DAY 114 – Healthcare: Let’s Work Together

The GOP majority in the US House of Representatives recently voted to repeal last year’s healthcare reforms, and I think it was unfortunate that they did.

We the people have two basic choices as it relates to healthcare; every person for her/himself, or work together.

For-profit insurance companies have an easier time making lots of money when we choose option one. In fact, we make a two-step process into a one-step for them. They don’t have to divide in order to conquer, they can sit back and let us divide ourselves, and then they conquer. Conquering, in the insurance industry, often means using whatever techniques necessary to not pay legitimate claims and see what  busy working people can do to protect themselves.

I want to be fair and acknowledge that there must be some honest and caring insurers, but as a doctor for 28 years, I saw first-hand enough abuse by insurance companies, that after 10 years, I terminated most contracts that I had with them.

We all understand that our government exists because our forebearers did not like the idea of every person for him/herself, and chose instead to work together. And, of course, we know that today we work together and pool our resources to maintain our national defense, police, fire protection, courts, and other services. We also provide healthcare to our elderly through Medicare, and to the poor through Medicaid.

There is no question that some government bureaucracies can be dysfunctional and even rude, but I will take that risk any day to the for-profit divide-and-conquer of the health insurance industry.

Many countries in Europe pay half as much as we do for care that is better than ours. In part, they achieve this by pooling their resources and working together.

If I were elected to the House of Representatives, I would vote for continuing, not repealing, the reform of our healthcare system. I would vote for working together!

DAY 36 – Living with Arthritis - Why???

I was ten years old when I awoke one morning unable to move. I was on my back and could not turn, or attempt to get up without a sharp pain piercing my low back. Lying there, I fearfully wondered what kind of shape I would be in at 50, given that I was in such pain at 10. Finally I called out to my parents; and my Dad came to gently lift me out of bed.

That was the first of many painful, and at times incapacitating, episodes of arthritis that I would experience during the next 3 decades. Thirty-one years after that fateful morning an MRI (magnetic resonance imaging) showed that the arthritis had destroyed bone and discs in my low back.

(the image to the left is a second MRI of my low back taken in 1998)

Today, November 10, 2010, forty-nine years after that fateful morning, I get an e-mail from the United States Department of Health and Human Services, titled “Living with Arthritis”. Not exactly timely for me. :) But timing is not the problem with this e-mail and the linked article from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the Department of Health and Human Services’ National Institutes of Health (NIH). http://www.niams.nih.gov/Health_Info/Arthritis/default.asp  The problem is that from the highest healthcare resource in the land we learn almost nothing about the causes of arthritis, and scantily more about what to do about it.

The article informs us that inflammation causes arthritis, but then neglects to tell us what causes inflammation. This is a serious omission. Fortunately, some of us already know.

As for what to do about our arthritis, we are advised to stay active, lose weight, absolutely see a doctor (implies an MD), and by all means take the anti-inflammatory (NSAID) medication that your MD will surely prescribe. Again, no discussion or connection to the cause of the disease.

This article shines a flood light on America’s need for real healthcare reform. We must break from our addiction to the conventional medicine of suppressing symptoms with drugs, and embrace conversations and practices that deal with understanding the causes of illness and disease.

My advice is don’t waste your time learning to “Live with Arthritis”. Instead, learn about its most common causes, and make changes in your lifestyle to respond to those causes.

Dr. Young
Note: I will address causes and functional treatments for arthritis in a future post.