Quote

"To get rich, never risk your health. For it is the truth that health is the wealth of wealth."

-Richard Baker, American Congressman

Monday, September 03, 2007

Sex, Drugs and Rock & Roll (Are Bad for Your Health)

There's an article in the UK's Daily Mail about a recent study of famous musicians and the likelihood of their early demise. In the first five years of their newfound fame, they are 3 times as likely as their peers to meet an untimely death.

"The findings come from a study of more than 1,050 American and British musicians who found fame between 1956 and 1999. All featured in the All-Time Top 1,000 Albums list selected in 2000."

"The British team behind the study say the statistics are so shocking that the music industry should be regarded as a 'high-risk' profession."

I'll have to keep that in mind if my friend, Jeff Boden (RidiQlis), ever makes it big and wants me to write him a policy.

Don't Mess Up!

Hey all you doctors, nurses and other hospital staff, listen up. Medicare is no longer going to pay for mistakes (like sponges left inside of patients after surgery). Read about it here in the New York Times.

Private insurers are going to monitor the new policy to see if they can implement something just like it -

"Susan M. Pisano, a spokeswoman for America’s Health Insurance Plans, a trade group, said, 'Private insurers will take a close look at what Medicare is doing, with an eye to adopting similar policies.'"

"The Bush administration estimates the new policy will save Medicare $20 million a year. But other experts say the savings could be substantially greater."

$20 million might as well be 20 cents when you're talking about government spending. It sounds like this will result in a lot of finger pointing and tons of spending by hospitals, but I suppose time will tell. The statistics for rates of infection and accidents will be released sometime in the future, and we'll see if this initiative has given medical care providers the right incentive to give better, more efficient care.

Thursday, August 30, 2007

Phew!

I was beginning to worry about an invisible bruise on the back of my leg. Just today, it has seemed to be moving down my leg, from my lower hamstring, to behind my knee and now to my upper calf. As is my usual course of action, I asked others if they have experienced similar symptoms, and then checked out WebMD.

Relief washed over me in an awesome wave as I read the first paragraph -

"Bruises (contusions)develop when small blood vessels under the skin tear or rupture, most often from a bump or fall. Blood leaks into tissues under the skin and causes the black-and-blue color. As bruises heal, usually within 2 to 4 weeks, they often turn colors, including purplish black, reddish blue, or yellowish green. Sometimes the area of the bruise spreads down the body in the direction of gravity. A bruise on a leg usually will take longer to heal than a bruise on the face or arms."

Wednesday, August 29, 2007

One Mississippian, Two Mississippians, No That Was Only One Mississippian

You've likely heard by now that we have an obesity problem in this country. Here's a recent article on the Wall Street Journal website about some news.

Mississippi has achieved the dubious distinction of becoming the first state to have 30% of its residents classified as "obese". To give you an idea of how they measure obesity, an average U.S. male is between 5'8" and 5'9". At 200 lbs. and above, the average male is considered "obese" on the Body Mass Index (BMI). People with a lot of muscle mass can be in that range without being "fat", but it's pretty accurate on the whole.

The following point is sort of like the argument for helmet and seatbelt laws. American spends a lot of money because of the effects of obesity on its citizens.

"Officials at the Trust for America's Health advocate for the government to play a larger role in preventing obesity. People who are overweight are at an increased risk for diabetes, heart problems and other chronic diseases that contribute to greater health care costs."

I made a relevant post just over a year ago, pointing to the staggering figure that 90% of increases in Medicare costs during the study period were due to obesity related illness and disease -

Tuesday, August 22, 2006
The Obesity Epidemic and Medicare

"While increases in [Medicare's] cost have been attributed to causes such as medication costs, hospital and doctors fees, 90 percent of the increases can be attributed to people entering the program with diabetes, metabolic syndrome and other diseases associated with obesity, concluded a report published in the Aug. 22 online issue of Health Affairs."

Read the article on Forbes.com.

From the American Obesity Association:

"Each year, obesity causes at least 300,000 excess deaths in the U.S., and healthcare costs of American adults with obesity amount to approximately $100 billion."

Monday, August 27, 2007

WHO Rated the U.S. Poorly in Health Care Quality? Exactly

I don't know what you think of John Stossel. Some people think he's kind of loony. I am one of those people, but in spite of that, I think he makes good points, backed up by data. He challenges commonly held beliefs, and even though his job is mostly to sell advertising for ABC, he works hard to educate America. He's won 19 Emmys and he went to Princeton.

In a recent piece he wrote for Real Clear Politics (that you may read here), Stossel criticizes the misleading conclusion made by the New York Times in its article about the World Health Organization's (WHO) ranking of wealthy nations and their efficacy in providing quality health care. The Times also points to a recently completed Commonwealth Fund study.

Stossel points to our high rates of transportation fatalities and homicides, as well as poor diet and exercise habits as factors that are not related to care that is administered by our nation's health care providers. He also mentions Rock Hudson as the last prominent case of an American leaving the U.S. for medical care.

Friday, August 24, 2007

Blue in the Face

Even if you aren't a Blue Cross and Blue Shield policy holder, you can benefit from the work that they do across the country. I subscribe to Florida Blue, their email newsletter, and I recently received a quick first aid guide that is good to have in your home. Please click here to view and download the document.

It tells you, briefly and simply, what you should do if someone in your home suffers a broken bone, burns, nosebleed, head injury or is choking. I was surprised to learn that if someone is coughing, then he or she is not actually choking, and you should just let the problem pass.

Thursday, August 02, 2007

Don't Take Two of These, Don't Call Me in the Morning

Head of the British Medical Association, Dr. Hamish Meldrum, has caused quite a stir across the pond. Maybe more interesting, however, than the information about the obesity debate that rages on in the UK and the good ol' US of A, is the fact that Hamish Meldrum is a Scottish name. That's incredible!

Anyway, the point is that Dr. Meldrum has come out in opposition to all of the over-medicalization (I guess that's a word in England. Whatever, they invented the language, even if they don't pronounce their r's.) of obesity treatment, and that prevention is clearly the ideal method of lessening that societal problem and the costs associated with it. Duh. We don't need MD's to figure that one out, do we?

Read the article here on "This is London".

I often find the readers' comments sections of online articles to be the most educational part of the experience. That is one of the many reasons that online media are more effective than print. You can't read a newspaper and instantly read how other people around the world are reacting to it. What an age in which we live...

Here is one such comment that I found to be especially poignant, especially given the European perspective it allows us to understand, and the struggle among proponents of healthcare reform, i.e. everyone -

"This is the problem with socialized medicine. Free individuals should have every right to make these "lifestyle choices" assuming any associated risks - including dying early or higher medical expenses. But when government provides healthcare for all, it is going to seek to constrain the rights of individuals in the name of the greater good."

- Jude, london, uk

Thursday, July 19, 2007

Holy Cows

From MSNBC.com -

"Obesity is a public health crisis. If the rate of obesity and overweight continues at this pace, by 2015, 75 percent of adults and nearly 24 percent of U.S. children and adolescents will be overweight or obese."

-Dr. Youfa Wang, Johns Hopkins University

For black women, the numbers are even more staggering. 80 percent of those aged 40 and over are overweight, and 50 percent are obese. Yikes.

One of the researchers of the JHU study makes a dire warning at the end of the article in stating that, soon, obesity will be the number one preventable cause of death in the US.

Tuesday, July 17, 2007

Down the Slippery Slope We Go

If you didn't see this coming, then you're not paying enough attention to the world around you.

Oxford researchers have recently proposed that a 17.5% tax be added to fatty foods, in an effort to reduce heart disease in the UK. Good thing they didn't propose that for the American colonies, or we'd have to kick their asses again, huh? Yeah, that's right England, don't even think about it.

The surprising fact that I learned was that such a tax already exist in Britain (I've now used UK, England, AND Britain! Am I talking about Wales or Scotland in any of this? Who knows?).

From Reuters online -

"The purchase tax is already levied on a small number of products such as potato crisps, ice cream, confectionery and chocolate biscuits, but most food is exempt."

I'm not sure if that was English, but I know what "ice cream" is, unless in England that actually means "milk shake". You get the point though.

"The move could save an estimated 3,200 lives in Britain each year, according to the study in the Journal of Epidemiology and Community Health."

Even though the British Heart Foundation has rejected the proposal, the fact remains that this tax is already in place on other products! In the US and in Great Britain, taxes are used to dissuade all kinds of behavior (drinking, smoking, gas consumption). The thing is, where does it end?

Wednesday, July 11, 2007

The Battle of the Bulge

You've most likely heard about Michael Moore's latest "documentary", "Sicko". Larry King hosted an interview/debate between Moore and Dr. Sanjay Gupta that took place last night regarding the film, and Dr. Gupta's review of it.

Moore seems unable to have a calm and rational discussion unless it is with someone who doesn't challenge him. You may have noticed this in other interviews. I find it interesting how Moore ridicules Dr. Gupta's Indian heritage, and I wonder if he will be criticized for it. Of course, I've just made fun of Moore's obesity in the title of this post, in case you didn't notice. Please watch as Michael Moore shakes his head throughout the news piece, no matter what Gupta is saying, even when making comments that aren't critical of the movie.

If you have the time, I encourage you to watch all of the clips in their entirety. Both people make valid points, but Gupta puts forth more sanguine arguments, and clearly has a better haircut.








Thursday, June 28, 2007

What's Left in Your Wallet?

Some wise words from The Daily Show's Demetri Martin -

Thursday, June 21, 2007

Harvard Squash and Happiness

The following list comes from NPR's website. Just today, I heard Diane Rehm interview the Harvard professor who teaches the prestigious university's most popular class, "Positive Psychology".

Dr. Tal Ben-Shahar revealed during the interview that he was a varsity squash player in college, so I was pretty psyched to hear that. I looked him up and it turns out he was national champion in 1995 (he attended Harvard). Not bad.

I have found several references over the years to the idea contained in number 2, and I believe it to be extremely important.

I also think you should listen to NPR if you have any time to do so during your day. You'll learn a lot that you might never have heard about.

Six Tips for Happiness

Advice from Tal Ben-Shahar.

1. Give yourself permission to be human. When we accept emotions -- such as fear, sadness, or anxiety -- as natural, we are more likely to overcome them. Rejecting our emotions, positive or negative, leads to frustration and unhappiness.

2. Happiness lies at the intersection between pleasure and meaning. Whether at work or at home, the goal is to engage in activities that are both personally significant and enjoyable. When this is not feasible, make sure you have happiness boosters, moments throughout the week that provide you with both pleasure and meaning.

3. Keep in mind that happiness is mostly dependent on our state of mind, not on our status or the state of our bank account. Barring extreme circumstances, our level of well being is determined by what we choose to focus on (the full or the empty part of the glass) and by our interpretation of external events. For example, do we view failure as catastrophic, or do we see it as a learning opportunity?

4. Simplify! We are, generally, too busy, trying to squeeze in more and more activities into less and less time. Quantity influences quality, and we compromise on our happiness by trying to do too much.

5. Remember the mind-body connection. What we do -- or don't do -- with our bodies influences our mind. Regular exercise, adequate sleep, and healthy eating habits lead to both physical and mental health.

6. Express gratitude, whenever possible. We too often take our lives for granted. Learn to appreciate and savor the wonderful things in life, from people to food, from nature to a smile.

Monday, June 18, 2007

To Your Health (Revisited)

More news on the health benefits of moderate alcohol consumption on WebMD.com -

"Drinking three or more alcoholic beverages per week may reduce the risk of developing rheumatoid arthritis (RA), a study shows."

"The study also shows that greater reported alcohol consumption was associated with even lower risks of developing RA. But researchers caution that they are by no means encouraging excessive alcohol consumption."

"The findings were presented here at the annual meeting of the European League Against Rheumatism (EULAR) in Barcelona, Spain."

"While the exact protective mechanism of alcohol is not known, it may act by reducing inflammation, [Henrik Kallberg, a Swedish PhD student] says."

Thursday, June 14, 2007

It's Electric, Boogie Woogie, Woogie (Revisited)

I forgot to mention one of the most attractive qualities of an ING Direct Electric Orange checking account, and that is the lack of overdraft fees. In an age when hardly anyone balances his or her checkbook, it is easy to lose track of pending purchases and not have enough money allocated in one's checking account to cover those charges, especially when waiting for a deposit to clear. With Electric Orange, you don't pay a fee if you go into your reserve, which you can set at different intervals. You pay back the amount at a very small interest rate.

Tuesday, June 12, 2007

It's Electric, Boogie Woogie, Woogie

My brother got me to open an ING Direct (Orange) savings account some time ago. It's an online savings account that earns a high yield (unlike one you would get at your neighborhood bank). The current yield on an Orange savings account is 4.5%. If you'd like to sign up, send me an email and I'll invite you to join (since you'll get $25 for signing up, and I'll get 10, sweet.)

I recently received an invitation to the "ING Savings Summit" in Miami. The CEO of ING Direct, Arkadi Kuhlmann, was there, as was personal finance and debt expert, Jean Chatzky.

I signed up my brother and me and we headed over to the Carnival Center for the Performing Arts to check it out. It seemed like the kind of thing WhealthWatcher$ should be attending.

Once there, we were greeted by friendly, outgoing employees of the company and Arkadi walked around and mingled with anyone willing to talk with him. You can tell that it's a great company from the attitudes of everyone working there.

We were turned on to Electric Orange, the ING Direct online checking account that was just launched, and which pays a 4% yield. Not bad compared to the fees you likely pay Bank of America (by the way, if you do have a B of A checking account, as long as you have a scheduled, automatic deposit each month [it can be just a few dollars], then you don't pay the standard monthly fee).

If you have an Orange Savings account, starting an Electric Orange account is simple and hassle-free. You will be able to pay bills, transfer money instantaneously from your Orange Savings to Electric Orange checking, and have access to any All Point ATM around the country. They have an ATM finder on the site so you can find out where you can withdraw money without paying an exorbitant fee. In Miami, most of the pharmacies have All Point ATMs.

We were surprised at the end of the Savings Summit with a gift of $250 that was just deposited in my Orange Savings account yesterday. One gentleman in the audience went home with a check for $10,000. If you're invited to one of these things, go.

By the way, contrary to popular belief, the song by Marcia Griffiths is called "Electric Boogie" and not "The Electric Slide".

You've Got Gmail

This is from Gmail's "New Features" section on Gmail.com -

"It's a Gmail party and everyone is invited!

You can still invite your friends to enjoy Gmail's spam protection, 2.8 GB free storage and other great features, but now you can also just tell them to visit www.gmail.com and sign up without an invitation."

I highly recommend that you sign up for an account. It takes a little getting used to if you've been an AOL user for most of your email life, but Gmail is intuitive and it's easy to change settings, set up email alerts for topics that interest you, like, oh, say, "WhealthWatcher$".

Wednesday, June 06, 2007

Don't Call It a Comeback (It's Been Here for Years)

Though people are smoking less these days than before, young adults are the most likely people to smoke. That might surprise you, or it might not.

From today's article on WSJ.com, "The Twentysomething Paradox: We Smoke but We're Not Smokers"-

"According to the CDC, 28% of men and 20.7% of women between ages 18 and 24 reported smoking every day or some days in 2005 -- the highest smoking rate of all age groups. The vast majority of these young adults say they plan to quit in 10 years, according to a CDC survey."

Does the preceding quote apply to your or a friend? Consider this-

"Smokers today smoke fewer cigarettes, says Dr. Matthew McKenna, the director of the office on smoking and health at the Centers for Disease Control and Protection. 'You're going to have many more of these types of folks who smoke on an intermittent basis. The phenomenon has increased between 20% to 25% over the past 10 years. In the past, people were much more likely to say they smoked every day, and that has decreased.' He attributes the difference to changing social norms about smoking, the increased cost of cigarettes and the proliferation of smoking bans in public places."

I found this surprising (and I'm actually a bit skeptical of the point)-

"Whether a person smokes one cigarette a day or seven on Saturday night makes no difference, according to Dr. McKenna, who says the risks of heart and lung disease correlate to the number of cigarettes a person has smoked -- total."

I don't think there are many people who smoke one cigarette every day. I think if you're smoking every day of the week, you're probably smoking a lot more than someone who smokes just when he or she goes out drinking. I also think that your body can probably more easily cope with the toxins when spread out over a longer period than all at one time (like binge drinking versus moderate, regular alcohol consumption). The point, of course, is that you shouldn't smoke at all, so that's what we're supposed to take away from this article.

Monday, June 04, 2007

Thank You for Smoking

Not only is it an hilarious novel by fellow Portsmouth Abbey alumnus Christopher Buckley, but it's what England's NHS (National Health Service) is saying to that nation's smokers. Not only are smokers taxed at exorbitant rates there and in the US, but now they are subject to penalties if they fail to quit during the four weeks prior to undergoing surgery for non-life-threatening conditions. The reason for the new policy is that smokers have been shown to need much longer recovery time than non-smokers.

A quote from an online forum in this article on the Daily Mail website makes a salient point -

"What about drinkers, drug takers, people who eat too much and people who never exercise?"

I'm not sure that I used "salient" correctly just then, but it sounds good. This debate will intensify as personal behavior and lifestyle choices come under increased scrutiny vis-a-vis healthcare costs. The problem is that the line is difficult to draw, as shown in the aforementioned example in England.

Here's another example: Does the exercise benefit that comes with playing in a soccer league outweigh the risks of injury that come with it? Will people start being asked increasingly personal questions about lifestyle? Will EHRs (Electronic Health Records) destroy any shred of privacy that remains in our society? Do you think George Orwell is as smart as I do? Did I use "vis-a-vis" correctly in the preceding paragraph? Where is the accent grave on my keyboard?

All of these are important questions.

Wednesday, May 30, 2007

It's the State of Health Insurance, Stupid

If you're not old enough to remember the 1992 presidential campaign (when Bill Clinton was elected over the single-term, elder George Bush), then you might be offended by the title of this post. Please don't take it personally, stupid.

The Kaiser Network today posted a comprehensive summary of Barack Obama's recently formulated healthcare proposal. There are links to major news publications about the candidate's proposal, summaries of editorials about it, and even links to radio coverage of the subject. You may draw your own conclusion.

Republicans have been conspicuously silent during the most recent healthcare debate. I look forward to hearing about the plans that will most certainly highlight HSAs and the larger consumer directed market.

Wednesday, May 23, 2007

He's No Christopher Columbus

This is an African proverb, referenced in Thomas Friedman's The World is Flat, which he saw on the wall of a factory in China-

Every morning in Africa, a gazelle wakes up.
It knows it must run faster than the fastest lion
or it will be killed.
Every morning a lion wakes up.
It knows it must outrun the slowest gazelle
or it will starve to death.
It doesn't matter if you are a lion or a gazelle.
When the sun comes up, you better start running.

I assume it was written in Chinese on that wall.