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The Flu Still Needs To Be Respected

by RDavis | Health

We have reached a point where vaccine fatigue and disregard for the seriousness of COVID and seasonal influenza have taken hold. They are diseases that will never go away and we still need to take measures to protect ourselves against the morbidity and mortality they can cause.

If you want to have the most accurate information about influenza then you should look to the CDC web site. They are the experts and they keep meticulous statistics as well as providing consumers with relevant and useful information.

Here is a useful list from their web site:

Brattleboro and VT COVID-19 Regional Dashboard Summary – November 2022

by cgrotke | Health

It is time for the November 2022 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.

Vermont and MA have very limited looks at what are going on these days, with weekly snapshots. NH attempt daily updates but doesn’t always give new totals. We continue to try…. : )

The Yearly Medicare Advertising Blitz

by RDavis | Health

It’s bad enough that we are being subjected to a barrage of political ads as the mid-term election approaches. Those of us in the Medicare eligibility pool are also experiencing the yearly lust to enroll by private insurance companies hoping you will switch to a Medicare Advantage plan. Medicare pays them extremely well when people sign up for Advantage plans.

My simple advice is that if you are enrolled in traditional Medicare stay there. Consider switching back to traditional Medicare if you are in an Advantage plan. From October 15 until January 15, 2023 Medicare beneficiaries can switch Medicare plans.

Understanding all of the implications of types of Medicare plans can be difficult. If you look at some of the most important issues, such as cost, then decisions can be easier. Medicare Part A has no cost for most people. In 2023 the standard monthly premium for Medicare Part B will be $164.90 and the annual deductible will be $226.

Brattleboro and VT COVID-19 Regional Dashboard Summary – October 2022

by cgrotke | Health

It is time for the October 2022 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.

Vermont and MA have very limited looks at what are going on these days, with weekly snapshots. NH attempt daily updates but doesn’t always give new totals. We try…. : )

The Pandemic is Not Over

by RDavis | Health

The pandemic is not over. Sorry to burst your bubble, but if you think that COVID is not still in the air and infecting and killing people you are not accepting reality. According to the CDC there 49,808 new cases a day, 353 deaths every day and 3737 hospitalizations every day.

Nearly 96 million Americans (an underestimate) have been infected with COVID, 1,051,389 Americans have died and there are currently 20,033 people now being treated in U.S. hospitals for severe cases of COVID. Those numbers have slowed over recent months but the disease is still very much with us and will most likely become something we have to deal with for a long time.

My wife and I have been extremely careful about respecting the power of COVID and up until two weeks ago we thought we would be able to avoid becoming infected. We have had two boosters and also the Omicron protective (third) booster. We wear masks in all indoor public places and try to avoid crowds.

Where Are The Dental Therapists?

by RDavis | Health

It was about 10 years ago when a group of Vermont health care activists started working on the creation of a new level of dental practitioner to fill in gaps in the provision of dental care. Bills passed the Vermont Senate in 2015 and the House in 2016 and S.20 was signed into law by Governor Peter Shumlin in June 2016.

An April 2016 story in VTDigger provides a description of what the bill does. “The profession would require more education than a dental hygienist but less education than a dentist.
A dental therapist would have a bachelor’s degree and be allowed to perform eight procedures more than a dental hygienist. The person would need to work under a contract with a supervising dentist, who has a doctorate. However, the dentist would not need to practice in the same building as the dental therapist.’

“The Vermont Technical College in Randolph has outlined sample curriculum for a four-year program to train dental therapists should S.20 become law. The person would learn the same three years’ worth of curriculum as a dental hygienist but spend an additional year in training.”

Brattleboro and VT COVID-19 Regional Dashboard Summary – September 2022

by cgrotke | Health

It is time for the September 2022 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.

Vermont and MA have very limited looks at what are going on these days, with weekly snapshots. NH attempt daily updates but doesn’t always give new totals. We try…. : )

Monkeypox Education and Vigilance Can Protect Us

by RDavis | Health

Should Americans, and the rest of the world, worry about the current outbreak of Monkeypox? It doesn’t look like it will cause the same level of morbidity and mortality that COVID has caused, but it does have the potential to infect a lot of people.

It’s worth knowing the history of this disease. As reported in the Smithsonian magazine, “Since it was first identified in a colony of monkeys in Copenhagen in 1958, monkeypox has been largely overlooked by the Western world. An infectious poxvirus that causes fever, chills and rashes, the disease is endemic, or consistently regionally present, in ten African countries. Until recently, however, it was rarely found in Europe and the Americas—a trend that has, historically, led Western public health officials to disregard its spread elsewhere.”

Brattleboro and VT COVID-19 Regional Dashboard Summary – July 2022

by cgrotke | Health

It is time for the July 2022 dashboard summary. We continue, despite almost no one paying attention or wearing masks despite new variants that vaccines don’t protect against,  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.

We All Need A Plan to Deal with COVID

by RDavis | Health

It’s more than two years since we were first confronted with a new pandemic. There have been very difficult times and less difficult times, but most of us have reached the point where we want this whole COVID thing to be over. But COVID will most likely be with us forever and we need to learn how to deal with it.

People have started to act more “normally” in the past few months because the number of COVID cases and deaths has been decreasing and the number of vaccinated people is high. Unmasked is the more common attire these days and it scares me.

Local Pharmacies Are Losing The Battle

by RDavis | Health

The town of Brattleboro recently lost one of its only two remaining local pharmacies not owned by national chains. Small independent pharmacies will soon become dinosaurs in an industry whose operations are convoluted and opaque.

I would like to explain why this problem exists but it is so complicated that it would take volumes to scratch the surface. A simple explanation might be helpful. The problem for small pharmacies is that their profit margins have been reduced to three or four percent in many cases. That is an unsustainable business model and something that keeps independent pharmacy owners awake at night.

Is Insurance Company Long Term Stability More Important Than The Financial Stability of Seniors?

by RDavis | Health

The February 19 edition of the Vermont Business Magazine carried a piece written by Dawn Schneiderman, Vice President and Chief Operating Officer for Blue Cross and Blue Shield of Vermont, claiming that if Vermonters are allowed to enroll in Medicare supplemental plans after their initial six month eligibility period costs will rise for everyone else. She does a poor job of defending her position.

To make this issue real look at the current cost of a Vermont Medigap Blue Plan G policy for someone initially enrolling during the initial six month window. It will cost that person $152.33 a month. If that person wants to enroll in that same plan after the six month window it will cost them $268.91 for the same coverage under Vermont Blue 65 Plan G.

Brattleboro Walk-In Clinic Providing Primary Medical Treatment at No Charge to Persons Ages 18-64

by asegar | Health

A reminder that the Brattleboro Walk-In Clinic is open Tuesday evenings with sign-in from 5:00 – 6:30 PM. We’re a non-profit that provides primary medical treatment to persons ages 18-64 in our community, thanks to a pool of volunteer physicians, nurses, nurse practitioners, and receptionists.

Even if you have health insurance, you may hesitate to get medical care because your policy has high deductibles or co-pays. Remember that the Brattleboro Walk-In Clinic does not charge our patients for the medical care we provide.

The Continuing Threat To Medicare

by RDavis | Health

A few months ago I talked about a threat to the traditional Medicare program beyond the threat that Medicare Advantage poses to the public nature of the program. That threat is called Direct Contracting Entities (DCEs).

The Trump administration initiated the DCE change to push Medicare in the direction of privatization. That kind of move is going to chip away at the equality and near-universal access that Medicare offers because private insurance companies will be more in control of how health care is delivered and paid for.