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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I am a huge health advocate, and I’m also a strong believer in the old saying “Knowledge is power.” I wanted to start this Healthy Living series in this blog to arm readers with as much knowledge as possible, so that you all are able to make educated choices around your health and well being. That way, even if you’re making poor choices (I’m looking at you, smokers), you know all of the full ramifications around those choices. To kick things off, I wanted to wax poetic about one of my favorite subjects: food. More specifically, where the food we Americans eat comes from. I’m hoping that bringing this subject to light will make you think more thoughtfully about the food you’re putting into your body and how you might make better dietary choices.

Happy Cows Come From…

As a vegan, I realize I have a biased perspective on the meat industry here, but really, if you do enough reading and research, the numbers don’t lie. When I ask my meat-eating friends and family how they can still eat meat knowing how animals are raised, treated, slaughtered and so on, they often reply “I just try not to think about it.” I can only shrug, because living in denial is a hard thing to shake people out of. But when you’re biting into a hamburger, do you know where that meat has come from? Meat like beef and poultry are raised in huge feedlots around the country. You can’t take a drive down I-5 in California without seeing cattle literally stacked on top of one another. When you’re biting into a juicy steak, are you confident in the USDA’s inspection of the meat processing plants? Read a book like “Slaughterhouse: The Shocking Story of Greed, Neglect, and Inhumane Treatment Inside the US Meat Industry” and you may never look at beef the same way again. Things like cattle not being stunned properly and skinned alive to rotted meat simply being cut away from carcasses and sent on through inspection with flying colors. Graphic and disturbing? Yes. But necessary to know if you’re really interested in knowing about what you’re eating.

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Politicians and decision makers seem to be worried that if we make cannabis legal for medicinal use, then it will become in higher demand and people would abuse the drug more than is happening now. The Institute of Medicine (someone I’d be highly included to trust based on name alone) released a report in 1999 on medical marijuana examining whether the medical use of marijuana would lead to an increase of marijuana use in the general population and concluded that, “At this point there is no convincing data to support this concern. The existing data is consistent with the idea that this would not be a problem if the medical use of marijuana were as closely regulated as other medications with abuse potential.” The report also noted that, “this question is beyond the issues normally considered for medical uses of drugs, and should not be a factor in evaluating the therapeutic potential of marijuana or cannabinoids.”

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Cost sharing, when you first hear it, might sound like a good thing. Something to help lessen the burden of costs you’re being socked with for your health insurance. Unfortunately, cost sharing in the United States often ends up to the detriment of the consumer, as health insurance companies raise their rates and have to ask consumers to pay a higher portion of what services cost. Sometimes insurance companies have to raise the rates for employers, who then have to turn around and raise the co-pays for their employers. It’s a vicious cycle, but other countries around the world have developed models to help lower and limit cost sharing that falls on the shoulder of consumers, and the United States might do very well to look into these models and implement them here. Especially with things as they are in our current economy, anything that can be done to keep hitting already weighed-down consumers with more costs should be a high priority.

What Exactly IS Cost Sharing in Health Insurance?

There are a few key specific points to understand when looking at the role cost sharing plays in health insurance. Direct forms of cost sharing between consumers and health insurance providers are things like the following: co-payments (what you pay per service), coinsurance (a percentage of the charge that you have to pay) and deductibles (the amount you have to pay out of your own pocket before coverage begins. This can be on all services or you can have a certain deductible on a type of procedure). Indirect cost sharing isn’t typically included in the standard definition of cost sharing in insurance, but they still cost consumers money and come right out of your pocket. These can be things like: charges when you go to see an out-of-network doctor, going to a specialist before seeing a primary care physician and being charged full price for that, any health services not covered by your insurance plan and health care premiums.

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Bud, ganja, grass, herb, Mary Jane, weed…the ever-controversial marijuana has many nicknames, and just as people can’t decide what to call it, the United States can’t make up its mind on the drug’s legality, uses and whether or not insurance companies should cover it. It is a slippery slope, with many pros and cons on both sides of the argument, but just where are people coming from? Medical marijuana is legal in many other countries around the world, so why not here in the United States? Will we ever reach a point where not only is cannabis legal for medicinal purposes, but it is covered under a health insurance plan like other drugs of its ilk?

Medical Marijuana Facts and Figures

Medical marijuana, henceforth to be referred to simply as “cannabis” to save my poor fingers the typing exertion, has a different story if you are comparing state versus federal level here in the United States. At the federal level, cannabis is illegal, period due to falling under the Controlled Substances Act. As far as cannabis as a medical treatment goes, states have the right to choose whether the drug is or isn’t legal. Alaska, Arizona, California, Colorado, Hawaii, Maine, Michigan, Montana, Nevada, New Mexico, Oregon, Rhode Island, Vermont, and Washington all have approved and regulate cannabis for medicinal use. One thing that it is important to be clear on: medical use does not mean that the drug is approved for a prescription as medicine.

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One of the key components to making sure that there’s enough money and health care available for all of us living in the United States is plan, plan, plan. If experts were just to estimate what the population will be in a particular year (and much of it has to be some speculation) or if age and gender breakdown weren’t taken into consideration, health care providers would find themselves with a huge demographic portion needing care and with no money available to serve them with. Luckily for all of us, the National Health Care Expenditure Accounts Projections Team (NHCEAPT) is all over this type of things, and they have identified a trend that all of us, from young to old, should be aware of. Here is what we can expect to see through the year 2017 (doesn’t that year just sound so scifi?) and some suggestions on how we can be prepared for it.

Get Ready Medicare: Here Come the Baby Boomers

Baby boomers are little kids rocking out and bopping around to some music on the stereo. A “baby boomer,” a term created by the U.S. Census Bureau, is used to describe anyone born right after World War II, when everyone was so happy to see one another return home safely that all they did was sit around and make babies. The decade is usually considered between the years of 1945-1955. My parents? Proud baby boomers. And soon enough, people like my folks are going to be needing to access public programs like Medicare. According to the folks with the NHCEAPT, the outlook for national spending in the next eight years calls for steady growth. Spending growth is projected to be 6.7 percent in 2007, similar to its rate in 2006. Average annual growth over the projection period is expected to be 6.7 percent.

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