วันศุกร์ที่ 26 ธันวาคม พ.ศ. 2551

All I Want for Christmas Is Universal Health Care!


By Martin Brown, updated 12/25/2008 at 2:58:03 AM

After years of national anguish, is universal health care too much to ask from our government? A long time ago, Americans looked across the Atlantic and shook their heads in wonder at European nations, which felt no compulsion whatsoever to provide accessible and free public education for all.

Now, more than a century later, the descendants of those Europeans wonder with equal amazement why it's taken us so long to realize that that accessible, affordable health care is not a privilege but a basic human right.

Within its first hundred years, our country learned that every child should have access to education. Without that access, we could never call ourselves a land of opportunity. It was that belief that allowed us to throw off the yoke of a caste society that remained in place in England, for example, when America was producing individuals like Lincoln and others, who rose out of poverty to become leaders in their chosen fields.

In regard to health care, England decided that an individual’s need to have medical attention and care, whenever needed was not, connected to the issue of their means to purchase that care, but rather the basic responsibility of an ethical society.

Americans made a very different choice. They viewed a “socialized health system” as synonymous with poor quality of health care. Ongoing campaigns by special interest groups, such as the American Medical Association, private insurance providers, private hospital and health maintenance organizations, helped greatly to enforce the message that government provided health care was a road to ruin for our nation’s health systems.

For years this public relations campaign perpetrated upon American citizens held sway as seen in 1993. In that year the new Clinton administration made a push for national health care and was not able to win the support of Congress or the voters as reported in various research polls. But in the fifteen years since that failed attempt much has changed. Basic health care insurance has become unaffordable for millions of Americans. As of June 2008 an estimated 50 million Americans have no health insurance and another 25 million are under insured. Both groups are reluctant to seek basic medical attention for everything from mammograms and prostate checks, to help with an infection or injury. And those numbers continue ever upward with the passage of time.

Perhaps the most shocking of all is the simple fact that the long-standing argument that American health care is “the world’s finest” is simply not true.

That of course does not mean that the fully covered in our nation, along with the very wealthy, to not receive a very high level of care. What it means is that the overall health outcomes for Americans as a whole is sinking to lower and lower levels.

Consider, for example, this shocking information from a 2006 health report, issued by the World Health Organization: Cuba ranked 39th in terms of overall health care performance out of 191 member nations. Meanwhile, the United States ranked 72nd on that same list.

This, in spite of the fact that a 2007 survey revealed that Cuba’s per capita income of $4,500 based on gross domestic product, is approximately one-tenth that of the United States, which has a $46,000 per capita income.

Another equally disturbing fact: Canada, which has had national health care for decades, spends a full third less on the care of their citizens than the US.

The bottom line is increasingly clear: Nation after nation spends substantially less than America on its total health care bill, and in exchange has better health outcomes and longer life spans.

For these reasons, and many more, all I want for Christmas is national health care. It’s an idea whose time has come!

วันเสาร์ที่ 20 ธันวาคม พ.ศ. 2551

Gordon Brown's recession will hit the middle classes hardest


In my parents' garage, amid moth-eaten sofas, dead lawn mowers and broken televisions, lies a canning machine.

George Bridges
Last Updated: 9:55AM GMT 20 Dec 2008

It was given to my great aunt, then a matriarch in the Women's Institute, by the Canadian Women's Institute in the dark days of 1940. This sisterly present was more than just a means of conserving the ubiquitous WI jam. It was about "making do", digging for victory, "waste not want not". It was part of the way that genteel, middle-class Britain responded in our hour of need, when its values were under threat.

Now those values are threatened again. Stable middle Britain is in the frontline of today's economic war. Those who saved and invested have been kicked in the financial solar plexus. Houses, shares, pensions – the nest eggs of millions of families have been crushed. And with them has gone ownership not just of things, but of chunks of one's life, like how to live in retirement, how to educate one's children.

The full weight of the economic blitz has yet to be felt. Unlike the 1980s, which was a manufacturing recession, this will be a David Brent recession, scything its way through managers and professionals. The bombs will fall on Slough, and across the South-East. Architects have already set up a "recovery task force". Even public relations companies are resorting to selling "recession PR" – a not so subtle way of saying "we're hurting too".

Middle Britain is adjusting to austerity. Retailers are "resetting" their business, repositioning their brands to appeal to yummy mummies turned bargain-hunters. Millions of people, many of whom have never experienced serious economic pain, are changing their habits. Why go to a restaurant when you can eat in? Why pay for a gym when you can run in a park? Why go to the cinema when you can watch TV? Why drive the car when you can go by bus? And as wallets shut, so do firms.

Some may put a brave face on all this. One argument is "the recession has a green lining": to save on energy bills, people will turn off lights and lag their lofts. They will dig for victory, renting allotments to grow their own food. There's the "we'll get to know Britain properly" line: foreign holidays are out, wet picnics on windswept beaches are in.

Some of this may be true, but I don't like being told "being poor is good for you". And these arguments miss the big picture. First, we are at the end of an era when people could dip into their pockets to protect the planet or help the Third World. As people turn up their financial collars against the economic chill, they are focusing once again on themselves. Of course they still care about others' suffering, but luxury political issues – the environment, overseas aid, the arts and so on – can't beat looking after number one.

And here's the rub: the state is not offering a helping hand to lead the middle classes back to self-reliance; instead it is getting a stranglehold on their lives. After a decade of Sisyphean labour, trying to push the state's rock out of their path, the middle class has once again been flattened by it, crushing their independence.

Consider education. Thousands thought, like Alastair Campbell, that too many state schools are bog standard, and scrimped and saved to send their children to private schools. Today, these are the parents most at risk of being called in for "a quiet word" with the boss. The upshot: 20 per cent of local authorities expect to see higher demand for state school places. Then there is private medical insurance, held by four million people: how many of their subscriptions will be scrapped? Likewise with private long-term care, which already cripples many families: a quarter of councils report increased demands for state-funded care.

You may say this is no bad thing. If the middle classes didn't evacuate their children from state schools and used the NHS, they might exert more pressure to get real change in these services. But you would not force a man back into a burning building in order to get the fire brigade to come quicker. So why should we have to risk children getting a bad education, or picking up an infection in hospital, in order to get change?

Yes, these trends might pass. As people grow richer, they will once again return to the private sector. What is more worrying is the growth in the state itself. Thanks to Gordon Brown, it is now the only growth industry. It employed 14,000 more people between June and September – while the private sector shrank by 128,000. Over the last year, the numbers employed in health, education and public services rose by 90,000, while the number in financial and business services fell by 112,000. For all its "efficiency drives", the state is a good employer and a bad sacker. How many of these will be jobs for life, complete with a pension – pumping up the public sector's pension liability of £1 trillion? And who is making the simple point that the more people work for the state, the fewer there are to create wealth to pay for it, and the higher the taxes they have to pay?

The middle classes have been milked to pay for Brown's boom. They will soon by mugged to pay for his bust. The question is how they will react. John Prescott, in one of his more eloquent moments, said: "We're all middle class now." If he's right, Gordon Brown should be very worried indeed.

วันศุกร์ที่ 12 ธันวาคม พ.ศ. 2551

Alternative Therapies That Really Work


By Dr. Mark Liponis
Publication Date: 12/14/2008
According to the National Institutes of Health (NIH), as many as 62% of Americans use some form of alternative medicine. But few of these treatments are covered by the average medical-insurance plan. The NIH estimates that Americans spend between $36 billion and $47 billion out of pocket each year on alternative therapies such as acupuncture or meditation.

So, do they really work? With government funding, science is expanding its study of alternative and complementary treatments. Some, but not all, are showing positive results. And many of the most successful methods involve “mind-body therapies”—techniques that use the power of the mind to help heal the body.

Here are three commonly used mind-body therapies that have scientific backing and have passed the litmus test of rigorous medical inquiry.

ACUPUNCTURE
What it is: Acupuncture is a traditional Chinese practice involving the placement of very skinny, sterile needles into the skin at specific points located along “energy meridians.”
How it works: Eastern philosophy says that acupuncture affects the flow of qi (pronounced “chee”), or energy, through the energy meridians. Western science reasons that the needles interact with our nervous system, triggering the release of hormonelike chemicals that affect our mood, perception of pain, and immune response.
What it’s good for: In a 2004 study, acupuncture was shown to be helpful in reducing pain due to knee arthritis. It also could be beneficial for sufferers of post-traumatic stress disorder. And when used along with in vitro fertilization, it may be effective in increasing the odds of success in female conception. Stimulating an acupuncture point in the toe even may help correct the breech position of babies in the last trimester and allow more women to avoid C-sections, according to a study in the Journal of the American Medical Association.

MEDITATION
What it is: Meditation activates the relaxation response and improves blood pressure and hormone balance. The most popular method is transcendental meditation (TM), in which you focus on repeating a personal mantra as you meditate.
How it works: TM trains you to block out distractions, creating calmer and more powerful brain patterns. Brain-wave measurements of experienced practitioners during meditation show slow, focused waves similar to those found during sleep, as well as synchronization of waves from different areas within the brain.
What it’s good for: Research indicates that TM may have positive effects on blood pressure, insulin, blood sugar, and heart health. It also can improve concentration, reduce anxiety, and help with post-traumatic stress. Just say, “Om.”

BIOFEEDBACK
What it is: A relatively new technique, biofeedback teaches you to use the power of your brain to control “automatic” functions of the body, such as blood pressure, pulse rate, stress response, skin temperature, and brain waves.
How it works: Sensors monitor the automatic function, such as heart rate, which is then displayed on a screen so you can see it. By controlling your thoughts, you learn to change the display in a desired direction.
What it’s good for: Studies show that biofeedback can help reduce symptoms in a range of maladies, including high blood pressure, chronic back pain, incontinence, tension headaches, and stress. In experimental research, it even is being used to help paraplegics control artificial limbs with their minds.

วันอาทิตย์ที่ 7 ธันวาคม พ.ศ. 2551

US health reform gains momentum

Bu Jonathan Beale
BBC News, Washington

Well, apart from the obvious that they all occupied the Oval Office, they also all proposed some kind of universal health coverage programme - and they all failed to deliver.

With their failure in mind, Barack Obama has been more cautious.

He has not gone as far as to promise universal health care - but that is clearly his goal.

Reduce costs

So what are President-elect Obama's proposals?

He wants to increase health coverage by reducing medical costs.

He also wants to improve quality.

How? Well, on the campaign trail he promised to cut the average American family's healthcare bill by $2,500 a year.

He is also promising mandatory healthcare coverage for all children, financial assistance for people who cannot afford health insurance and for small businesses to help meet the costs of giving their employees cover.

He also wants to bring down the costs of medication.

The challenge is huge.

Around 50 million Americans have no health insurance - millions more are under-insured.

His administration will have to tackle a complex system of private health insurance, vested interests and the mountains of paperwork involved in getting healthcare to those Americans who rely on government support through Medicare (for the elderly) and Medicaid (for the poor).

Barack Obama hopes to make savings of billions of dollars by cutting through red tape and computerising the system, but not everyone believes that it is going to be as easy as it sounds.

And there are more pressing domestic problems - namely the state of the US economy.

Crisis or opportunity?

While Barack Obama, Hillary Clinton and John McCain may have seen healthcare as a priority in the middle of the election campaign, it has been eclipsed by the financial meltdown.

The question now is - can America afford it?

And can the president-elect give it the attention it needs?

The US already spends 15% of its wealth on healthcare - a greater proportion than most developed nations.

Can it afford to spend more?

Henry Aaron, a healthcare expert at the Brookings Institution, says that initially he was sceptical that a new Obama administration would be able to deliver.

But now he argues the economic crisis could make it easier.

He believes it is now possible to link healthcare reform to an economic stimulus.

If the US is already spending a trillion dollars on an economic bail-out, then throwing money at healthcare is no longer such a problem.

Mr Aaron says it would cost about $100bn a year to cover the uninsured.

Politically too, there may never be a better time to take on the issue.

Deal-maker

Barack Obama is not alone in promising to tackle healthcare reform.

The Democratic party has strengthened its grip on Congress and that can only help his efforts.

Mr Obama is expected to appoint a former majority leader of the Senate - Tom Dashcle - as his health secretary.

He is someone who knows his way round Congress and, just importantly, is seen as a consensus-builder.

He has the necessary skills to bang heads together and reach a deal.

And Tom Dashcle will not have to work on his own.

The Democratic Senate Finance Committee Chairman - Max Baucus - has just published his own 89-page plan.

It calls for a mandate on all Americans to carry health insurance - more than Mr Obama is proposing.

But he is already consulting the president-elect.

As is the veteran Senator Ted Kennedy, who, after surgery to remove a tumour on his brain, is now promising to put together a health bill within months.

It remains an enormous task, however.

And the past shows that good intentions are not enough.

Getting politicians from both parties, as well as state governments, private health insurers and the pharmaceutical companies all on side will not be easy.

But there is at least a consensus that America's healthcare system is in dire need of reform.

As to what it will look like, Henry Aaron says: "Expect evolution not revolution".

Barack Obama's opponents may call him a socialist, but no American politician is advocating a British-style nationalised health service.

วันจันทร์ที่ 1 ธันวาคม พ.ศ. 2551

Timothy Hutton lends a hand in TNT's 'Leverage'


By CRISTINA KINON
DAILY NEWS STAFF WRITER

TNT is promoting its latest action-drama "Leverage" as a tale about modern-day Robin Hoods.

That's a comparison star star Timothy Hutton finds fun but certainly not all-encompassing.

"I'm not sure how far that comparison goes because there are other aspects to it as well," Hutton told the Daily News. "It works as a modern-day Robin Hood theme, but it also has a little 'Ocean's 11' kind of feel to it and some 'Mission Impossible.'"

"Leverage," premiering Dec. 7 at 10, features Hutton as Nate Ford, a former insurance investigator who quits his job after his son dies as a result of his company's refusal to cover the medical bills. Depressed, out of work and at the bottom of the bottle, Nate decides to form a team of grifters with individual skills such as stealing, hacking and acting, who work together to steal from the rich and give to the poor.

In the first season, Nate's team will target contractors who scheme victims of Hurricane Katrina out of their homes, a shady horse dealer, an orphanage in Kosovo and a money-laundering scheme related to the Iraq War.

"It's not corporations that the team goes after, it's individuals," said Hutton. "It just so happens that some of these individuals works for bad corporations, but we target corrupt people."

This will be Hutton's second regular TV series role. He previously starred on NBC's "Kidnapped."

Hutton was attracted to the part of Nate because he found it was easy to imagine where the character was coming from and why he's searching for some kind of redemption.

"I don't relate to him on any personal level, but I thought it was really interesting to have this guy who's basically hit rock bottom," Hutton said. "He realizes that if he can make a difference for somebody who was put in a really bad situation, that's the thing that can start to get him back together again."

There's a line in the first season that Hutton says perfectly sums up his character: "Nate, you don't need rehab, you need revenge."

Hutton is keeping his fingers crossed for a second season of "Leverage," but has all the faith in the world that TNT will find the show an audience.

"Cable networks are getting the better scripts these days because people understand how strong they are as a company, as a network," said Hutton. "They chose to work with people and on projects that they believe in, and they know how to bring an audience to those shows. It's so much fun doing 'Leverage,' and TNT is an incredible company to work for."

ckinon@nydailynews.com