninsured people in Richmond, Virginia, allowing them to access primary care services in the area. The demographics of those participating in the program were designed to match the demographics of those who will be affected by the expansion of the Medicaid program in 2014.

Similar to Medicaid, participants were responsible to re-enroll in the program proactively for subsequent years.

To date, the study reveals that primary-care visits, for patients who continued to participate it the program for three years, rose from 1.06 in the first year to 1.60 visits annualized over the three years of the study. Not surprisingly, the emergency room visitation rate fell from 1.02 for these folks in the first year to .74 by the end of year three. When measuring the change in health care costs for those participants who increased their visits to a primary care physician during the three year period while decreasing the number of visits to the emergency room, the study reveals that, on average, the total annual health care costs per enrollee fell from $8,899 in year one, to a startling $4,569 in year three—an almost 50 percent decline in the cost of health care per individual.http://www.forbes.com/sites/rickungar/2012/03/12/early-signs-that-obamacare-is-on-the-right-track-to-reduce-costs/

So my usual and constant advise is to learn how to live healthy. Proper diet, exercise, reducing stress, meditation and positive attitude in general. And if you hate your job – do something else. Be proactive. Be happy. Smile even if you don’t feel like smiling. 

In an effort to rein in soaring medical-insurance costs — now estimated at more than $12,000 peremployee— big companies are increasingly turning from incentives to penalties to change their workers’ unhealthy habits.

Obesity and health insurance.


The most recent example is CVS Caremark, which has ignited controversy by requiring its 200,000employees across Florida and the nation to undergo screenings to record their weight, body fat, blood glucose and blood-pressure levels. If they don’t do so by May 1, they’ll have to pay an extra $600 for health insurance in the coming year.
The shift is drawing fire from patients’ rights groups, which consider the policies coercive and a violation of privacy. At Michelin North America, the tire manufacturer, workers with thick waistlines — 40 inches and over for men, 35 and over for women — will have to pay up to $1,000 more a year in health-insurance premiums than their leaner coworkers. http://articles.orlandosentinel.com/2013-04-12/news/os-employee-health-insurance-20130412_1_cvs-caremark-insurance-premiums-health-insurance
The only way to get the healthcare cost under control is taking personal responsibility for our health. No doctor will do it for us. And the only way to get people to change their lives is monetary encouragement. Many can find a bunch of great reasons why they cannot help it. But money talks.
I also would suggest that medicaid patients pay certain amount for their every visit to a doctor. I see every day that people on medicaid run to a doctor without much reason and with no results.
But Dr. Michael Siegel, a professor at Boston University School of Public Health, sees policies such as CVS’ as “a slippery slope.”
“What are people going to be penalized for next?” Siegel said. “Will they ask how many times you go out for fast food each week? Are they going to ask how much people drink? Are they going to ask about sexual behavior? What if an employee is having unsafe sex? It opens the door to asking people all kinds of personal questions that have nothing to do with how well you do your job.” http://www.columbian.com/news/2013/apr/22/employees-unhealthful-habits-affect-insurance/
The bottom line in my opinion people should be responsible for their actions or inaction. I personally do not want to pay extra insurance premium because my coworker if fat and lazy and drinks and smokes. In this country we the people should bare the consequences.
We are free to choose our paths, but we can’t choose the consequences that come with them.” ―Sean Covey, The 7 Habits Of Highly Effective Teens
I don’t consider it invasion in somebody privacy if this somebody does not do anything about their unhealthy life style. There is nothing private about a fatty that eats at McDonald’s every day.
You want to smoke and eat ice cream every day – fine. It is your life. Just don’t ask the society to pay the consequences of your stupidity.
Only bankers can do this!

Healthy diet and prevention

Forget it!

Prevention and health.

Gym is good!

So yes. On this rare occasion I support corporations that force people to take care of their health. Regardless of the reasons that motivates corporations to do it.
Here is another money saving idea: “Fasting-where little or no food is eaten a few days a week-can be as beneficial as exercise or surgery if you have heart disease. It improves blood pressure while releasing a protein that naturally protects the heart, and recent research suggests it may even reverse type 2 diabetes.
All the benefits of fasting have been evaluated by scientists at Aston University, and they have come away with a long list that is topped by improvements to heart health, reversal of diabetes and reduction in inflammation.
Intermittent fasting — where food is not eaten on alternate days or several days a week — is also a very effective way at losing weight, says lead researcher James Brown.” http://www.wddty.com/fasting-improves-heart-health-and-may-even-reverse-diabetes.html
What an enlightening idea – instead of wasting money at McDonald’s – skip the food! That will save you money on food and insurance premiums!
Your auto insurance premium depends on your driving habits and driving history.
Your home insurance premium depends on were your house is located.
Any insurance premium is a calculated risk. And health insurance is no exception. So stop talking to lawyers and sign up for gym.

February 27, 2013

Medical industrial complex.

Profit for not for profit hospitals.

Sickness Industrial Complex

In Washington the health-care-industrial complex spends (on lobbying) three times more than the military-industrial complex. 

The whole Sickness Management Industrial complex is a parasite sucking the life out of our society. A growing cancer that swallows the country.

To fight this cancer we need to keep our immune system strong. Literally we all have to learn how to prevent disease and stay healthy.

Prevention Prevention Prevention!

According to one of a series of exhaustive studies done by the McKinsey & Co. consulting firm, we spend more on health care than the next 10 biggest spenders combined: Japan, Germany, France, China, the U.K., Italy, Canada, Brazil, Spain and Australia. We may be shocked at the $60 billion price tag for cleaning up after Hurricane Sandy. We spent almost that much last week on health care. We spend more every year on artificial knees and hips than what Hollywood collects at the box office.

Hospitals profits

Cash machines

“We spend two or three times that much on durable medical devices like canes and wheelchairs, in part because a heavily lobbied Congress forces Medicare to pay 25% to 75% more for this equipment than it would cost at Walmart.”

“Of New York’s 18 largest private employers, eight are hospitals and four are banks. Employing all those people in the cause of curing the sick is, of course, not anything to be ashamed of. But the drag on our overall economy that comes with taxpayers, employers and consumers spending so much more than is spent in any other country for the same product is unsustainable.”

“Health care is eating away at our economy and our treasury. The system offers lavish paychecks even to mid level hospital managers, like the 14 administrators at New York City’s Memorial Sloan-Kettering Cancer Center who are paid over $500,000 a year, including six who make over $1 million.”

 “The Bureau of Labor Statistics projects that 10 of the 20 occupations that will grow the fastest in the U.S. by 2020 are related to health care.”

Read more: http://healthland.time.com/2013/02/20/bitter-pill-why-medical-bills-are-killing-us/#ixzz2LprtyYGD
My take on it: Educate yourself. A year of the Health Club membership is much cheaper than a day in a hospital.

Wellness not disease.

Hospital substitute.

Healthy diet is much cheaper and better for you. Mediterranean diet saved more lives than hospitals and drugs.

What you spend in one day in the hospital could buy 2 month supply of healthy food.

Get rid of ANY fast food and sugary drinks

Never use diet drinks or fat free food or drinks

With your doctors approval use healthy vitamins and supplements.

Avoid chemicals in your house.

Don’t be afraid to drink a cup of coffee or a glass of decent wine. 

Enjoy life.

Be happy.

December 12, 2012

Health care system in America

Daily Wisdom

Health care in America

This is not the answer

“America’s health care system is neither healthy, caring, nor a system.”

― Walter Cronkite

Deaths in hospitals due to errors and infections.

High cost

According to the American Hospital Association, statistically speaking hospitals are just about the most dangerous places to be in the United States. Three times as many people die every year due to medical errors in hospitals as die on our highways — 100,000 deaths compared to 34,000. Of this group, 80,000 die from hospital acquired infections, many of which can be prevented. Given the above number of admissions that means that 1 out of every 370 people admitted to a hospital dies due to medical errors. http://www.kevinmd.com/blog/2012/03/onethird-hospitals-close-2020.html

A 2000 Institute of Medicinereport estimated that medical errors result in about between 44,000 and 98,000 preventable deaths and 1,000,000 excess injuries each year in U.S. hospitals.

System and Process Design


The most dangerous place is a hospital.


In 2000, The Institute of Medicine released “To Err Is Human,” asserts that good people are working in bad systems that need to be made safer.

  • Poor communication, unclear lines of authority of physicians, nurses, and other care providers.
  • Disconnected reporting systems within a hospital: fragmented systems in which numerous hand-offs of patients results in lack of coordination and errors.
  • The impression that action is being taken by other groups within the institution.
  • Reliance on automated systems to prevent error.
  • Inadequate systems to share information about errors hamper analysis of contributory causes and improvement strategies.
  • And many other problems. http://en.wikipedia.org/wiki/Medical_error

By Dr. Mercola

OOPS! I forgot my tool inside!

If medical errors were a disease, they would be the sixth leading cause of death in America, writes surgeon Dr. Marty Makary in the Wall Street Journal.

Overtreatment is Taking its Toll

Too many medications, unnecessary surgeries, inappropriate medical screening… there is perhaps no other society that is subjected to as much excessive medical care, and often the “treatment” ends up being worse than the disease.

It’s estimated that up to 30 percent of all medical procedures, tests and medications may be unnecessary5 – at a cost of at least $210 billion a year(plus the cost of emotional suffering and related complications and even death – which are impossible to put numbers on).


Wellness not disease.

Hospital substitute.

So what do we do? How to prevent the death’s in hospitals?

In my opinion you can not. The best way to deal with this problem is to stay healthy and not to get in the hospital.

We need to educate ourselves on healthy living.

Healthy food, exercise, stress reduction, enough sleep and good family and social life will do more than all the hospitals in the world and will save a lot of money: more affordable insurance, food is cheaper than medications. Medicare and Medicaid programs will save because of less patients and by avoiding unnecessary tests and treatments.

Considering limitations in nutritional value of our food I suggest using natural supplements and vitamins.

July 3, 2012

This really is not a political issue. In a civilized country no one should be denied basic health care. The well being of the nation depends on the well being of it’s citizens.

Governor Romney implemented the health system that emphasizes individual responsibility. And it is very successful.

Prevention and access to checkups would help to stay healthy and reduce the need of expensive procedures and expensive drugs.

We all think that nothing is going to happen to us. Especially when we are young and healthy. But things happen. And then the taxpayers have to pay for the ER.

Individual freedoms are great. But we have to obey the traffic signals and the speed limit. And we have to buckle up. We all live in a society and the society agreed to impose certain rules in order to function.

In every developed country except America all have access to health care. It is time to join the Civilized World.

Meanwhile you have to take charge of your health. Exercise, eat healthy and take some vitamins (but not too much) 

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