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Administration Finalizes Regulations Implementing ACA Insurance Reforms (Updated)
Implementing Health Reform (November 17 update on deductibles). There has been a good deal of coverage recently of the high and ever-growing level of health insurance deductibles; this was the subject of a major article in The New York Times and even of a question at the November 14, 2015, Democratic candidates debate. A November 17, 2015 post by Kevin Counihan, CEO of healthcare.gov, at the CMS Blog adds some perspective to this issue. First, it is important to remember that for individuals and families with incomes below 250 percent of the federal poverty level (FPL) ($50,225 for a family of three), cost sharing, includ...
Source: Health Affairs Blog - November 14, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs

Administration Finalizes Regulations Implementing ACA Insurance Reforms
Implementing Health Reform. The Affordable Care Act, adopted in March of 2010, contained a number of insurance reforms that were to be effective six months after the date of its enactment. During May, June, and July of 2010, the departments that share responsibilities to oversee the group health plans and insurers subject to the reforms—Labor, Health and Human Services, and Treasury—issued interim final (Labor and HHS) or temporary and proposed (Treasury) rules to implement the six months reform. These interim rules governed grandfathered plans, preexisting condition exclusions, internal and external appeals, resciss...
Source: Health Affairs Blog - November 14, 2015 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs

An open letter to MPs of Malaysia
13 November 2015 An open letter to the Members of Parliament of Malaysia  We, the undersigned medical professional bodies and non-governmental organisations, would like to register our concern regarding the increasing presence of electronic cigarettes and vaping in our society. We note with dismay the Cabinet’s rejection of the Ministry of Health’s proposal to ban the sales and use of electronic cigarettes.  1. Malaysia proudly signed and ratified the World Health Organisation’s Framework Convention on Tobacco Control (FCTC). This is a reflection of the nation’s commitment to protect present and futu...
Source: Malaysian Medical Resources - November 13, 2015 Category: Global & Universal Authors: palmdoc Tags: Miscellaneous Source Type: blogs

TRIAL BY ERROR: The Troubling Case of the PACE Chronic Fatigue Syndrome Study
By David Tuller, DrPH David Tuller is academic coordinator of the concurrent masters degree program in public health and journalism at the University of California, Berkeley.  A few years ago, Dr. Racaniello let me hijack this space for a long piece about the CDC’s persistent incompetence in its efforts to address the devastating illness the agency itself had misnamed “chronic fatigue syndrome.” Now I’m back with an even longer piece about the U.K’s controversial and highly influential PACE trial. The $8 million study, funded by British government agencies, purportedly proved that patients could “recover” fr...
Source: virology blog - October 21, 2015 Category: Virology Authors: Vincent Racaniello Tags: Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Glyphosate: not JUST a carcinogen
One of the most potentially harmful aspects of genetically-modified crops, or GMOs, are that such crops are often engineered to be resistant to an herbicide. A farmer therefore can spray the herbicide to kill weeds, while the GM crop plant survives. But it means that the plant now has herbicide residues in it. So GMO crops pose a double-whammy: the crop itself with new genetically-programmed components, especially proteins, coupled with an herbicide. Glyphosate is the most widely applied herbicide in the world, in part because GM corn and soy have been engineered to be glyphosate-resistant. So much glysphosate is being use...
Source: Wheat Belly Blog - October 12, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle bowel flora gluten glyphosate gmo grains herbicide microbiota soy Source Type: blogs

Who said that the older years are golden? They seem pretty grey to me.
I have written about the support that a partner/spouse provides to someone living with cancer — with prostate cancer and for young adults with cancer — and I always include the partner in discussions about treatment choice or sexual difficulties. But a number of my older patients are single, and their experiences of facing treatment and survivorship alone are profoundly moving. They often want to find someone with whom to share their life — and this is a real challenge. There are times when I am tempted to start a matchmaking service for the men and women, both gay and straight, who tell me how lonely t...
Source: Kevin, M.D. - Medical Weblog - October 10, 2015 Category: Journals (General) Authors: Tags: Physician Cancer Geriatrics Source Type: blogs

Fatal Fraud? - More Settlements by Commercial Hospices of Allegations They Enrolled Non-Terminal Patients
DiscussionThere are more cases being reported in which hospices, particularly those owned and run by for-profit corporations, have enrolled patients who were not terminally ill.  These enrollments may be motivated by the desire for more money, but they put patients at risk.  Hospice patients may receive large doses of psychoactive drugs and narcotics, which may lead to adverse effects up to and including death.  Hospice patients may not, however, receive treatments for new acute problems, even if those problems are potentially curable.  Therefore, hospice patients may die from untreated infections that ...
Source: Health Care Renewal - October 7, 2015 Category: Health Management Tags: hospices Oak Hill Capital Partners private equity Source Type: blogs

The Forgotten Chronic Disease: Mental Health Among Teens And Young Adults
Deadly chronic conditions garner much attention from health care providers and researchers seeking to prevent cancer, diabetes, and heart disease. However, often forgotten or overlooked are mental health disorders in young people, which can lead to serious persistent conditions in adulthood. Chronic diseases affect one in two Americans, and one in four has multiple chronic conditions. Chronic diseases cause the most overall deaths in the United States, with heart disease and cancer together accounting for 62 percent of all deaths in 2013, according to the Centers for Disease Control and Prevention. Adding to the mounting c...
Source: Health Affairs Blog - October 1, 2015 Category: Health Management Authors: Bernadette Melnyk, Terry Fulmer, Sarah Van Orman and Kenneth Thorpe Tags: Equity and Disparities Innovations in Care Delivery Long-term Services and Supports Organization and Delivery Population Health Public Health Quality Care coordination chronic conditions depression Mental Health substance use Youth Source Type: blogs

Cataracts, Wrinkles, and Dowager’s Humps: Wheat and the Aging Process
Discussion continued on page 135 of Wheat Belly.) The post Cataracts, Wrinkles, and Dowager’s Humps: Wheat and the Aging Process appeared first on Dr. William Davis.
Source: Wheat Belly Blog - September 26, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle aging anti-aging excerpt gluten grains youth Source Type: blogs

A Patient at a Press Conference
The following post originally ran on Gray Connections on September 6th. Earlier today (September 6, 2015) I gave this speech at the International Association for the Study of Lung Cancer (IASLC)  World Conference on Lung Cancer in Denver.  I’m pleased at the reception it received. I appreciate IASLC including me in this press conference. They’ve been responsive to lung cancer patients and advocates, and have included the patient voice in several conferences. Patients and advocates participated in the planning process for this World Conference on Lung Cancer, as demonstrated by the number of patient and advocate prese...
Source: Disruptive Women in Health Care - September 23, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Cancer Patients Source Type: blogs

Physical activity strategy for the WHO European Region 2016–2025
World Health Organization (WHO) - WHO estimates indicate that, in Europe, more than one third of adults and two thirds of adolescents are insufficiently active.  Worldwide, physical inactivity causes 6–10% of cases of coronary heart disease, diabetes and breast and colon cancer and 9% of premature mortality. The aim of this strategy is to inspire governments and stakeholders to work towards increasing levels of physical activity. Strategy Press release
Source: Health Management Specialist Library - September 16, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

Why I am a Crusader in the Anti-Vaccine, Anti-Drug Movement
Conclusion The doctors gave my daughter drugs they knew would cause her kidneys to stop working. They gave her these drugs in spite of both of us telling them on a day-to-day basis not to give them. The hospital covered it up. The hospital refused to give us the incident report. The hospital refused to give us a copy of the notes from the meeting with the ethics committee. The hospital denied my daughter’s right to make her own decisions. The hospital tried to deny me from being my daughter's advocate. The hospital administrator threatened to charge me with practicing medicine without a license. The CEO refused to talk t...
Source: vactruth.com - September 11, 2015 Category: Allergy & Immunology Authors: Jim O'Kelly Tags: Case Reports on Vaccine Injury Human Jim O'Kelly Top Stories truth about vaccines Vaccine Death Source Type: blogs

Omics Data in Aging: the Rat Hole of Metabolism Runs Very Deep Indeed
Here I'll point out a review paper on the "omics," the younger fields of the life sciences, including genomics, proteomics, and so forth, and their role in aging research. These fields encompass the study of biological molecules and their roles in cellular metabolism and tissue function, broken down by type and class. The study of genes, the study of proteins, the study of proteins only applicable to the immune system, the study of proteins involved in transcription, and many more divisions besides. There are now dozens of omics fields, and they continue to proliferate and specialize, this growth a reflection of the accele...
Source: Fight Aging! - September 9, 2015 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs

The heartbreak of counselling younger couples after a cancer diagnosis
My patient mix comes in waves — some months it is mostly women with breast cancer struggling with adjuvant endocrine therapy or men in the aftermath of surgery for prostate cancer. These past two months, it has been young adults, and my heart has taken a beating. There is something quite different from my perspective between talking to a couple who has been together for 30 or more years and hearing the struggles of couples who have been together for one or two years, or at the most, eight. For the former couple — their wrinkles appearing in tandem, their relationship comfortable and weathered by common experien...
Source: Kevin, M.D. - Medical Weblog - September 8, 2015 Category: Journals (General) Authors: Tags: Conditions Cancer Source Type: blogs