Tuesday, August 12, 2008

One In Five Young Men Screened For Prostate Cancer


A new study has shown that one in five American men in their 40’s underwent a prostate-specific antigen test (PSA) during the last year.

Published in the Sept. 15 issue of Cancer, the research highlights the difference in screening rates between young black males versus young white males.

Senior investigator Dr. Judd W. Moul from Duke University in Durham, North Carolina said, "Our findings for black men are discouraging. We've been encouraging black men to get screened at age 40 or 45 for more than a decade, yet only one-third of these high-risk men reported being tested."

In the case of prostrate cancer the blood levels of a protein called prostrate-specific antigen (PSA) usually rises. Doctors recommend a PSA screening by the age of 50 years for men though in the case of African American men or those with a family history of the disease, the American Cancer Society recommends prostrate cancer screening by the age of 45 years. The recommended testing age by the association drops to 40 years for men with two or more first-degree relatives with prostate cancer.

The study based on a 2002 survey of U.S. men in the age group of 40 plus, suggests that young black men are 2.4 times more likely to undergo a PSA test as compared to the white male, as were younger Hispanic males.The chances of having a PSA test increased with factors such as obesity, having a higher household income of $ 35,000 or more, and higher education level as well as health insurance cover and a relationship with a physician.

The rates of PSA screening for the last year were 22.5 % of men aged 40 to 49 and 53.7 % of older men though doctors feel black men should have more screening done as they are at a greater risk for prostrate cancer. The current rate of one out of three black men being screened was not good.

The study authors wrote, "Our study is the first to specifically examine PSA screening in younger men, which provides an important assessment of quality of care, especially for high-risk groups. Further investigation will be required to understand the impact of new risk-stratification strategies, with particular focus on the policy implications of potentially large increases in health-care resource use."

Sunday, August 10, 2008

Obama, McCain take to airwaves to duel over Iraq, energy crisis


Barack Obama is vacationing in Hawaii, but he and Republican rival John McCain jockeyed yesterday on the airwaves.

Obama, giving the weekly Democratic radio address for the first time as party nominee, said that the past week gave "two stark examples of exactly what's wrong with Washington," a federal budget deficit that could reach nearly $500 billion last year, and a $79 billion surplus for the Iraqi government from windfall oil profits.

Obama said that McCain would continue President Bush's unfair tax policies by extending tax cuts for the wealthy, and would continue Bush's "open-ended commitment to the war in Iraq."

"Senator McCain talks about putting our country first, but he is running for a third term of the very same policies that have set our country back . . . I believe that we need to move in a new direction," Obama said.

McCain, in his own weekly radio address, again poked fun at Obama's reputation as a sterling orator - and suggests he lacks substance.

Noting that Obama burst onto the national stage at the 2004 Democratic convention and is expected to give "another celebrated performance" in Denver later this month, McCain said, "even the most stirring speeches are easily forgotten when they're short on content. Taking in my opponent's performances is a little like watching a big summer blockbuster, and an hour in, realizing that all the best scenes were in the trailer you saw last fall. In the way of running mates, Senator Obama should consider someone with a knack for brevity and directness, to balance the ticket."

McCain then faulted Obama for wanting to "forfeit" US military gains in Iraq, increase the size of government, and to raise taxes, but to not do enough to lessen the energy crisis.

"First there was his call for Americans to check their tires - which is common-sense advice, but hardly has the makings of a national energy strategy. If we can't drill our way out of the problem, it seems even more unlikely that we can inflate our way out of it."

"A serious energy plan involves a lot more yeses than nos," McCain argued, plugging his proposals for more offshore drilling, nuclear power, clean coal, and renewable sources.

FOON RHEE


Guaranteed healthcare is key plank for Democrats
PITTSBURGH - Democrats shaped a set of principles yesterday that commits the party to guaranteed healthcare for all, heading off a potentially divisive debate and edging the party closer to the position of Barack Obama's defeated rival, Hillary Rodham Clinton.

Obama, soon to be the Democratic nominee, has stopped short of proposing to mandate health coverage for all. He aims to achieve something close to universal coverage by making insurance more affordable and helping struggling families pay for it.

Advisers to Obama and Clinton both told the party's platform meeting they were happy with the compromise, adopted without opposition or without explanation as to how healthcare would be guaranteed.

In return for the guarantee, activists dropped a tougher platform amendment seeking a government-run, single-payer system and another amendment explicitly holding out Clinton's plan as the one to follow.

The party now declares itself "united behind a commitment that every American man, woman, and child be guaranteed to have affordable, comprehensive healthcare."

Under any system in play, most people would still put out money for health insurance as they do now, but they would get help when needed.

The 51-page platform draft showed the influence of Clinton's supporters not only in the extensive section on healthcare but in its assertions about the treatment of women. Some of her backers believed sexism dogged her campaign for the nomination.

An extensive section on women's rights is included and the votes she received in the primaries are described as "18 million cracks in the highest glass ceiling."

Democrats typically have a strong plank in favor of abortion rights; this year's version is stronger than usual. "The Democratic Party strongly and unequivocally supports Roe v. Wade and a woman's right to choose a safe and legal abortion, regardless of ability to pay, and we oppose any and all efforts to weaken or undermine that right," it says.

Gone is the phrase from the past that abortions should be safe, legal and "rare."

The party also pledges to ensure access to adoption programs, prenatal and postnatal care, and income aid programs for expectant mothers.

The party also:

Promises "practical and humane immigration reform in the first year of the administration."

Favors restoration of the ban on assault-type weapons and other "reasonable regulation" that recognizes the constitutional right to own and use firearms.

Favors helping religious groups provide social services as long as "public funds are not used to proselytize or discriminate."

Tuesday, July 29, 2008

Rep. Cooper pushing ‘Healthy Americans Act’


By: Christine Buttorff, news correspondent

Rep. Jim Cooper (D-Nashville) wants to end employer-based health care insurance and replace it with a tax-credit to allow everyone to purchase their own private health insurance.

Cooper is one of the House sponsors of the ‘Healthy Americans Act,’ which was reintroduced in the House earlier this month.

Congress will not be taking any action on the proposal until at least next year under a new president, but while in Nashville on Monday, Cooper said it’s important to begin talking about the issue now. Health care spending accounts for about 16-percent of the gross domestic product, and is especially important to Nashville’s economy.

“Nashville probably has more to gain or lose than any other city in America because we’re a premier health care capital,” said Cooper. “Whether it’s HCA, or Saint Thomas, or Vanderbilt [University Medical Center] or other fine health care institutions and companies here we are much more health care oriented than most other places in the country.”

Under the bill, employers would give employees the money spent on health care premiums. Employees would then be required to buy health insurance with after-tax dollars.

Cooper said a $15,000 tax-credit for a family of four would also allow those whose employers don’t offer health insurance to buy it. Health insurance for a family of four is estimated to cost about $12,000 per year.

Under the bill, employers will still be able to offer prevention and wellness benefits, and withhold premiums from paychecks. However, many corporations have pushed back, saying that health benefits are one way they are able to recruit.

Cooper said that system has been abused meaning extra perks are added allowing some individuals, particularly high-paid executives, to deduct more money.

“There are some people who wouldn’t get their $50,000 break, but everyone would get at least $15,000,” explained Cooper. He added that if everyone is enrolled, risk would be pooled across the whole population, so insurance companies will be required to insure even those with serious, chronic conditions.

In addition to pooling risk, the bill is also estimated to save $1.48 trillion dollars in health care costs over the next eight years as insurance companies adapt to compete for individuals on the private health insurance market.

A 150-member group called the “National Coalition on Benefits,” (NCB), which includes major employers such as the BlueCross BlueShield Association and the FedEx Corporation, have expressed other concerns. In a letter this month to the bill’s Senate sponsors, the NCB said that the bill has the potential to inhibit the way employers offer standardized benefits across state lines.

The “Employee Retirement Income Security Act,” (ERISA) allows employers, according to the letter, “to offer uniform benefits to their employees, retirees and families without being subject to the confusing patchwork of mandates, restrictions and costly rules that vary from state to state.”

Cooper counters that some kind of national standard would be created to establish a basic health plan across states.

The bill would offer subsidies for those making up to 400-percent of the Federal Poverty Level ($21,200 for a family of four), and therefore get rid of Medicaid altogether.

Both of Tennessee’s Republican Senators, Lamar Alexander and Bob Corker are co-sponsors of the Senate bill, introduced by Sen. Ron Wyden (D-Ore.) and Sen. Bob Bennett (R-Utah).

Invitations were issued to 'women leaders' for Monday’s event. About 100 women and a few men attended.

Sunday, July 20, 2008

Aid long delayed


By Alan Johnson, Catherine Candisky and Jonathan Riskind

hat Gerald E. Cartee really needs is a new heart.

His is wearing out, but it won't be replaced. Instead, he's seeking $700 a month in Social Security disability benefits to help him get by during whatever time he has left.

What Cartee is going to get, however, is a "tickle" on Dec. 30. That's when Social Security Administration bureaucrats will update, not resolve, his case, filed in July 2005.

"It's frustrating. God, it's frustrating," Cartee said. "You don't get anything out of them if you write or talk to them. It's like you're just another number."

Cartee, 57, of Worthington, worked as a medical records clerk until he became seriously ill about three years ago. He was shocked when his doctor told him he had had at least two silent heart attacks; he also has congestive heart failure, vascular disease, cirrhosis of the liver and hepatitis C.

But, according to Social Security, Cartee is not disabled and can still work at his old job. He appealed the original determination and is waiting for a hearing before an administrative law judge.

Returning to work is impossible, Cartee said. He can't even walk one block to his mailbox without shortness of breath and chest pains. His partner, Michael, bought him a small scooter to help him get around.

Dr. Paul Nanda of Columbus, his physician, concluded in a June 17 report that Cartee has, "as we already knew, significant heart failure."

The problem holding back Cartee and thousands of other Ohioans is the huge Social Security disability backlog. The problem is old and appears likely to persist.

Only eight of the nation's 142 Social Security offices -- including one in Dayton -- have longer waits than Columbus.

More than 761,000 claims were pending nationally as of June 27, up from about 745,000 a year ago, according to the Social Security Administration. Once a benefit rejection is appealed, the average national wait for a decision is just what it was a year ago: 510 days.

In Columbus, as in some other cities with many cases and especially long waits, the agency has focused on providing more hearing judges. Two more are starting in the Columbus office this year, said the office of Sen. Sherrod Brown, D-Ohio.

The number of cases pending in the Columbus office declined to 9,310 at the end of June from 10,731 a year ago. The average waiting time dropped, too, to 728 days from 771.

But the wait, as calculated by the government, starts after a reconsideration appeal is rejected. In Cartee's case, the clock started running in November 2006 -- 16 months after he asked for help.

Congress and the White House have begun increasing funding for the agency in recent years. Brown is one of the lawmakers pushing for an even bigger boost to help erase the backlog.

Brown and Sen. George V. Voinovich, R-Ohio, are among lawmakers who want to add $240 million to the White House budget request. Too many people are waiting years to have their applications approved, some losing homes or custody of their children or even dying before benefits are awarded, said a letter sent last month by Brown, Voinovich and 50 other senators to the leaders of the Senate Appropriations Committee.

Jeff and Janis Mickey would readily agree. The Orient couple waited 5 1/2 years to get final word that Mrs. Mickey's disability application had been approved; that came just 11 days ago. They are still waiting for the first monthly check of about $1,700.

Mrs. Mickey, formerly a customer service manager with Marriott foods, suffered a massive heart attack in November 2001 and had triple-bypass surgery. Over 10 months, she had nine serious heart procedures. Her transplanted arteries clogged quickly; now she has five stents in them.

All along, however, Social Security officials continued to say that Mrs. Mickey could work in a "sedentary job."

During the long wait for a disability decision, the Mickeys plunged $80,000 into debt. They began selling things, including most of Mr. Mickey's pipe collection.

They would have lost their home and car had it not been for generous family members. Mr. Mickey's checking account has not been in the black for five years. He is constantly digging into his $1,000 overdraft protection, then paying it back to get even. But he never gets even.

The situation is complicated by Mr. Mickey's health problems. He is disabled because of a polymyositis, a rare serious muscle disease that forced him to leave his job as a banker 12 years ago. He sometimes is bedridden for up to six weeks.

Although they knew each other in high school in Jewett and even appeared as love interests in a play, The Importance of Being Ernest, they did not get together as a couple until 31 years and two broken marriages later.

Now they are united in a fight against government red tape.

"It's repulsive," Mr. Mickey said. "They make you feel like a bum. I'm disgusted by the system."

"It was demoralizing for me," Mrs. Mickey added. "I thought many times, 'It's never going to happen.' "

Friday, July 18, 2008

llness that brings pets to the vet


by Joan Lowell Smith
Friday July 18, 2008, 6:27 PM

Ever wondered what prompts pet owners to make an appointment with the veterinarian? What better source for answers than the largest and oldest pet health insurance company in the country: Veterinary Pet Insurance in Brea, Calif., which provided a Top 10 list of reasons for owners to plop their pooches and kitties in the car for a trip to the vet.


CANINE
1.Ear infection
2. Skin allergy
3. Pyoderma/hot spots
4. Gastritis/vomiting
5. Enteritis/diarrhea
6. Urinary tract infection
7. Benign skin tumor
8. Eye inflammation
9. Osteoarthritis
10. Hypothyroidism

FELINE
1. Urinary tract infection
2. Gastritis/vomiting
3. Chronic renal failure
4. Enteritis/diarrhea
5. Diabetes mellitus
6. Skin allergy
7. Colitis/constipation
8. Ear infection
9. Respiratory infection
10. Hyperthyroidism

Carol McConnell, vice president and chief medical officer for VPI, acknowledged that pet owners may be surprised by what's not on the list. "Falling just short of the Top 10 are major injuries -- broken bones, poisoning, trauma from car accidents or animal attacks," she said.

McConnell added that hypothyroidism in dogs rose from No. 11 in 2006 to No. 10 last year, jumping sprains to No. 13, and then explained that hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormone, which is responsible for regulating metabolism. Dogs suffering from that malady appear lethargic and gain weight, despite a strict diet and exercise.

Feline enteritis leaped from No. 16 in 2006 to No. 4 in 2007. One-third of all common conditions are often related to or exacerbated by diet changes or "dietary indiscretions" -- a nice way of saying the owner is overfeeding or giving the wrong foods to kitty.

The good news is that the pet food recall has had a positive effect on dietary choices. "This past year," McConnell said, "our numbers indicate that pet owners took gastrointestinal and dietary difficulties more seriously."

Many claims are associated with age-related changes, such as osteoarthritis and renal (kidney) failure, but she said any of the Top 10 can occur at any age. As the economy squeezes consumer's discretionary income and many pet owners are recalculating budgets, VPI averaged claims state by state on non-routine veterinary care in 2007: California's $500 per pet topped the list. New Jersey's average was $437 and the lowest per pet non-routine medical expenses were Mississippi's at $207. For more data on VPI, call (800) USA-PETS or visit petinsurance.com.

Voynick's views

We checked with Brian Voynick, a veterinarian often quoted in this column. Owner of American Animal Hospital in Randolph and host for 11 years of "Pet Stop" on News 12 New Jersey, Voynick agrees with the lists.

"Sure," he said. "Those have been the reasons for the past 26 years I've been practicing, but it's not that complicated. Many of the items are related to the skin. For example, ears are an extension of the skin. Most patients we see have either skin problems or gastrointestinal problems."

"With cats, we're in the dark ages when it comes to proper nutrition," Voynick said. "We should be preventing most of those conditions. We've come a long way with dog diets, but we're pitifully deficient when it comes to cat nutrition." When he attends continuing education meetings, Voynick said the most crowded seminars are always those dealing with skin disease and GI problems.

He also explained hyperthyroidism in cats as "a benign tumor on the thyroid gland, which you can feel -- about the size of a pencil eraser -- accompanied by excessive appetite, weight loss and a racing heart that can hit 220 beats per minute."

At a conference in London a couple of years ago, a world-renowned endocrinologist named Mark Peterson tackled cat diets. "He showed us the perfect diet for a cat by displaying a giant cartoon of mice being poured from a cereal box," Voynick said. "Think of it. Mice are vegetarians, so the cat is getting veggies, too."

Contact Joan Lowell Smith at P.O. Box 302, Garwood,N.J. 07027 or e-mail her at jsmith@starledger.com.


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