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How To Preserve Your Sanity in 2023

by RDavis | Health

Anyone who is even marginally engaged with today’s world cannot help but feel some degree of anxiety watching local and world events unfold. A lot of people have decided to either ration their contact with all forms of media or shut themselves off completely from the near-constant barrage of murder, mayhem and demeaning and hostile rhetoric.

The human species has the potential for creating a peaceful, humane and loving world but most of the activity we see does the opposite. That does not mean that there are not a lot of people who work hard to cultivate what is best in the human spirit, but their efforts are too often Sisyphean.

Kitchen Table Conversation on Act 39 (Medical Aid in Dying)

by BrattleboroHospice | Health

Please join us for an informal yet informative discussion on the changes to Act 39, Medical Aid in Dying. With passage of H. 190, removing the residency requirement from Act 39 on May 2, 2023, qualifying non-Vermont residents gained access to Medical Aid in Dying in Vermont. We will have the opportunity to discuss this change and the special challenges it may create, as well as talk about Act 39 in general.

What is a Kitchen Table Conversation? When you think about some of your most engaging and interesting conversations, didn’t many of them happen around a kitchen table? Staff and volunteers with knowledge and experience on this subject will be sitting around the table with you, and together we will talk in a supportive and congenial atmosphere.

False Hope

by RDavis | Health

People who have to deal with the burden of an incurable disease often hold out hope that there will be a cure before the disease takes their lives. Diseases such as ALS, multiple sclerosis, Alzheimer’s, Type 1 diabetes and many types of cancer as well as a host of other diseases may have treatments to alleviate symptoms but the disease still moves in often relentless and unpredictable ways.

Hoping for a cure borders on delusional thinking partly because of the time it takes to develop treatments and also because of the cost of any curative regimen. A recent news item about sickle cell anemia drives this point home all too clearly.

A few years ago Jennifer Doudna and Emmanuelle Charpentier received the Nobel prize for their work with the gene editing technology called CRISPR. CRISPR is an acronym for clustered regularly interspersed palindromic repeats. It is a process that allows scientists to change the structure of genes.

Brattleboro and VT COVID-19 Regional Dashboard Summary – November 2023

by cgrotke | Health

Here’s the November 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them. Scroll down the new comments for the latest.

VT, NH and MA seem to be doing weekly updates, near the end of the week. All three have changed their dashboards since the start, so it is now tough to easily compare where we stand. Variant updates are every two weeks.

The Yearly Medicare Advantage Media Blitz

by RDavis | Health

The annual fall Medicare Advantage media blitz is in full swing. Private insurance companies are raking in billions of dollars on the backs of unwitting seniors who think they are getting a good deal but in fact are being robbed of not only benefits but money.

Here’s the quick rundown. In 2003 it was decided that the private insurance industry should share in the profits of the government’s Medicare program. It was a calculated political move to privatize Medicare and eventually turn it into an entirely private insurance product.

Keep in mind that Medicare’s administrative expenses run at about 2 percent while private insurance company administrative costs run as high as 20 percent or more.

Brattleboro and VT COVID-19 Regional Dashboard Summary – October 2023

by cgrotke | Health

Here’s the October 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them. Scroll down the new comments for the latest.

VT, NH and MA seem to be doing weekly updates, near the end of the week. All three have changed their dashboards since the start, so it is now tough to easily compare where we stand. Variant updates are every two weeks.

COVID Update Are We Too Complacent?

by RDavis | Health

COVID will always be with us and most of us have learned to live with it. Unfortunately, people continue to die from the disease at a rate of 255 deaths per day in the U.S. Hospitalizations for the disease are up 8.7% and the death rate has increased by 4.5%. The U.S. full vaccination rate is 68%.

Mask-wearing continues to be rare, but it seems to me that a few more people are starting to mask up again and I am even considering if it makes sense to wear a mask in crowded public places now that a new variant is on the scene.

Many health care policy experts who also serve as talking heads tend to operate in the political realm as well. Too many of them are minimizing the threat of COVID and they are doing a disservice to the public by not urging more active prevention measures. The fact that the federal government has declared an end to the public health emergency doesn’t help.

Brattleboro and VT COVID-19 Regional Dashboard Summary – September 2023

by cgrotke | Health

Here’s the September 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them.  Scroll down the new comments for the latest.

VT and MA seem to be doing weekly updates, near the end of the week. Variant updates and NH updates are every two weeks now.

Note that MA stats are the only dashboard that has remained steady and unchanged.  Most reliable of the three, in my humble opinion.

Medicare’s Death Spiral

by RDavis | Health

Americans who rely on Medicare for comprehensive health insurance are being assaulted by the forces of the American insurance industry. It’s nothing new. In 2003 the Medicare program was revamped and a new product, Medicare Advantage (MA), was created.

MA was created to privatize the Medicare insurance program and it is succeeding. People are lured in by low premiums and add-ons such as gym memberships and other lifestyle benefits. But MA is not the kind of insurance you want when you get sick. It works a lot like a managed care plan, meaning it is not portable from state to state and a lot of claims end up being denied that would have been easily accepted by traditional Medicare (TA).

Huge Health Insurance Rate Hikes: Public Comment through 7/24

by ESchwartz | Health

Blue Cross and MVP Health Care want to raise rates by an average of 15.5% and 12.8% for individuals and 14.5% and 12.5% for small businesses. The affected plans are the ones people buy through Vermont Health Connect. This comes as an estimated 29,000 Vermont residents are being kicked off of Medicaid and forced to go uninsured or buy these expensive private plans.

If you are impacted by the rate hikes you can comment to the Green Mountain Care Board (GMCB), the state’s regulatory body. If you or your small business are currently purchasing one of these plans, if you are at risk of losing Medicaid, or if you are uninsured due to cost, you are or will be affected by these rates.

Medicaid Bait and Switch

by RDavis | Health

One of the best things that happened as a result of the COVID pandemic was the rules relaxation and resulting expansion of this country’s Medicaid program. There also were a number of other factors that contributed to a major increase in Medicaid enrollment. The bottom line is that this country finally started to move in the right direction with its Medicaid program.

According to the National Library of Medicine, “From 2017 to 2019, national Medicaid enrollment declined by 2.6%. The COVID-19 pandemic reversed this course abruptly, with Medicaid enrollment increasing by 15.5% from February 2020 relative to April 2021. While existing research points to massive job loss as one primary driver of this increased enrollment, this study found that approximately three-fourths of Medicaid enrollment growth could be traced to declines in the rate of disenrollment relative to 2019, with only one quarter explained by higher rates of new enrollment during the March to October study period.”

We Need To Understand CPR Better

by RDavis | Health

Cardiopulmonary resuscitation (CPR) is something that has become ingrained in our culture. When someone collapses people are supposed to feel compelled to start pumping on someone’s chest. Communities offer a number of ways for health professionals and lay people to learn the technique and an industry has developed around the use of CPR.

But I wonder if enough people take the time to look at the big picture and weigh the pro’s and con’s of CPR. The technique has been in popular use since the 1970’s and it’s interesting to note that the idea of cardiac compression first came to light in 1878 from experiments with cats.

During my career as a nurse I have done CPR hundreds of times and I have come to the conclusion that it is a good tool to have but it should be used wisely and only after carefully weighing the benefits and possible outcomes.

Drug Shortages, Deadly Consequences

by RDavis | Health

We live in a world that has become dependent on prescription medications. It has been that way for decades despite the fact that too many people cannot afford them. And although cost remains a major barrier, people now have to contend with worsening shortages in the supply of drugs.

There have been shortages of critical drugs in the past, but it seems as though the current shortage of life-saving drugs may be showing us how the pharmaceutical industry is driven by profit while the value of human life is marginalized. Nothing new. Not exactly a revelation.

A New Revelation About Dying

by RDavis | Health

One of the greatest privileges working in health care is to be able to make the passage into death a little bit easier for people and their families. Nurses and doctors and other providers do their best to ease pain and provide comfort despite the fact that we know almost nothing about the process of dying.

Death is something that has mostly been dealt with in religious and philosophical realms. The fact that we can’t experience death and then come back to talk about it makes it difficult to know anything about the passage.

Of course, there is something of an exception to this when people have what are called near-death experiences surviving after cardiac arrest or remembering being brought to the brink under general anesthesia. The common thread is seeing a bright light and a long tunnel and having a feeling of complete calm. Beyond that we don’t know much, but a study done in 2014 at the University of Michigan with four patients opens a new window into the act of dying.

Learning To Accommodate

by RDavis | Health

Regular physical activity has always been an important part of my life. Baseball was my go-to sport growing up and it was a rare day (weather permitting) that I was not riding my bike. If there is a day without movement I feel as though I should be guilty of some sort of crime.

As the years have passed it has become necessary to make accommodations for the constant decay of the body. But despite that decay I have always found a way to figure out how to get some sort of exercise on a regular basis.

After spending a working lifetime in healthcare and reading all kinds of medical reports it is clear to me that if you want to prevent a lot of health-related problems one of the best things you can do is to exercise on a regular basis.

Brattleboro and VT COVID-19 Regional Dashboard Summary – April 2023

by cgrotke | Health

Here’s the April 2023 dashboard summary. We continue semi-regular COVID-19 dashboard numbers from the Vermont Department of Health, and MA and NH counties that surround Brattleboro, as long as they continue providing them.  That won’t be much longer. All seem to be wrapping up in the next month or so.  Scroll down the new comments for the latest.

VT, NH, and MA all seem to be doing weekly updates now, near the end of the week.