LSU Hospitals

Media Sweep

 

Friday, August 21, 2009

 

About 100 hear talk of health care reform

Shreveport Times | 08.21.09

 

OPINION: People should be involved in health debate

The Advertiser | 08.21.09

 

OPINION: CLASC delivers quality care for every patient

The Town Talk | 08.21.09

 

Do obesity, fitness affect academic success?

The Advocate | 08.21.09

 

Loyola could soon offer doctor of nursing degree

The Times-Picayune | 08.21.09

 

Letter: Illness can overwhelm insurance

The Times-Picayune | 08.21.09

 

Public health plan idea followed unlikely path

Baton Rouge CityBusiness | 08.21.09

 

Census data expected to show more poor, uninsured

The Times-Picayune | 08.20.09

 

Obama guarantees health care overhaul will pass

The Advocate | 08.20.09

 

As Colleges Prepare for Flu, CDC Releases New Guidelines

Chronicle for Higher Education | 08.20.09

 

Eat less, live longer?

The Bulletin | 08.20.09

 

'Romney care' touted as a model for national health care reform

CNN Politics | 08.20.09

 

Where Elderly Back Obama, Health Bill Anxiety

The New York Times | 08.20.09

 

Wild Blueberry Health Research Builds Momentum at Annual Summit

PRWeb | 08.20.09

 

Britons Fault Health Service, Until Others Do

The New York Times | 08.20.09

 

 

About 100 hear talk of health care reform

Shreveport Times | 08.21.09

By Melody Brumble

 

A health care forum sponsored by the conservative Red River Tea Party organization Thursday night in Bossier City served more as a platform for reaffirming the group's views than a discussion of reform proposals.

 

The event drew about 100 people. Audience members cheered as panelists largely expressed their opposition to reform proposals pending in Congress and the Obama administration's vision for reform.

 

Emcee Royal Alexander, a former congressional staffer and one-time attorney general contender, said some reforms might be needed, including addressing the issues of insurance portability and purchasing power for small employers.

 

However, he contends, the bills pending in Congress amount to "wholesale government takeover of health care."

 

Panelists John Bowman, who owns a group health insurance agency that manages benefits for small employers, Sean Hintz, a certified registered nurse anesthetist, and Drs. Karl Bilderback, Paul Jordan, Craig Bozeman and Charles Byrd also expressed concerns about government involvement in health care. All four doctors have been or were in private practice in this area.

 

Jordan, a native of Canada, offered a glimpse of that country's health care system. He practiced medicine in Canada before moving to Bossier City in 1983.

 

Patients in Canada wait longer for access to care, and access to medical technology like PET scans is different in Canada than in the United States, said Jordan, who has practiced locally for 15 years and is chief of gastroenterology at LSU Health Sciences Center-Shreveport.

 

The volume of cases was overwhelming in Canada and colleagues sometimes were unwilling to help with complex cases because they were so busy when he was there, Jordan said.

 

During his introductory speech, he offered a different take on the contentious debate over health care reform in the United States. "This argument is not so much over medical care as the financing of medical care. It's a fight over control."

 

http://www.shreveporttimes.com/article/20090821/NEWS01/908210330

 

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OPINION: People should be involved in health debate

The Advertiser | 08.21.09

 

I have always thought everybody should have health care.

 

It's unbelievable to me that in this great country we have fellow citizens that can't afford to go to the doctor.

 

What is really unbelievable is that we have fellow citizens who think there are other citizens that don't deserve proper health care because they can't pay for it or are down on their luck. You've heard them. "It's not my responsibility." "Too bad for them that they don't have employer-provided insurance." And the ever-popular, "They can get treated at the charity hospital." Etc., etc.

 

We're told 80 percent of Americans like their health care just the way it is.

 

Maybe so. But I can remember friends who had insurance but still couldn't go to the doctor or hospital because they didn't have the co-pay money.

 

It's not just the insurance folks. It's the quality of the insurance. Does it cover you and your family's needs? Does it pay enough? If you get sick, will they drop you? Will it cover you if you have pre-existing conditions? Will you be turned down because of your age? If you lose your job, will you be able to get insurance?

 

We citizens are helpless. The insurance and drug industries are loose cannons. They do what they want to do.

 

We badly need national health-care reform. Maybe some kind of national privatized co-op. A group or pool that one could get into.

 

A private plan would be much better than anything government-run. The present government plans (Medicare and Medicaid) are fine for the recipients but are loaded with waste and corruption and cost taxpayers outrageous amounts of money.

 

The Democratic-proposed government health-care plan has sparked national awareness. I urge you to get involved. Write Congress during the August recesses and tell them what you think. It's time to get this important issue resolved.

 

As country comic Jerry Clower said when he was wrestling a bobcat up in a tree. "Somebody shoot up here. One of us needs some relief."

 

Chuck Pickett is a Lafayette resident who spent many years in the oil and gas industry. Now retired, he is a writer, Rocky Mountain high country hiker and a stock market day trader.

 

http://www.theadvertiser.com/article/20090821/OPINION/908210311/1014/People-should-be-involved-in-health-debate

 

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OPINION: CLASC delivers quality care for every patient

The Town Talk | 08.21.09

By Joseph Marrazzo III

Guest commentary

 

I, as one of the 37 physician-owners of Central Louisiana Ambulatory Surgical Center, would like to comment on your editorial of Aug. 6 regarding our facility. Your theme was somewhat negative, and I believe that to be unfair to our institution.

 

You state correctly that our center has been successful. It has been since its founding in 1985 and for good reason. We do outpatient surgical procedures safely, comfortably and efficiently. If we ever fail to do that, then we shall cease to be successful. We feel we can also offer our patients these advantages for procedures that usually require a night or two stay. That is the reason we are expanding to a 24-bed surgical specialty hospital.

 

CLASC has never "cherry-picked" its patients. Medicare and Medicaid patients make up over 50 percent of our census every year, just like at Cabrini and Rapides. We choose the services at which we excel; we do not choose the patients who receive them. They choose us. That will not change once our expansion is complete next year.

 

Cabrini and Rapides also choose which services to provide. They choose to be full-service hospitals. In recent years, they have added services like neonatal intensive care, but they have also dropped some services such as geriatric/psychiatry and hospital-based skilled nursing facilities. They have built up Industrial Medicine departments, essentially taking that area of care away from the family physician and internist who traditionally provided these same services.

 

Both Alexandria hospitals provide care to uninsured patients who come into their emergency rooms in accordance with the law. These same laws will apply to the Central Louisiana Surgical Hospital. However, what you failed to mention is that both Alexandria hospitals are compensated through the Medicare Disproportionate Share Hospital formula. This is an arcane formula that directs over a billion dollars in federal money each year to hospitals in Louisiana alone that provide a higher than usual share of uncompensated care. Cabrini and Rapides get millions of dollars every year from this program.

 

The doctors who provide this care get none of it, including almost all of the physician-owners of CLASC who provide much of the emergency surgical services at both hospitals.

 

Rapides Regional Medical Center chose to get out of the free-standing outpatient surgical center business in 2001. From 1994 to 2001, it owned half of CLASC. In 2001, it purchased the other half from its physician partners, then turned around and sold it all to 16 physicians, who invested a lot of money and time to create the successful center it is now. Currently, there are 37 physician-owners who have invested their own money to fill what we see as a need here in Central Louisiana.

 

Perhaps people must be reminded that in 1902, six physicians used their own money to build the Alexandria Sanitarium. They worked hard and the facility was successful at treating medical and surgical patients in Alexandria. In 1917, they sold it and it became the Baptist Hospital, which became Rapides Hospital, and later still Rapides Regional Medical Center.

 

Our 24-bed facility won't begin to compare with Rapides' 314 beds or the 241 at Cabrini. We are not trying to be everything to everyone.

 

Our goal is to expand our high quality, efficient, cost-effective care for patients with procedures that may require an overnight stay. Isn't that the goal of health care reform? Patients who need these procedures cannot presently avail themselves of our brand of care. Next year, they will and should have that choice. Don't you agree?

 

Dr. Joseph Marrazzo, III, practices medicine in Alexandria and is one of the 37 physician-owners of Central Louisiana Ambulatory Surgical Center in Alexandria.

 

http://www.thetowntalk.com/article/20090821/OPINION/908210313

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Do obesity, fitness affect academic success?

The Advocate | 08.21.09

By MARSHA SILLS

Advocate Acadiana bureau

 

LAFAYETTE — Does a student’s weight or level of fitness impact behavior or academic success?

 

Does poverty play a role in whether a child is fit or fat?

 

An expansion of a research project directed by the University of Louisiana at Lafayette’s Picard Center for Child Development and Lifelong Learning seeks to answer those questions.

 

Last year, the research center began tracking the physical assessments of 6,625 students in Caddo, DeSoto, Lincoln, Natchitoches, Sabine and West Feliciana parishes.

 

Forty percent of them were either overweight or obese and only 22 percent of them were able to pass all five measures of a fitness test, called a Fitnessgram. The criterion-based physical assessment measures body mass index and the level of a student’s fitness with timed runs and other exercises, such as push-ups and curl-ups.

 

This year, legislation authored by state senators Cheryl Gray-Evans, D-New Orleans, and Yvonne Dorsey, D-Baton Rouge, expanded the research project in 12 school districts: DeSoto, Lincoln, Natchitoches, Sabine, Monroe City School System, Morehouse, Ouachita, West Feliciana, Recovery School District, Lafayette, St. Mary and St. Martin.

 

Some schools had already implemented the Fitnessgrams to assess their students.

 

For the past three years, N.P. Moss Middle School has used the program to track students’ fitness.

 

Fifty percent of the N.P. Moss students are overweight and nearly 5 percent are morbidly obese, Moss principal, Ken Douet said.

 

The school has used the data to create health education courses focused on nutrition and helping students develop healthier eating habits.

 

That’s the intent of the project — to help schools find best practices that can help their students get and stay healthy and fit, said Billy Stokes, executive director of the Picard Center.

 

The Picard Center is the data clearinghouse for the Fitnessgram assessments.

 

Stokes said the research is also focused on younger student populations to help curb unhealthy eating habits and promote an active lifestyle earlier, Stokes said.

 

Last year, the research center screened 713 Lafayette Parish preschool students. At least 28 percent of them were overweight or obese, according to the center’s report.

 

The research will continue to target the younger student population to determine at what age or what factors may contribute to unhealthy weight gain, Stokes added.

 

“It appears they start to pick up the weight fairly quickly,” Stokes said. “Once they gain the weight, you’re really behind the eight-ball because it’s difficult to get off.”

 

The student-assessment is kid-friendly, said Cynthia Wigely, a physical education teacher at N.P. Moss Middle.

 

“With this test students have some form of success. If they can’t run, they can walk at a fast pace and have some success level. It’s not ostracizing the less active kids,” she said.

 

Students also receive a report after concluding the assessment and take it home to share with their parents. The reports are also child-centered and offer students tips on how to reach optimal fitness, said Holly Howat, Picard Center project director.

 

“It’s a good tool to report data back to parents,” Howat said.

 

The data has already helped some school districts rally support for healthy initiatives, such as walking trails, Stokes said.

 

“To deal with this it has to be done at the community level,” he said.

 

While the Picard Center is the lead on the project, universities within the UL System and LSU are also involved, Stokes said. The Louisiana Obesity Council and Louisiana Departments of Health and Hospitals and Education are also partners.

 

College kinesiology departments will partner with participating school districts to provide training and support.

 

The wealth of research available from the data will also help local colleges develop research unique to their own communities, Stokes said.

 

“We’re hoping to develop capacity across the state. Hopefully, we’ll get to where all children in the state will be assessed,” he said.

 

The goal for this year, is to have the program implemented in at least a third of the state’s school districts, Stokes said.

 

http://www.2theadvocate.com/news/education/53891987.html

 

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Loyola could soon offer doctor of nursing degree

The Times-Picayune | 08.21.09

by The Associated Press

 

Officials at Loyola University in New Orleans say the university is positioned to be the first in Louisiana to offer a Doctor of Nursing Practice degree program.

 

Loyola's board of trustees in May unanimously approved the addition of the D.N.P. degree program to the curriculum for the School of Nursing, which is housed within the College of Social Sciences.

 

Pending final approval by the Southern Association of Colleges and Schools, Loyola will enroll its first class of 25 post-master's degree students in the summer of 2010.

 

Loyola says the program will be delivered exclusively online to meet the enrollment demands of nurses nationally, regionally and locally.

 

http://www.nola.com/education/index.ssf/2009/08/loyola_could_soon_offer_doctor.html

 

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Letter: Illness can overwhelm insurance

The Times-Picayune | 08.21.09

Lynn Frank

 

Americans came together after 9/11 and Katrina to help those families who had been grievously affected. I wonder why we aren't similarly concerned about the 18,000 people who died last year for lack of health care.

 

And what about the thousands of families who have gone bankrupt because of medical bills? Many of them had insurance, but it didn't cover everything that was needed.

 

Having suffered the loss of a 37-year old husband to cancer, I understand how unexpected catastrophes can affect any family any time.

 

We are truly all in this together. People with untreated tuberculosis can infect the rest of the population. Just ask yourself how many of our restaurant workers can afford health insurance. It is a shame that we have to hold fund-raisers to provide medical care for the chef at the Ritz-Carlton, for wonderful musical performers and one of the post-Katrina hero shrimpers. What about people who do not have fund-raisers?

 

Some people argue that we cannot afford health reform or that now is not the time. But now is the time before the nation's heath gets worse or the costs become more crushing. We rank No. 37 on the World Health Organization's list of healthy nations. How much lower do we want to go?

 

Lynn Frank

 

New Orleans

 

http://www.nola.com/news/t-p/letterstoeditor/index.ssf?/base/news-14/1250832711199220.xml&coll=1

 

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Public health plan idea followed unlikely path

Baton Rouge CityBusiness | 08.21.09

by The Associated Press

 

WASHINGTON — It started out with a couple of liberal policy wonks. One on each coast.

 

Along the way, Elizabeth Edwards — sensitized by her own experiences as a cancer patient — helped propel it into presidential politics during her husband's campaign.

 

The idea of a government medical plan to compete with private insurance might have been just a footnote in an academic paper. Instead it has followed an unlikely path to center stage in the national health care debate. Many Democrats insist any legislation must include a public option, while nearly all Republicans are against it. President Barack Obama seems uncomfortably stuck in the middle.

 

A look at the roots of the idea shows that the policy experts who proposed early versions believed the government plan would become one of the largest insurers in the country. But Obama and other candidates saw it as a compromise between rival Democratic factions. One side wants Medicare-for-all, while the other prefers to subsidize coverage through private insurance plans as Massachusetts has done. The debate within the party still rages, with Obama in the crossfire.

 

Former North Carolina Sen. John Edwards was the first Democratic presidential candidate to propose a public option as part of his health care plan, unveiled in 2007. Behind the scenes, his wife, Elizabeth, was a strong advocate of his decision.

 

In an interview, Elizabeth Edwards said that as the daughter of a Navy captain, she grew up with government health care and found it dependable. Later in life, her sojourn in the medical world as a breast cancer patient opened her eyes to the travails of people who had no insurance, or whose coverage turned out to be unreliable.

 

"I met people who were constantly coming up against one problem or another," Edwards said. "Even people like me, who have health care, know someone who has been through some misery because they couldn't afford the health care they needed."

 

Before the 2008 presidential campaign, chances were slim that lawmakers one day would consider government coverage for middle-class workers and their families. Liberals had talked for years about expanding Medicare to cover not just seniors, but all Americans. That's all it seemed to be — talk.

 

Then in 2001, political scientist Jacob Hacker proposed a plan he called "Medicare Plus." Employers could choose either to offer private insurance or pay a payroll tax to finance coverage for their employees through a health plan modeled on Medicare. Hacker, now at Yale University, retooled his proposal early in 2007 as the presidential campaign geared up. It caught on with core Democratic constituencies.

 

"The unions fell in love with Jacob's idea," said health economist Len Nichols of the New America Foundation.

 

Hacker said he wanted to bridge the gap between Democrats who supported a single payer plan like Medicare-for-all and those who wanted to preserve the employer coverage that has served most Americans for a half century.

 

"I tried to provide a case for seeing common ground between those two positions," Hacker said. "There's certainly a strong political argument that single payer is not feasible. Threatening (employer) coverage is a political nonstarter, and moving all health care spending onto the public budget is virtually impossible in the current fiscal climate."

 

Nonetheless, he said estimates showed his public plan would end up covering about half of workers and their families — gaining a powerful position in the market.

 

On the other side of the country, a Berkeley health policy professor had come up with the idea of a head-to-head competition between a government plan and private plans. Helen Halpin proposed such a scheme in 2002 for California, a state with a history of failed attempts to remake its health care system. The following year, she retooled the plan as a national proposal.

 

Called the CHOICE Option, Halpin's plan would let people decide whether they wanted government coverage or a private plan.

 

"May the best model win," Halpin said. "Depending on the preferences of the population, the system could evolve to single payer, but it would be a totally voluntary transition." Her bet: The government plan wins.

 

Edwards' health care adviser, Peter Harbage, said he was familiar with both Halpin's idea and Hacker's proposal, and they were discussed in the campaign's deliberations.

 

"What Helen had here was the idea of choice, and choice as an option," said Harbage, now at the Center for American Progress. "The catch phrases people are using today were part of her paper."

 

Edwards decided on his health care plan after the campaign set up a private teleconference debate that featured two independent policy experts. One argued for a government-run system, while the other defended a market-based approach like Massachusetts has.

 

"We were both walking around with phones," said Elizabeth Edwards. "I was listening in." After the debate, her husband decided to go for the market-based approach — with a public option added.

 

Later on, Obama and Hillary Rodham Clinton adopted the public plan. The idea remains popular with the public: A Kaiser Family Foundation poll this week found 59 percent of Americans support it.

 

http://www.neworleanscitybusiness.com/uptotheminute.cfm?recid=26395

 

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Census data expected to show more poor, uninsured

The Times-Picayune | 08.20.09

by Hope Yen, The Associated Press

 

WASHINGTON -- The ranks of poor and uninsured Americans are likely increasing -- with more than 38.8 million believed to be in poverty.

 

Rebecca Blank, the Commerce Department's undersecretary of economic affairs, spoke to The Associated Press in advance of next month's closely watched release of 2008 census data. Noting the figures are not yet final, Blank said the numbers likely will show a "statistically significant" increase in the poverty rate, to at least 12.7 percent. That would represent a jump of more than 1.5 million poor people compared with the previous year.

 

"There's no question that 2008 economically was a much worse year than 2007," she said Wednesday. "The question is how much and how bad."

 

The number of uninsured is also expected to increase notably due largely to rising unemployment and the erosion of private coverage paid for by employers and individuals, but Blank declined to say by how much. In 2007, the number of uninsured fell by more than 1 million mostly because government programs such as Medicaid for the poor picked up the slack.

 

The census figures, set to be released Sept. 10, could have important ramifications as Congress returns from its August recess to debate health care reform, its cost and the ways to pay for it. Republicans also have traditionally pointed to the intractable poverty rate as a sign that government programs for the poor do not work, a claim likely to be repeated often in light of the federal stimulus package.

 

In a 30-minute interview, Blank said the census figures released next month could possibly understate the actual number of poor people, since the poverty rate is a lagging indicator that tends to accelerate over time. As a result, the 2008 data could prove to be the tip of the iceberg, with more significant declines reflected in 2009 figures that will be released next year.

 

Blank, a former co-director of the National Poverty Center at the University of Michigan, estimated earlier this year that poverty could eventually hit 14.8 percent or more if unemployment reaches 10 percent as some analysts predict -- or nearly one out of every seven Americans.

 

Based on 2007 figures, the poverty rate currently stands at 12.5 percent, or 37.3 million, largely unchanged from recent years. The official poverty level is now $21,203 for a family of four, and $13,540 for a family of two, based on a calculation that includes only cash income before deductions for taxes. It excludes capital gains and it does not take into account accumulated wealth or assets, such as a home.

 

On Wednesday, Blank said she was working with the Census Bureau to provide better measures of poverty. Such alternative measures, which will be released sometime after Sept. 10, will seek to better incorporate added costs of health care, child care, housing and transportation, but also noncash income from the stimulus and other government programs, such as tax credits and food stamps.

 

http://www.nola.com/news/index.ssf/2009/08/census_data_expected_to_show_m.html

 

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Obama guarantees health care overhaul will pass

The Advocate | 08.20.09

By CHARLES BABINGTON

Associated Press writer

 

WASHINGTON (AP) -- President Barack Obama guaranteed Thursday that his health care overhaul will win approval and said any bill he signs will have to reduce rapidly rising costs, protect consumers from insurance abuses and provide affordable choices to the uninsured - while not adding to the federal deficit.

 

Obama listed those four "bullet points" as his basic requirements in response to a question from a caller to a Philadelphia-based talk radio show. Host Michael Smerconish interviewed Obama at the White House during the show and Obama took questions from several listeners.

 

Another caller said he sensed the administration's "knees are bucklin' a little bit" under criticism of the proposals. Obama said he was as determined as ever and "I guarantee you, Joe, we are going to get health care reform done."

 

Obama is struggling to regain the momentum on his top domestic priority - a comprehensive bill that would extend health coverage to nearly 50 million Americans who lack it and restrain skyrocketing costs. Opponents of the overhaul have drowned out supporters at lawmakers' town halls around the country this month, and backing for Obama's effort has slipped in opinion polls. Congressional Democratic leaders are preparing to go it alone on legislation although bipartisan negotiations continue in the Senate.

 

The president insisted Thursday that there has been no change in the administration's position that a government option for health insurance coverage should be considered as part of legislation to overhaul the system.

 

Responding to a question from Smerconish, Obama said, "The press got excited and some folks on the left got a little excited" when the administration last weekend made statements indicating that a federally run health insurance option was just one of several alternatives.

 

"Our position hasn't changed," he said.

 

Later Thursday, he visited the Democratic National Committee headquarters for a rally designed to re-energize activists who were instrumental is his drive to the presidency.

 

"Winning the election is just the start," he told an audience at the DNC and thousands watching online and listening by telephone. "Victory in an election wasn't the change that we sought."

 

Obama said lies had spread about Democrats' plans, including claims Washington would create "death panels" or pay for health insurance for illegal immigrants.

 

"C'mon," a mocking Obama told the cheering crowd. "We can have a real debate because health care is hard and there are some legitimate issues that have to be sorted through and worked on."

 

While Obama says he's still looking for Republican support for a comprehensive health care bill, Democrats privately are preparing a one-party push, which they feel is all but inevitable.

 

On Wednesday, Obama urged religious leaders to back his proposals, arguing that health coverage for Americans is a "core ethical and moral obligation." Polls continued to show slippage in support for the president's approach, although respondents expressed even less confidence in Republicans' handling of health care.

 

Vice President Joe Biden met with health care professionals in Chicago on Thursday and planned to announce nearly $1.2 billion in grants to help hospitals transition to electronic medical records. Health and Human Services Secretary Kathleen Sebelius was joining him.

 

Former Republican presidential candidate Mitt Romney said Thursday that Obama is struggling to get a health care bill because he has been too deferential to liberals. Romney, who may challenge Obama in 2012, said on CBS' "The Early Show" that "if the president wants to get something done, he needs to put aside the extreme liberal wing of his party."

 

Some Democrats say a strong-arm tactic on Senate health care legislation that would negate the need for any GOP votes might be more effective than previously thought.

 

The legislative tactic, called "reconciliation," would allow senators to get around a bill-killing filibuster without mustering the 60 votes usually needed. Democrats control 60 of the Senate's 100 seats, but some moderate Senate Democrats have expressed reservations about Obama's plan.

 

Two Democrats - Robert Byrd of West Virginia and Edward Kennedy of Massachusetts - are seriously ill and often absent. Kennedy sent a letter Tuesday to Massachusetts leaders asking that they change state law to allow someone to be quickly appointed to his seat in Congress "should a vacancy occur."

 

While always contentious, reconciliation lets the Senate pass some measures with a simple majority vote. Non-budget-related items can be challenged, however, and some lawmakers say reconciliation would knock so many provisions from Obama's health care plan that the result would be "Swiss cheese."

 

Still, Jim Manley, spokesman for Senate Majority Leader Harry Reid, D-Nev., warned Republicans Wednesday that reconciliation is a real option. The White House and Senate Democratic leaders still prefer a bipartisan bill, he said, but "patience is not unlimited and we are determined to get something done this year by any legislative means necessary."

 

Administration officials and congressional Democrats were deeply discouraged this week when key Republican lawmakers seemed more critical than ever about various Democratic-drafted health care bills pending in the House and Senate. They said they still hope Senate Finance Committee efforts to craft a bipartisan compromise can succeed, although private remarks were more pessimistic.

 

http://www.2theadvocate.com/news/53840737.html

 

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As Colleges Prepare for Flu, CDC Releases New Guidelines

Chronicle for Higher Education | 08.20.09

By Austin Wright

 

As colleges nationwide welcome back students, they are also preparing for the return of an unwanted guest: H1N1 influenza, popularly called swine flu. The Centers for Disease Control and Prevention considers college students among several high-risk groups for this new strain of flu, and on Thursday the health organization released guidelines for how colleges should help prevent the flu's spread.

 

The typically mild virus has been officially classified a global pandemic by the World Health Organization. And already this month, more than 50 students each at the University of Alabama at Tuscaloosa and Louisiana State University at Baton Rouge have reported flu-like symptoms to the universities' student-health centers. Flu outbreaks were also reported at several colleges' summer programs.

 

"College-aged students are particularly vulnerable to this virus, and they are not necessarily seeing a doctor on a regular basis," said Kathleen Sebelius, U.S. Secretary of Health and Human Services, in a conference call with reporters Thursday. "A lot of them have not had regular vaccination updates. They need to be encouraged to not only take care of themselves, isolating themselves when they are sick, but also to take advantage of the vaccine when it becomes available."

 

The health department has been promoting flu prevention to young adults through Facebook, Twitter, and other viral-marketing techniques, Ms. Sebelius said. College-age people are considered a priority group for receiving vaccinations when they become available this fall.

 

The CDC's guidelines for colleges say sick students should isolate themselves until 24 hours after their fevers subside, in the absence of fever-reducing medication. The guidelines urge colleges to make it easy for students, and faculty and staff members with flu symptoms to miss class or work. They also ask colleges to consider offering alternative housing for sick students who live with roommates and to consider telling students who have medical complications putting them at high risk for severe cases of the flu to stay home or in their rooms during outbreaks.

 

Isolation Plans

 

Duke University, for instance, has left one of its student apartment complexes unfilled so students with high-risk factors like respiratory problems or weak immune systems can live there in the event of a flu outbreak. The university has been especially hard hit by the flu this summer.

 

Since football training camp began at Duke in early August, nearly half of the players have had sore throats, fevers, coughs, runny noses, and other symptoms of the flu. Many of Duke's football players experienced symptoms for fewer than 12 hours, and all have now recovered and are back on the field, said Michael Schoenfeld, the university's vice president for public affairs and government relations.

 

Duke also had to cancel one of its 60 or so summer programs for middle- and high-school students because of the flu, and another was cut short. Of 8,000 campers who attended programs at Duke in the last three months, about 70 came down with the flu, though it may not have been H1N1. Health officials no longer test people with flu symptoms to see whether they have that particular strain of the virus because it is generally treated the same as seasonal flu.

 

Some infected students at Duke this summer were sent home. Those whose parents could not drive to pick them up were sent to a residence-hall-turned-infirmary. "We communicated very frequently with the students and their parents," he said. "The cases were very mild, consistent with seasonal flu, maybe even milder. Nobody was hospitalized."

 

Duke's situation this summer may serve as a warning of what's to come. As students nationwide return to college, they are packing themselves by the thousands into dormitories that often lack air conditioning, feature communal showers, and breed close encounters.

 

"It's clearly not a matter of if," Mr. Schoenfeld said. "It's a matter of when—and how much."

Preparing for the Worst

 

Since last spring, the new H1N1 virus has infected an estimated more-than-one-million people in the United States. Health experts have stopped keeping an official tally because most people recover without seeking medical treatment.

 

On Thursday, federal officials said that the CDC would consider asking colleges to suspend classes only if flu outbreaks are more severe among college students this fall than they were in the spring and summer.

 

"We wanted to have a menu of options," Ms. Sebelius said, "because what's appropriate in Southern California may be a lot different from what colleges in Maine are looking at."

 

The new guidelines also recommend that colleges publicize hygiene tips and ask students to clean their rooms frequently. Students with the flu who have been isolated should have a friend or caregiver bring them meals, the guidelines say.

 

In an interview, a CDC spokesman urged that colleges take precautions. "We need to prepare for the worst and hope for the best," said Tom Skinner. "Colleges need to expect that novel H1N1 is going to be circulated on their campus, and they need to have a plan."

 

An H1N1 vaccine should be ready for distribution in October, Mr. Skinner said. Colleges contacted by The Chronicle said that once shots are available, they plan to offer on-campus immunizations.

 

"We've talked with the health department about having them come to campus for immunizations," said Michael Leonard, medical director for University Health Services at Binghamton University, part of the State University of New York system. Last year, he said, Binghamton had one confirmed case of H1N1. The student was isolated for seven days. Another student with flu symptoms was isolated for two days before medical tests showed that he did not have the new H1N1 virus.

 

Dr. Leonard said Binghamton updated its pandemic plan this summer because the previous plan was based on the deadly 1918 flu pandemic. "We had thought the next pandemic would have high mortality," he said. But health officials at the university realized they needed more-flexible procedures that could be applied to less-severe outbreaks that have low mortality rates but could still shut down the university if enough people were infected.

 

Oakland Community College, in Michigan, recently updated its pandemic plan as well. Commuter colleges like Oakland face fewer challenges when dealing with flu outbreaks because, if an outbreak were bad enough, they could simply tell students to go home.

 

"What we don't have is the dorm situation—we don't have students living in mass," said Terry McCauley, Oakland's director of public safety. "The worst-case scenario for us is if we have to close down business."

 

He said the college plans to send out several campuswide e-mail messages reminding students to wash their hands frequently, especially after sneezing or coughing. If the campus had to shut down, he added, the college could hold many classes online.

 

Dr. Michael Edmond, hospital epidemiologist for the Virginia Commonwealth University Health System, said the university hospital is stocking up on masks and gloves. "We've significantly increased our supply," he said. "When you're trying to plan for something like this, the just-in-time mentality doesn't work anymore."

 

He said hospital officials have been meeting all summer to work through logistical questions that could arise this flu season: Which employees should be vaccinated first? Should workers with medical conditions that make them more susceptible to the flu be prohibited from caring for flu patients? At what point should the hospital stop allowing visitors?

 

"There are many issues, but not a lot of answers," Dr. Edmond said. "It's totally unpredictable."

 

http://chronicle.com/article/Colleges-Get-Ready-for-Flu/48144/

 

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Eat less, live longer?

The Bulletin | 08.20.09

By Betsy Q. Cliff

 

There’s something remarkable about the Okinawan people. These residents of a subtropical island in Japan live longer than almost anyone on Earth.

 

Compared with other developed countries, Okinawa has four to five times the number of centenarians. Their average life expectancy is 81 years, surpassing the American average by more than four years. Reports from people who study the Okinawans chronicle people living active, healthy lives well into their 90s and beyond. So what’s their secret?

 

It may be that they simply eat less. Compared with those living in mainland Japan, the Okinawans eat about 20 percent fewer calories. Their diet is healthy - filled with leafy greens, soy and some fish - but scientists are increasingly convinced that the quantity may be just as important as the quality.

 

A growing body of evidence suggests that if you’re willing to eat less nearly every day for the rest of your life, you can expect to live longer. Though the idea is by no means mainstream, it has been buoyed by recent studies and has attracted a growing group of adherents.

 

Further, you may stay healthier, as restricting calories may stave off some of the major diseases of aging. Calorie restriction seems to affect some fundamental processes in the body related to aging and the development of chronic disease. The pharmaceutical industry is capitalizing on the idea. Clinical trials are currently under way on pills that mimic calorie restriction’s effects without the pain of going hungry.

 

As a way to stop the effects of aging, “it seems that calorie restriction may be more powerful than anything we have on the market,” said Dr. Samuel Klein, who heads the Division of Geriatrics and Nutritional Science at Washington University in St. Louis and is currently involved in a large study of calorie restriction in humans.

 

“There’s something magic in calorie restriction,” said another researcher, Eric Ravussin, a professor at Pennington Biomedical Research Center, who is also involved in the study of calorie restriction on humans. “You can move the (life span) curve to the right.”

 

Not everyone is convinced. No local practitioners — including dietitians, physicians and naturopathic doctors interviewed for this article — supported calorie restriction. Most said the evidence isn’t there, and it is enough to just ensure a healthy diet.

“I would not advise someone to do it,” said Dr. Mike Henderson, an internal medicine physician at High Lakes Health Care in Bend. “Certainly not based on the info available.”

 

To be sure, there’s no direct evidence that humans will live longer by eating less. Most of the evidence for longevity comes from studies of various animals, including mice, worms and monkeys. In humans, the studies examine populations that have followed a calorie-restricted diet or detail health benefits that may lead to a longer life, but do not go so far to prove that calorie restriction can lead to a longer life.

 

That hasn’t stopped many people from giving it a go. “Prior to starting calorie restriction, I thought of life as kind of (a) conveyer belt. You move at a steady pace and then drop off and die,” said Bob Cavanaugh, who lives in North Carolina and is part of a group that practices calorie restriction. “Once I got on calorie restriction, I realized that I can control the speed of that conveyer belt.”

 

Potential benefits

 

Calorie restriction does not have a specific definition or protocol beyond the obvious, taking in fewer calories. That can mean eating less every day or fasting one day then gorging the next. Most studies define the restriction as somewhere around 30 percent less than the average amount a person would eat, which is about 1,900 calories per day for women and 2,600 calories per day for men.

 

Studies and adherents both stress the importance of adequate nutrition. Nutrient-dense food is typically chosen so the quality of the diet is high, despite that there is less food.

 

Studies on people who have voluntarily or involuntarily reduced the amount they eat have shown that those people often lower their risk of major killers such as heart disease, cancer or diabetes.

 

One such study chronicled the experience of the crew in the Biosphere 2 experiment, in which eight people were confined in a 3-acre enclosed space in Arizona for two years (from 1991 to 1993) to see if they could create a self-sustaining environment. It did not go well, and food was scarce for most of the two years. The conditions were ripe, however, for a study of the effect of deprivation.

 

The crew ate a healthful, largely vegetarian, low-fat diet of green and yellow vegetables, fruits and grains. They consumed between 1,700 and 2,100 calories each day, a low amount, particularly considering the heavy workload in the Biosphere.

 

By the end of the two years, all of the crew members had lost weight. They also lowered their total cholesterol, blood pressure and level of triglycerides, reducing their risk for heart disease. The researchers, who see the same phenomenon in calorie-restricted mice, surmised the reduced risk was associated with the drop in food consumption.

 

Another study currently under way is examining whether restricting calories by 25 percent for people who are slightly overweight but not obese can put them in better health.

 

After six months of study, the researchers found that those who were on the calorie-restricted diet lost about 10 percent of their body weight. The primary biological change in those on the calorie-restricted diet was in measurements of metabolism, how the body’s cells were using energy. People on the calorie-restricted diet expend less energy than those eating normally.

 

That change in metabolism, scientists theorize, could be the key to why calorie restriction slows aging. When cells use energy, they produce compounds called free radicals. These little pests zip around the body, damaging cells and, more destructively, the DNA inside cells. When the cells use less energy, they produce fewer free radicals, lessening the damage to the body.

 

“As the metabolism slows down, you would produce fewer free radicals,” said Julie Hood, a registered dietitian and professor at Central Oregon Community College. “That may slow down aging or chronic disease progression and that may help you live longer.”

 

Hood emphasized that at this point, it’s still just a theory and there’s no direct evidence that, even if calorie restriction does slow metabolism, it would make people live longer.

 

A recent study provided what some scientists are calling the best evidence yet that calorie restriction can extend life. Published last month in the journal Science, the study looked at the survival rate of rhesus monkeys on a calorie-restricted diet compared with monkeys on a normal diet. After about 20 years, 37 percent of the animals fed a normal diet died of age-related causes compared with just 13 percent of the monkeys fed less.

 

Moreover, the monkeys in the calorie-restricted group had fewer diseases. Sixteen monkeys in the normal-diet group were diabetic or pre-diabetic; none in the restriction group had signs of the disease. The calorie-restricted monkeys also had fewer cases of cancer and heart disease.

 

Monkeys fed less also showed less brain deterioration than those in the normal diet group. Though there have been fewer studies on the effect of calorie restriction on the brain, this evidence suggests that it could help prevent age-related diseases of the mind such as dementia.

 

“The study in monkeys is really remarkable because it’s been going on so long,” said Klein. Klein said it was unlikely, perhaps even impossible, to do a similar study in humans.

 

The monkey study, Klein said, may be the most direct evidence for an increase in life span from calorie restriction. “In terms of longevity, this will be the study.”

 

CRonies

 

Cavanaugh, in North Carolina, is not waiting for all the evidence to be in. The 61-year-old man began a calorie-restricted diet about nine years ago, after his doctor told him he needed to control his cholesterol. He’s followed it ever since. His wife is now a convert, also following the diet.

 

“I’m just doing it so I age well,” he said. “I want to avoid the diseases of aging.”

 

He eats about 1,800 calories each day, usually through two meals, breakfast and dinner. Cavanaugh said he eats normal foods and pays attention to make sure he gets all his recommended vitamins and minerals in each day. He still goes out to eat, he said, but makes smarter choices — ordering fish instead of steak, for example.

 

Cavanaugh is the managing director of a group called The Calorie Restriction Society, often referred to as the CRonies. Members describe themselves as a support group for people who practice calorie restriction, and their Web site offers tips for those who want to embark on a diet of less food. Currently, the group has about 4,000 paying members, said Cavanaugh, though the Web site gets between 4,000 and 5,000 hits per day.

 

Cavanaugh said that because the research is not definitive, he’s not sure if he’ll live longer than people eating a normal diet. But for most CRonies, he said, that’s beside the point. “A lot of folks have stated they just feel better and healthier. Even if there were no anti-aging benefits, they wouldn’t go back.”

 

Hard diet

 

For the general population, however, most see calorie restriction as just too hard to promote. “It’s very difficult to be on a calorie-restricted diet,” said Klein. “Only the very driven, obsessive-type people are the ones who can stick with it.”

 

Henderson, the internal medicine physician in Bend, agreed that the diet was impractical for most people. “You basically have to be hungry all the time. That’s hard for people to do.”

 

Because many people are overweight or obese and need to reduce their calorie intake to solve that problem, telling normal weight people to reduce their calories will not likely become a public health push anytime soon. Most researchers said getting a handle on the obesity epidemic was more important than pushing for calorie restriction, even if there are true benefits.

 

“If we are not good at curving down the prevalence of obesity, can you imagine what we are going to do with calorie restriction,” said Ravussin. “It’s just a question of priorities.”

 

Plus, the evidence is still not fully there, said Ravussin. He said his colleagues kid about whether a longer life span from calorie restriction is real or imagined, given that you may go through each day hungry. “There’s a joke that you don’t live longer, it just seems longer.”

 

Betsy Q. Cliff

 

http://www.bendbulletin.com/apps/pbcs.dll/article?AID=/20090820/NEWS0107/908200306/-1/rss

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'Romney care' touted as a model for national health care reform

CNN Politics | 08.20.09

Jim Acosta and Ed Hornick

 

(CNN) -- If Washington wants health care reform with bipartisan support, experts say consider what former Republican presidential candidate Mitt Romney accomplished as governor in Democratic Massachusetts.

 

Mitt Romney says the president must have bipartisanship in order to get quality health care reform.

 

"You don't have to have a public option," Romney said. "You don't have to have the government getting into the insurance business to make it work."

 

Three years after enacting its own version of reform, Massachusetts now has near-universal coverage.

 

Taxpayer watchdogs say it's affordable.

 

"There is this widespread assumption, that is treated as fact, that it's breaking the bank in Massachusetts ... it's not breaking the bank at all." said Michael Widmer of Massachusetts Taxpayers Foundation.

 

And health care experts say it's popular.

 

"Seven in 10 people in the state support the program, and no more than one in 10 would repeal it." said Robert Blendon with the Harvard University School of Public Health.

 

Unlike Democratic proposals that would give Americans the choice of joining a government-run health care plan, Massachusetts has no public option. Instead, people in the state are required to buy private insurance, and the poor get subsidies.

 

The reform created the Commonwealth Health Insurance Connector Authority, which is similar to a health insurance exchange.

 

Nicknamed "Connector," its purpose, according to the state, is to connect individuals and small businesses statewide to affordable insurance plans.

 

The program reviews "existing health insurance coverage plans in the marketplace" and gives "certain plans the Connector 'seal of approval.' Plans offered through the Connector will not be subject to minimum contribution and participation rules," according to the state government's Web site.

 

And under the 2006 legislation, there are several requirements for insurance companies.

According to Brian Rosman of Health Care for All, a nonprofit based in Massachusetts, the requirements include:

 

           Minimum benefits, such as preventive care, mental health care and hospitalization

           A ban on gender discrimination

           Limits on total out-of-pocket costs

           A prohibition on pre-existing conditions as a qualifier for health coverage

           No medical underwriting, so insurers can't ask an individual about his or her health status in order to determine coverage

           Limits on age restrictions, which means what is charged for an older individual cannot be more than double what is charged the  

            youngest.

 

Analysts say "Romney care" is basically "Obama care" minus the public option.

 

When asked if he'd support Obama's health care reform plan if it doesn't include a public option, Romney said that it "depends on what's in the rest of the bill."

 

The Massachusetts model, however, does have its problems. Experts say it doesn't control rising health care costs -- something Romney insisted must be tackled on a national level.

 

Michael Tanner, the director of health and welfare studies at the libertarian Cato Institute, said that the Romney care program plan costs taxpayers a "great deal of money."

 

"Originally, the plan was projected to cost $1.8 billion this year. Now it is expected to exceed those estimates by $150 million," he said in 2008. "Over the next 10 years, projections suggest that Romney Care will cost about $2 billion more than was budgeted."

 

He added: "And the cost to Massachusetts taxpayers could be even higher because new federal rules could deprive the state of $100 million per year in Medicaid money that the state planned to use to help finance the program."

 

At a GOP presidential debate at Reagan Library in June 2008, Romney defended his program.

"I'm the only one that got the job done. I got health insurance for all our citizens. We had 460,000 people without insurance. We got 300 of them -- 300,000 of them -- signed up for insurance now. I'm proud of what we accomplished," he said at the time.

 

Meanwhile, Romney says Democrats have only themselves to blame for those rowdy town hall meetings that have sometimes been reduced to shouting matches and even violence.

"I think any time you're dealing with people's health care and their ability to choose their doctor, you're going to find people responding very emotionally," he said.

 

As for former Alaska Gov. Sarah Palin's now debunked claim that reform would lead to so-called "death panels," Romney said "I'm not going to tell people what they can and cannot talk about."

Still, Romney does warn the president that bipartisanship is the only road to health care reform.

"I think the right process for the president to pursue on a subject that is so emotional, so important to all Americans, is to go through the lengthy process of working on a bipartisan basis," he said. "He promised that."

 

Democratic sources said Tuesday that the White House might resort to passing a Democratic-only bill without bipartisan support.

 

The White House later said Wednesday that the president was hopeful bipartisan talks would continue if Republicans continue to help Democrats devise a comprehensive plan.

 

Democrats, however, may run into problems.

 

A Quinnipiac University poll shows the American public is wary of a Democratic-only bill. When asked if that's the right approach, 59 percent said they were opposed, while 36 percent said yes.

The poll had a margin of error of plus or minus 2 percentage points.

 

But it's not all good news for Republicans.

 

A new NBC News poll shows only 21 percent approve of the Republican Party's handling of health care, while 62 percent disapprove. In contrast, 41 percent approve of Obama's handling of the issue, while 47 percent disapprove.

 

The NBC News poll was conducted August 15-17, with 805 adults questioned by telephone. The survey's sampling error is plus or minus 3.5 percentage points.

 

http://edition.cnn.com/2009/POLITICS/08/20/romney.health.care/

 

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Where Elderly Back Obama, Health Bill Anxiety

The New York Times | 08.20.09

By KEVIN SACK

 

SUNRISE, Fla. — It was karaoke night at the Sunrise Lakes retirement village, and 76-year-old Shirley Scrop, wearing a T-shirt commemorating her granddaughter’s bat mitzvah, was laying down a rap about health care.

 

“I walk in the morning and I swim in the pool, I go to the doctor because I’m no fool,” she chanted, swaying like Ray Charles in a tennis skirt. “At the doctor’s office, I don’t want to stay, but I sit and I sit and I sit all day.”

 

But truth be told, Ms. Scrop admitted after taking her bow, she would not change a thing about her health care. Only two months ago, she had surgery to remove a breast tumor, and Medicare and her supplemental policy covered the cost, while allowing her a broad choice of physicians.

 

That is why, despite voting for President Obama last November, Ms. Scrop now sees the health care debate in Washington as a source of considerable concern. Like many among the lipsticked poker sharks, treadmill walkers and mah-jongg warriors who stay active at the community’s Phase 4 Clubhouse, Ms. Scrop has found her lifelong allegiance to the Democratic Party competing with her fears that the cost of providing universal coverage will fall heavily on the aged.

 

“It’s scary,” said Ms. Scrop, a retired bookkeeper from Long Island who moved to southeast Florida in 1989. “If they change the benefit amounts, it’s going to come out of my pocket. I’m sure there’s going to be some kind of change. I just hope it’s not going to be too bad.”

 

It seemed to matter little that Mr. Obama and his Democratic allies in Congress have vowed to protect Medicare benefit levels and have disavowed any interest in “pulling the plug on grandma,” as the president put it last week. Ms. Scrop and other residents of this sprawling community of coral-colored condominiums have heard about plans to wring hundreds of billions of dollars out of the projected growth in Medicare spending. Even though the largest of the proposed cuts would reduce reimbursements to hospitals, many fear that beneficiaries would ultimately lose out.

 

Whether or not they buy the false accusation that the Obama administration plans to set up “death panels” — some do and some do not — many express a generalized fear that care of the elderly will take a back seat and that access to procedures and drugs may be restricted. They paid into Medicare their entire working lives, several said, and basic fairness demands that they be allowed to keep what they have.

 

“I don’t want to have things cut from what I need,” said Sandy Burd, 64, the clubhouse social director. “If I’m 65 and need an M.R.I., I don’t want them to say, ‘I’m sorry, but it has to go to someone who’s 45.’ ”

 

Hal Goldman, 79, who retired 22 years ago from Sears, Roebuck & Company, echoed that sentiment.

 

“What they’re trying to do — Obama is — is take from the senior citizens and give to the poor and the illegal immigrants,” Mr. Goldman said “It’s hurting the senior citizens who worked all their lives. Because of their age, like in Canada, you’ll have to wait six months for an M.R.I.”

 

In fact, the health care bills circulating in Congress would not extend coverage to illegal immigrants, though they could reduce some of the choices that Medicare beneficiaries now enjoy.

 

In last year’s election, voters 60 and older were the only age group to support Senator John McCain of Arizona, the Republican nominee. But that was not the case here in Broward County, which was critical to the Democratic victory in Florida. In the nine precincts that make up Sunrise Lakes, which is dominated by elderly Jewish transplants from the urban North, three of every four votes went to Mr. Obama.

 

That makes it particularly striking that there is such anxiety here about Democratic health care initiatives. Although the opinion is far from universal, some Obama supporters said they were regretting, or at least reassessing, their choice.

 

“I voted for President Obama, and I’m not ashamed to say that I’m sorry now because I don’t trust what he’s saying,” said Elaine Carl, 71, president of recreation at the development’s Phase 4. “I think they’re going to take away from Medicare. I really do.”

 

On Tuesday night, at three poker tables set up in the clubhouse lobby, disagreements over health care temporarily interrupted the kvetching about the broken air conditioning.

 

“I can go wherever I want right now, and if I’m told that I can’t, that would worry me,” said Ruth P. Fox, 82, as she slid a nickel into the pot (in clear contravention of posted regulations against gambling). “I have a geriatric doctor, and she’s wonderful.”

 

But Eleanor S. Robinson, who is 80, said her elderly friends tended to worry just to worry. “When Roosevelt put in Social Security, a lot of people were worried about that, too,” Ms. Robinson recalled. “And if we didn’t have a Social Security check now, all of us would be up a creek. You sometimes have to go forward and take a chance.”

 

There are others, of course, whose enthusiasm for Mr. Obama has not flagged. Ronald A. Clifford, 73, who patrols the property in a golf cart as a part-time security guard, blamed “roughnecks” for fomenting dissent at town-hall-style meetings because “they hate having a black president.”

 

“All in all, I support Obama no matter what he does,” Mr. Clifford said. “Whatever he does, that’s the emes. You know what that is? That’s Yiddish for the truth.”

 

Whatever the feelings about Mr. Obama, there was widespread appreciation that he had taken on an ambitious agenda.

 

“You have to give the man a chance; he took on a big task,” said Sylvia Bank, who said she had just celebrated her 88th birthday, prompting a friend to knock on wood. “If it was my son, I wouldn’t let him be president, not at this time.”

 

Hilda Gruber, 84, glanced up from her cards. “What does that have to do with the price of eggs in Afghanistan?” she asked.

 

Back in the ballroom, where the karaoke set-up had been underwritten by a supplier of motorized wheelchairs, Ms. Scrop said the best health care came from a positive outlook and regular exercise. She said she played tennis nine times a week, and line danced to boot.

 

“I’m not ready to leave this earth, because they only take good people up there,” she said with an impish grin. “Since I’m going to be here a long, long time, I don’t want my coverage to be too high.”

 

http://www.nytimes.com/2009/08/21/health/policy/21housecall.html?ref=health

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Wild Blueberry Health Research Builds Momentum at Annual Summit

PRWeb | 08.20.09

 

Antioxidant-rich Wild Blueberries were the sole focus of discussion at the recent Wild Blueberry Health Research Summit in Bar Harbor, Maine. An annual meeting of leading scientists studying Wild Blueberries for their disease fighting potential, the Health Research Summit continues to serve as the catalyst for discoveries about the beneficial effects of blueberry-enhanced diets on fighting oxidative stress and inflammation. Wild Blueberry research has been led by a core group known as the Bar Harbor Group. Scientists from the U.S. and Canada participate in an annual Wild Blueberry Health Research Summit to share current findings and advance collaborations into new areas.

 

Summit participants including James Joseph, Ph.D. and Barbara Shukitt-Hale, Ph.D. from the USDA Human Nutrition Research Center on Aging at Tufts University and Don Ingram, Ph.D., from Louisiana State University's Pennington Biomedical Research Center and formerly with the National Institute on Aging, recently collaborated on an important study in the area of cardiovascular health demonstrating that a blueberry-enriched diet protects the heart muscle from damage in animal models. (PLoS One, 2009 June 18; 4(6):e5954)

 

"We've seen a positive effect of blueberries on brain function and are encouraged by this new research that shows a positive link to heart health," said Dr. Joseph. "We're finding that what's good for the brain is also good for the heart," said Dr. Ingram. "In this study blueberries appear to act as both an antioxidant and anti-inflammatory agent providing a protective effect against cardiovascular damage," continued Ingram.

 

Others are involved in research related to metabolic syndrome, a combination of medical disorders including high blood pressure, high cholesterol, abdominal obesity, and impaired glucose tolerance responsible for increased risk for cardiovascular disease and diabetes. Working with Wild Blueberry fruit compounds known as anthocyanins, Mary Ann Lila, Ph.D., from North Carolina State University, Plants for Human Health Institute led a team of researchers that demonstrated that blueberry phytochemicals helped alleviate hyperglycemia in rodent models, a condition associated with diabetes and metabolic syndrome. (Phytomedicine, 2009 May; 16(5): 406-15)

 

"Anthocyanins, the natural plant compounds that give Wild Blueberries their deep blue color, may have anti-diabetic activity," said Dr. Lila. "With metabolic syndrome and diabetes on the rise, gaining a better understanding of how a healthy diet rich in fruits and vegetables may forestall some of these conditions is critical."

 

According to Susan Davis, MS, RD, Wild Blueberry Health Research Summit facilitator and Nutrition Advisor to the Wild Blueberry Association of North America, excitement is building around clinical trials. "We have seen success in pilot studies exploring the effects of Wild Blueberry consumption on vision, cardiovascular health, and cognitive impairment," said Davis. "Researchers want to build on pilot study results that are showing a positive effect in study subjects, while simultaneously advancing in vitro and in vivo work examining the actual bioactive compounds in the berries."

 

http://www.prweb.com/releases/2009/08/prweb2774544.htm

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Britons Fault Health Service, Until Others Do

The New York Times | 08.20.09

By SARAH LYALL

 

LONDON — People here complain endlessly about the National Health Service, which is financed by taxpayers and provides access to care, free at the point of delivery, to everyone in the country. They deplore the system’s waiting lists, its regional disparities in treatment, its infection-breeding hospitals and its top-heavy bureaucracy.

 

But they can be a bit touchy when outsiders are the critics.

 

They are furious, for example, that the health service is being held up as an example of the failures of socialized medicine by Americans opposed to President Obama’s health care proposals. On Wednesday, several dozen people rallied in front of the American Embassy in Grosvenor Square, holding up pro-N.H.S. signs.

 

“The N.H.S. is not perfect,” the rally’s organizer, Bruce Kent, told reporters, “but it is being really badly abused in the U.S.A., and on utterly unreasonable grounds.”

 

Mr. Kent said the health service saved his life in 2001, when he was operated on for prostate cancer. If he had had to pay for his treatment, he said, the cost “would probably have put me on the streets.”

 

Arguments against the health service by Republicans overlook the fact that while it costs half as much per person as the American system costs, “it delivers results which are on some plausible measures actually superior,” The Economist said in a stern editorial. “And it does this while avoiding the disgrace that so shames America, of leaving around 46 million people, some 15 percent of its population, without any form of health insurance.”

 

A Twitter campaign, We Love The N.H.S., is still going strong, with supporters sending messages about their own good experiences. More than 27,000 people have signed an online petition urging Americans “to ignore the myths about health systems in our country and others that are being pushed by U.S. health care companies” and to engage in a “healthy and honest debate.”

 

Britain’s three mainstream political parties have all hastened to affirm their support for the health service, with Prime Minister Gordon Brown even weighing in on Twitter. And after a member of the European Parliament from his party denounced the health service as a “60-year mistake” on American television, David Cameron, the Conservative leader, repudiated his remarks.

 

In a speech on Thursday, Mr. Cameron said the Conservatives were “the party of the N.H.S.”

 

And commentators continue to be amazed at what, in their minds, is an irresponsible distortion of the argument by people from across the Atlantic.

 

“If American politicians peddle falsehoods about what goes on in other countries,” The Economist wrote, “Americans are correspondingly less likely to appreciate the extent to which they are being let down.”

 

http://www.nytimes.com/2009/08/21/health/policy/21london.html?ref=health

 

 

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