Category: Health Care

Alternate title:  Best Practices in the Care and Nurturing of LGBT People.

Every once in a while, someone or some body does something that has to be applauded.  When they do or it does, it should be acknowledged for the positive that may come out of it…if only to encourage more of similar behavior in others.

The Joint Commission, formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which is the accrediting agency for hospitals nationwide, has released a new field guide (pdf): Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community.

Financial assistance in preparing this guide was obtained from The California Endowmnent.

The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

All patients, regardless of social or personal characteristics, should be treated with dignity and respect and should feel comfortable providing any information relevant to their care, including information about sexual orientation and gender identity.  Every hospital and health care organization is unique and no single approach works best, but The Joint Commission encourages hospitals to adopt a combination of the strategies and practices discussed and to use these examples as a foundation for creating processes, policies and programs that are sensitive and inclusive of LGBT patients and families.

—Jerod M. Loeb, Ph.D., executive vice president, Division of Healthcare Quality Evaluation, The Joint Commission

Ohio voters last night voted overwhelmingly against both Republican and Democrat corporate-favoring policies in a referendum.  Senate Bill 5, passed by the Republican-dominated legislature and signed into law by Republican governor John Kasich, was shot down by sixty-one percent, too large a margin for the GOP to rig the vote count in its favor.

By a reportedly larger margin than Issue 2, Obamacare, the law passed in spring of 2010 in a huge giveaway to the health insurance industry, was voted down at sixty-six percent of the vote, according to the Cleveland Plain Dealer.  However, the constitutional amendment as written would make it extremely difficult to pass meaningful regulations on insurance companies, and pretty much rules out all hope of single-payer health insurance in the Buckeye State.

In Mississippi, voters shot down the anti-abortion amendment proposed by right-wing extremists.  The bid to declare life as beginning at conception was defeated 58-42%.

The measure would have bestowed legal rights on fertilized eggs and cut off access to abortion by equating it with murder, making no exception for rape, incest or when a woman’s life is in danger. Medical groups warned it might have criminalized contraception and miscarriages while limiting access to treatments such as in-vitro fertilization.

The voters of Mississippi are smarter than the far right gives them credit for.  Cheers to them!

What, however, does the defeat of Issue 2 and the passage of Issue 3 in Ohio mean?  It is incredibly easy for Democrats and Republicans, and their spinmeisters in the corporate-owned media, to speculate as to what it means, and many are doing just that.  But what it all boils down to is that voters are fed up with far right policies that benefit no one but large business interests.  In Massachusetts, for example, according to Physicians for a National Health Program, Romneycare – the insurance giveaway on which Obamacare was modeled – nearly 400,000 people still find health insurance unaffordable, and those people are predominantly the working poor.  Given this realization, it is no wonder voters would rather opt out.

On a broader scale, Americans are increasingly hostile to far right policies, be they industry bailouts, invasive laws designed to take away women’s reproductive rights, or attempts to restrict voting rights, We the People are starting to fight back against the wave of fascist power grabs.  Only time, though, will tell if it’s not too little, too late.

Cross-posted from Progressive Independence.

Welcome to the Health and Fitness weekly diary which is cross-posted from The Stars Hollow Gazette. It is open for discussion about health related issues including diet, exercise, health and health care issues, as well as, tips on what you can do when there is a medical emergency. Also an opportunity to share and exchange your favorite healthy recipes.

Questions are encouraged and I will answer to the best of my ability. If I can’t, I will try to steer you in the right direction. Naturally, I cannot give individual medical advice for personal health issues. I can give you information about medical conditions and the current treatments available.

You can now find past Health and Fitness News diaries here and on the right hand side of the Front Page.

Many families fall into one of two camps when it comes to Thanksgiving menus. There are those who never veer from their annual menu; recipes are pulled out once a year, then put away until the next. Then there are those who like to try new recipes. [..]

Winter squash offers a big nutritional bang at a small caloric price – lots of vitamin A in the form of beta carotene, vitamin C, potassium, dietary fiber and manganese, folate, omega-3 fatty acids, vitamin B1, copper, vitamin B6, niacin and pantothenic acid.

   I was visiting one of my project partners today.

She has two daughters, the youngest of them 6 years old. While we were talking the girl from next door, about the same age, came over to play with the daughter.

 I couldn’t help but notice the fresh dime-sized scabs and scars all over her lower legs. It was some sort of skin disease.

 What is it from? No one knows. Has the mother seen a doctor about it? No. Why not? No tiene dinero.

 It’s as simple as that. This is the Dominican Republic. This is a third-world country. There is no real public health care system. It is almost totally private, and thus inaccessible to most of the population.

Cross posted from The Stars Hollow Gazette

Paul Krugman: Free To Die

Back in 1980, just as America was making its political turn to the right, Milton Friedman lent his voice to the change with the famous TV series “Free to Choose.” In episode after episode, the genial economist identified laissez-faire economics with personal choice and empowerment, an upbeat vision that would be echoed and amplified by Ronald Reagan.

But that was then. Today, “free to choose” has become “free to die.”

I’m referring, as you might guess, to what happened during Monday’s G.O.P. presidential debate. CNN’s Wolf Blitzer asked Representative Ron Paul what we should do if a 30-year-old man who chose not to purchase health insurance suddenly found himself in need of six months of intensive care. Mr. Paul replied, “That’s what freedom is all about – taking your own risks.” Mr. Blitzer pressed him again, asking whether “society should just let him die.”

And the crowd erupted with cheers and shouts of “Yeah!

Susan Grigsby’s brother Steve died a painful death fighting for care as an uninsured American. Susan watched, horrified, as the GOP Presidential Candidates on CNN’s Tea Party Debate stood silent when the the audience cheered for the idea that we as a society should just let an uninsured man die. Now Susan wants an answer from each and every GOP candidate.

Cross posted from The Stars Hollow Gazette

During the latest of what will be a year long parade of circus clowns, Michele Bachmann once again demonstrated not only her ignorance but hatred of her own womanhood when she lashed out at Texas Governor Rick Perry for his school program to vaccinate young girls with Gardisil, that protects against nine strains of the virus, HPV, the major cause of cervical cancer. While taking issue with the possible ulterior motive for the program which he had instituted by an executive order, Bachmann took it a step further alleging that the vaccine is dangerous, “”Little girls who have a negative reaction to this potentially dangerous drug don’t get a mulligan” and “They don’t get a do-over. The parents don’t get a do-over.”

In her post debate interview she went even further making the specious and debunked claim that the vaccine can also cause mental retardation. claiming that a woman had approached after the debate telling her that she had a daughter who suffered mental retardation as a result of that vaccine”, repeating the same nonsense unchallenged in a morning interview. This woman will do and say anything to bolster her fading campaign.

Not that this will put the myths that is being strewn as a factual but here are the facts:

According to a Center for Disease Control page devoted to health concerns surrounding HPV vaccines, 35 million doses of Gardasil were distributed as of June 22, 2011, resulting in 18,727 reports of adverse events. Ninety-two percent of those adverse events were “non-serious” and included things like “fainting, pain, and swelling at the injection site (the arm), headache, nausea, and fever.” Among the serious adverse events were reports of the neurological disorder Guillain-Barré Syndrome, blood clots, and death. There’s no mention on the CDC page of any reports of Gardasil resulting in mental retardation.

Just to double check, we asked Dr. Kevin Ault, an associate professor of Gynecology and Obstetrics at Emory University and an investigator in the clinical trials for Gardasil, whether he’s familiar with allegations that Gardasil can result in mental retardation. “I’ve not heard that one before,” he told us. He added that even for the serious adverse effects that have been reported, there’s been no evidence that they were actually caused by Gardasil. “There’s been a nice study from the CDC,” he said, “that basically [showed that] if you compare a group of people who got the vaccine to a group of people who didn’t get the vaccine, all these things are rare and they occur equally” in both groups.

Welcome to the Health and Fitness weekly diary which is cross-posted from The Stars Hollow Gazette. It is open for discussion about health related issues including diet, exercise, health and health care issues, as well as, tips on what you can do when there is a medical emergency. Also an opportunity to share and exchange your favorite healthy recipes.

Questions are encouraged and I will answer to the best of my ability. If I can’t, I will try to steer you in the right direction. Naturally, I cannot give individual medical advice for personal health issues. I can give you information about medical conditions and the current treatments available.

You can now find past Health and Fitness News diaries here and on the right hand side of the Front Page.

Welcome to the Health and Fitness weekly diary which is cross-posted from The Stars Hollow Gazette. It is open for discussion about health related issues including diet, exercise, health and health care issues, as well as, tips on what you can do when there is a medical emergency. Also an opportunity to share and exchange your favorite healthy recipes.

Questions are encouraged and I will answer to the best of my ability. If I can’t, I will try to steer you in the right direction. Naturally, I cannot give individual medical advice for personal health issues. I can give you information about medical conditions and the current treatments available.

You can now find past Health and Fitness News diaries here and on the right hand side of the Front Page.

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Greek Salad Sandwich

A Greek salad on a bun makes a satisfying meal.

Smoked Trout Salad, Cucumber and Roasted Pepper Sandwich

Packed in oil, smoked trout lends itself to a mixture a bit like tuna salad.

Marinated Tofu Sandwich With Asian Greens

Use the leftover marinade to make another meal.

Smoked Salmon Sandwich With Goat Cheese

A goat cream cheese inspired this sandwich.

Spinach and Sardine Sandwich

This creation uses the classic Mediterranean combination of sardines and spinach.

Cross posted from The Stars Hollow Gazette

This afternoon (Friday) the individual mandate of the Affordable Health Care Act has been found unconstitutional. A three panel court of the 11th Circuit Court of Appeals in Florida upheld a lower court ruling that had held the entire ACA to be unconstitutional. The ruling determined that individuals cannot be forced to purchase expensive private health care insurance from birth to death or face penalties. The court allowed the rest of the law to stand.

   – It is immaterial whether we perceive Congress to be regulating inactivity or a financial decision to forego insurance. Under any framing, the regulated conduct is defined by the absence of both commerce or even the “the production, distribution, and consumption of commodities”-the broad definition of economics in Raich… To connect this conduct to interstate commerce would require a “but-for causal chain” that the Supreme Court has rejected, as it would allow Congress to regulate anything.

   – In sum, the individual mandate is breathtaking in its expansive scope. It regulates those who have not entered the health care market at all. It regulates those who have entered the health care market, but have not entered the insurance market (and have no intention of doing so). It is over inclusive in when it regulates:it conflates those who presently consume health care with those who will not consume health care for many years into the future. The government’s position amounts to an argument that the mere fact of an individual’s existence substantially affects interstate commerce, and therefore Congress may regulate them at every point of their life.

In June, the 6th Circuit in Ohio had ruled that the mandate was constitutional for Congress to mandate Americans buy health care insurance. As David Kurtz at TPM makes a couple of very important points:

• usually these suits are only ever get heard before a three judge panel but because of the legal significance of this case the entire court may decide to hear the case. Either way this will in all probability be fought out in the Supreme Court.

• Because of the conflicting rulings between legal authorities, it is more likely than not that the case will get decided by the Supreme Court

Florida et al v. Dept. Of Health & Human Services et al

So I disappeared for a full week, right in the middle of what should have been a busy writing schedule, and I have to claim some “personal days” to cover the time we missed here at the blog – but it won’t be time entirely wasted.

Instead, I’m going to jump into my own personal life for today’s story, and I’m going to do it so that we can stimulate some thinking about where we really need to go to if we ever hope to make some sense out of the crazy way we deliver health care in this country.

Since this appears to be the weekend that a lot of decisions are either going to be made about the future of our “social safety net”…or they wont; we’re entirely unsure…let’s talk about how it actually works for a lot of us – and how it could work a lot better.

Today, in a sad, yet courageous affirmation of “life worth living,” America announced that it no longer wished to extend its marginal existence under the cursed journalistic blight of David Brooks, whose most recent unspeakable transgression against human decency, a remorseless and uncontrollable intrusion of his recurring parricidal fantasies masquerading as ethical pragmatism, manifested itself as a sudden and conspicuous discoloration and wilting of America’s pestered soul.

The country is broke because of health care, Brooks asserts.  

The fiscal crisis is driven largely by health care costs.

He baldly states this whopper without making so much as a pipsqueaking reference to multiple stupid and endless wars of aggression, decades of historically incomprehensible tax cuts for the wealthy, and pathologically self-defeating bailouts for the prodigal malefactors of imaginary wealth on Wall Street.  Nor does he even manage to mention the ungodly profits driving health care costs through the roof, to the point where we have worse health care at twice the cost compared to other industrialized nations.

The real problem, according to our maggot-brained buffoon and his editors at the NYT, is our old, selfish and sickly geezers on life support who are stealing money, freedom, and opportunity from the young.  The old should demand to die, “to confront death and their obligations to the living,” the self-enclosed, life-impersonating skin-bag actually opined in one of America’s top dying newspapers.

Welcome to the Health and Fitness weekly diary which is cross-posted from The Stars Hollow Gazette. It is open for discussion about health related issues including diet, exercise, health and health care issues, as well as, tips on what you can do when there is a medical emergency. Also an opportunity to share and exchange your favorite healthy recipes.

Questions are encouraged and I will answer to the best of my ability. If I can’t, I will try to steer you in the right direction. Naturally, I cannot give individual medical advice for personal health issues. I can give you information about medical conditions and the current treatments available.

You can now find past Health and Fitness News diaries here and on the right hand side of the Front Page.

Tomatoes aren’t the only vegetable that you can turn into a sauce or condiment. Onions and fennel cook down to a thick, sweet, jammy confit. Roasted peppers can be simmered until they’re soft and saucy, then tossed with pasta, piled onto bruschetta or spooned over fish or chicken.