Archive for the Health Category


The high cost of health care.

Robert Atkinson

Communication 120

Professor Woods

November 23, 2008
 

            Healthcare is obviously a vital expenditure for any country and most important to the people that obtain the care. In contrast to the rest of the world, the United States spends more than any other but does not boast a higher life expectancy than other countries, like Japan. The major factors in the cost of the healthcare inflation are drugs, staffing and more than any other, administration costs. Reports say that the United States spends over $400 billion more than other countries on healthcare but yet there is no significant disease behind the rise, which should be the reasoning for the much higher cost of care (Angrisano, Farrell, Kocher, Parker, & Laboissiere, 2007). What is driving the higher cost of care which appears to not benefit the public in the United States as much as other nations?

            If there is a higher health care cost, then the appropriate thought is that there should be a better quality of life, which should lead to a longer life. However, high health care costs drive the public away from the doors of a hospital to seek treatment, even for problems that the patient deems serious (National Coalition on Health Care). The reasoning not to seek treatment is clear to many of the 1.4 million debtors that filed for bankruptcy in 2001. A study suggests that as many as half of the bankruptcy cases were due to just health care expenses (Himmelstein, Warren, Thorne, & Woolhandler, 2005).

            Is bankruptcy by the public the reason that health care costs are so grossly inflated? Reporting by the group McKinsey gives no mention to bankruptcy being the problem, or even attributed bad debt to the rise. However, in Anchorage, hospitals are drawing a line from charity cases to higher costs. Charity cases are simply bad debt written off by the hospital, which by one estimate from Alaska in 1999 was $14 million. In contrast, another hospital in Alaska lost nearly half of the profits in just three years from $40 million for the year 2000 to $13 million in 2003, but climbed back two years later to recover “somewhat” to $27.5 million in profits (Dobbyn, 2005). For an institution that is dedicated to the care of the sick, profits of over $20 million seem hardly the problem for a higher cost to those that do have health care.

            If the cost of bankruptcy is causing the higher cost of health care, then the solution for lowering the cost appears to the common layperson is to simply get healthcare. Unfortunately, this is still not the answer as the higher cost to the public that is insured still drives them to bankruptcy, as the average medical cost was over $12,000 even with coverage. In a study from 2001 of nearly 1,700 bankruptcy filings, a staggering 75% of those asked had health coverage at the onset of the filing. To make matters worse, since the debtors that had private insurance were out of work due to the illness, they could no longer afford the insurance and the costs rose higher (Himmelstein, Warren, Thorne, & Woolhandler, 2005).

            From the Harvard study of 1,700 bankruptcy filings, a statistic stands out that can possibly explain the reasons behind lowered quality of care and the higher health care cost. The costs of the health care is divided up at around 45% to the hospital, doctors charged 20% and finally the prescription drugs needed to maintain health attributed to 21% of the cost. The debtors are given a charity case by the hospital that is making the lion’s share of the profits, a life preserver that should help stop a bankruptcy. However, the debtor can still be faced with bankruptcy due to the cost of the ongoing doctor and prescription care that combined is the cost that was forgiven by the institution (Himmelstein, Warren, Thorne, & Woolhandler, 2005).

            From all this information, it seems likely to conclude that the cost of drugs and the doctor care is what drives bankruptcy. This makes more sense when the average cost of drugs in the United States is over 60% more than in other nations that have better life expectancy (National Coalition on Health Care).

References

Angrisano, C., Farrell, D., Kocher, B., Parker, S., & Laboissiere, M. (2007). Accounting for the Cost of Health Care in the United States. McKinsey & Company.

Dobbyn, P. (2005, July 21). Hospital bad debt driving costs up. Retrieved November 23, 2008, from Anchorage Daiily News: http://dwb.adn.com/front/story/6730104p-6617727c.html

Himmelstein, D. U., Warren, E., Thorne, D., & Woolhandler, S. (2005). MarketWatch: Illness and Injury as contributors to Bankruptcy. Health Affairs .

National Coalition on Health Care. (n.d.). Health Insurance Costs. Retrieved November 23, 2008, from National Coalition on Health Care: http://www.nchc.org/facts/cost.shtml

I have been nicotine free now for almost two years. In this time I have helped hundreds of people achieve their own success stories by sharing my thoughts and giving advice on side effects. I have only been forced to not allow one post in this two years, mostly due to the negative tone and the insistence that Chantix had changed them.

Two years later we see a little news that Chantix carries a suicide risk and may cause mental illness. I am not your doctor so you can never take my facts and use them as medical advice. The only thing one can say about Chantix is that it has helped you quit smoking and people who quit smoking go through a lot of problems as they adjust to addiction.

Using Chantix could cause the very same side effects if you used a negative reinforcement method to stop. I have blogged before about the more than 4,000 chemicals that are in smoke. Some refuse to take this one pill due to the media and continue to ingest those chemicals. If you can make it rational that the 4,000 chemicals  in smoke are ok, there is no therapy that I know of which would help you stop.

I would take Chantix again if my blog doesn’t help me to stay smoke free. In these two years there has only been an urge four times to smoke, but it was easily dismissed as not a real need. Will I make it to four years? If this blog is still here it serves as a reminder of all the pain we go through to quit and is a paper weight that helps to stop the years of nicotine abuse from flying into my face.

May you all still read and post your stories, as I had no idea it would serve everyone else the way it has.

Now that you’ve quit smoking for a few months, you are probably feeling really good right now. I know that my first 3 months was not difficult emotionally, but physically as I expected myself to become a superman. Take it a bit easy, as your body will undergo some changes for a while (all the better) and you will eventually begin the life you were intended to have: smoke free.

This all brings me to my next point which was a person who remarked today that medical cadavers come from people who have no family. I’ve never personally heard of such a thing, so if you have any evidence otherwise please leave a comment.

I decided to just type in medical cadavers into Google, fully expecting an application form to become one. I then clicked on the first link for medical cadavers I could find (here). For the uninitiated, a medical cadaver is someone who has given their body to science so that people can learn. I soon learned that the students would find out what the people died of, not their names, but what caused their death. Some students I found had no problem figuring it out.

Read the article if you wish, but here is an excerpt that caught my eye:


Monroe-Wise had even taken to calling her cadaver, “Bob.” “I can sense that I’m developing a sort of affection for my cadaver, which is strange,” she said. “But maybe our cadaver is a little bit unusual. We already know so much about him.” In just three days of dissecting, “Bob” had yielded evidence of emphysema, triple bypass surgery and a pacemaker. “Obviously it’s too late, (but) I want to say to him, ‘Bob, what are you doing? Quit smoking. You’re gonna kill yourself.’”

Now you have it, it’s official. Keep smoking and you might just end up a medical cadaver. It has nothing to do with if you have family. I would assume this guy figured he’d help a few dozen people learn not to smoke… is it any wonder why most doctors I see are not in the smoking area? (I am not under the impression nurses do this course in medical school, only doctors.)

Keep in mind, this guy had a pacemaker and several other diseases that are attributed to smoking. He may have been hit with a bus, but the students who dissected him could tell the damage done.

I had the pleasure, and trust me strange as it is, it was a pleasure to see how a large group of people treats a smoker now, in the year 2007. I’m trying to be a non antagonist of smokers. I admit that I was a smoker, but saw the light when my asthma finally caught up with me.

So for all the people that don’t know I’m from West Virginia, you at least (hopefully) know that it’s right next to Ohio. In Ohio, there is a set of smoking laws that are designed to deter even the most hopeful smoker from blowing any in the faces of people who don’t also indulge in the delight.

In Ohio, there is a festival every year that is called the Bob Evans Farm Festival . It’s a fun festival that mostly includes (as you could see) singing, and some various other activities for children like horse riding and hay rides.

One of the many sights to see was a water demonstration with some tree cutting. Some people out there might not know, but the art of lumberjacks in Ohio and West Virginia is not lost on even the youngest of our generations: our slumbering hills are covered with trees.

There is a pond that has a small dock in the middle that some performers cut logs, or do log rolling.
All around the pond is a slope that people can sit on to view the performance, and we chose our spot up at the top so our smallest child (less than a year old) wouldn’t be bothered by all the noise.

Now, for a bit of a reality check. We arrived and saw so many people parked in a field that horses normally graze on that we were shocked. If I had to guess, there was over 5,000 people there, no small fries considering our town in WV only has 25,000 people in it. While we walked pretty much the entire length of the Bob Evans Farm, we didn’t see even one person smoking a cigar, cigarette or even spitting tobacco. This is odd behavior… I noticed there wasn’t even one teenager smoking behind the bathrooms.

Getting back to the water demonstration, we were well into the 30 minute mark when a man and his lady friend sat behind us. I didn’t know they were there until we were covered in smoke from his cigarette. I had wondered why people were leaving all around us, it was the best part of the show!

So here he was, the first person I’ve seen smoking and we just have to move. Why say anything to him about it? I’ve tried to get some people to quit smoking anywhere inside a building where customers are at, and when I’m not there they light up mere feet away from the customers. I get negative feedback, so I’ve quit trying to talk to smokers about how non-smokers feel. An interesting footnote here is that the people at the festival felt the same way, and a large number of them.

Now, we must move, he’s smoking and not noticing he’s blowing it on an infant! My wife threw the baby at me with a blanket on her head since she was the least distance from the smoke. By this time at least 20 people have moved away from him. We got up from our grassy seat and noticed the large gap of people being missing all around him. Hundreds of people were at this slope and he had a disease, nobody wanted to be around him. He had at least a good 30 foot radius around him, and he continued to smoke.

There was a silver lining in all this, he was just ignorant of the fact that people got up and left. He noticed that all these new seats showed up in front of him, he moved forward but nobody returned. His lady friend stayed put, almost in a silent protest of what he’d done, or too ashamed to call him out on it. He had to motion for her to move up at least 2 times, and the last time you saw that look on his face: I am a jackass. Not a single person out of at least 50 said a word, children all around with parents shuffling them upwind from his puffing, said a word.

If you are trying to quit smoking, take heed: the atmosphere is changing. In a tobacco state such as Ohio or West Virginia the attitudes are changing. People know that smoking causes early death and a deterioration of life that is not worth the puff.

If you think that people will complain to you when you smoke, you are wrong. They smell it on you and will just pass you on, just like this group of people did. Some will try to stop a suicide bomber, or someone jumping off a bridge. It seems that now, nobody will stop a smoker: he is on a mission to prove brashness or wants to die and any words you say are lost.

If i give up smoking will my personality change?

I hate to tell you this, but yes it will. It’s not a bad thing really, as I’ve come to find out.

Your personality will be one that is productive, and not driven by a reward that has nothing to do with what you are trying to accomplish.  You’ll have more concentration than you did before, leading to that very same productiveness.

Your new self will face adversity, instead of running from it, and you’ll be more respected by people around you that do not smoke. You’ll have more self esteem, which leads to more self worth. You’ll stop forcing yourself to always be one step away from being able to smoke.

Smokers will say you are a jerk now, mainly because you are not on the same bus to death that they are. You’ll be hated because you are no longer a smoker, and ‘better’ than they are. You’ll also have a change in behavior and you won’t want to ‘hang out’ with those that won’t return the favor of understanding you don’t want to smoke any longer.

In all, you will change when you stop smoking. Anyone who says you’ve changed for the worst are obviously not looking at the big picture, and just wish you’d start smoking again.

I’d like to talk about something that changed since I became a non-smoker.

I stopped saying I had no options anymore, because in fact, I had began the journey of finding solutions in life, not a drag from a smoke. Cigarettes are a drug, we all know that. In my opinion the pathology of a smoker is this:

1. Trouble starts.
2. I need a smoke to deal with the initial shock.
3. While sitting down I realize something else I forgot to do because of #2 & 1
4. While I got my buzz, I forgot about #2 & #1 trouble
5. Then I realized that I can put off the other problem until later, it’s not too bad.
6. My judgment by now is cloudy, I’ve just pulled the needle out of my arm.
7. I need a victory smoke.
8. Repeat.
9. Eventually between repeats a problem gets solved.

With a non-smoker, the problems start like this:

1. Trouble starts.
2. I deal with the problem right then and there.
3. I don’t need a smoke to deal with the problem before I fix it.
4. Afterwards, no victory smoke needed.

See? I’ve just saved 4 steps, maybe 20 minutes due to removing smoking from my day.
Do I need to make a phone call? No need to smoke up before the call. Was the call a success? No victory smoke needed.

Smokers create more problems by the habit than the habit seems to have solved for them.
Chantix helped me through that vicious cycle. Why puff on something that tasks like crap for a victory smoke or to clear my head?

I’ve talked about chemicals in tobacco smoke before, and this chemical, benzene is a toxic by-product of smoking cigarettes and has many bad qualities. Before I hear the nay sayer in the back row, I know everyone is exposed to benzene on a daily basis, even our body produces very, very small amounts of it. I’m talking about large amounts of benzene.

If a chemical company spills 10 pounds of benzene, they must let the EPA know! This is a serious chemical that hurts your health in serious ways, and half of the exposure in the United States to benzene comes from just one activity: smoking tobacco. Yes, I’m fully aware that cars put off benzene, but you’re taking it out of proportion. Being in a room with a smoker, or heaven forbid, being the smoker, you are getting a _LOT_ of benzene.

So, before you light up your next smoke… take stock of what you’re really putting in your body besides a pesticide.
If you want to quit, you must become aware of what you are doing, if you intend to stick with it.

Does chantix make cigarettes taste bad?

From this month’s search log comes this question.

Well Timmy, I can’t tell you that like some other products that purport to make smoking taste bad, I can tell you that from my personal knowledge, no. Chantix makes cigarettes taste like they really do: bad.

Cigarettes taste bad, but then again if you do any illicit drugs, they taste bad until you are addicted, then you like the taste. I compare it to beer really. Beer tastes bad until you like getting drunk off of it, then you move on to others that taste different.

So in my abbreviated opinion, Chantix makes cigarettes taste what they really are: burnt Tobacco.

Will Chantix change my personality?

I had someone make a statement to me today, to the effect of:
“My husband quit smoking, and is using Chantix. His doctor said that it would change his personality for over a year, even if he stopped, or just took it for the standard three months”

I found this very curious for several reasons.

1. The current fixation on nicotine is the biggest mood changer
2. Chantix only binds to the transmitters that are activated with nicotine
3. The list of changes in personality when quitting period are often the only ones attributed

Dr Howell over here stated these various side effects of mood when taking Chantix, but I don’t see the attachment that it lasts for a year after cessation, or if the problems were all related to the other chemicals being gone from the brain.

Anyone got a few cents to add?

Has anyone not quit smoking with chantix?

I love loaded questions that I get via my search queries people used to visit my site, and this is one of them.

My opinion on any smoking cessation method is that the only way they will work is if you choose to quit. Smoking, like many other vices is a dependence on the chemicals contained within. Smoking does very little actually help you, but does many things to hurt you seriously in the long run.
If you think Chantix is a magic bullet that will erase 30 years of a habit, it’s not. What it is, is a great substitute that actually prevents you from getting that ‘high’ or relaxation from smoking.

I’m not going to display tons of graphs, or statistics about who quit, or didn’t. I can say that the majority of the data suggests that those who want to quit, look at material to help them quit will stop smoking. If you are only quitting because you want to show people you can, your spouse asked you, or you think people look down you because you smoke around your kids: a reevaluation of your reasons is needed.

Point is, you must stop smoking because it’s KILLING YOU. People that smoke around their kids are KILLING THEM, and your spouse asking you to stop is because they like YOU ALIVE.

See? When you look at your reasons… You did write them down right? It’s how you evaluate it that causes some urgency to come out of the reasons.

Studies do show that many, many people fail to quit. The reasons are many, but I believe it’s due to people they listen to that tell them it doesn’t hurt anyone. If you don’t go into the quitting phase believing smoking is killing you, then you have no chance.

In closing, don’t forget, Nicotine is a killer as well. Nicotine kills insects. Chantix has less side effects than Tobacco. So just remember, you’ll eventually get used to the Chantix, just like you did with smoking. (I threw up the first time I smoked… but I didn’t with Chantix. Get my drift?)