Category: Health Care

Keeping It Simple Is Not Stupid

Recently I have been giving much thought to why Progressives and Democrats can’t seem to accomplish more than the bare minimum regarding desperately needed reform measures, even when they have the luxury of substantial majorities in both public favor and legislative representation.  The answer may lie in the prevalence of pointless, unwieldy levels of stratification.  With these comes an isolating sense of separation—individual elements of the base often have a problem pulling together with one voice, and, for that matter, do all who would deign to fit underneath the big tent.  

To many liberals, life must be overly complicated:  specialized committees, committees within committees, identity groups, splinter identity groups from larger ones, rules for the sake of rules, rules set in place when one unforeseen problem creates friction with anyone for whatever reason, exacting policies based on good intentions that soon become headaches for all, and many other examples.  It doesn’t have to be this way.  Overlap is sometimes a good thing.  

As such, the true failing lies in the absolutely ridiculous complexity of how structure ourselves and how we have in many ways forgotten how to communicate with each other.  For too long, information and strategies that could be used for the benefit of all have been isolated within specific single-issue oriented groups, each with its own nomenclature and particular phraseology.  For too long, so-called experts carrying a briefcase, a PowerPoint slide, and a hefty speaking fee have been employed to enlighten other people of an unknown universe, when with major modification, we could easily understand the intersections and common ground which links us together, not the great unknown that keeps us at arm’s length from each other.  

This sort of set up directly reflects the nature of academia, since the merits, weaknesses, and structure of pertinent concepts are hatched there and exhaustively vetted.  Just as I have recently discovered that the health care system available to low-income and disabled residents of Washington, DC, was written to be understood and effectively managed by policy wonks and the highly educated, not the poor and under-educated, so do I realize that so many of our grand goals are thwarted when they are neither designed, nor framed so that all might easily comprehend them.  

To cite a related example, when I am speaking within Feminist circles, I know that there are certain terms, overarching concepts, and abstract notions that one needs a thorough education, keen mind, and a willingness to research on one’s own time to grasp sufficiently.  Much emphasis is given to an everlasting critique of Patriarchy and cultural practices which place women in a subordinate role, and from these comes a thousand deep conversations and leitmotifs.  I can speak this language competently, with much practice, I might add, but I often can’t help but wonder if any of these worthwhile ideas and highly involved strategies ever get out to the working class battered housewife or to the sex worker standing on the corner of a bus terminal, prepared for another night of a dangerous way to make a living.

In my own life, part of the reason I have been able to keep my health from being as debilitating as it could be is that I had access through education and relative affluence to know how and where I could do my own research about the condition.  Now, years later, I can hold my own with any psychiatrist because I know and understand terms like selective serotonin re-uptake inhibitor, titration, GABA, dopamine agonist, and efficacy.  However, these terms mean absolutely nothing to the average person, who must trust fully in a psychiatrist who then must translate their needs, their symptoms, and their expectations for treatment into a regimen of medications that is inexact even in the best of circumstances.  

The likely outcome with anyone diagnosed with a psychiatric disorder is a tremendous amount of constant modifications, some slight, some major, and frequently a need to try an altogether new combination of medications, all of this in the hopes that one will stumble across the proper drugs in the proper proportion, eventually.          

We humans are a peculiar breed.  In the animal kingdom, one could argue that the average mammal attends to its own more readily and with less reservations than we do.  Without romanticizing the primitive, it would seem that no other species on Earth usually has such profound reservations about reaching out to assist others.  Though certainly other animals fight within themselves for food, mates, and resources, I often wonder if we are perhaps the most self-absorbed creatures the world has ever known.  

We are given the gift, by God or by whichever belief or unbelief you espouse, to have the gift of a very complex, and very advanced organ at our disposal known as the brain.  Yet, it seems to me sometimes that this supposed great gift can dispense evil and great suffering as easily as it gives rise to good and with it great gain for all.  

As a person of faith, I sometimes wonder if this basic concept is a credible interpretation of the beginning of time as expressed in the Book of Genesis.  So long as man and woman weren’t aware of the greater complexity of all things, they lived nakedly, blissfully in paradise.  But once temptation arrived in serpent form, suddenly they recognized that reality was not nearly so simplistic and easy to swallow.  Christianity and other religions teach that humanity was created in God’s image, and if that is the case, perhaps we are caught in some still unresolved eternal polar tension between our ability to sense and structure things in advanced shades of grey versus our relatively straightforward mammalian biological imperatives and compulsions.  Some have even implied that the human condition is imperfect particularly because we have divine elements seeking to function within imperfect organs, namely our brain.  

While on the subject, I am reminded St. Paul’s second letter to the Corinthian church.  It seems that the church had fallen prey to smooth talk, false teachings, and a distortion of the faith itself.  Much of the passage I am about to cite, as you will see, is written quite sarcastically, its target primarily those who deceive others, not those who had been unwittingly deceived.

However, I am afraid that just as the serpent deceived Eve by its tricks, so your minds may somehow be lured away from sincere and pure devotion to the Messiah.  When someone comes to you telling about another Jesus whom we didn’t tell you about, you’re willing to put up with it.  When you receive a spirit that is different from the Spirit you received earlier, you’re also willing to put up with that. When someone tells you good news that is different from the Good News you already accepted, you’re willing to put up with that too.  

I do not think I’m inferior in any way to those “super-apostles.”  Even though I may be untrained as an orator, I am not so in the field of knowledge. We have made this clear to all of you in every possible way.  Was it a sin for me to lower myself in order to elevate you by preaching the gospel of God to you free of charge?  (Italics mine) I took money from other churches as payment for my work, so that I might be your servant [at no cost to you].  And I will keep on doing what I am doing in order to cut the ground from under those who want an opportunity to be considered equal with us in the things they boast about.  You gladly put up with fools since you are so wise!

Even those who do not believe in a higher power or in Christian terminology can understand the general message here.  To get down to the heart of the matter, our own selfish goals, ego, and pride are largely responsible for the complications that separate us from others.  When we throw up barriers for whatever reason, we cause others who might use our knowledge and insight as a helpful resource to stumble or to fail outright. The intent initially may not be to isolate information inside very specific spheres of influence or schools of thought, but very soon this is its inevitable end result.  

If we were speaking of a purely Christian point of view, we would concede that no believer should be discouraged from taking an active role in the faith, nor turned away from membership in the body as a whole based on any perceived deficiency or lacking of any kind.  Sometimes putting walls up is an unconscious decision made out of a desire for protection, sometimes it is a response to feeling unappreciated and discounted by society as a whole, and often it is a reactive measure that replicates itself a thousand times once established.  Like some untreated cancerous cell, walls and barriers become duplicated a thousand times over, leading to factionalism within factionalism, specificity within specificity, and minutia within minutia.  

The Left has adopted this formula time and time again under the pretense of being sensitive and accommodating to every possible group with a semi-unifying basic agenda.  But what this ends up doing is placing the individual concern first, and ignoring the basic humanity that draws us together.  The current generation in power embraced post-modernism with open arms, not recognizing that simply denoting a specific circle of influence means also that one ought to get to take the time to understand its core philosophy as part of the bargain.  

We can advance LGBT rights, for example, but if we don’t really make an attempt to listen, really listen to LGBT citizens and to their reflections and concerns, we are wasting our time.  Recently, a controversy has sprung up within Feminist spaces that criticizes men who make very ill-informed, very glib pronouncements of what the greater movement (and women themselves) needs to do.  These forceful pronouncements are almost always set out in condescending fashion, without, of course, truly understanding where women are coming from and without much specific understanding their particular grievances.  Some have denoted this as “mansplaining”.  

I do know the resolution of this issue ought be a two-way street, since any exchange of information needs both a talker and a hearer.  Though some may disagree with me, I also assert that Feminist circles would be wise to modify, but not water-down, nor soften their message to reach maximum exposure with the world outside of it.  This might be accomplished by consciously seeking to move away from the complications of heady terminology and abstract discussions.  This doesn’t mean voices should be silenced for any reason or that women ought not speak first and speak often in so doing.  Nor does this mean that the dialogue must be dumbed down.  What it does mean, however, is that that communication requires an equal sense of that which must be said and that which must be comprehended.  

I sincerely believe that women’s rights have a relevance and a pertinence which needs to be added to the daily discourse, but I do also know that doing so requires that it keep the extensive cerebration within itself and the cut-and-dry to those outside.  But lest one feel like I am picking on Feminists (which I am honestly not), this goes for every single-issue, shared identity, or niche group with liberal sensibilities.  Just because we seem to enjoy making things complicated for perverse reasons as yet unknown, doesn’t mean that we should.                  

The true failing in all of these cases lies in the absolutely ridiculous complexity of how we structure ourselves.  To reiterate once  more, for too long, information and strategies that could be to the benefit of all has been isolated within specific issue-oriented groups, each with its own nomenclature and particular phraseology.  This directly reflects the nature of academia, since these concepts are hatched there and exhaustively vetted.  In that profession, segregated subject areas and ultra-specific foci are considered necessities within a field of study to encourage subsequent analysis.  However, this particular structure is anathema to greater progress beyond the world of professors, scholars, and students.

The Poor Need Health Care, The Rich Need to Take Note

The circular firing squad over the defeat of Martha Coakley and what this means for the Democratic Party and Health Care Reform got underway a couple days ago.  I’ve said my bit, and have nothing further to add, but I’d rather address the potential challenges facing reform aside from the loss of a seemingly filibuster-proof majority.  It is now absolutely imperative we push forward and bring a bill to President Obama’s desk.  Our backs may be against the wall, but perhaps it will take abject panic and fear to rouse our complacent, weak-kneed Democratic legislators towards the goal.  If it takes the shock and dismay of a humiliating defeat to break the logjam, then so be it.  I’m not concerned with speculating as to how we got here; I am instead consumed with what we learned from it and how we will use this tough lesson to think of others and their needs rather than ourselves.  

What I have noticed in my own struggles to obtain low-income health insurance is how class and race ensure that government subsidized plans are underfunded and often dysfunctional, but money (or the lack of it) seems to be the most powerful determinant of all.  What many have noted is that basic selfishness is what threatens to derail any efforts towards changing the existing system—namely that people who have always had sufficient coverage do not understand the limitations faced by those who do not.  We can call that privilege if we wish, but that term has always seemed accusatory to no good end to me, and my intent is not to chastise anyone but to make many aware of the challenges in front of us that never get much in the way of attention.  In my own life, I can say that I have now seen how the other half lives for the first time ever, and I noted that they live lives severely impeded by the tremendous limitations and senseless complications of the existing system.

I have been unemployed or at least severely underemployed for several months.  As a result, I had no choice but to file for government assistance.  When I was finally granted food stamps I signed up as well for a local DC funded health insurance plan.  What I have discovered in the process is that since the Recession hit, social service agencies in DC have been swamped by new applications for every existing option currently offered.  According to one worker with whom I spoke, claims have tripled since the bottom began to fall out of the economy.  The system was barely able to manage the number of filings in more stable times, and now it has in large part ground to a halt if not slowed to a trickle.  New claims are supposed to be processed in no more then 30 days from approval, and I was forced to make several time-consuming, additional calls to the proper department to even get the coverage activated.  Those without the time or without the persistence likely will be granted nothing at all and this simply should not happen.  

My great point is that without the infrastructure in place, it doesn’t matter how many people to whom we grant coverage.  Ensuring that everyone can get their teeth cleaned, fillings filled, broken bones set, flu-like symptoms properly treated, diabetes regulated, or depression adequately under control is the ultimate goal, but we must also be sure to build a sufficient number of clinics, medical centers, doctor’s offices, dental hygiene practices, well-stocked pharmacies and all the rest.  They must be built in proper proportion to need and since humankind has never been able to curtail its zeal for making money at the expense of the health of the financial system, we need to devise strategies to build these things for both good times and bad.

In DC, the low-income, government-funded system forces the poor and/or disabled to a handful of centers scattered across the District itself.  Visiting a private doctor or specialist is not an option, since coverage is only granted to those who use these designated centers.  Likewise, pharmacies and medication dispensation function under the same parameters.  Using Walgreens, CVS, Rite Aid, or other commercial medication fillers is not allowed under the plan.  Though there are a score of specific pharmacies which take the DC plan, in my case, there is only one pharmacy in the entire District that fills psychiatric medication, and for me it is a 35 minute trip, one-way via public transportation and then by foot.  The pharmacy itself is attached to a Mental Health services clinic which is the sole site whereby psychiatric care is provided for a city of roughly 600,000 people.

Without enough workers to process claims, grant coverage, manage medical records, or attend to even the most basic of needs the system is essentially worthless or at least incredibly inefficient.  Without enough revenue allocated by governments from taxation or other means, it doesn’t matter how snazzy or up-to-date is any system designed to speed up or modernize the system.  Window dressing is window dressing.  Without the money to properly stock a pharmacy, medications will be obtained on a priority system and as such, meds that are rarely prescribed or are very expensive will rarely be on hand when needed.  For example, one of my medications, Parnate, is an MAOI inhibitor.  Parnate is a very powerful anti-depressant that is infrequently prescribed because with it comes potentially dangerous, even deadly side effects if I do not take care to abstain from eating certain foods.  As you might expect, it is not one of the more common prescriptions, but it is essential to my lasting health and quality of life.  A commercial pharmacy usually has it in stock, or if it does not, it can be quickly ordered or is certainly in stock at some other store in the immediate area.  With the government-subsidized pharmacy I must use, if that particular drug is available at all it is due purely to chance and luck, and if it needs to be ordered, it may be a week or more before they have it in stock.      

Regarding visits with a GP, specialist, or other specific health practitioner, some clinics and centers accept walk-ins or schedule appointments within a reasonable time frame.  Some do not.  For those who need surgical procedures or more invasive treatment, one might be expected to wait months.  When I still lived in Alabama, there was approximately one Medicaid-accepting clinic for the entire state that performed the procedure, and as such when it came time for me to have a very routine, non-invasive treatment, I was booked four whole months in advance.  In more affluent, usually blue cities and states, the wait time is often less, but it can still be a bit on the lengthy side.  As for me, I found to my utter dismay that my coverage was terminated before the procedure could be even performed after the clinic filed and billed Medicaid for the cost of the preliminary screening.  Someone must have realized that to save cost I was not what they deemed a “high-priority” need and thus I could be safely removed from the rolls to save money in what was a system already in danger of being completely depleted of funds.    

An important distinction needs to be drawn here.  The DC-based coverage I have been talking about is different from Medicaid or, for that matter, Medicare.  This coverage augments or seeks to provide coverage to those who either have Medicaid/Medicare or cannot get approved for it.  This is why the rules, parameters, and hoops to jump through are more severe.  Medicaid usually allows a person to pursue more orthodox means of seeking treatment.  Though some medical practitioners do not accept it because it usually pays out less than a gold standard coverage plan through a private insurer, many do.  Again, money is a big factor at play.  If Medicaid were capable of paying out at a sufficient rate, everyone would take it.  If it wasn’t at times forced to pay out much later than a private carrier or even being forced to issue IOU’s when monetary shortfalls and partisan bickering delayed enactment of a satisfactory state budget, then it certainly would be on par with usually employer-based coverage.

Yet, it is very disingenuous at best for those who oppose health care reform to stubbornly dig in their heels and express haughty indignation that they are NOT going to have “the government” take away their right to choose their doctor.  The only way this would ever happen for most is if they lost their insurance altogether, lost all their personal savings, and lost the ability to come up with the money to see a well-compensated physician and/or specialist.  Their worst-case-scenarios and numerous reservations are true only for those living in abject poverty, or at or below the poverty line.  The wealthier among us have any number of lifelines, be they family, co-workers, friends, fellow members of a particular group or club, or other sufficient means.  Those at the bottom have none of this upon which to rely.  Friends, family, and others are just as impoverished and less fortunate as they are, and they have no choice but to take and use what they can get.  And taking what they can get means dealing with a system that is convoluted, needlessly complex, inconvenient at best, and regimented to such an authoritarian degree that even obtaining the minimum often is an exercise in debasement.

If ever we had a need for revolutionary reform and change, now would be it.  Decades after a declared War on Poverty, we still have many battles ahead of us.  We haven’t really given this matter anything more than perfunctory attention, and we haven’t really allocated resources of any significant means to this very pertinent cause.  Doing so would require us to understand exactly how fortunate we are to have been granted, by complete luck and chance, the socio-economic status of which we were born.  For some quirk of God, fate, or nature we do not get the right to choose our parents or to choose our upbringing.  But we do have the obligation to see to it that those for whom daily adversity is not an abstraction have the same rights that we frequently take for granted.  I am not seeking to lecture, nor to hector anyone, but rather to strongly emphasize that our continued success as a people, a party, and a movement demands that we seek to assist the poor and the less fortunate.  Our wallets, billfolds, and bank accounts couldn’t open fast enough to provide aid to suffering Haitians.  If only this were possible for our own poverty-stricken citizens, many of whom struggle through conditions not that dissimilar to those we now view through heart-wrenching news reports and graphic photographs.  After all, it might be you someday who faces the disquieting realization that our health care system is designed for the wealthy, by the wealthy, and in so doing realizes just how much you took it for granted.

Friday: Dear Joe- I want my lawn chairs back

So just after 5 pm here on the Left Coast, I get this email:


Subject: We Want Our Money Back

From: “Vice President Joe Biden”

To:  (my name, aka “Sucker”)

Yesterday, President Obama announced our proposed Financial Crisis Responsibility

Fee
on the country’s largest banks:

“My commitment is to recover every single dime the American people are owed. And my

determination to achieve this goal is only heightened when I see reports of massive

profits and obscene bonuses at some of the very firms who owe their continued

existence to the American people…  We want our money back, and we’re going to get

it.”

The fee would recover every penny loaned to Wall Street during the financial crisis

and stop the reckless abuses and excesses that nearly caused the collapse of our

financial system in the first place.

But the banking industry — among the most powerful lobbies in Washington — is

already launching attacks to stop Congress from enacting the proposal.

Barack and I aren’t backing down. But to win, we’ll need the American people to add

their voice right away.

Thankfully, OFA supporters are already signing on to a bold statement of support:

“We want our money back — and we stand with President Obama to make sure we get

it.” You can add your name by clicking here:

http://my.barackobama.com/Banks3

The proposal is expected to recoup billions from the big banks, most of it from the

ten largest. As the President said, “If these companies are in good enough shape to

afford massive bonuses, they are surely in good enough shape to afford paying back

every penny to taxpayers.”

There is much more work to do to reform the financial system and create a new era of

accountability. But the Financial Crisis Responsibility Fee is a crucial step. And

with the banks already working to tear it down, I hope that I can count on you to

speak out to show that Americans stand with us as we take them on.

Click here to add your name to the statement:

http://my.barackobama.com/Banks3

Change isn’t easy, but it’s certainly worth fighting for. I’m glad you’re in this

fight with us.

Thank you for making it possible,

Vice President Joe Biden

Please donate: https://donate.barackobama.com…

The Betrayal By Barack Obama

It has been reported now that Obama officially received over $20 million from health insurance industry in 2008 campaign: Obama pockets $20 milllion from the enemy

While, I’m sure this surprises no one, all that money has been well spent on getting Obama to totally betray the public interest.

The tragedy is that Obama is all too willing and happy to do this.

Here’s the money quote:

Historian and media critic Norman Solomon, who was also an Obama delegate to the Democratic National Convention, called the president’s transformation on healthcare since taking office “shameful.”

“Overall it’s been a very corporate friendly healthcare approach from Obama as president,” Solomon said in an interview with Raw Story. “Corporate friendly in a way that I believe is injurious to public health.”

He underscored the subtle but substantive change in healthcare language used by Obama and the White House.

“We don’t hear so much now about ‘healthcare reform,'” Solomon said. “We’re hearing a lot more about ‘health insurance reform.’ And that is absolutely in large measure driven by the White House.”

“The funding from the healthcare industry to the Obama campaign, in retrospect, was not misplaced,” Solomon said. “It appears, based on policy, that those funders are getting what they would’ve hoped for.”

“Let me put it this way,” he added. “Single-payer advocates literally couldn’t get into the White House. And you have [chief pharmaceutical industry lobbyist and former Republican congressman] Billy Tauzin and Big Pharma and all of these in-depth strategy meetings in the White House in mid-2009 cutting deals. And I think it’s shameful.”

Blood Sucking for Billions

How low can you go to make billions? By quite literally bleeding the poor and selling their blood to the people who need it to stay alive. Sound like a plot from HBO’s “True Blood”? No. It is the business practice of Cerberus Capital, a Wall St. hedge fund firm. Cerberus recently made $1.8 billion on a mere $82.5 million investment four years ago when they bought a company called Talecris.

Cerberus Capital: Literally Blood-Sucking the Poor to Make Their Billions

Cerberus Capital, one of Wall Street’s most notoriously ruthless leveraged-buyout firms (or “private equity firms” in PC-speak), recently made a $1.8 billion killing on its human plasma investment, a company called Talecris. Talecris was purchased for a mere $82.5 million just four years earlier, meaning Cerberus made 23 times its investment on human plasma.

This was accomplished by the most savage, heartless means possible: by paying peanuts to impoverished human plasma donors, who increasingly come from Mexican border towns to blood-pumping stations set up on the American side, jacking up the price of plasma by restricting supply (a lawsuit filed by the Federal Trade Commission accused Cerberus Plasma Holdings of “operat[ing] as an oligopoly”), and then selling the refined products to the most desperately ill-patients suffering from hemophilia, severe burns, multiple sclerosis and autoimmune deficiencies. The products cost so much-one, IVIG (intravenous immunoglobulin) cost twice the price of gold as of last summer-that American health insurance companies have been dropping or denying their policyholders in increasing numbers, endangering untold numbers of people.

(emphasis mine)

Cerberus is the same hedge fund that drove auto makers Chrysler and GMAC into the ground. It’s Republican “players” are former Treasury  Secretary, John Snow, Chairman, former V.P. Dan “potatoe” Quayle, International Chairman, and Founder of Cerberus, billionaire Stephen Feinberg, “a major Republican Party campaign donor with a hardcore fetish for Harleys and big guns”.

Photobucket

Blood Suckers

H/T to Hecate

This Week In Health and Fitness

Welcome to this week’s Health and Fitness.

A spoon, a spoon, what’s the difference? It’s a spoon. Well, in medicine, as in baking, it’s a big difference. The teaspoon and tablespoon that came with that dinner set aren’t accurate measures. When a prescription says a teaspoon, it means 5 ml, a tablespoon is 15 ml, not more not less. The reason is that too much or too little is bad for you and can be dangerous. Most over the counter cough and cold remedies come with a measured cap as a cup. If you get prescribe liquid medication, ask the pharmacist for a measured cup or spoon so you get the correct amount of medication. This especially important with children, as the article from the NYT notes, most over doses are medication errors. So just as in baking where you use a measuring spoon so the cake rises as it bakes, use a measured spoon or cup to take liquid medication.

Spooning Up the Wrong Dose

Many people still use kitchen spoons to measure a dose of liquid medication. Now new research shows that the size of the spoon influences our ability to estimate the right dose – and most of the time, we get it wrong.

A 1992 study of dosing errors reported to poison control centers found that failing to distinguish between teaspoons and tablespoons was a major cause for overdosing of cough and cold medicines and liquid acetaminophen. Although too much cough medicine is typically not a major health worry, many liquid medications contain acetaminophen, the active ingredient in Tylenol. Acetaminophen overdose is a major health concern and can lead to serious illness, liver failure and even death. And while small dosing errors may not seem like a major concern, excessive doses can add up and make it relatively easy to exceed the recommended daily limit, now four grams.

Researchers at the Cornell University Food and Brand Lab have conducted several studies showing how large plate size, oversize ice-cream bowls and wide-rimmed drinking glasses can lead to overindulgence of foods and beverages. Given that so many parents use kitchen spoons to dispense liquid medication, the researchers decided to study how the size of a spoon influenced the amount of medication poured.

As is now custom, I’ll try to include the more interesting and pertinent articles that will help the community awareness of their health and bodies. This essay will not be posted anywhere else due to constraints on my time. Please feel free to make suggestions for improvement and ask questions, I’ll answer as best I can.

This an Open Thread

Vita Ultra Velum

Seven CIA employees were killed and six others injured in a terrorist attack on a base in eastern Afghanistan as the agency steps up its presence in the country alongside thousands more U.S. military forces.

President Barack Obama told Central Intelligence Agency employees yesterday that their colleagues who died Dec. 30 were “patriots who have made great sacrifices for their fellow citizens and for our way of life.”

“In recent years, the CIA has been tested as never before,” Obama, who is on vacation in Hawaii, said in the letter to agency employees.

**Snip**

This Week In Health and Fitness

Welcome to this week’s Health and Fitness.

‘Tis the season for colds and the flu. Everyone needs to take caution in how they treat themselves with over the counter medications (OTC). Some of them are expensive and it is not well studied whether any of them really work all that well. Remember there is no cure for the common cold or even the flu, just medications to reduce the symptoms of fever, cough and congestion. If you have any existing medical problems, such as Asthma, High Blood Pressure, Diabetes, any kind of Heart problems or are taking prescription medication, consult your doctor or ask the Pharmacist before taking any OTC medication.

Catching a cold or the flu may be unavoidable. You can reduce your chances by washing your hands more frequently and using a hand sanitizer with an alcohol content of great than 60%. If you do get sick, stay home if you have a fever (hopefully, you can) and cover you coughs and sneezes.

This weeks NYT has a good article on Money Tips for When the Sniffles Start that also has tips about staying well during the flu season.

As is now custom, I’ll try to include the more interesting and pertinent articles that will help the community awareness of their health and bodies. This essay will not be posted anywhere else due to constraints on my time. Please feel free to make suggestions for improvement and ask questions, I’ll answer as best I can.

This Week In Health and Fitness

Welcome to this week’s Health and Fitness.

This following article is because I love you guys and because I know you have loved ones.

Hands-Only CPR Easy and Effective

Bystanders who witness the sudden collapse of an adult should call 911 and then provide high-quality chest compressions by pushing hard and fast in the middle of the victim’s chest, with minimal interruptions. Studies of real emergencies that have occurred in homes, at work or in public locations, show that these two steps, called Hands-Only™ CPR, can be equally or even more effective than conventional CPR.

As is now custom, I’ll try to include the more interesting and pertinent articles that will help the community awareness of their health and bodies. This essay will not be posted anywhere else due to constraints on my time. Please feel free to make suggestions for improvement and ask questions, I’ll answer as best I can.

Health Care Truths, Not Health Care Myths

Having passed a long-overdue Health Care Reform Act, expect the media to dust off long-composed narratives it kept in cold storage until this point.  The instant President Obama signs the bill into law in a massive ceremony full of important people, flashbulbs, and saturation coverage, there will be many who will seek to make the gravity of the event better understood by means of analysis and interpretation.  Contrary to what some may write, I am not entirely convinced that Health Care saved Obama’s Presidency, though it would certainly have removed the last of the luster around him had it failed.  There will be many contentious fights to come, but the passage of the bill will likely limit GOP gains in next year’s Mid-Congressional election.  It will provide momentum to force through other reform measures and will be a face saving device to aid vulnerable incumbents.  But like much of politics, the ultimate impact of it all is indebted to future understanding and events yet to come, of which none of us is privy.  

Also to be found in copious quantity are the requisite gross of stories lamenting the end of good cheer among legislators of different parties.  One would think that this health care bill has ushered in a golden age of distressing polarity, but it has not.  Most people are terrified of change.  Many will sign on to change in the abstract, but once the concrete is poured, their opposition hardens.  Trusting in the known is much like betting on the favored horse, but trusting in the unknown possibility comes with it 50-1 odds.  Most people are not riverboat gamblers, but if they were, they’d often reap the rewards of taking a chance for the sake of positive gain.  This truism has no allegiance to party or ideological affinity.  Nor is it an American institution.

While the Senate has always been structured to foster some degree of collegiality by its very makeup and its relatively small size, one mustn’t let the myth obscure the facts.  The Senate may be a family, but it is a strangely dysfunctional one, and the House equally so.  This is, we needn’t forget, the same collective body where Representative Preston Brooks savagely bludgeoned Senator Charles Sumner with a cane on the latter chamber’s floor.  At other crucial points in our nation’s history, decorum has been replaced by nastiness and I think perhaps our latest group of elected representatives do not remember or have not studied precisely what happens when measures this large and all encompassing are further hyper-charged by massive displays of public sentiment and outcry.  Regarding this subject, Senator Orrin Hatch strikes back at us in the blogosphere for daring to hold his feet to the fire as well as the feet of other legislators.  We ought to take this as proof of a job well done and aim to keep it going.  

I am also not particularly sympathetic to Representatives and Senators who have complained about the extended hours needed to pass this bill.  If they had resolved it in a more timely fashion, then this matter would have been dealt with long ago.  Republicans have used stalling tactics and obstructionist procedural measures, but as we all knew, the Democratic party itself was the real enemy at work.  Attempting to pacify various factions within itself to hold together a fragile coalition is what took so long to reach resolution.  Moreover, if this is what it takes to achieve true fairness and equality, I wish they’d be in session every year and even up until Christmas Eve, if needed.  It is, of course, true that Senators need to spend a certain amount of time campaigning, raising funds, and observing for themselves the nuts-and-bolts of the policy issues upon which they will propose and vote.  However, too often these are excuses cited for not being in session at all, especially when needed legislation is allowed to die a needless death or is tabled in committee with no re-introduction ever intended.

It is true that,

[f]or more than 30 years, the major parties – Democrats and Republicans – worked every angle to transform politics into a zero-sum numbers game. State legislatures redrew Congressional districts to take advantage of party affiliation in the local population. The two-year campaign cycle became a never-ending one.

Politics, however, has always been a game of knees to the groin and leaps to the jugular.  When contentious matters and contentious times existed, collegiality was the first thing to be discarded and shed.  In times of plenty with few especially pressing matters, then party lines could sometimes seem obscured or unimportant.  The so-called “Culture Wars” are a partial explanation for that which we have been facing.  In truth, the Republican party began to take a sharp right turn beginning with the Contract with America in 1994 and then culminating in the election of George W. Bush.  When Bush played directly to the Republican base at the expense of the middle, this caused a correspondingly swift and sharp reaction in the left wing of the Democratic party, which the Progressive blogosphere correctly considers a call to arms.  Returning to the idea of truth versus saccharine sugarcoating, yet again, it is tempting for all of us to invent our own mythology, particularly when it suits our cause, but this is a compulsion we must never adopt for whatever reason may be.  The truth will set us free, but freedom is often pricey, especially when we remove it from circulation.      

Senate passes historic health care legislation

Unusual Christmas Eve vote symbolic in ongoing debate

WASHINGTON – Senate Democrats passed a landmark health care bill early Thursday morning that could define President Barack Obama’s legacy and usher in near-universal medical coverage for the first time in U.S. history.

Ahead lie complex talks with the House to reach final legislation in the new year.

Just before the vote Senate Majority Leader Harry Reid said “We stand on the doorstep of history. We recognize that, but much more importantly, we stand so close to making so many individual lives better.”

The vote Thursday on the bill extending health care coverage to some 31 million uninsured Americans brings Obama’s closer to achieving his top domestic priority. The White House and Congress have now come farther toward the goal of a comprehensive overhaul of the U.S. health care system than any of their predecessors.

Goodman & Greenwald On The Senate HCR Bill

HCR Bill Reinforces Corrupt Monopoly Status Health Insurance Industry

Glenn Greenwald talks with Amy Goodman of Democracy Now and breaks down in detail where the HCR bill stands now…

Health Bill Passes Key Senate Hurdle; Legislation Restricts Abortion Funding, Stripped of Public Option, Medicare Expansion

The Senate took a big step toward passing its sweeping healthcare bill early [Monday]. Shortly after 1am, the Senate voted 60-40 along party lines to break a Republican filibuster and approve a motion to move the legislation to final passage later this week. The legislation has no public option, no expansion of Medicare eligibility and includes restrictions on the use of federal funding for abortions. We speak with Salon.com blogger, Glenn Greenwald.

This is apparently Part 1, with Part 2 yet to come…

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