A look at the per capita health costs - U.S. compared to other OECD nations in 2000. Of course, since the year 2000 these costs have ballooned even further.

A poignant article in the respected journal, Health Affairs, put it best when it said that “a cycle of unsustainable spending growth followed by fervent cost containment initiatives has been a regular feature of the health care landscape for the past half-century.” As a result, the journal looked at health care spending per capita for thirty countries in the so-called “industrialized” Organization for Economic Cooperation and Development (OECD) list of countries, all while record numbers of Americans choose to opt out of individual health insurance plans.

In 2002, U.S. citizens spent more than $5,260 per capita for their health care. This represented a 53% premium over any other country in the OECD list. That trend continues to this day, and it is a major catalytic factor in the health care reform movement championed by the Obama administration.

Health Affairs concludes that the two main factors in the high U.S. health care costs are:

• Defensive medicine (which leads to higher diagnostic rates and a hyper-sensitive population of doctors due to the fear of medical malpractice claims), and
• The high rates of emergency care resources vs other industrialized nations. Of course, the article in the journal tends not to oversimplify and cites numerous other potential reasons.

Whatever the case, health care spending has ballooned far beyond that of any other country (as the graph above illustrates). Where the proposed reform will take us from here is anybody’s best guess.

Have you ever pondered what health insurance and healthcare was like throughout your state? Or maybe you and your family are planning a move to another part of the country and want to know what you can expect in terms of health coverage in a state. The Robert Wood Johnson Foundation is making sleuthing like this a whole lot easier for inquiring minds who want to know. They have created a stellar resource website at statecoverage.org, where you can find statistics for all 50 states. Want to compare the coverage provided by employers in Wisconsin versus the coverage provided by employers around the country? Are you curious about the Medicaid coverage in Oregon?

What Makes this Health Insurance Tool Useful

I’m so impressed with this site’s usability and easy of navigation. I’ve always wanted to live in Oregon, as I have a on of family living there and let’s face it: it’s absolutely beautiful there. But let’s say I wanted to truly make a move there and was worried about what type of health coverage would be available me. Once I open the “State Profiles” page, I’m presented with a map of the United States, broken out into states. I clicked on Oregon, and up popped information that can be useful to everyone, despite how you like your information presented. On the Oregon page, I discovered both graphical representation of data (read: bar graphs) and some cold hard numbers.

If you’re looking at a particular state’s data and wondering just where in the heck these statistics came from, the site does a terrific job of citing their sources. Just click on the “Resources” tab for any given state, and you will see listed any source that data was gathered from, including a link to the exact report. For those of you cynics who don’t like to take things at face value, I think this is valuable addition.

Muddling Through the Insurance Jargon

If you’re at the beginning of your insurance journey, you may be looking at terms like Medicaid or SCHIP and scratching your head. Luckily, State Coverage Initiatives has done all of the information gathering for you. Instead of only providing you with facts and figures with no explanation of terms (leaving you opening countless different windows trying to track down what these terms mean), you can click on “Coverage Strategies” at the top of the page and be given in depth definitions of many of the types of coverage you’ll see talked about on other parts of the site. Also impressive is the readability of the definitions-no confusing, misleading trickery here-they lay everything out for you so that it is easy to understand and digest.

Insurance Resources Galore

One fantastic thing about the internet is that there is a wealth of information to be found on just about any subject. It can be difficult to find a reliable and informative site sometimes, and State Coverage Initiatives seems to be one of the good guys. Once you have gotten the specific state information you are looking for, you may be ready to look into purchasing some type of insurance for yourself. There are so many different plans out there, and they vary drastically by carrier and area, so please visit our health insurance by state section arm yourself with even more information to help you with any insurance decisions you’re facing.

Maoist China during the period between 1958 and 1976 was one of the world’s widest users of public health posters and announcements. It was almost impossible to go anywhere in the country without seeing some form of health poster telling citizens to do a certain thing or not do a certain thing in the interest of public health. Then, unlike now, China had a nationalized health care system. Today, China relies on a variety of health care options, including employer provided coverage (known in China as laobao yiliao) and individual health insurance policies.

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There are some health insurance companies where you feel like you are being taken advantage of at every single turn. Hidden charges show up on bills, you don’t have an easy time getting in to see your doctor, and you may spend upward of an hour trying to get the right person on the phone for customer service. This is not to say that health insurance companies exist simply to frustrate you: quite the opposite. Sometimes they just do not seem like they are doing all they can to best serve your interests as a consumer or customer. Health Net, one of America’s biggest health insurance companies serving over 6.7 million people across the country, has recently stepped up to the plate big time in the game of keeping people’s best interests (and health) at heart. In the third quarter of 2008, the insurer spent $670K lobbying with the federal government for a variety of different groups and lifting coverage restrictions.

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Bankruptcy is no picnic. Having to legally declare yourself officially broke in hopes of someday cleaning your slate and getting back on your feet isn’t easy for anyone, and there are always countless contributing, individual factors as to why someone finds themselves whispering “bankrupt.” For those who gamble away their savings, lose their homes and drink away the last of their pennies, they are left to lie in a bed of their own making. However, President Elect Obama is proposing a dramatic change in some legislature which would help those people and families who had to file bankruptcy because of medical bills. What does this mean for the average American and is it really as good as it seems?

A Bankruptcy Reprieve

If you were to take a peek at Obama’s economic agenda, you’d see this listed in a bullet point: “Obama and Biden will create an exemption in bankruptcy law for individuals who can prove they filed for bankruptcy because of medical expenses. This exemption will create a process that forgives the debt and lets the individuals get back on their feet.” Taken from the horse’s mouth, or as close to that as we can get before Obama takes office, this seems like a dream scenario. If you are someone who has had to give up everything to spend down to the last penny on medical expenses for your loved one (partially covered by your health insurance or not), this may seem like the savings grace you have been dreaming of. But are all people in this scenario: virtuous, thrifty spenders who have only gone into such horrendous debt due to medical bills?

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SAD, or Seasonal Affective Disorder, can sound downright silly to those who have not experienced it. “You mean to say that you get depressed when winter time rolls around and there’s less light? What are you, a vampire?” Sadly (pun intended), those who suffer from SAD are just like the rest of us but they feel the changes of the seasons just as much as a bear hibernating for the winter. What exactly is SAD? According to webmd.com, SAD is “a form of depression that tends to occur as the days grow shorter in the fall and winter.

What Causes SAD?

It is believed that affected persons react adversely to the decreasing amount of light and the colder temperature as autumn and winter progress.” Depression, wanting to sleep all the time and sometimes a craving for starchy foods are symptoms of SAD, and while they may sound mild, imagine dealing with them for the long winter months. SAD isn’t a hopeless battle for those who suffer from it, so get some help in turning your SAD into happiness and joy.

Let There Be Light

One of the most effective treatments for SAD is lighting therapy. Light therapy comes in two forms, bright light treatment and dawn simulation. In bright light treatment, you sit in front of a light box for a specified amount of time (usually in the mornings), and you can actually buy these yourself. Plug one of these boxes in while you’re working in the morning, having breakfast or reading the paper, and enjoy its warmth for anywhere from 30 minutes to 2 hours. Dawn simulation is just like it sounds: you have a certain amount of light shining on you while you sleep and it increases toward the morning hours. The treatment’s effectiveness varies, but since it’s not always practical for busy people to sit in front of a light box for a long period of time, dawn simulation seems to be the most efficient use of time for people on the go.

photo credit: Flóra