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HEALTHBEAT SHOW NOTES .... Episode #220 - Recorded September 25, 2009

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and informational Podcast.  

In this week’s news:  We’ll Looking At –

• AMA Position on Health Care Reform

• NY State Mandates Vaccinations for Health Care Workers

• And Finally, a Story about the Effect of Smoking Bans

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #221, recorded October 2, 2009.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

AMA Position on Health Care Reform

In September, 2009, AMA President J. James Rohack, MD, sent a letter to President Obama and members of Congress (PDF) earlier this month urging action on reforms that will benefit all Americans.

In the Sept. 8 letter, Dr. Rohack outlined seven critical elements the AMA has identified as necessary to improve access to affordable, quality care and reduce unnecessary costs in the current system:

• Health insurance coverage for all Americans

• Insurance market reforms that expand choice of affordable coverage and eliminate denials for pre-existing conditions

• Assurance that health care decisions will remain in the hands of patients and their physicians, not insurance companies or government officials

• Investments and incentives for quality improvement and prevention and wellness initiatives

• Repeal of the Medicare physician payment formula that would trigger steep cuts and threaten seniors' access to care

• Implementation of medical liability reforms to reduce the cost of defensive medicine

• Streamlining and standardizing of insurance claims processing requirements to eliminate unnecessary costs and administrative burdens

Surf to our Show Notes for a link to this letter - http://www.ama-assn.org/ama1/pub/upload/mm/399/open-letter-090809.pdf

NY State Mandates Vaccinations for Health Care Workers

According to a recent NY Times article, the NY State Health Department adopted an emergency regulation this summer mandating that all hospital, home health and hospice workers get seasonal and swine flu vaccinations.

No other state or city health department has such a rule. Local unions reacted angrily, saying they had not been consulted.

Joel Shufro, executive director of the New York Committee for Occupational Safety and Health, a coalition of 200 union locals, said the change was presented to them “as a done deal” on Aug. 17. His coalition is still debating suing to stop it, he said.

The unions do not oppose vaccination “but we oppose a mandatory program,” he said. “This is: ‘You don’t get the shot, you’re fired.’ ”

Every state already requires health workers to be immunized against measles, mumps and polio, and the unions do not object. Also, federal law requires their employers to offer free hepatitis shots against needle-stick injuries, and California requires them to offer free flu shots too. While workers may decline, they must sign a form saying they accept the risk.

Surf to our Show Notes for more on this story - http://www.nytimes.com/2009/09/21/nyregion/21vaccine.html?_r=1

http://www.cbsnews.com/blogs/2009/09/29/taking_liberties/entry5349581.shtml

Effect of Smoking Bans

A major analysis published in late September 2009 of more than a dozen studies in North America, Italy, Scotland, and Ireland designed to determine the effect of smoking bans on heart attack rates shows a 17 percent reduction in heart attacks in places where bans were in effect for one year.

That rate more than doubles to 36 percent in places where bans have been in effect for three years.

The impact of smoking bans is "bigger than expected," the BBC reports. The bans are "potent weapons in the battle to prevent heart attacks," claims The Wall Street Journal. Communities that ban smoking get a "big payoff," according to CNN.

In the days since the report first came out, scores of articles have added to the chorus that smoking bans significantly reduce heart attacks.

But a closer look at the analysis and a conversation with its author, James Lightwood, suggests that the results should not be considered "iron-clad."

The study did conclude, however, that “Passage of strong smoke-free legislation produces rapid and substantial benefits in terms of reduced acute myocardial infarctions, and these benefits grow with time.”

For more information, please surf to our Show notes - http://news.cnet.com/8301-27083_3-10359013-247.html?tag=newsEditorsPicksArea.0

http://circ.ahajournals.org/cgi/content/abstract/CIRCULATIONAHA.109.870691v1?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=James+Lightwood&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT

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Finally, I leave you with the following quote:

"The young man knows the rules, but the old man knows the exceptions."
– Oliver Wendell Holmes

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

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