The Most Important Meal of the Day (Revisited)

More news on the health benefits (and healthy correlation) of eating breakfast. The New York Times recently published an article about the fact that people who eat breakfast are less likely to be overweight. I think this is due to the fact that those are often people who lead more disciplined lives, getting up earlier and making better food choices and finding time for daily exercise. I have pointed out before that sumo wrestlers eat only two meals a day, and many nutritionists recommend that you eat many, smaller meals throughout the day.

I'd also like to point a site that has some great, quick pointers. Men's Health has a video segment called MH Minute.

More Belly News

The word "belly" is funny, isn't it? Well, bellies are no laughing matter, and research continues to support the fact that it's unhealthy to sport one, even if they make you look jolly.

There is research from Kaiser Permanente that suggests a link between bellies during a person's middle age and a later Alzheimer's risk. There has already been a link established between belly size and increased coronary heart disease risk.

Drudge linked to the Associated Press article on My Way News.

MQOTD

"Life is either a daring adventure or nothing."

-Helen Keller

Tax Time!

If you're using TurboTax to file your taxes this year, be aware that it has become a little more difficult to deduct Health Savings Account contributions from your gross income on Form 1040.

This comes from Inside Consumer-Directed Care, via AIS Health.com -

"Searching TurboTax’s help files, consultant and former White House health policy advisor Roy Ramthun found the answer — HSAs are addressed under 'misc. income' rather than 'misc. deductions.' 'I’m not sure why TurboTax would put it this way,' says Ramthun, of Silver Spring, Md.-based HSA Consulting Services. 'I would think it would be more obvious that it is ‘misc. deductions.'"

Worst...Food...Ever

If you eat healthy most of the time, then you are allowed to go out and have an awful(ly delicious) meal once in a while at a place like Chili's or The Cheesecake Factory. But don't do it often if you want to be thin and healthy. The meals at such restaurants have high fat and calorie content, as well as unhealthy levels of sodium. That's why the food tastes so good.

So, Men's Health has a new list of specific foods to avoid at popular American eateries. It's called The 20 Worst Foods in America. It helps to keep in mind, before ordering the Outback Steakhouse Aussie Cheese Fries with Ranch Dressing, that they contain 2,900 calories and 182 grams of fat. Ha ha! 182 grams of fat??? Do you realize how much that is? A Whopper with Cheese has 64 grams, so the Aussie Cheese Fries have practically three times that amount. And 2,900 calories is way more than a whole day's worth of calories that you should consume. How about this for a thought? You'd have to run a marathon to burn off that number.

Now, the best part about this list is that Men's Health mentions a healthier alternative. It's part of their "Eat This, Not This" series.

I Hope This Doesn't Affect Their Delicious Cream Pies...

From today's Boston Globe -

Boston Trans Fat Ban Receives Final Approval

Ah, Push It

It's nice to see that this is the most popular article on the New York Times' website.

"Based on national averages, a 40-year-old woman should be able to do 16 push-ups and a man the same age should be able to do 27. By the age of 60, those numbers drop to 17 for men and 6 for women. Those numbers are just slightly less than what is required of Army soldiers who are subjected to regular push-up tests."

I Think This Is Campaign Issue #2 (After Iraq)

From Fortune Magazine -

Why McCain Has the Best Health-care Plan

"Here's where [McCain's plan] gets interesting. Employers would no longer be able to buy more health care with $9,000 of their employees' money than the workers could buy on their own. The raison d'être for corporate health benefits would vanish. Employers have another compelling reason to pass the ball to the employee: While wages are rising around 3% ayear, their health-care costs are growing at three times that rate. 'I predict that most companies would stop paying for health care in three to four years,' says Robert Laszewski, a consultant who works with corporate benefits managers. Hence, an employer that pays $9,000 for your benefits would simply pack an extra $9,000 a year into your paycheck. (Why? Because in a competitive labor market, companies would have to hand over that cash to employees or risk losing them.) So you'd have $6,000 after tax, plus the $5,000 family credit, to buy insurance. That's $11,000 in new cash that employees can set aside for health care."

"The [Democrat] standard benefits package isn't just a bad idea because it will substantially raise the cost to taxpayers. It will also make it virtually impossible for Americans to buy insurance tailored to their needs. Suppose you're one of those 25-year-olds. You probably don't want to spring for a full-blown plan that covers old-age diseases like Alzheimer's and would rather save some money and go with a low-premium, high-deductible plan. But the Democrat approach requires that any competing plans be "actuarily equivalent" (Clinton's term) to the federal employee plan - which translates as a generous minimum standard for health insurance. 'With that mandate, you rule out high-deductible plans,' says Gruber. 'It would make it very difficult to design one that would qualify.'"

"The Democrat proposals have some additional drawbacks. First, the Dems want to heavily regulate the insurance industry by limiting everything from profits to marketing expenses. If the earning power of insurers is determined by federal regulators, their pricing will be too, and thus they will evolve into the equivalent of public utilities. Would you rather have medical prices set by fiat or by nationwide market competition?"

"Second, the Democrat plan exacerbates the fundamental problem in the American health-care system, which is that no one has any incentive to care about price. (How much is that MRI center charging for your ankle scan? Who cares? Just hand over the $50 co-pay and never you mind.) Creating a huge new medical superstructure would shift far more spending to third-party providers, chiefly the federal government, giving consumers even less incentive to concern themselves with the price of an MRI - or any other service, from an elective wart-removal procedure to a life-saving heart bypass. 'The Clinton and Obama plans would enormously increase total health-care spending, but disguise the extra costs by shifting them to taxpayers,' says John Sheils of the Lewin Group, a research firm that does statistical modeling for health-care plans."

Live to Be 100

Sounds good to me.

Fat on the Inside

I've been thinking a lot about this since attending a talk on childhood obesity at the South Beach Wine & Food Festival. Dr. David Ludwig, an endocrinologist and professor at Harvard Medical School, as well as the author of "Ending the Food Fight: Guide Your Child to a Healthy Weight in a Fast Food/Fake Food World", discussed the fact that doctors and scientists are now finding fat around internal organs, like the liver, and that this will be a serious health problem in the near future. It was the first I'd heard of it, but it wouldn't have been if I'd read an article that my brother sent me back in May (he sends me a lot of articles).

Futurist Ray Kurzweil publishes a newsletter that has all kinds of cutting edge information, and in his May 14th issue, he includes an article called "Thin People Can Be Fat on the Inside". This basically says it all -

"According to the data, people who maintain their weight through diet rather than exercise are likely to have major deposits of internal fat, even if they are otherwise slim. “The whole concept of being fat needs to be redefined,” said Bell, whose research is funded by Britain’s Medical Research Council."

I watched an episode of Penn & Teller's show on Showtime recently; one in which they sought to disprove the obesity epidemic. The argument they proposed did not convince me, and one of the main reasons for that was a physical fitness test they conducted in which the control was a very obviously out of shape guy, but one who happened to be thin(ish). He didn't win a single event. Wow, Penn, you're some sort of scientist. The obvious fact is that the guy didn't exercise, so someone who had a little more heft to him, but who was in better physical shape, beat him in various foot races and other events.

The point is that you need a proper diet and regular exercise to be healthy. We'll just keep beating that drum.

HSAs

Sharon Alt, whose radio show I listen to from time to time, has written a good article on the evolution of consumer directed health plans and health/medical savings accounts. They've been around for about 4 years, and legislation has been enacted to better them several times. They seem to be just about there.

The main issues are to get the premiums down even more to justify the high deductibles, while considering the likelihood of consumers to get better deals when shopping for care, and allowing coverage for medication to treat chronic diseases (classifying it as "preventive"). The main objection I hear about these plans is from people who have expensive medication that would eat up the deductible (and therefore, the HSA money) and likely make the plan more expensive for the insured.

Same Old Story

"Health Data Shows Most Employees Are Overweight"

Most people are overweight or obese, so it stands to reason that most of the ones who are employed are also overweight or obese. The headline should really read "Data Show", but that seems to be something of a grammatical anachronism these days. Oh well.

From an article about a Kronos Optimal Health study in Employee Benefit News -

"The findings show 77% of men and 65% of women aged 40 and older are overweight or obese. Among those younger than 40, almost 68% of men and 52% of women are overweight or obese. The high number of obese employees means many employees are living with elevated health risks like heart attack, stroke and diabetes. "

So, keep in mind as you age that most people gain a couple of pounds per year, and 40 years into your adult life, you're likely 50 or more pounds overweight.

Does the name "Kronos" make anyone else think of Kang and Kodos from the Simpsons?

It's Aliiiive! It's Aliiiiiiiive!

The American Dream, that is. A guy named Adam Shepard was on the Today Show today, talking about his book Scratch Beginnings, in which he recounts his social experiment to prove that it's still possible. There's an article on MSNBC.com that includes video of the interview that aired today. Wow, that internet sure is great.

Mess with Texas

You might already know that Texas has the highest percentage of uninsured in the country (25%). That rate is a bit inflated because it counts many illegal immigrants, but that's the reality of the situation (and one shared by many border states). It affects hospital emergency rooms and the insurance premiums that Texans pay. It affects how long you will wait in an emergency room if you need urgent care.

The Austin American-Statesman has a pretty recent article about the plight of several Texans who are without health insurance or have gone without it for some time and suffered financial and/or health-related hardship because of it. It's pretty easy to imagine this happening to a friend or relative.

Whatever you think of the politics of the situation, you'd better protect yourself. Health insurance is not a luxury. It should be as much of a priority as keeping the lights on in your house and food in the fridge. You should not have leather seats in your car or a DVD player or expensive new jeans but no health insurance.

Something has to change in the Lone Star State.

Google Continues Its Plans to Take Over the World

Google has just entered into an agreement with the Cleveland Clinic to develop its personal health record (PHR) platform.

I haven't completely made up my mind, but if we're pushing for portability and independence, then I think that is probably better than having what's also known as an electronic health record (EHR) with one's insurer.

Aetna has a seemingly comprehensive (and I believe the first of such depth) personal health record system that Aetna members may use, and to which their health care activity is automatically added. Members may supplement that with their own entries about family medical history and other pertinent information.

But what if you want to change insurers? If you keep it on Google with your photos and email and other stuff, then it's probably worth the extra work of putting the information in yourself. You may read an article here about Google's plans with the Cleveland Clinic or check out Aetna's PHR here.

Usual and Customary

How do you like the banner ad above this post? Ha ha.

New York State Attorney General Andrew Cuomo has filed a lawsuit against UnitedHealth Group, as well as subpoenaed the other major insurers in the Empire State regarding pricing practices. When an insured person goes to a health care provider outside of his or her network, reimbursement is based on what are called "usual and customary" rates. Well, there is an obvious conflict of interest if the company that calculates those figures is owned by UnitedHealth.

From the New York Times -

"Citing an example of what he said was a pattern of underpaying for care, Mr. Cuomo said his office had compared the prevailing market rate for a doctor visit to the amount Ingenix had calculated as usual and customary. While doctors in the metropolitan New York City area typically charged $200 for an office visit, he said, Ingenix calculated the rate at only $77. Under a typical plan, the insurer would pay 8o percent of the $77, or only $62. The patient was responsible for covering the remaining $138 balance."

This is a very good reason to get to know the details of your health insurance plane. Once you have an emergency, it's often too late to figure it out until after the bill arrives. That is one of the reasons consumer-directed health plans are effective. They get people thinking about these potential problems before they occur.

Not Just for the Tast of It

Remember that great ad campaign?



"Researchers have found a correlation between drinking diet soda and metabolic syndrome — the collection of risk factors for cardiovascular disease and diabetes that include abdominal obesity, high cholesterol and blood glucose levels, and elevated blood pressure."

This is likely to be another one of those correlations that is not causal. Read the article in the New York Times.

Gastroeconomic Expansion

This is a very interesting past article in the Washington Post -

"Why America Has to Be Fat"

If you take the time to read it, you'll find some startling statistics. You'll also learn that because of how well our economy provides for so many, we now consume more calories than we expend. As the author puts it, "we use[sic] to be paid to exercise at work, now we pay to exercise after work".

So, since we don't exercise at work and we have lots of cheap, high-calorie food around, I guess we have to pay to exercise during our free time. That's just the way it is. There's no miracle gimmick that will let us out of that reality.

Can You Hear Them Now?

From Reuters -

"Heavy Cell Phone Use Tied to Poorer Sperm Quality"

There hasn't been a cause-and-effect relationship determined by the study done by Cleveland Clinic researchers, but I think there just has to be something bad going on with cell phones next to our brains or in our pockets next to our other ones. I don't know what to tell you about how to avoid this. I keep my phone on my desk when I'm at work, rather than in my pocket. I've also tried to replace talking with sending text messages (the verb "texting" sounds awkward to me).

Maybe it's just that nature made dorky people like that Verizon guy with low sperm counts and they happen to spend more time on the phone than having face-to-face conversations.

Writing It Down

From a Good Housekeeping article posted on WebMD -

"When researchers from Kaiser Permanente Center for Health Research followed more than 2,000 dieters who were encouraged to record meals and snacks, they found that the single best predictor of whether a participant would drop weight was whether the person kept a food diary. It trumped exercise habits, age, and body mass index. The number of pounds people lost was directly related to the number of days they wrote in their log. (It's no coincidence that Weight Watchers, one of the most successful diet programs, asks participants to track what they eat.)"