Posts Tagged ‘health care’

Iraq Faces a Mental Health Epidemic

Sunday, August 28th, 2011

Imagine if your house was damaged as a result of being bombed in a military war. Now imagine if your house was bombed three times within a matter of years. Or imagine seeing your family and neighbors lying wounded and dying in the street of your hometown. These are the sort of mental health issues that residents of Iraq have to learn to cope with everyday. The question then becomes “Is the country equipped to deal with an epidemic of people who are experiencing mental illness?”

Iraq’s mental health dilemma

Living Conditions in Iraq

According to Iraq’s psychiatric association, Iraq has a mere 100 psychiatrists that must provide mental health care for a population that borders on 30 million [see PDF from World Health Organization]. And, even though the war appears to be winding down, there are more and more citizens of Iraq seeking medical treatment for their mental health issues that are a direct result of the war. The reality is that Iraq’s ability to deal with the onslaught of mental health patients lacks greatly.

As a result of this gross imbalance, Iraqis are turning to self-medication as a means of coping with the trauma they have suffered. Prescription drug abuse is currently the number one substance abuse issue in Iraq, and it grows by the day.

Iraq’s mental health needs on the rise

The country’s largest mental health institution, Al-Rashad, has had an increase of 10 percent in the number of patients, and they’ve had to turn patients away. Al-Rashad is a government-funded facility, and is the only long-term mental health institution in Iraq.

As more and more citizens of Iraq search for help in dealing with their emotional and physical scars, it appears that the mental health community will struggle to find ways to help and accommodate them.

A Look at Department of Health Head Kathleen Sebelius

Tuesday, August 23rd, 2011

P1020318The torch of the state of the United States health care system has been passed, and it has been passed to Kansas Govenor Kathleen Sebelius. A Democrat, Sebelius was President Obama’s second choice for the position, and she received the call to duty after the first choice, Tom Dachle, withdrew his name after revelations about his sticky unpaid taxes. The nomination came during the first week of March in 2009, and Sebelius said it was a responsibility that she could not refuse. Who is this new face in Obama’s administration, and how will she go about tackling one of the largest crises facing our country right now?

Who is Kathleen Sebelius?

Barn - Clinton, Kansas

Sebelius was most recently the 44th Governor of the state of Kansas, and is only the state’s second female Governor. She has been in Kansas politics since 1986, when she was first elected to the Kansas House of Representatives. In 1994, she became the 1st Democrat in 10 years to win the position of state insurance commissioner. She’s no stranger to health insurance and health care issues either-she wouldn’t take any campaign contributions from insurers and blocked a proposed merger of Blue Cross Blue Shield of Kansas with an Indiana-based company. It was the first time in the corporation’s history that any attempts at acquisitions hadn’t been allowed. In 1995, Time magazine named her one of the five best governors in Americans, noting that she had successfully been able to eliminate the $1.1 million that she had inherited upon taking office, getting rid of waste in the state government and supporting public education. All of this was done without raising taxes.

What Health Issues Are at Hand?

Wrong Way Go BackFortunately for Sebelius, things can’t get much worse than they are right now. That probably isn’t much of a comfort to her though, as the task she’s facing is definitely a formidable one. With the health care and health insurance system struggling with people getting turned away left and right for insurance, and the sick not being able to afford the care they need, things are in dire need of a drastic makeover. President Obama has said that he plans to release $155 million out of the $787 billion economic stimulus package to support 126 new health centers to give people more access to primary and preventative health care services. Many people have been comparing the changes Obama is gearing up for in the health care industry to those attempted by the Clinton administration, but the key difference is this: the recession America is in has everyone calling for change, no matter how radical it may have seemed years ago. Time will only tell how Sebelius is able to handle the massive task that lies ahead, but putting money toward opening new care centers is a good start. A good question to ask is: Are these centers aimed at only serving those who currently carry health insurance, or will they just be public service centers in which all comers can receive proper medical and attention?

I certainly hope it’s the latter, because with many people continuing to lose jobs and unable to afford health insurance, the unemployed need all the support they can get.

Creative Commons License photo credit: ProgressOhio

Cost Savings of Health Care Reform Not Materializing

Sunday, August 14th, 2011

As more studies and reports emerge to reveal the actual costs of health care reform, the administration has picked up the pace of its backtracking in order to stem the tide of growing criticism.  The early claims of the administration that health care reform would bend the cost curve have been refuted by numerous experts as well as the Congressional Budget Office.

In reaction to the reports, President Obama has softened his original claims by admitting that bending the health care cost curve wouldn’t happen overnight.  The reports coming out of the CBO and other economic and healthcare think tanks tend to go a little further than that understatement in saying that the upward pressure of costs on insurers and providers will never allow the cost curve to bend.

One only has to consider a few of the main provisions of the legislation to conclude that overall costs will continue to increase at a faster pace than what was intended.  According to the CBO, the mandated benefits alone will result in a premium increase of 27% to 30% for individuals.

Obama Admits Health Reform will Cost More

Much of the argument for increased costs is rooted in the simple premise of supply and demand. Even President Obama finally admits that, by adding 30 million people to the health insurance rolls, costs will increase.  What isn’t said is that, by making a product or service much more generous and easy to obtain, demand will increase and supply will decrease, keeping the cost curve bending upward.

In addition, by exposing insurers to a wave of adverse risk as a result of the guaranteed issue mandate, their increased exposure will have to translate to higher premiums for all insured. Evidence of this consequence has already emerged with the announcement by many insurers of their intent to drop their child-only coverage.  The decreased supply of available child-only coverage will lead to higher rates for those who have it or are able to obtain it.

Health Reform Benefits The Currently Uninsured

It is estimated that previously uninsured individuals will access health care services 20% more than the average individual. With many of the uninsured having pre-existing conditions, the cost of services can only increase.  And, because healthy individuals will likely wait until they need services to sign on for coverage, the pool of insured will have a higher percentage of poor risk individuals forcing premiums higher.

While health care reform does contain a host of economic efficiency measures that hold the potential to increase productivity, improve outcomes and lower costs in the long term, it creates the paradoxical problem of trying to achieve through the creation of a vast bureaucracy to implement the new policies with rules and regulations that could stifle innovation and restrict competition.  Less innovation and competition have rarely led to lower costs.    In other words, the obstacle to bending the health care cost curve could very well be Obamacare itself.

Wall Street, Health Insurance, and Reform

Sunday, July 31st, 2011

The American lifestyle encourages us to make a lot from a little. Wall Street is the product of this mentality. Is it fair then, that our insurance companies are controlled by a system that is designed to get the most from doing the least? Medicine as we know it today is unlike the medicine of even thirty years ago. In the 1980s, medical insurance went public and the whole game changed. Health insurance is now controlled by huge, publicly traded, for-profit companies. The medical field of the 21st century has both pros and cons.

Pros of the Modern Health System

  • Medical procedures are more successful than ever before.
  • Pharmaceutical innovations allow patients whose diseases were once death sentences to lead a more normal life.
  • With current health care reform, all Americans will have access to affordable health care.
  • Through medicine we live longer, more fulfilling lives.

Cons of Health Care Today

  • Health care costs have more than doubled since insurance went public.
  • Until 2014, insurance companies have the right to turn away subscribers with preexisting conditions and deny coverage to those who develop illnesses.
  • Doctors and physicians are required to attain the permission of insurance companies to perform life saving procedures.

Health care is as vital to our existence as food, clothing, shelter, and water. Without modern health care, we cannot live life as we do now. It makes sense then, that we feel somewhat controlled by our health insurance companies. We are obligated to pay what they ask. They can say no to expensive procedures they deem unnecessary. This year’s health care reform law offers some control of the decisions made by insurance companies. In the future, regardless of medical conditions, Americans will have the right to benefit from the excellent medical care available in the United States. A perfect solution it is not, but it is the beginning of significant changes in the way we receive medical care.

Creative Commons License photo credit: guillenperez

Coordinating Care and Insurance Affordability

Friday, July 29th, 2011
Pills

Coordinated Health Care

In a recent article released by the Wall Street Journal’s Health Blog, it was noted that a study in JAMA (Journal of the American Medical Association) found that the newer theory of “coordinating care” just doesn’t save patients money. What is coordinating care? The WSJ article describes it this way: “Get a nurse or another health professional to keep track of treatments and doctor visits for patients with complex, chronic diseases such as diabetes or heart disease. The coordinator should communicate with doctors and help the patients keep on top of things like their drug regimens. Then the patients won’t end up with as many costly hospitalizations.”

Now that we know coordinating of care doesn’t reduce health care and insurance costs, are there other things that we should be taking into consideration here? Read on to see what this study looked at and what implications it has.

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Comparing Health Options: Primary Care vs Specialist Care

Friday, June 25th, 2010
The American College of Physicians suggests that you opt out of specialist care and go for the primary care physician. Of course, health insurance companies will love for you to do that, too!

The American College of Physicians suggests that you opt out of specialist care and go for the primary care physician. Of course, health insurance companies will love for you to do that, too!

When it comes to choosing between a primary care physician (PCP) or a specialist, you’re often caught between two differing perspectives: 1. You choose the primary care physician for their knowledge of your other conditions, their wide-ranging experience, and their relative low expense when compared to specialists, OR 2. You choose a specialist because of their in-depth understanding of a particular condition and their track record treating a condition. In most cases a PCP will offer personalized health care, while a specialist will generally be less patient-facing.

What does the American College of Physicians suggest? The group believes the feds should pay more upfront for primary care, because doing so would lower costs in the long run by preventing expensive complications and helping patients to avoid hospitalization.

Weighing the Pros and Cons when Making Health Care Choices

Let’s take a look first at the good side to this proposed idea. If more money is given to primary care to begin with, rather than reimbursements later, then people would be getting the best in first-round care right away. Like noted above, this might help stave off the need to even be seen by specialists, if problems are addressed quickly and nipped in the bud before specialists need to step in.

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