Editor’s Preface: The new American Recovery and Reinvestment Act (ARRA) is a revolutionary step in addressing our most vital economic challenges. A significant portion of the money doled out by the ARRA ($59 billion) will go towards immediately addressing the health crisis. This two-part series by Tara Barnes will delve into the benefits of the stimulus package’s COBRA subsidy. We have also extensively covered this subject in “COBRA Health Coverage in a Bad Economy” and “Stimulus Package and COBRA Health Coverage.”

It cannot be denied-COBRA is a huge topic in the United States right now. People are up in arms about COBRA coverage (as can be seen from response here on previous blog postings) and some significant changes and new legislation put into place by the Obama administration may change the face of COBRA.

Spending in the ARRA for Health Insurance and Care Compared with Other Sectors

The ARRA (the American Recovery and Reinvestment Act) was signed on February 17, 2009 and directly affects the COBRA continuation coverage rules. Because so many Americans are upset with the way COBRA coverage works, will these changes benefit or hurt those who need to rely on COBRA to keep their health insurance? Are these new changes really going to make a difference in the things that citizens are frustrating about, like the monthly cost of COBRA? Read on to find out about the new act passed and how it will affect COBRA for those people living in the real world.
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Birth control is something that all women who are sexually active and aren’t ready for children need to be thinking about. It doesn’t matter if you are already a mom of three and don’t want any more little ones running around, or if you are a young woman getting serious with your first serious boyfriend: learning about birth control options is incredibly important. All effect a woman’s body and work differently than one another, and knowing what you are putting into your body is crucial as any other information you can educate yourself with. If you are unsure about what type of birth control you want to be on and want to know the ins and outs of all your choices, please read on and educate yourself. I am no doctor, and every assertion made here should be thoroughly discussed with your doctor before starting a birth control regimen, but I at least aim to give you a starting off point to help you in making a decision.

The Pill

How exactly does the pill work? Birth control pills work mostly by preventing ovulation (the release of an egg by the ovaries). Most pills are made of two hormones called estrogen and progestin. Estrogen is a female hormone produced by the ovaries and progestin is a synthetic progesterone used as a contraceptive. For the pill to work, you have to take it every day, preferably as close to the same time every day as possible. As with any medication you take, there are risks of side effects. These could include: nausea, headaches, acne, increased blood pressure, breast tenderness, bloating, weight gain and depression. These side effects will definitely not occur in every woman, and nowadays there are varying types of birth control pills and different hormone levels, so talk to your doctor about which one might work best for you. If you are a smoker and want to take the pill, quitting is highly advised, as smoking can interfere with the pill’s effectiveness.

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These days you can’t open a newspaper, pick up a magazine or turn on the TV without being inundated with messages about being healthy. It is great that these messages are coming through the main stream media, because America is bigger and unhealthier than ever before. The good old USofA tops the charts in obesity statistics. According to the Food Standards Agency, between the years 1999-2000 34% of America’s females and 27.7% of men could have been considered obese. The next country on the list, Argentina, wasn’t too far behind, but it still doesn’t change the fact that we here in the US are letting fast food options and lazy schedules outweigh the need for making healthier choices around our eating habits. Making little changes in your diet and eating choices can really make a strong impact on your health, weight and general well-bring. If they seem all too daunting to do at once, just make a small change per week and see how your body feels. You may be pleasantly surprised at the ease of making the little things into big impacts. Read on and be healthy.

Have a Healthy Kitchen

It should come as no surprise that creating healthier eating habits begins right at home in your very own kitchen. One good place to start is a good old fashioned purge. No, not the kind that can lead to an eating disorder, but rather a purge of food in your kitchen. After coming home following an exhausting work day, it is so tempting and easy to reach for fast, yet less healthy food choices. If you make the effort to not keep any tempting food in your kitchen, you are less likely to eat it. Simple? Yes. On the same tack, take time when you have time, maybe on a Saturday or Sunday, to cook for yourself meals to last through the week. That way even if you are dragging your tired self home at 9 pm, you will already have your meal choices made for you.

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So many people (it isn’t just women) will go to any lengths to be thin. People want a quick fix, something easy, and something that will not require hours of exercise or changing one’s diet. What many don’t realize is that it is never that easy. One pill will not magically help you drop weight and keep it off. You may see quick weight loss results with a diet pill, but you will be severely jeopardizing your health. Is the risk worth it? Read on for details about this frightening trend in weight loss supplements.

The Truth Behind the Flashy Ads

If you pick up a bottle of a diet pill like Xenadrine, you could be wowed by all of their claims. Clinical studies? Safe? Improving metabolism? Customer testimonials? When things like this jump at you from off of the shelf, it is easy to be fooled. But like with any advertising claim, don’t be taken in by what you see on the surface. Steve Bechler, Major League baseball pitcher, took Xenadrine before a game, after he realized that he needed to drop some weight to have a healthy start to the season. One heart attack later and he passed away. As shocking as it is, this healthy 23 year old man didn’t know the dangers of diet supplements and paid the highest price. Look again at any packaging and marketing for a diet pill. They may magically claim to seed up metabolism and help the pounds melt away, but what significant research backs up these claims? Is there a reputable organization, like the Food and Drug Administration, asserting that the claims are true?

Take a supplement like Ephedra. It can be found everywhere, from weight loss aids to energy boosters. Metabolife, one of the best selling over-the-counter weight loss aids in the country, contains Ephedra. The supplement contains both Ephedra AND caffeine, which the manufacturers have claimed for years have no side effects when combined. Mind you, this is the company trying to market their product to millions of weight-conscious Americans, so you would think they would want to have their facts as straight as possible. However, when staring in the face of criminal charges and a federal investigation, the president of Metabolife, David Brown finally coped to the fact that “between 1997 and September 2001 his company received roughly 13,000 reports of ‘certain health-related issues‘ linked to the supplement, among them heart attacks, strokes, seizures and death. A subsequent analysis added high blood pressure, palpitations, psychosis and other serious problems.” The FDA even estimates that Ephrdra accounts for 64% of all related side effects from herbal supplements, and that for every one of these recorded incidents, 100 go unreported.

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Sometimes you just need to get seen by a doctor, stat. Maybe you aren’t having an emergency like having a baby or cradling your severed limb in your hands, but things like a sprained ankle or a rapidly rising temperature require some fairly prompt attention. According to Health Net’s website, urgent care services are “medically necessary services which are required for an illness or injury that would not result in further disability or death if not treated immediately, but require professional attention and have the potential to develop such a threat if treatment is delayed longer than 24 hours.” What is the difference between emergency and urgent care? How can you get seen quickly without spending a ton of your hard earned dollars? How can you make sure that your urgent care visit will be covered by your health insurance? Read on to learn the best way to approach urgent care.

Assess Your Symptoms

If you are feeling like you are having a heart attack, get thee to an emergency room, stat. Urgent care centers are not for people who feel like their lives are in danger. But, if you’re uncomfortable from a minor sports injury or your flu feels like it’s just getting worse, an urgent center will be the way to go. Before you hop into a car to head for the emergency room or an urgent care center, ask yourself the following questions: Could I tolerate the way I’m feeling for another 48 hours? Do I want to spend less than $600 on a visit? Do I have the time to wait to be seen? If you answered “yes” to all of these questions, point your car in the direction of the nearest urgent care center.

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You hear whispers of it on the wind, legends of time where one person saw one doctor, who knew all of their past ailments, and truly cared about their health and well being. This standard has seemed to have fallen by the wayside in the recent years, among all the chaos and hubbub of the current United States healthcare system. Doctors now get paid per patient they see per day, so crammed waiting rooms, curt visits and impersonal service have become the norm, and we have gotten so used to it that we haven’t even considered an alternate way of doing things. But take of your goggles of disbelief, because a more personal, cozy model of health care is being buzzed about.

What is the Medical Home Model?

Three years ago, the healthcare guru’s over at IBM started looking at what they were doing to improve the quality of life for their employees and realizing they were overlooking a crucial component: healthcare. After realizing this crucial change that needed to be addressed, the director of healthcare transformation at IBM, Dr. Paul Grundy, helped found the Patient-Centered Primary Care Collaborative (PCPCC). This coalition of large employers, consumer organizations and medical providers developed the Medical Home model, and its combination of old school patient care combined with the latest in medical communication technology makes this unique and optimistic proposal for healthcare. Under the Medical Home proposition, one doctor would act as a coach for the team of specialists treating one patient, including things like preventative, holistic and wellness needs. More time is spent with the patients in person than you are probably getting from your doctor now, and the doctor is accessible on the phone and via e-mail in addition to extended office hours and coordination of care across the entire medical team.

Advanced Technology and Medical Care

The sharing of a patient’s health information via an EHR, or electronic health record, is an integral part of how the Medical Home model works. An EHR can help to reduce errors, eliminate duplicate tests, highlight drug interactions, improve overall quality of care and reduce costs. This interweb of information can allow a patient to access a web portal to schedule appointments and check their lab results, patient registries and e-prescriptions. With the click of a mouse, information about a patient’s health can be shared across a network of healthcare providers, and patients can always stay in the know about their treatment, doctor recommendations and medications by hopping online or picking up the phone. Instead of wasting precious free time that most of us don’t have, you would be able to utilize the tools readily available to you in the form of your phone and computer to stay in touch with your physician. Doctors would get extra money for being available for the patients in odd hours, and offices can get a little bit more money by implementing the technological changes necessary to upgrade the office. Phone and e-mail consultations would be reimbursed.

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