I often wonder about studies showing that Americans are spending less on health care. It seems to me that many of us are now buying cheaper health policies with huge deductibles, then putting off health care because much of it is coming out of pocket. This NYT article was thus interesting to me.
The number of uninsured Americans has fallen by an estimated 15 million since 2013, thanks largely to the Affordable Care Act. But a new survey, the first detailed study of Americans struggling with medical bills, shows that insurance often fails as a safety net. Health plans often require hundreds or thousands of dollars in out-of-pocket payments — sums that can create a cascade of financial troubles for the many households living paycheck to paycheck.
These financial vulnerabilities reflect the high costs of health care in the United States, the most expensive place in the world to get sick. They also highlight a substantial shift in the nature of health insurance. Since the late 1990s, insurance plans have begun asking their customers to pay an increasingly greater share of their bills out of pocket though rising deductibles and co-payments. The Affordable Care Act, signed by President Obama in 2010, protected many Americans from very high health costs by requiring insurance plans to be more comprehensive, but at the same time it allowed or even encouraged increases in deductibles.
This article, “Making the Cut,” could affect your life or the life of someone you know. The article offers its database so you can compare the complication rates of surgeons regarding common elective surgeries.
“About 63,000 Medicare patients suffered serious harm, and 3,405 died after going in for procedures widely seen as straightforward and low risk. Taxpayers paid hospitals $645 million for the readmissions alone.”
“A small share of doctors, 11 percent, accounted for about 25 percent of the complications. Hundreds of surgeons across the country had rates double and triple the national average. Every day, surgeons with the highest complication rates in our analysis are performing operations in hospitals nationwide.
Subpar performers work even at academic medical centers considered among the nation’s best. A surgeon with one of the nation’s highest complication rates for prostate removals in our analysis operates at Baltimore’s Johns Hopkins Hospital, a national powerhouse known for its research on patient safety. He alone had more complications than all 10 of his colleagues combined — though they performed nine times as many of the same procedures.”
That’s the fundamental flaw in the anti-GMO movement. It only pretends to inform you. When you push past its dogmas and examine the evidence, you realize that the movement’s fixation on genetic engineering has been an enormous mistake. The principles it claims to stand for—environmental protection, public health, community agriculture—are better served by considering the facts of each case than by treating GMOs, categorically, as a proxy for all that’s wrong with the world. That’s the truth, in all its messy complexity. Too bad it won’t fit on a label.
This report from RAW story: Psychedelic drugs like MDMA and magic mushrooms are as safe as riding a bike or playing soccer, and bans against them are “inconsistent with human rights”, according to the authors of a letter published in the Lancet Psychiatry Journal today.
Lots of information here, including this stunning statistic:
Take an A student used to scoring in the top 10 percent of virtually anything she does. One study showed that if she gets just under seven hours of sleep on weekdays, and about 40 minutes more on weekends, she will begin to score in the bottom 9 percent of non-sleep-deprived individuals.
Environmental Working Group’s Sustainable Food Guide is here, free.
Find sustainable stores, farmer’s market’s, CSA’s, co-op’s, restaurants and more in your choice of zip code.
I had heard that using artificial sweeteners can cause obesity, but hadn’t before seen an explanation. This article by Tom Philpott of Mother Jones describes the mechanism:
[A] slew of studies have shown that faux sugars may actually contribute to the very diet-related maladies they’re marketed to protect us from—type 2 diabetes, hypertension, metabolic syndrome, strokes, and heart attacks… [T]hose who drank at least one diet soda per day were 43 percent more likely to suffer strokes and heart attacks than people who drank none, even after controlling for such factors as weight, level of exercise, diabetes, high blood pressure, and intake of calories, cholesterol, and sodium. Another large population study, published in 2009, found that daily diet soda drinkers were 67 percent more likely to develop type 2 diabetes than people who shun them—again, even after adjusting for lifestyle and demographic factors. …
Purdue University behavioral neuroscientist Susan Swithers suggests that fake sweeteners do their dirty work by confusing our digestive systems’ Pavlovian response to sugar. When you smell food, she explains, you begin to salivate and your stomach begins to grumble; that’s your body preparing for what it assumes from experience is a hearty meal to come. Similarly, she says, a sweet taste is a “pretty good indication that sugar is going to arrive in your body”—that is, a blast of easily digestible calories. So, quaff Pepsi, and your body starts releasing digestive hormones and increases its metabolic rate, “because you have to expend energy to get energy out of your food,” she explains.
Fake sweeteners appear to subtly disrupt the trillions of microbes that live in our digestive tracts. But when you start ingesting sweet blasts that then don’t deliver the usual calorie blast, your body no longer knows what to expect. As a result, Swithers says, tests have found that “animals who have experience with artificial sweeteners don’t seem to be as good at regulating their blood sugar levels when they get real sugar”—hence the associations with diabetes and other metabolic troubles. And this mechanism would appear to be independent of the kind of low-calorie sweetener used.