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Highmark Provides Pediatricians With Res To Combat Childhood Obesity
Childhood obesity causes lifelong illness, leads to serious health complications in young adults and can lead to premature death in adulthood due to medical conditions such as diabetes, heart disease and hypertension. In addition to its significant human toll, childhood obesity alone costs the nation"s health care system some $14 billion annually.

Coverage Of Abortion Services In Federal Health Plan Remains Controversial
Advocates on both sides of the abortion-rights debate are "preparing for a renewed battle" over insurance coverage of abortion services in health care reform efforts, the AP/Atlanta Journal-Constitution reports. Abortion-rights opponents say that current restrictions on federal funding for abortion services should carry over to any insurance sold under new health insurance exchanges proposed under reform legislation. However, abortion-rights supporters say that carrying over the restrictions would deny abortion coverage to millions of women who currently have it through employer-sponsored coverage and are likely to join the exchanges.A variation in how the questions were asked yielded different results but significant proportions of private plans were found to cover abortion services. A Guttmacher Institute study found that 87% of typical employer-sponsored health plans covered abortion services in 2002, and a 2003 Kaiser Family Foundation study found that 46% of workers covered by employer-sponsored plans had coverage for abortion services.A Congressionally imposed provision of law known as the Hyde Amendment currently prevents the use of federal Medicaid funds for abortion services except in cases of rape, incest or life endangerment. States that choose to cover abortion services for low-income women through Medicaid must use their own funding to do so. Other Congressionally imposed restrictions prohibit abortion coverage for federal employees, women in the military and other women who rely on the federal government for their health care coverage. An overhaul of the health care system would "create a stream of federal funding not covered by the restrictions," including federal subsidies to offset the cost of health insurance for low- and middle-income people purchasing public or private health insurance though an exchange, the AP/Journal-Constitution reports.Congressional Proposals The plan passed by the Senate Health, Education, Labor and Pensions Committee is "still largely silent" on the issue of coverage for abortion services, the AP/Journal-Constitution reports. Both the House and Senate bills leave the decision on whether the public plan would include abortion coverage to the HHS secretary.In the House Energy and Commerce Committee, members approved an amendment that would allow the public plan to cover abortion services through the use of beneficiary premiums but not federal funds. In addition, the amendment says that private plans in the insurance exchanges could choose whether to cover abortion services, but no federal subsidies could be used to pay for the procedure. The amendment -- proposed by Rep. Lois Capps (D-Calif.), who supports abortion rights -- also would allow plans that do not cover abortions under any circumstances to be offered through insurance exchanges. Capps said that her amendment aims to appease both sides of the abortion-rights debate, adding, "Our country allows for both sides, and our health plan should reflect that as well."Comments Abortion-rights opponents say that they cannot accept a public insurance plan that would cover abortion services and that private plans in insurance exchanges should offer coverage for abortion services as a separate option, the AP/Journal-Constitution reports. Richard Doerflinger, associate director of antiabortion activities for the U.S. Conference of Catholic Bishops, said the group "want[s] to see people who have no health insurance get it," but coverage for abortion is "a sticking point." He said that there can be a "result where nobody has to pay for other people"s abortions," adding, "We don"t want health care reform to be the vehicle for mandating abortion."However, abortion-rights supporters argue that prohibiting coverage for abortion services would deny health care to women who have abortion services coverage through their private plans. Heidi Hartmann, president of the Institute for Women"s Policy Research, said that applying current restrictions for low-income women and federal employees to a program meant for the middle cla
Endocrinology

National Survey Finds Six In Ten Americans Believe Serious Outbreak Of Influenza A (H1N1) Likely In Fall/Winter

As part of a series about Americans" response to the H1N1 flu outbreak, the Harvard Opinion Research Program at the Harvard School of Public Health is releasing a national poll that focuses on Americans" views and concerns about the potential for a more severe outbreak of Influenza A (H1N1) in the fall or winter. The polling was done June 22-28, 2009. Click here for the complete survey. Click here for the charts. Likelihood of Serious Outbreak Approximately six in ten Americans (59%) believe it is very or somewhat likely that there will be widespread cases of Influenza A (H1N1) with people getting very sick this coming fall or winter. Parents are more likely than people without children to believe this will occur, with roughly two thirds of parents (65%) saying it is very or somewhat likely compared to 56% of people without children. "These results suggest Americans are likely to support public health officials in prioritizing preparations for the possibility of a serious H1N1 outbreak in the fall or winter," said Robert J. Blendon, Professor of Health Policy and Political Analysis at the Harvard School of Public Health. Public Concern About Risk of Getting Ill Personally Despite a majority believing that a serious outbreak is likely, more than half of Americans (61%) are not concerned about their personal risk-that is, that they or their family members will get sick from influenza A (H1N1) in the next year. This level is unchanged since the previous poll conducted May 5-6, 2009. The current survey further suggests that the World Health Organization (WHO)"s decision to raise the worldwide pandemic alert level to Phase 6 did not dramatically impact Americans" level of concern about their personal risk. Only 22% of Americans knew that the WHO had raised the level, and only 8% of Americans said it made them more concerned that they or their family would get Influenza A (H1N1) in the next 12 months. Problems for Parents One approach that has been used in the recent outbreak as a means to slow the spread of Influenza A (H1N1) is the closing of schools. In this survey, substantial numbers of parents who have children in school or daycare report that two-week closings in the fall would present serious financial problems for them. About half (51%) of these parents report that if schools/daycares closed for two weeks, they or someone else in their household would likely have to miss work in order to care for the children. Forty-three percent of these parents report that they or someone in their household would likely lose pay or income and have money problems; 26% of these parents report that they or someone in their household would likely lose their job or business as a result of having to stay home in order to care for the children. The situation is likely to be worse for minority parents. More African American and Hispanic parents of children in school/daycare indicate that they are likely to lose pay or income and have money problems (56% and 64% respectively), as compared to whites (34%). And, more African American and Hispanic parents of children in school/daycare report that they or someone in their household would likely lose their job or business (40% and 49% respectively), as compared to whites (14%). Problems Overall If the outbreak in the fall or winter is serious and leads to large-scale workforce absenteeism, the survey suggests the possibility of substantial difficulties for many people and the economy as a whole. If people had to stay home for 7-10 days because they were sick or because they had to care for a family member who was sick, 44% indicate that they would be likely to lose pay or income and have money problems, and 25% reported that they would be likely to lose their job or business. "The findings highlight the important role that employers would play during a future outbreak. Flexibility in their employee policies may help minimize some of the problems identified in this survey," said Blendon. Recent Experience with H1N1 At the time of this survey, 27% of Americans reported that there had been cases of influenza A (H1N1) among people in their community, and 18% reported that schools in their community had closed due to influenza A (H1N1). Since the beginning of the outbreak, roughly two-thirds of people report that they or someone in their household has washed their hands or used sanitizer more frequently (62%). "Handwashing was a major focus of public health education during the recent outbreak. The results of this survey show that these efforts helped people protect themselves," said Blendon. This is the third in a series of polls about Americans" response to the H1N1 flu outbreak. Methodology This is the 31st in a series of studies on the public and biological security by the Harvard Opinion Research Program (HORP) at Harvard School of Public Health. The study was designed and analyzed by researchers at the Harvard School of Public Health (HSPH). The project director is Robert J. Blendon of the Harvard School of Public Health. The research team also includes Gillian K. SteelFisher, John M. Benson, and Kathleen J. Weldon of the Harvard School of Public Health, and Melissa J. Herrmann of SSRS/ICR. Fieldwork was conducted via telephone (including both landline and cell phone) for HORP by SSRS/ICR of Media (PA) June 22-28, 2009. The survey was conducted with a representative national sample of 1,823 adults age 18 and over, including oversamples of parents, non-Hispanic African Americans and Hispanics, and specifically parents who are non-Hispanic African Americans and Hispanics. Altogether 315 non-Hispanic African Americans and 260 Hispanics were interviewed. The number of parents in total is 744, which includes 115 non-Hispanic African American parents and 131 Hispanic parents. In the overall results, these groups were weighted to their actual proportion of the total adult population. The margin of error for the total sample is plus or minus 2.8 percentage points. Possible s of non-sampling error include non-response bias, as well as question wording and ordering effects. Non-response in telephone surveys produces some known biases in survey-derived estimates because participation tends to vary for different subgroups of the population. To compensate for these known biases, sample data are weighted to the most recent Census data available from the Current Population Survey for gender, age, race, education, region, and number of adults in the household. Other techniques, including random-digit dialing, replicate subsamples, and systematic respondent selection within households, are used to ensure that the sample is representative. Funding This Harvard School of Public Health series is funded under a cooperative agreement with the Centers for Disease Control and Prevention (CDC). The award enables HORP to provide technical assistance to the Centers for Disease Control and Prevention as well as to other national and state government health officials in order to support two critical goals: (1) to better understand the general public"s response to public health emergencies, including biological threats and natural disasters; and (2) to improve related public health communications. Harvard School of Public Health


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