Category Archives: Health

American Health Care in the Crosshairs

american health care in the crosshairsOk, so I’ve been busy with other projects in my life but I felt I had to pop in to address something serious. I know, I know, some of you are thinking “not another article about the health care reform” but hear me out here. For those of you who haven’t had enough opinions about the health care reform, you’re in the right place.

First off, a little background as to why I feel I need to address this issue. The main reason is this: As a health professional working in the public health sector, as a concerned American, and as a human being, I firmly believe in health as a human right, like freedom and equality. In fact, without your health it’s damn hard to feel free or equal in any society. Beyond that, however,  I feel I need to address this issue because I am both an American citizen, who has lived first hand the degraded version of health care in America, and a Swiss citizen, who has spent considerable time in this foreign country seeing a quite stark opposition to the American health care system and one that is arguably less socialized than that in the States. Moreover, I have spent close to the last year living in Norway, and for some of that time working in the government public health sector, and am beginning to see the insides of one the world’s most “socialized” countries version of health care.

That being said, here are a few of my thoughts on the health care reform and the recent Supreme Court hearing:

1. You can have universal health care without “socializing” the nation. Look at Switzerland, for example, who has privatized all of it’s health insurance providers (but regulated by government), creating an “artificial” marketplace where businesses can compete and make profits, while still offering universal coverage at a relatively low cost with a high quality of care and very little waiting periods. (In fact, although this “socializing” argument is one of the mainstays of Republican banter, the likely Republican nominee, who will run against Obama for the presidency, created and implemented a health care system much like the Swiss system in his home state.)

2. You can’t have real (functional) universal health care without the mandate. It has been said over and over again but it must be stressed: without the individual mandate, health insurance companies will not have enough of a consumer base to support the cost of covering their clients who actually need high rates of care. In essence, the finances coming in will not be high enough to support the finances going out and these companies will invariably go bankrupt, with the whole health care system collapsing with them. Unless of course the government pays the bills. In reality then, the only way to keep universal health care from going fully socialized, with the government footing the health care bill, is to implement an individual mandate.

3. The “health” of the country, in every way, relies on this reform. The country is at a paradigm crossroads. In one direction, the country can move closer to supporting the social system and all of it’s people – to supporting the “you’s” and “me’s”. In the other direction, the country can move away from this focus, increasingly supporting big business and the financial elite – and their special interests – at the expense of the “you’s” and “me’s”. This decision by the Supreme Court on whether or not to strike down a bill supporting universal health care will set a precedent that has rarely been seen in this country. It will determine, quite honestly, whether this nation is moving in a direction that is more selfish – more interested in immediate personal gains – or selfless – more interested in national solidarity.

4. We are at a human rights crossroad. I believe that America is in the midst of a second civil rights movement – albeit different from the first.  From health care to gay marriage, modern government has become increasingly responsible for deciding key human rights issues. The only problem is that the very people responsible for deciding whether or not these constitute human rights issues are also in a position to lose power, as ownership over these civil liberties are passed down from government and big business to the people. In many ways American people are less free without universal health care, bound by the constraints of an unequal distribution of coverage and services in a system that is more interested in the bottom line than the health and well-being of the people, than if all were “forced” to have health care coverage. (I write forced in quotations because the only people that will see a difference with the mandate are the people that wanted health care before but couldn’t afford it – everyone who has already bought health insurance because they could afford it, wanted it anyway.)

The reality is that this health care reform issue is far bigger than the individual mandate and it is even far bigger than the health care system. This reform touches on elemental issues of the American cultural system. It will help determine the environment in which our children are raised and in which we get old. It is sad and unacceptable to deny millions of hard-working Americans the right to health care but it is absolutely preposterous to deny our children and the children of millions of others, regardless of whether we can afford to buy coverage for our own children, of this fundamental right. Politicians are right that this is a freedom issue, but the freedom is not being stripped from us by requiring that everyone have health care coverage, it is being granted to us so that every member of the American family has an equal opportunity to a fundamental human right.

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My simple letter to the Supercommittee…

Dear Supercommittee,

Please put the health and the well-being of every American citizen ahead of your big-business interest groups and the “top 1%,” of which many of you are a part of. After all, your job, by definition, is to look out for the best interest of your nation’s people. (Remember, you are representatives, not politicians.) Your job is not so tough, really. Freeze defense spending and bring home most of the nation’s troops and your budget woes are virtually solved. Then, while you’re at it, you can increase funding for social supports, increase taxes on the rich and big business, and restructure agricultural subsidies. America will thank you and you and your children too will live in a better nation, contributing to a positive global future (although you may have to trade in the porsche for a volkswagon – but after all, you did choose to be a civil servant).

Thank you.

Signed,

Another concerned, informed, educated (and frustrated) citizen.

Note: if you would like to send your own letter to the Supercommittee, contact them here.

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Being young again – An answer to sustainability?

I’m going to switch gears a bit here and post something a bit out of the ordinary. This next post is less of an investigation into the scientific and the academic (as I general tend to focus on) and more an exploration into the creative. I am not much of the creative writer but I came across this little piece of writing as I was sifting through some work I had done for one of my Master’s Degree courses, “Sustainable Development.” The unusually creative nature of the writing (for me) is punctuated by an essence of thought based on sustainability and, in a more general sense, health. It is this characteristic which I feel allows it not to be out of place on the front page of this blog. I hope you enjoy it…

kids playing, funny cartoonVast are the differences in which adults and children interact and perceive the natural environment. The natural environment, which every human being exists in and passes through, offers endless possibilities for learning and exploration. Abound are the life lessons in which the natural environment has the potential to reveal, from how we treat everything around us, especially those things which are special, to the interconnectedness of our species with the earth and the humility by which this is realized. Unfortunately, the human race, especially as they age, has seemingly lost much of its valuable connection with the natural environment, which is ultimately responsible for supporting its existence. It seems as though we could all benefit from shifting the way we perceive the natural environment to an outlook which is more like that of our children.

As a child, my most fond memories are generally those which have a deep connection with the outdoors and the natural environment. As a child, you are forced to make do with what you have and you grow from this understanding. You don’t have endless supplies of raw materials to build your forts or tree houses (and you sure as hell don’t have any money to go out and buy some). So you find dead branches and old 2×4’s and rotting plywood. You salvage everything you can and discover new uses for the old. Without knowing it, you recycle. This is the essence of sustainability.

As a child, cars are such a daunting piece of human ingenuity, only reserved for boring adults, that they seem as unattainable and foreign as ice cream before dinner. So you discover other modes of transportation. Bikes become spaceships that transport you from one end of the known universe to the next (in reality, this is just a couple blocks of suburban streets). And this mode of transportation seems so perfect. Car rides are dull and uninteresting, disconnecting you from the outdoor environment as it swooshes by at 60 mph. But on a bike, you can feel the wind in your hair and move slowly enough to notice the newly ripened lusciously red plums dangling from the neighbor’s yard. You stop to pick some. On a bike you don’t just move through the natural environment, you experience it!

It has been theorized, and in many ways proven, that we human beings are simply a product of our environment. The question of free will and the degree to which environment shapes us as human beings still has yet to be fully answered (and may never be) however it is certain that to some degree we are all products of the environment in which we come from. And it seems that the environment never has as much of an impact on our development as it does when we are children. The environment in which we grow up seems to have a significant impact on our views regarding sustainability and how we interact with and care for the natural environment. Whether our environment composed of green fields, elegant pastures and dark forests or of rough asphalt, high fences and dirty overpasses has much to do with how we perceive the natural environment. Surely, many of the lessons learned are the same however those individuals who, at a young age, are exposed to more of a natural environment where they can explore and play will likely age with more of an appreciation for the natural environment and be more inclined to strive for its preservation. This is important to note because as more and more people are raised in a city landscape, more determined planning will need to be taken in order to incorporate the natural environment into the landscape. Without the opportunity for interaction with the natural environment we as a species are doomed to misallocate resources, abuse our environment and wither in our own pollution.

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Thoughts on Diet: Do Macronutrients Kill?

(This article is a follow up to my previous article entitled Thoughts on Diet: Demystifying the Macronutrient, which can be found here)

chronic disease and diet cartoonFat. What comes to mind first? Sure, the possibilities are endless. For every person, this word is likely to incite a different cognitive response. One major theme is likely to exist however. This is fear. Not the kind that leaves a person paralyzed, overwhelmed with a sense of danger. This is the kind of fear that comes with uncertainty. Uncertainty of what, in this case, the word truly means and how strongly it can influence a person’s life. In this case, as we have been told, it can kill. That is, if we fail to manage it correctly. But what does “managing correctly” mean? The plethora of conflicting information seems to imply that nobody really knows. What about carbs? Or protein? These words, notably the former, seems to garner a similar sense of xenophobia. The major macronutrients (fat, carbohydrates and protein) have amassed an unthinkable amount of attention in regards to their influence on health and disease. The common message is that there is no common message. Every message seems to be different. However, one thing is for certain and that is the fact that what we eat has a major influence on our state of health.

Similarly to the manner in which I attempted to shed some enlightening views on the macronutrient’s influence on human health in one of my previous articles (of which the link can be found above), I will attempt to do the same with the macronutrient’s influence on chronic diseases. These are the major killers that, as we are reminded of again and again, are largely influenced by the composition of our diet. Here are my thoughts on the major themes, developed over years of exploring, sifting, and deciphering academic and educational material on the subjects.*

Heart Disease (Cardiovascular Disease  - CVD) and Fat: Although total fat has little, if any, effect on CVD risk, reducing saturated fat intake does. By reducing saturated fat intake we can lower CVD risk however, too often then not, this effect is negatively counteracted by an increase in dietary sugars and simple carbohydrates (such as white breads) leading to increased subcutaneous (under the skin – the kind hat makes us look fat) fat and again increasing the risk of CVD. This is the trend we have seen for the past 40yrs.

Diabetes, Obesity and the Effect of Diet: These illnesses are mostly attributable to an increase in dietary sugars and simple carbohydrates (like above) leading to an increase in subcutaneous fat storage as well as an increased desire to consume more sugars and simple carbohydrates, due to an elevated insulin response, leading to increased insulin resistance and, eventually, diabetes. One note here, which I will mention because it gets so much attention, is that physical activity does have an effect on controlling obesity and, consequently, diabetes but only to keep bodily systems running smoothly and efficiently (such as insulin sensitivity and glucose metabolism). It has a fairly small impact by way of “burning calories,” as we are repetitively reminded.

Lifestyle vs. Macronutrient Composition: Lifestyle behaviors tend to have as much, if not more, of an effect on health and body size/composition than does macronutrient composition (as long as dietary needs are met). These include choices related to dietary content, eating behaviors, activity behaviors, influence of unhealthy social and cultural cues, etc.

*If you are interested in resources for any of the claims I have made in this article, please feel free to email me and I will be happy to provide you with many

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When A Good Country’s Health Care Goes Bad

health care insurance taking money from pockets cartoonLets get one thing straight, right off the bat. Many developed nations offer universal health care which is not run by government organizations in government hospitals with government employees. This American misperception of universal health care has been devastating to the progress of efficient and cost effective care in the United States of America.

Although some foreign nations do offer a very socialized form of universal care (such as the Brits), other nations, such as Switzerland and Germany, offer universal care using private insurance companies and private health care providers. Others, such as Canada, offer private providers with a government run insurance program. Universal health care and socialized, or public, health care are not necessarily synonymous. It is possible, as other nations have shown, that private universal health care is still possible. However, the general American perception of universal health care is that it is inherently socialized, so we try to demand something different, but the truth is that this perception is far from reality.

The fact is, most Americans support a universal health care plan (albeit one which is not run by the government) [1]. However most don’t realize that we have successful government run forms of socialized care in this country already. Medicare and Medicaid are both Canada-esque systems in which the government provides a public means of insurance to citizens who are treated in private health care facilities. The U.S. Dept. of Veterans Affairs offers a purely socialized system, in which citizens are provided with a public means of insurance and treated in public care centers by government employees.

Every other industrialized nation in the world has decided that the answer to the moral question of whether or not every citizen of a nation has the undeniable right to health care regardless of social, economic or political status, is yes, this right is undeniable. America’s excuse is that this system is “unAmerican.” That this socialized system is not only unfit for an American way of life but is also bound for failure in an American economy. These are remnants of sentiments strongly imbedded in the anti-communist/socialist cold war era. But, as T.R. Reid so poignantly states in his book “The Healing of America,” if this socialized style of health care is so unAmerican, why did we choose it for our veterans?

With this seemingly misguided resistance to anything resembling, or even misperceived to be resemblant of, socialism, America remains the only industrialized nation in the world to not offer health care to all its citizens. Why is this? What are we waiting for?!

Sure, we can blame lobbyists and big pharma and money-hungry politicians and bla, bla, bla. And, to a certain extent, these people deserve some blame as keeping the medical system privatized, and more specifically “for-profit,” ensures increased revenue for this coterie. But the fact is, the only way America can ever hope to provide every one of it’s citizens with the fundamental right they deserve, of universal health care, is to firstly, demand it en mass, as if it is an undeniable characteristic of our lifestyle and culture, and secondly, to realize that universal health care does not have to take the form of America’s dreaded arch-nemesis, the government-run socialism system. As other nations have proven, it is possible to offer, with a universal government mandate for coverage along with non-profit private insurers working with private providers, a non-socialized option to universal health care.

But, ultimately, if America’s version of universal care, that system which fits our nation the best, is a socialized one, why should we care? The purpose of a central government is to protect and provide for its people and if it can’t perform this basic function, why is it here? The adoption of a universal American health care system may prove to elicit some elements of socialized care but there are examples the world over (including here in the States, as I touched on earlier) demonstrating that socialized medicine can offer the nation high quality health care at a relatively inexpensive cost (far less than what we currently spend annually) for every citizen, with a focus on prevention. What else could a nation ask for?

[1] http://www.gallup.com/poll/25528/Americans-Continue-Report-Mixed-Views-US-Healthcare-System.aspx#1 

Robert J Blendon, & John M Benson. (2001). American’s views on health policy: A fifty-year historical perspective. Health Affairs, 20(2), 33-46.  Retrieved June 4, 2011, from ABI/INFORM Global. (Document ID: 69819197).

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Poisoning of our Produce

salmonella and vegetables cartoonRecently, I have been browsing the FDA’s new recalls page. The page is designed as a one stop shop for all recall and product withdrawal news, from food to medical devices (you see, before this page was mandated by Obama’s Food Safety and Modernization Act, keeping up to date with recalls meant much more arduous sifting of various webpages). The food recalls are of particular interest to me. I find it particularly interesting, considering the poor state of our food production and distribution systems, to see just how many and how often products are recalled or withdrawn from human consumption. The numbers are sometimes quite surprising. (Equally as surprising, given the state of our politics, yet quite a relief, is the added level of transparency passed on to the consumer by this new webpage from the FDA.)

But what never ceases to impress me most of all are the sheer number of recalls these days associated with bacteria infected produce. In the past month alone, six different recalls have been associated to produce infected with Salmonella. Sure, the bulk of these recalls are caught before these products have infected consumers (although there is the very likely possibility that some consumers are infected but their infections go unreported) but just the sheer number of infected products is quite sickening. Sickening mostly because many of these infections, such as the aforementioned Salmonella, and it’s close relative E. Coli, are bacteria generally found in the guts of warm-blooded organisms. The fact that we are now finding these bacteria on our commercially grown produce is something of a new phenomenon. Fifty years ago, getting sick from Salmonella or E.Coli infected vegetables was generally reserved for those times when mom forgot to sanitize the knife she had just used to fillet the meat for the pot roast and went straight for the carrots. Today, mostly due to the scale and consolidation of production, it is not uncommon to see thousands of cases of produce recalled by the grower due to Salmonella or E.Coli contamination (remember the big spinach recall in 2006).

What makes this particularly interesting is the mechanism by which we now have acres-worth of produce becoming infected with strains of bacteria which are not naturally occurring on plants but, rather, are found within the guts of animals. The reason for this cross-contamination may frighten and disgust you. Although it is possible that some of these infections happen in other ways, the growing concern over infection is through the water supply. We have developed a nasty habit to irrigate, nay “fertilize,” our crops with, quite bluntly, shit water. Not from humans but from animals. You see, the increase in prevalence of large factory farms for animal production (sometimes with tens or hundreds of thousands of animals on a single farm) has led to an enormous amount of fecal matter which needs to be disposed of. Without sewage systems and adequate methods of treatment, the sludge from these animals, generally unhealthy due to the conditions in which they live, is disposed of as fertilizers over thousands of acres of farmland. Unfortunately for us, this fecal matter is many times infected with dangerous bacteria such as E. Coli or Salmonella. And if not voluntarily sprayed over farmland, it is very easy for any of these produce farms to be in close enough proximity to a large animal farm in which the above and below-ground water, used for irrigation by the produce farm, has been infected by leeching of sludge. Its a sickening idea to think that the food we eat (not just produce, but meat as well) is being infected by feces but, unfortunately, it’s the reality.

What’s important to note here, is not that tighter food safety regulation on the existing system is necessary to safeguard our food system (although it helps … most of the time at least). What’s important to note is that it is the very structure of the system itself that needs to be regulated. It needs to be regulated by the consumers through their food choices and it needs to be regulated by government officials through public policy aimed at creating a more sustainable, long-lasting and healthy system for food production and distribution. The bandaids put on the current system are nothing more than a distraction from the real current issue: that our lifestyle habits and behaviors as a collective society have bred and allowed for the growth of a system which has very negative consequences for our health. And the poisoning of our produce through Salmonella and E. Coli contamination is only one of many consequences. The fact is, nothing will change until you all know…

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Making of a superbug

superbug smashes antibioticThe flood of recent articles posted on such news sites as Reuters and The Economist regarding recent findings exposing dangerous strains of antibiotic resistant bacteria in Indian water supplies has relit the flame for debate over the seriousness of the human population’s exposure to the presence of antibiotic resistant bacteria. And it has fired me up enough to say a few words regarding this very pressing and seriously mismanaged issue.

The issue here is that we, as a global collective, have been using antibiotics so ostensibly that many strains of bacteria have developed a resistance to the very drugs designed to neutralize them. This becomes counterproductive. You see, evolutionarily speaking, bacteria has at least a couple billion (yes, thats billion with a B!) years head start on us as human beings. In this time, bacteria has developed itself into a mutating machine. It is this organisms primary defense mechanism and it’s always a step ahead of us. The problem arises when we overuse antibiotics to the point that these strains of bacteria are exposed heavily enough to these drugs to mutate – effectively defending themselves and forcing humans to do one of two things: increase the amount of drug or redesign it to be effective against the new strain. It’s a vicious cycle that we need to free ourselves from in order to have any hope of healthy longevity. Don’t get me wrong, I don’t have anything against well used antibiotics. Hell, since their introduction into medicine we have seen many devastating illnesses become obsolete. They are wonderful but only when their use is managed correctly. Their mismanagement inevitably leads to their ineffectiveness and our poor health.

Interestingly, I feel that the most important point here is that this issue is cultural. There is a solution and it starts with changing our behaviors and our lifestyle choices. The mismanagement and subsequent overuse of antibiotics stems from the fact that we are substituting antibiotics for sustainable, healthy practices in order to propagate our unsustainable lifestyle habits. For instance, instead of raising healthy animals on clean farms we are forced to inject unhealthy animals full of antibiotics in order to keep them alive long enough to make it to slaughter. This is a result of the nations enormous lust for meat. Furthermore, instead of intervention strategies designed to treat a patient’s underlying issue, physicians are quick to treat their symptoms using drugs – much of which is flushed from the patient’s body , ending up in our surrounding environment (i.e. waterways). This is a result of our cultural inability to holistically address issues but instead provide “band-aids” which result in temporary fixes with the largest immediate economic return. The consequences are beginning to rear their ugly heads and it’s scary. Shit, just last week Jennie-O recalled close to 55,000lbs of turkey meat due to a strain of Salmonella which is resistant to most commonly prescribed antibiotics[1]. When will we realize that by increasing the speed of this treadmill we, one day, will no longer have the means to keep up and will inevitably fall off. The only logical answer is to slowly decrease the speed until we can step off altogether. If we do not begin to look at the consequences of our actions for the long-term and, in this case, take measures to reduce our careless overuse of antibiotics, our lack of sustainability will eventually take it’s toll in a heavy way. Our future health depends on our actions today…

[1] CDC: Multistate Outbreak of Salmonella Hadar Infections Associated with Turkey Burgers

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Lifestyle health: Is it all up to us?

cartoon obesity america

A recent article in the American College of Sports Medicine’s (ACSM) Health and Fitness Journal reinforced some interesting yet important health claims. The article’s main objective is to inform weight loss professionals about the benefits of using the National Weight Control Registry (NWRC) and, more importantly in my opinion, to highlight some common factors associated with successful weight loss in the general population. Though the entire article is quite informative, a few very important health claims are hastily addressed, somewhat hidden within the major focus – that of the NWCR. Referenced early is an article from 1998 published in Science proclaiming “effective regulation of body weight is particularly challenging within the context of an obesogenic environment characterized by maximum convenience, high accessibility to energy-dense foods, and city/ neighborhood structures that limit opportunities for physical activity.” Although media, pop culture and even science spends much time and money discussing those individual lifestyle behaviors which contribute to all cause mortality and chronic diseases such as metabolic illnesses, little energy, it seems, is spent discussing the fact that many of our unhealthy lifestyle behaviors are a result of our environment. It is true that lifestyle is largely shaped by the environment in which one is surrounded by (including, but surely not limited to, incentives for pedestrians and availability and cost of fresh food). And, in the United States at least, little incentive is given to people to engage in healthy lifestyle behaviors. Sure, awareness is growing and headway is being made but, to be quite honest, there is much more money to be made from those lifestyle behaviors which are unhealthy (i.e. drugs and alcohol, overeating, driving vs walking, etc., etc.). Therefore, it is difficult for many of these healthy incentives to gain much ground in a consumer driven corporatocracy.

That being said, environment cannot be blamed for all individuals’ unhealthy lifestyle choices. In a later paragraph, the ACSM article states that “compared with the average American who may eat as many as 2 to 3 meals per week in fast-food establishments, NWCR members prepare most meals at home.” Now this is a lifestyle choice every individual has the power to regulate. Preparing their own meals allows the individual to not only be more aware of what their meal contains but also, generally, acts to limit their portion sizes and calorie intake when compared to eating out.

This, ultimately then, is an interesting dilemma we find ourselves in. On the one hand, we have a certain level of control over our lifestyle behaviors. On the other hand, however, we must rely on good willed legislation which should not only protect us from an environment which stifles our best efforts to make healthy choices but should also promote these behaviors. This, unfortunately, is lacking. Although, it is not entirely out of our control. The corporatocracy generally shifts their focus based on consumer demand. And with a government which is essentially working for the corporatocracy, if the consumer demand shifts dramatically from unhealthy to healthy alternatives, legislation, as it does these days, will follow the money. At some point, however, the government must take a stand for our health. The fact of the matter is that just as much as personal choices shape our health, the environment with which we find ourselves in does as well. And if we, not just as a nation but as a global community, would like to be healthy and happy, both of these stimuli must procure our full concentration and attention. Otherwise, change is unlikely…

The full article written by Thomas J. Graham, et al. and published in the recent issue of ACSM’s Health and Fitness Journal can be found here: THE NATIONAL WEIGHT CONTROL REGISTRY: A study of “Successful Losers”

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CDC says we’re engaging in dangerously unhealthy lifestyle behaviors…and they’re right!

 

an unhealthy evolution of man

The CDC recently published an article written by the California Dept. of Public Health analyzing risk factors for coronary heart disease (CHD) in Californians. The article stated what we all knew already: we’re not very healthy…and it’s mostly due to our lifestyle choices. “Our results show that adults in California with CHD are engaging in behaviors that put them at an increased risk of illness and death,” the article pronounced. Big surprise, right?

Obesity, diabetes, CHD – These are all chronic illnesses which are responsible for an enormous amount of health care costs (the study cites that, in 2009 alone, $165 billion was spent on costs associated to CHD) and deaths (CHD is the #1 killer in America) each year. The mutual characteristic? All are illnesses associated with lifestyle. And all are becoming increasingly common and relevant in todays living conditions.

So, I ask, why? Why is it that medicine has been improving and we can no longer blame longer life span for the prevalence of chronic diseases yet chronic killers are becoming more and more common?

This article by the California Dept. of Public Health points towards lifestyle choices and behaviors as a likely culprit. I will go go one step further and say that there is no doubt in my mind that the growing trend in prevalence of chronic diseases is a direct result of lifestyle choices. Namely, poor lifestyle choices.

The article concludes by recommending that “primary care physicians should be encouraged to recommend evidence-based cardiac rehabilitation that has been designed to specifically target the health behaviors of [CHD] patients.” Don’t get me wrong, I think that is a great recommendation. But I feel that the article is missing the bigger point altogether. Why don’t we give these people (and by “these people” I mean every American) the resources to not be CHD patients in the first place? Why don’t we do a better job educating the people of this country about proper lifestyle behaviors? And why not implement legislation that cares for the health of the people who inhabit this nation rather than legislation more concerned with lining the pockets of big business men and politicians? Unfortunately we haven’t had the good fortune shared by many other nations around the globe to have a history much deeper than ours, which has allowed these nations to establish a healthy tradition of lifestyle behaviors. This, for those of us in the U.S., is a cultural problem.

Because of this, we must educate. We must educate people about lifestyle choices and we must give them the tools and the resources they need to make healthy choices. It must become a way of life. As of now, our health care system (as the quote above indicates) is more concerned with treating symptoms than combatting the underlying issues (there is much more money in treating symptoms). This too is a cultural problem. So, it is my belief that it is not the health care system which is failing (although it is) or the political system which is failing (although it is) but the culture which is failing. If, in attempting to solve the growing concern over chronic illnesses, we attempt to fix all that is wrong with the health care system we are again doing nothing but treating symptoms rather than combatting the underlying issue (although that does not mean the poor state of our health care system should not be addressed). What needs the most work, however, is not the individual systems within the subculture of America but the very mindset of the American people, from the liquor store clerk to the white house representative. It is a paradigm shift in American culture. A new way of thinking. This must change first. What’s at stake is the well-being and the future of every American citizen…

You can read the whole article by the California Dept. of Public Health here: Lifestyle behavior associated with secondary prevention of coronary heart disease among California adults”

Bellow A, Epstein JF, Parikh-Patel A. Lifestyle behaviors associated with secondary prevention of coronary heart disease among California adults. Prev Chronic Dis 2011;8(2).

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Discovering the anti-cancer gene

Just came across this video as I was checking my email. For the first time, researchers have found active cases of the gene which seems to inhibit cancer and diabetes from developing in humans. The breakthrough could be absolutely monumental. I have mixed feelings. On one hand, the medical repercussions for increasing life span and quality of life for millions could positively change forever. On the other hand, however, as we painfully hear from Diane Sawyer as she introduces the video, it’s another pill for people to rely on rather than to take the desperately necessary measure of shifting social lifestyle habits to those which are more healthy. Only after that happens should we rely on pills or medications to improve quality of life…

Interesting nonetheless.

See the video here: Ecuador Villager’s DNA: Key to Health?

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