HCAN: Health Reform Chart under H.R.3200

From Health Care for America NOW!

Read more here

Time:High Price of Cheap Food

Brian Walsh has written a disturbing yet informative piece about the high price of cheap food here in America. The article covers many aspects including farming techniques, price-to-calories ratio and environmental costs:


But cheap food is not free food, and corn comes with hidden costs. The crop is heavily fertilized — both with chemicals like nitrogen and with subsidies from Washington. Over the past decade, the Federal Government has poured more than $50 billion into the corn industry, keeping prices for the crop — at least until corn ethanol skewed the market — artificially low. That's why McDonald's can sell you a Big Mac, fries and a Coke for around $5 — a bargain, given that the meal contains nearly 1,200 calories, more than half the daily recommended requirement for adults. "Taxpayer subsidies basically underwrite cheap grain, and that's what the factory-farming system for meat is entirely dependent on," says Gurian-Sherman.

So what's wrong with cheap food and cheap meat — especially in a world in which more than 1 billion people go hungry? A lot. For one thing, not all food is equally inexpensive; fruits and vegetables don't receive the same price supports as grains. A study in the American Journal of Clinical Nutrition found that a dollar could buy 1,200 calories of potato chips or 875 calories of soda but just 250 calories of vegetables or 170 calories of fresh fruit. With the backing of the government, farmers are producing more calories — some 500 more per person per day since the 1970s — but too many are unhealthy calories. Given that, it's no surprise we're so fat; it simply costs too much to be thin.

This leads to a discussion I recently had with my brother about health care reform. The debate about reforming our health care system has been about cost from the very beginning: insurance premiums, deficit control, etc. This is understandable and expected. However, the strong (and sometimes twisted) debate has yet to turn to actual health care issues. The money aspect of the debate is important, but so is disease prevention, obesity control and exercise options. Food production and consumption plays into all of these issues. But this has yet to enter into the discussion. It is past time that it does. Health care reform without debating health is just health insurance reform. Just read the article. Money does not solve the whole problem.

The Health Of Nations: A Comparison

From the Conference Board of Canada:

Canada has earned a steady “B” on this indicator for nearly five decades. Japan’s impressive increase in life expectancy has set a high bar for attaining an “A” grade on average in this decade, a standard that only Switzerland has met. Moreover, Japan, which had among the lowest life expectancies in the 1960s, has been a steady “A” performer ever since. Of the five top-ranked countries in the 1970s, only Japan has been able to consistently maintain its “A.” Switzerland lost its “A” in the 1990s, regaining it in the current decade.

The Netherlands, Norway, and Sweden, on the other hand, have all lost their top-ranking status.

The U.S. has also seen a decline in its relative performance. It earned a “C” in the 1960s and 1970s and dropped to a “D” in the 1980s, where it has remained.

More links and charts here.

Easy Home Gardening

Tina McCarthy at ecosalon.com lists the ten easiest vegetables to grow at home. She offers a lot of information regarding optimal pH levels, depth of seeds and watering tips.

FT:Is There A Bit Of OCD In Us All?

The Financial Times has an interesting piece about obsessive compulsive disorder. Richard Thomkins goes into depth about the history of the condition, celebrities with OCD, and the different stories of people who are dealing with it.

But even those statistics could be only part of the picture. According to a paper appearing in last month’s American Journal of Psychiatry, an estimated 21-25 per cent of individuals could be said to have borderline OCD, meaning they have obsessions or compulsions that meet at least some of the diagnostic criteria. Admittedly, more than one-third of these people are also suffering from another anxiety disorder or depression – but according to the paper, that still leaves an estimated 13-17 per cent of otherwise “normal” people – about one in 15 of us – suffering from at least some symptoms of OCD.
So, what is this disorder? And could someone you know be at least partly afflicted?
The term “OCD” has recently displaced “anal” in contemporary slang as a way of describing people who are more than usually meticulous, pernickety or pedantic – the sort of people who are never satisfied unless things are just right. If this reflected a greater understanding of obsessive compulsive disorder, it might be no bad thing. In fact, it has simply increased the degree of misunderstanding by confusing two different conditions with almost the same name. “Anal” people do not usually have OCD at all; they simply have an obsessive compulsive personality type, meaning they’re a bit fussy. People with OCD, in contrast, are suffering from a serious anxiety disorder that greatly impinges on their lives.
While being “anal” can be an asset in some circumstances, as in a job that requires attention to detail, there are no advantages in having OCD at any level. All it does is cause distress by introducing obsessive, irrational anxieties into the sufferer’s mind, typically involving perceived dangers or appalling images of one sort or another. A defining characteristic of OCD is that sufferers believe just thinking about bad things will make them happen unless they act to prevent it; so they feel compelled to carry out little rituals which to other people look odd and unnecessary but which to them have the magical power to counteract the perceived threat. Typically, the obsessive thoughts and compulsive behaviour reinforce one another in a vicious circle, causing the condition to become ever worse until it starts to interfere seriously with the sufferer’s life.
Although there are many possible obsessions, the most common of them fall into a surprisingly small number of categories. The best known is Howard Hughes syndrome – the fear of dirt and germs, commonly linked with compulsive handwashing and cleaning. Another common one is the fear of harming others or coming to harm oneself, often accompanied by compulsive safety checking – repeatedly making sure the door is locked, the cooker is turned off and the iron is unplugged. Many sufferers are obsessed with a need for symmetry, which results in compulsive rearranging of things. Others are tormented by thoughts that they will carry out some horrifying act of a violent, sexual or blasphemous nature, and often try to block out or neutralise these thoughts with mental rituals such as counting or the repetition of certain words or phrases.

[snip]

Obsessed, obsessive and obsession are over-used words. People talk about someone being obsessed with recycling or being an obsessive gambler; there is even a perfume called Obsession. But it is not enough to be preoccupied or infatuated with something to qualify as an OCD sufferer. With OCD, the obsessions have to be unwanted, unwelcome and anxiety-provoking – they can never bring satisfaction or pleasure. They also have to cause a repetitive behaviour or ritual aimed at preventing some dreaded event or situation, and this behaviour must be irrational or excessive. On top of that, the obsessions and compulsions have to interfere significantly with the sufferer’s life and/or take up at least one hour a day.
These criteria are laid down in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published in the US and used to a varying extent around the world. But as Mataix-Cols points out, “The definition’s entirely arbitrary. It’s just some blokes getting together in America and saying that if you spend more than one hour a day doing rituals, and if those rituals are distressing and interfere with your everyday life, then you’ve got it. If not, you don’t. But what we’ve found is that there’s a very large prevalence of OCD symptoms in people who don’t fit this definition.”

The personal stories in this piece are extraordinary. I was unaware of the true intensity of the disease for some people. The entire article is worth checking out.

Updated Peanut Butter Recall List

The official FDA list pertains specifically to the current salmonella outbreak caused by peanut butter. I was planning on writing a long rant about how inept the manufacturers and the government regulators are at keeping us safe; however, it looks like Michelle Cottle at The New Republic said it all ( and more concisely than I would have, I'm sure.)

I would like to highlight a paragraph I read at the FDA site that might be missed by some people:

Product recalls include some pet food products that contain peanut paste that was made by PCA. While the risk of animals contracting salmonellosis is minimal, there is risk to humans from handling these products. It is important for people to wash their hands--and make sure children wash their hands--before and, especially, after feeding treats to pets. Further information for consumers is located in the Frequently Asked Questions section located on this web site. The pet food products are also included in the searchable data base of recalled products.

Go ahead and check out Cottle's piece. She links to a New York Times report that will both scare and anger you.

WaPo: Surgical Checklist Reduces Complications

From the Washington Post:



Surgeons, it seems, are discovering what airline pilots learned decades ago: The human brain can't remember everything, so it's best to focus on the complicated challenges and leave the simple reminders to a cheat sheet.
"You take something as complex as surgery, and you think there isn't a lot that can be done to make it better," said Atul Gawande, a Boston physician who led the study being published in the New England Journal of Medicine. "A checklist seems like a no-brainer, but the size of the benefit is dramatic."
The low-cost, low-tech intervention tested in eight hospitals around the globe could have enormous financial implications, as well. If every operating room in the United States adopted the surgical checklist, the nation could save between $15 billion and $25 billion a year on the costs of treating avoidable complications, according to calculations by the authors.
In the one-year pilot study involving 7,600 patients, the hospitals saw the rate of serious complications fall from 11 percent to 7 percent. Inpatient deaths declined by more than 40 percent overall, with the most drastic reductions occurring in hospitals with fewer resources.

Two questions: 1) If your hospital does not implement the checklist before surgery, can the patient request that they do before operation? 2) Can we request the same for Chief Justice John Roberts? He's a smart guy so I'm almost positive he can have the Presidential Oath memorized in four years. But I don't want to take that chance. One index card. Is that too much to ask?

Download the surgical checklist