bookmark_borderRepublican calls for patient-centered wellness

By Rep. Thaddeus G. McCotter (R-Mich.)

Washington, DC — Throughout the health care debate, the majority of Americans have expressed their opposition and frustration with the president and his Democratic Congress’ radical proposals. The public is opposed to the scheme’s practical harm; frustrated by the Democrats’ arrogant refusal to listen; and justified in its concern that willful Washington politicians will impose these unhelpful proposals despite the American people’s objections.

This is not how the sovereign citizens’ servant government is supposed to enact laws in our free republic. Especially when there is a far more sensible, affordable and contemporary path: patient-centered wellness for our people powered world.

Emulating the failure of their trillion dollar stimulus bill’s “wealth redistribution” that they assured Americans would stop unemployment from rising over 8.5%, the Democrats’ radical, nearly trillion dollar “health redistribution” will not work. For months, the case has been made and the public has concurred: government-run medicine’s cost, higher taxes, surcharges on employer provided benefits, Medicare cuts, rationing boards (such as the stimulus bill’s already appointed Federal Coordinating Council for Comparative Effectiveness Research) and personal mandates, will only increase the costs, decrease the quality and reduce the choices of Americans’ health care. Given such overwhelming and intense public opposition, why do the Democrats insist on imposing this scheme on the American people?

Ideologically, the Democrats are bent on governmentally reducing the supply of health care to “control” costs. This is patently absurd. According to the time-tested law of supply and demand, if the government reduces the supply of health care while the demand for it increases from demographic pressures and medical advances, the costs will spiral upward; and the government will increasingly intrude into your personal decisions and savings.

Believing their complete control of Washington provides a “once in a generational chance” to pass their radical health care scheme, Democrats bull ahead regardless of Americans’ opposition. Cynically, the Democrats feel the law, once passed, will prove immune to repeal. Accordingly, affronted Americans understand the Democrats’ health redistribution scheme is a threat to their wellness, prosperity and liberty.

Consequently, Americans have tirelessly sought to be heard and heeded by the president and his Congress. The response has been worse than silence. Confronted with public dissent, the administration and Democrats have sought to silence opposition by establishing a taxpayer-funded White House cyber “snitch site”; attacks on the messengers of unwelcome facts and statistics; smears against citizens peaceably assembling to petition this government for the redress of grievances; demonizing and investigating private sector entities; and assaults against a cable television network (and, thereby, the First Amendment). No wonder the American people’s disapproval of the president, his Democratic Congress and their health redistribution scheme is plummeting.

We live in a people-powered world, one which is finally catching up to America’s revolutionary experiment in human freedom and self-government. Therefore, in opposing the Democrats’ fossilized model of government-run health care that usurps self-government, the public and Republicans embrace the communications revolution and a globalized marketplace that disdains and decentralizes massive, bureaucratic entities and empowers people as citizens and consumers. Consequently, we understand health care reform must match – not resist – these economic and communications advances by decentralizing government to provide the sensible, affordable reforms that foster patient-centered wellness, which empowers American citizens to be consumers of health care through transparency and free market forces.

The heart of patient-centered wellness for our people-powered world is prudent, targeted, multi-track reforms that reduces costs by leveraging the communications revolution and market forces to increase the supply of health care amid rising demand. Immediate, obvious measures include reforming medical liability laws; ending exclusions for pre-existing conditions; expanding health savings accounts; providing tax credits for purchasing private health insurance; allowing association health plans; permitting health insurance purchases across state lines; encouraging individuals to insure against changes in health status; incentivizing preventative health care; and applying information technology to enhance transparency and increase efficiencies. All this can be achieved without trillions in new spending, taxes and government-dictated, radical changes to Americans’ current health care.

For the less fortunate and most vulnerable amongst us, there must be an expansion of Federally Qualified Health Centers (FQHCs), which will provide patients with preventive and routine treatment; and end underserved people’s use of emergency rooms for primary health-care treatments. Doctors and other health care professionals can be incentivized to provide their services at these clinics for either immediate or future considerations; and a “Patient Navigator” program attached to each FQHC can assist the underserved in accessing the health care system. This approach will build true, community-based health care and increase the power of economically disadvantaged patients to control their own health care. Finally, people suffering from “orphan diseases” – rare afflictions requiring a lifetime of special care – should be compassionately assisted through our nation’s social safety net.

Unfortunately, trapped in the past of a big government ideology and purblind to the people-empowering wonders of our globalized world, the president and his Democratic majority cavalierly dismiss such sensible, affordable approaches and determinedly toil behind closed doors to impose their radical health redistribution scheme on unwilling Americans. If they prevail, their health redistribution will impel higher costs, lower quality, fewer choices and – yes – lost jobs during this painful recession. There is a better way – patient-centered wellness for our people powered world.

bookmark_borderMore insurers are paying for alternative remedies

By MARILYNN MARCHIONE, AP Medical Writer Marilynn Marchione, Ap Medical Writer – 23 mins ago

EDITOR’S NOTE: Ten years and $2.5 billion in research have found no cures from alternative medicine. Yet these mostly unproven treatments are now mainstream and used by more than a third of all Americans. This is one in an occasional Associated Press series on their use and potential risks.

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Acupuncture, not pain pills that “make me loopy,” is what Cynde Durnford-Branecki wants for her aching back, and a treatment costs her only a $20 copayment.

“If I didn’t have insurance, there’s no way I could afford to go,” said the 51-year-old graphic designer who lives in San Diego.

After years of being lobbied for more choice, insurers and employers increasingly are covering alternative therapies. There are even alternative “HMOs” — networks of nontraditional providers that sell services to big employers and individuals.

It is one of the last frontiers for moving alternative medicine into the mainstream, fans say. Some are pushing to require or expand coverage as part of health care reform.

Choice may sound like a good idea, but it can lead more people to use remedies they may not realize are of unproven value. It also can mean the people who use those treatments will wind up paying for them, rather than have their insurer pay for proven remedies. Here’s how:

_Insurers only cover a narrow range of alternative services for specific conditions where there is evidence of value, such as chiropractors for some types of back pain. But these services are marketed for many other uses that lack such proof, such as chiropractic treatments for asthma or ear infections, and acupuncture for high blood pressure or insomnia. Patients can be stuck with the tab, even though the provider is in their insurer’s network.

_Most insurers do not pay for herbals and dietary supplements because they are of unproven safety and worth. Yet some insurers, such as Aetna, let sellers advertise supplements to members, which can imply a benefit and coverage. Kaiser Permanente’s HMO carries many supplements in its pharmacies and allows its network doctors to “prescribe” ones that it then sells to members, who pay the full cost.

The result: Consumers who choose alternatives can wind up paying a greater share of their health care. Every person who chooses St. John’s wort instead of Prozac for depression, red yeast rice instead of Lipitor for lowering cholesterol, or an unproven therapy instead of a visit to a medical doctor, pays out of pocket and saves the insurer money.

Insurers insist that saving money is not their motivation for offering or promoting alternative remedies.

“In no way would it benefit Aetna to have our members using harmful things,” said Aetna spokeswoman Wendy Morphew.

Instead, these companies say they are offering the choice that consumers have long demanded, and a safer way to get supplements that people already are buying from sources of dubious quality.

“We’re not suggesting you buy this. But if you buy this, here is a place to get it safely,” said R. Douglas Metz, a chiropractor who is chief health services officer of American Specialty Health Inc., of San Diego.

It is the largest of about half a dozen firms that provide complementary and alternative medicine services to insurers, employers and individuals. Like an HMO, it has 15,000 chiropractors, 6,000 acupuncturists, 6,000 massage therapists and others in its network.

About 13 million Americans are covered or eligible to use its services, including Durnford-Branecki, who works for the firm.

Aetna became one of its customers two years ago. A recent Aetna newsletter told members they could get at least a 15 percent discount and free shipping on more than 2,400 health and wellness products offered through American Specialty, including vitamin and herbal supplements, aromatherapy products and homeopathic remedies.

“They offered a great program,” credentialing providers in their network and finding good supplement suppliers, said Robin Downey, head of product development for Aetna.

“We have members who come to us and ask us for these services. When we can get a discount for them, that’s something we are able to pass on,” although Aetna also recommends that members talk with their primary doctors about anything they plan to try, she said.

The discount program is “an offering,” not a recommendation to use a product, said Dr. Robert McDonough, who develops clinical policies for Aetna.

Metz, of American Specialty Health, said: “We only sell products for which there is no known evidence of risk. Our rule is, if a healthy person can safely take the product we will sell it.”

However, he sees great danger in people diagnosing and treating their own ailments, a mindset he described as “I’ve got a headache and I’m going to go on the Internet and see if there’s a dietary supplement that can help me.”

Metz also does not use any of these remedies himself.

“The sense that dietary supplements are safe because they’re natural is not something that I believe,” he said.

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Join Yoga Living and the Philadelphia Wellness Council for one or all of these free local networking events!

* Improve referral abilities by meeting one another
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* Expand the transformative effect of holistic living

Meeting Dates and Locations

First Monday, 7 PM: Conshohocken
RYAH Yoga and Health
424 E. Elm Street Conshohocken, PA 19428
www.ryahyoga.com

First Wednesdays, 7 PM:
Chestnut Hill
Sanctuary Yoga Shop
8611 Germantown Ave, Chestnut Hill, Pa 19118 www.sanctuaryyogashop.com

Second Tuesdays, 7 PM: Doylestown
Medical Healing Arts
54 E. Oakland Ave, Doylestown, Pa 18901
Sponsored by Resources for Wellness www.resourcesforwellness.com

Fourth Thursdays, 7 PM:
West Chester
West Chester Creative Healing Arts
1568 McDaniel Dr., West Chester, Pa 19380
www.createandheal.com

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If you are looking to meet potential new clients, or just have some healthy fun, check out the upcoming PhillyFIT bash. Every year they bring out a great crowd of people who enthusiastic about health and wellness!

The 10th Annual PhillyFIT BASH
Sunday, Nov. 15th 11-3 PM
The Phila. Sports Club, Chalfont, PA,
www.phillyfit.com
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