Upon graduation from high school, there is no doubt that you will surely start your tertiary education in college or university. At age twenty, children will not be covered by health insurance of their parents and this can be disastrous if they are merely study and do not do part-time job. Some universities or colleges may have insurance plan offered to students. These insurance may not answer all your needs but you need to be meticulously considered it.
Most of the universities and colleges offer student health insurance plans. These plans should absolutely be at reasonable price, and can give you the school's nearest hospitals. This option is one that you should definitely think of, if your son or daughter is enrolled in a college far away from home.
College health care scheme may vary from college to college due to laws and some other factors. Many students may think medical services are free of charge, but it is not always true. In term of clinic visit or routine checkups they may be free, however students still require to pay for special kinds of lab tests and other specialties such as x-rays, prescriptions, and a wound treatment. Compensation usually covers some types of service stated in the health care offered at college health centre. When you are referred to see an outside doctor, then the coverage will cover only 70% of your total expense and you are at risk to pay high medical cost.
You may have a problem getting treatment at the campus health centre if you have pre-existing condition. Having a pre-existing condition or illness does not mean to prevent you from obtaining health insurance plan, but you may not be eligible to have your treatment on your pre-existing condition. It can be troublesome if your new symptoms develop from a pre-existing one.
Health schemes are different, so be sure you find out everything about your health insurance plans. Be sure that your health plan stretch to summer break when you or your child do not take classes. This is vital for you because you don't want to find out that your health care does not cover when you need it most. Some college health insurances may not cover during summer break, while others do.
Be certain that you study your plan thoroughly. Is it an HMO, or can the member utilise any service provider they went? This is critical. You need to know where you can go in case of emergency, and there is nothing worse than discovering that you will have to pay off the bill yourself.
There is no definitive solution to whether you should or should not commit yourself to college health insurance. Be certain that you study your plan thoroughly so that it answer to your need when you need it most. Although there is no free health insurance scheme, surely it will save you a lot of money in time of illness or accident.
For more information, please visit http://www.health-care-central.com
Tuesday, December 30, 2008
Do You Need to Obtain a College Health Care Plan?
Thursday, December 25, 2008
Barack Obama's Health Insurance Plan and Its Effect on Ohio Health Insurance
Barack Obama's ambitious health care plan is fairly simple and straightforward. His plan seeks to dramatically and swiftly increase the number of people that have health insurance. He insists that this plan will save the typical American family approximately $2500 in annual costs. Since the average Ohio health insurance premium is less than most other states, savings to Ohio residents may average less than $2500.
The Obama plan is designed to give the federal government more control over health care decisions and dollars, a major difference from the current decentralized system of employer-based insurance and state-based insurance regulation. Here in Ohio, health insurers have been effectively held in check by the Ohio Department of Insurance. This, however, is not the case in many other states.
The Obama Plan
Many parts of the Obama plan resemble initiatives from the Clinton health plan of 1994 and the Kerry Health plan of 2004.
Essentially, Obama's health care plan is divided into three sections:
1. Modernizing the US health care system to lower costs and improve quality
2. Promoting prevention and strengthening public health
3. Quality, portable and affordable health coverage for every person
The "Savings"
The $2500 in savings will come from health care reform, using some of the following initiatives:
*Making health insurance universal, which may reduce spending on uncompensated care.
*Improving management and prevention of chronic conditions.
*Increasing insurance industry competition and reducing underwriting costs and profits.
*Providing reinsurance for catastrophic coverage, which will reduce insurance premiums.
Shifting Cost Burden
While all of these ideas are feasible, the underlying theme seems to be simply shifting some of the cost burden from the private sector to the government. And of course, much more control of our health dollars and decisions would come from Washington D.C and not Anthem or UnitedHealthCare.
The Obama plan will actually compete directly with Ohio private health insurance companies in a "National Health Insurance Exchange." The federal government (not health insurance carriers) would determine the quality of health benefits that Americans would receive. And these new rules would apply to both the new national health plan and all participating private health plans.
Preventative Coverage Would Be Emphasized
Obama's health care plan will encourage "healthy lifestyles" with specific emphasis on wellness. Employer wellness programs will be increased, and cafeterias and vending machines in the workplace may see healthier food.
School-based health screening programs may increase along with increased support for physical education.
For Ohio individuals and families, the Obama plan would require preventative services on many federally-supported health programs such as Medicare, Medicaid and SCHIP. One benefit may be possible discounts to on health insurance premiums for enrollment in wellness and prevention programs.
Currently, some Ohio individual health insurance policies offer a similar discount, such as Anthem's Lumenos Health Incentive Account (HIA).
Ohio Group Health Insurance
Employer-based health insurance would radically change under the Obama plan. Here in Ohio, both small and large employers are able to choose among many different health plans for their employees. The Obama plan would force employers to offer a specific level of health benefits to their employees or pay a tax to finance a national health program. Currently, the amount of provided health benefits and the size of the tax have not been specifically discussed.
Perhaps the best and most economical health insurance plan for Ohio residents would be a concept already in place...HSAs (Health Savings Accounts). Thus, instead of imposing a top-down change on the health care system, it would seem to be prudent to transfer direct control of health care dollars to individuals and families. This would allow Americans to choose their own health plans and benefits, while making health insurance companies compete directly for consumer's dollars by providing a real value to patients.
All of this could be accomplished by specific tax and regulatory changes designed to utilize the power of free-market competition. Health care spending could be reduced, preventative treatment could be emphasized and portability could be promoted. Reforming the tax treatment of health insurance and aiding employers that help their employees buy health insurance would help quite a bit.
For now, Ohio health insurance rates are remarkably low compared to many other states. There are many reputable health insurance companies that offer a wide array of policies, including Health Savings Accounts. That shouldn't change much for the next two years. In 2011, things might change...hopefully, for the better.
For additional information on Ohio health insurance plans, or an instant Ohio health insurance quote, please visit http://www.ohioquotes.com
Monday, December 22, 2008
Health Spas in South Africa â What Makes Them Unique?
Imagine a smoked ginger and crimson skyline towering down over a diverse natural landscape of wild flowers, untamed wildlife and restless waters. Imagine lying gazing at this distinct setting whilst enjoying the pampering and revitalization that goes along with South African traditional customs and massage techniques. A spa experience in South Africa has often been viewed as being one of the most unique and beautiful experiences that one can wish for. So what makes it so unique and what can one expect at a South African spa?
Spas in South Africa can be simple, uncomplicated and traditional as well as both sophisticated and chic. There is a little bit of everything for everyone. Spas are either set in safari or remote country settings or in classy city or beach hotels. However, it is not only the diverse settings which capture the attention of travelers worldwide, but the fusion of customs and traditions into the spa techniques and treatments. A number of South African spas utilize traditional oils and plant extracts in their treatment products and a great emphasis is placed on age old remedies and secrets.
A truly unique and not to be missed experience can also be found within the beautiful wine lands of South Africa. It is here where you can experience Vinotherapy, an innovative treatment originating in France that utilizes grapes and wine to assist in preventing or assisting in the effects of anti-ageing. The antioxidants as well as other properties of the grape are highly beneficial for the skin and for this reason the ingredients has been utilized in massages, full-body exfoliations and hydrotherapy treatments. With South Africa, boasting some of the best wines in the world, a day of wine tasting and Vinotherapy may just be the treat you have been waiting for.
A number of spas also provide you with a complete African experience. You can expect African dances, food and celebrations incorporated into your day or stay at some of the spa destinations in South Africa. The spa experience becomes one of the elements of your experience and allows you to experience both the African culture and the African therapist's skilled techniques and products. If you are staying over at the spa, you may even be able rest in a traditional yet elegant African hut. This is a wonderful option if you are looking for both serenity and for a place to reflect in an uninterrupted natural setting.
Those of you seeking more sophistication and modern elegance will also find yourself spoilt for choice at some of the many exclusive spa destinations and resorts. Gaze down at the city nightlife from your treatment suite or relax for a day in spas boasting top of the line facilities and therapists. These classy spas can be found both in the city and in the more remote areas of South Africa, so your selection would be based purely on personal choice.
Nonetheless, South Africa is a spa crazy country which promises to offer an array of spa destinations as well as unique experiences. If you wanting to truly experience African culture at its best, booking into a South African destination spa or resort and choosing between the many traditional and natural spa products could set you on the right path.
Find spas and more wellness related information at: http://healthspaguru.com
Saturday, December 20, 2008
Cleansing Your Body, and Regaining Your Health With Oxy-powder
OxyPowder is a gentle, powerful, and safe, all natural colon cleanser. It has successfully assisted over 2 million people regain their health. This is twice as successful as the Dr. Natura's Colonix. Since the product is safe, many continue to use it for years. It is very simple, and does not have to interrupt your day. There are no shakes or drinks to prepare, and you will not be glued to your toilet either.
How Is Oxy-Powder Different From Other Colon Cleansers?
Oxy-Powder along with all other products developed by Dr. Group are FDA approved and under Current Good Manufacturing Practices (cGMP). So, it is an environmentally friendly, 100% Kosher, Vegetarian Certified cleanser. This is particularly important for people who have specific vegetarian, religious, cultural, or dietary needs...
Ingredients
Oxy-Powder's ingredients have been thoroughly researched. They include:
Ozonated Magnesium: helps motivate your colon, while promoting healthy bowel function.
Organic Germanium 132: helps lower and stabalize your blood pressure and cholesterol.
Natural Citric Acid: helps assist in the cleansing process while metabolizing fats, carbohydrates, and proteins.
Organic Gum Acacia: helps relieve symptoms of diarrhea, lowers your cholesterol, curb your appetite, and reduces malabsorbtion.
Using Oxy-Powder
You will start, in the evening, by taking 4 capsules with an 8 oz. Glass of water. You should be having 3-5 bowel movements every day. If you are not, increase your dosage by 2 until you are having 3-5 bowel movements a day. Once you reach this point you, this will count as day 1. You simply continue taking the same dosage for 7 days. This is the 7-Day Oxygen Colon Cleanse...
What Benefits Will I See From Oxy-Powder?
Since, cleansing your digestive system can have positive affects on the rest of your body, you can see the following results:
- improved body odor
- improved appetite
- weight issues improved and regulated
- improved breath odor
- relieved back pain
- increased energy level
- elevated mood
- relieved constipation symptoms
- improved immune system
- reduced bloating
- maximized ability to absorb nutrients
- improved facial complexion
- detoxified body
Frequently Asked Questions
Is Oxy-Powder Safe?
Yes, Oxypowder is safe.
Is OxyPowder habit forming?
No!
Can I continue using OxyPowder every day?
Yes!
Does Oxy-Powder have side effects I need to know about?
You will notice watery gaseous stools. Be aware that this is not diarrhea. This is the result of Oxy-Powder liquifying the excess buildup of waste and toxins in your body. Colon cleansers also have die-off effects. This is a result of your body purging the toxins from your body. It is a perfectly natural response, similar to when you catch a fever or cold. Your body can get worse, before it gets better. If these die off effects are becomming problematic, you can simply reduce your dosage to make it more manageable.
Will I actually lose weight from using Oxy-Powder?
Yes, it is often observed that people loose weight from using Oxy-Powder. However this is not the intended purpose.
I feel perfectly healthy, and am in good shape. Is there any reason for me to take Oxy-Powder?
Many professional athletes have been using Oxy-Powder on a regular basis. Afterall, no one has a perfect digestive system.
What Specific Conditions Oxy-Powder Can Treat?
Irritable Bowel Syndrome (IBS), Hemorrhoids, & Candida
Thursday, December 18, 2008
Moxibustion, One of the Pillars of Treatment in Chinese Medicine of Chiva-som International Health Resort

Holistic remedies help thousands of people worldwide to overcome problems ranging from more serious diseases to the common cold. Holistic Therapist Nitchara Yimsuk answers some frequently asked questions, and tips us off about a versatile treatment called moxibustion.
What does holistic mean?
In holistic treatments we look at the whole person - physical, emotional and spiritual - rather than just treating the symptoms of the problem. We consider a person's mind and body, diet and exercise, lifestyle and relationships, work and leisure, achievements and problems. Imbalances in any of these areas can contribute to illness.
Where do holistic treatments come from?
Holistic medicine is also known as alternative, integrative or complementary medicine, as it complements conventional practices. It may include, but is not limited to, the following disciplines: spiritual, religious, newly developed approaches to healing or pre-modern medical traditions. Chinese medicine, for instance, follows the holistic principle.
How do they work?
There are many approaches, from energy healing to the use of natural and plant products. The Taoist principles, on which Chinese medicine is based, stress the oneness of everything, the inseparability of solid matter and energy, the fact that there is a common source of all phenomena and experience.
What are some of Chiva-Som's most popular holistic treatments?
The Detox Retreat is popular. It includes the Cleansing Diet, Colonic Hydrotherapy, Chi Nei Tsang and Acupressure Reflexology. Also high on the list are Flower Essence, Homeopathy and Moxibustion.
What is Moxibustion?
It's a treatment from Traditional Chinese Medicine in which the herb Moxa Punk is burned on or above the skin at acupuncture points. Sometimes we use other herbs.
How does it work?
The heat warms the blood and the qi (the life force), which improves the flow within the energy channels of the body. Sometimes Moxibustion is recommended as a stand-alone treatment, at others it has a synergistic effect with acupuncture.
Why is it so effective?
The Moxa leaf is bitter and acrid and its nature is pure Yang. Depending on the amount used it produces a gentle warmth or a strong heat and expels cold and dampness.
What is Moxibustion recommended for?
It's varied. It may be used in the treatment of acute diseases, cold syndromes, diseases of the channel and exterior syndromes, or chronic syndromes and diseases of the viscera (the internal organs). It's frequently applied in treating arthralgia due to wind-cold-dampness. Also Yang collapse syndrome; Chronic Dysentery, Asthma, Phlegm Retention and Flaccidity Syndrome. It's also good for some external syndromes, such as carbuncles and the common cold. Additionally, it can work in general health maintenance and disease prevention.
We hear it's also useful in pregnancies?
Yes, Moxibustion has been used for centuries in China to turn breech babies. The theory behind this practice is that the heat travels up the bladder meridian, which is linked to the uterus. Additionally, it's useful in treating some Gynaecological Diseases - such as Dysmenorrhea, Prolapse of the uterus, and Leucorrhoea - and Infantile Diseases, including Enuresis and Diarrhoea. Moxibustion is very versatile.
What are the latest holistic treatments that Chiva-Som is offering?
Vacuum-Cupping Massage and the Emotional Freedom technique are both new, and also Maya Massage, which is part of the Detox Retreat offered in the Spa.
How can people find out more about these remedies?
They can consult the website (www.chivasom.com), where there's a list of holistic treatments and a brief description of each, or they can visit us here at Chiva-Som. All guests are welcome, and we are willing to make initial consultations for every individual who comes.
Our team of Naturopath Doctors and Practitioners work in a very secluded and peaceful environment.
Tuesday, December 9, 2008
Sunday, December 7, 2008
Saturday, November 29, 2008
Imbalance of Ecosystems and Its Effect on Public and Livestock Health
Imbalance of Ecosystems and Its effect on Public and Livestock health
Dr.Kedar Karki M.V.St. (Preventive veterinary Medicine)
Central Veterinary Laboratory Tripureshwor
The health of humans, like all living organisms, is dependent on an ecosystem that sustains life. Healthy ecosystems are the sine qua non for healthy organisms. Yet there is abundant evidence that many life-support systems are far from healthy, placing an increased burden on human health. In some areas of the world, gains in life expectancy and quality of life made during the twentieth century are at risk of being reversed in the twenty-first century. The consequences of ecosystem degradation to human health are numerous, and include health risks from unsafe drinking water, polluted air, climate change, emerging new diseases, and the resurgence of old diseases owing to ecological imbalances. Reversing this damage is possible in some cases, but not in others. Prevention of ecological damage is by far the most efficient strategy.
DEFINING ECOSYSTEMS
An ecological system may be defined as a community of plants and animals interacting with each other and their abiotic, or natural, environment. Typically, ecosystems are differentiated on the basis of dominant vegetation, topography, climate, or some other criteria. Boreal forests, for example, are characterized by the predominance of coniferous trees; prairies are characterized by the predominance of grasses; the Arctic tundra is determined partly by the harsh climatic zone. In most areas of the world, the human community is an important and often dominant component of the ecosystem. Ecosystems include not only natural areas (e.g., forests, lakes, marine coastal systems) but also human-constructed systems (e.g., urban ecosystems, agro-ecosystems, impoundments). Human populations are increasingly concentrated in urban ecosystems, and it is estimated that, by the year 2010, 50 percent of the world's population will be living in urban areas.
A landscape comprises a mosaic of ecosystems, including towns, rivers, lakes, agricultural systems, and so on. Precise boundaries between ecosystems are often difficult to establish. Often regions slide into one another gradually, over a protracted "transition" zone, as for example between the boreal forest and the Taiga regions of Canada.
ECOSYSTEM HEALTH
It is important to recognize the inherent difficulties in defining "health," whether at the level of the individual, population, or ecosystem. The concept of health is somewhat of an enigma, being easier to define in its absence (sickness) than in its presence. Perhaps partially for that reason, ecologists have resisted applying the notion of "health" to ecosystems. Yet, ecosystems can become dysfunctional, particularly under chronic stress from human activity.Example for this can be cited the discharge of nutrients from sewage, industrial waste, or agricultural runoff into lakes or rivers affects the normal functioning of the ecosystem, and can result in severe impairment. Excessive nutrient inputs from human activity was one of the major factors that severely compromised the health of the lower Laurentian Great Lakes (Lake Erie and Lake Ontario) and regions of the upper Great Lakes (Lake Michigan). Unfortunately, degraded ecosystems are becoming more the rule than the exception.
The study of the features of degraded systems, and comparisons with systems that have not been altered by human activity, makes it possible to identify the characteristics of healthy ecosystems. Healthy ecosystems may be characterized not only by the absence of signs of pathology, but also by signs of health, including measures of vigor (productivity), organization, and resilience.
Vigor can be assessed in terms of the metabolism (activity and productivity) of the system. Ecosystems differ greatly in their normal ranges of productivity. Estuaries are far more productive than open oceans, and marshes have higher productivity than deserts. Health is not evaluated by applying one standard to all systems. Organization can be assessed by the structure of the biotic community that forms an ecosystem and by the nature of the interactions between the species (both plants and animals). Invariably, healthy ecosystems have more diversity of biota than ecologically compromised systems. Resilience is the capacity of an ecosystem to maintain its structure and functions in the face of natural disturbances. Systems with a history of chronic stress are less likely to recover from normal perturbations such as drought than those systems that have been relatively less stressed.
Healthy ecosystems can also be characterized in economic, social, and human health terms. Healthy ecosystems support a certain level of economic activity. This is not to say that the ecosystem is necessarily self-sufficient, but rather that it supports economic productivity to enable the human community to meet reasonable needs. Inevitably, ecosystem degradation impinges on the long-term sustainability of the human economy that is associated with it, although in the short-term this may not be evident, as natural capital (e.g., soils, renewable resources) may be overexploited and temporarily enhance economic returns. Similarly, with respect to social well-being, healthy ecosystems provide a basis for and encourage community integration. Historically, for example, native Hawaiian groups managed their ecosystem through a well-developed social cohesiveness that provided a high degree of cooperation in fishing and farming activity.
Another reflection of ecosystem health lies directly in the public health domain. In spring 2000, a deadly strain of the bacterium E-coli (0157:H7) entered the public water supply in Walkerton, Ontario, Canada, causing seven deaths and making thousands sick. This small town, with a population of five thousand, is in a farming community. Inadequate manure management from cattle operations was the likely source of this tragedy.
HOW HEALTHY ECOSYSTEMS BECOME PATHOLOGICAL
Stress from human activity is a major factor in transforming healthy ecosystems to sick ecosystems. Chronic stress from human activity differs from natural disturbances. Natural disturbances (fires, floods, periodic insect infestations) are part of the dynamics of most ecosystems. These processes help to "reset" ecosystems by recycling nutrients and clearing space for recolonization by biota that may be better adapted to changing environments. Thus, natural perturbations help keep ecosystems healthy. In contrast, chronic and acute stress on ecosystems resulting from human activity (e.g., construction of large dams, release of nutrients and toxic substances into the air, water, and land) generally results in long-term ecological dysfunction.
Five major sources of human-induced (anthropogenic) stresses have been identified by D. J. Rapport and A. M. Friend (1979): physical restructuring, overharvesting, waste residuals, introduction of exotic species, and global change.
Physical Restructuring. Activities such as wetland drainage, removal of shoals in lakes, damming of rivers, and road construction fragment the landscape and alter and damage critical habitat. These activities also disrupt nutrient cycling, and cause the loss of biodiversity.
Overharvesting. Overexploitation is commonplace when it comes to harvesting of wildlife, fisheries, and forests. Over long periods of time, stocks of preferred species are reduced. For example, the giant redwoods that once thrived along the California coast now exist only in remnant patches because of overharvesting. When dominant species like the giant redwoods (arguably the world's tallest tree—one specimen was recorded at 110 meters tall with a circumference of 13.4 meters) are lost, the entire ecosystem becomes transformed. Overharvesting often results in reduced biodiversity of endemic species, while facilitating the invasion of opportunistic species.
Waste Residuals. Discharges from municipal, industrial, and agricultural sources into the air, water, and land have severely compromised many of the earth's ecosystems. The effects are particularly apparent in aquatic ecosystems. In some lakes that lack a natural buffering capacity, acid precipitation has eliminated most of the fish and other organisms. While the visual effect appears beneficial (water clarity goes up) the impact on ecosystem health is devastating. Systems that once contained a variety of organisms and were highly productive (biologically) become devoid of most lifeforms except for a few acid-tolerant bacteria and sediment-dwelling organisms.
Introduction of Exotic Species. The spread of exotics has become a problem in almost every ecosystem of the world. Transporting species from their native habitat to entirely new ecosystems can wreck havoc, as the new environments are often without natural checks and balances for the new species. In the Great Lakes Basin, the accidental introduction of two small pelagic fishes, the alewife and the rainbow smelt, combined with the simultaneous overharvesting of natural predators, such as the lake trout, led to a significant decline in native fish species. The introduction of the sea lamprey, an eel-like predacious fish that attacks larger fish, into Lake Erie and the upper Great Lakes further destabilized the native fish community. The sea lamprey contributed to the demise of the deepwater benthic fish community by preying on lake trout, whitefish, and burbot. This contributed to a shift in the fish community from one that had been dominated by large benthics to one dominated by small pelagics (fish found in the upper layers of the lake profile). This shift from bottom-dwelling fish (benthic) to surface-dwelling fish (pelagic) has now been partially reversed by yet another accidental introduction of an exotic: the zebra mussel. As the zebra mussel is a highly efficient filter of both phtyoplankton and zooplankton, its presence has reduced the available food in the surface waters for pelagic fish. However, while the benthic fish community has gained back its dominance, the preferred benthic fish species have not yet recovered owing to the degree of initial degradation. Overall, the increasing dominance by exotics not only altered the ecology, but also reduced significantly the commercial value of the fisheries.
Global Change. Rapid climate change (or climate warming) is an emerging potential global stress on all of the earth's ecosystems. In evolutionary time, there have of course been large fluctuations in climate. However, for the most part these fluctuations have occurred gradually over long periods of time. Rapid climate change is an entirely different matter. By altering both averages and extremes in precipitation, temperature, and storm events, and by destabilizing the El Niño Southern Oscillation (ENSO), which controls weather patterns over much of the southern Pacific region, many ecosystem processes can become significantly altered. Excessive periods of drought or unusually heavy rains and flooding will exceed the tolerance for many species, thus changing the biotic composition. Flooding and unusually high winds contribute to soil erosion, and at the same time add to nutrient load in rivers and coastal waters.
These anthropogenic stresses have compromised ecosystem function in most regions of the world, resulting in ecosystem distress syndrome (EDS). EDS is characterized by a group of signs, including abnormalities in nutrient cycling, productivity, species diversity and richness, biotic structure, disease prevalence, soil fertility, and so on. The consequences of these changes for human health are not inconsiderable. Impoverished biotic communities are natural harbors for pathogens that affect humans and other species.
ECOSYSTEM HEALTH AND HUMAN HEALTH
An important aspect of ecosystem degradation is the associated increased risk to human health. Traditionally, the concern has been with contaminants, particularly industrial chemicals that can have adverse impacts on human development, neurological functions, reproductive functions, and that appear to be causative agents in a variety of carcinomas. In addition to these serious environmental concerns (where the remedies are often technological, including engineering solutions to reduce the release of contaminants), there are a large number of other risks to human health stemming from ecological imbalance.
Ecosystem distress syndrome results in the loss of valued ecosystem services, including flood control, water quality, air quality, fish and wildlife diversity, and recreation. One of the major signs of EDS is increased disease incidence, both in humans and other species. Human population health should thus be viewed within an ecological context as an expression of the integrity and health of the life-supporting capacity of the environment.
Ecological imbalances triggered by global climate change and other causes are responsible for increased human health risks.
Climate Change and Vector-Borne Diseases. The global infectious disease burden is on the order of several hundred million cases per year. Many vector-borne diseases are climate sensitive. Malaria, dengue fever, hantavirus pulmonary syndrome, and various forms of viral encephalitis are all in this category. All these diseases are the result of arthropod-borne viruses (arboviruses) which are transmitted to humans as a result of bites from blood-sucking arthropods.
Global climate change—particularly as it impacts both temperatures and precipitation—is highly correlated with the prevalence of vector-borne diseases. For example, viruses carried by mosquitoes, ticks, and other blood-sucking arthropods generally have increased transmission rates with rising temperatures. St. Louis encephalitis (SLE) serves as an example. The mosquito Culex tarsalis carries this virus. The percentage of bites that results in transmission of SLE is dependent on temperature, with greater transmission at higher temperatures.
The temperature dependence of vector-borne diseases is also well illustrated with malaria. Malaria is endemic throughout the tropics, with a high prevalence in Africa, the Indian subcontinent, Southeast Asia, and parts of South and Central America and Mexico. Approximately 2.4 billion people live in areas of risk, with some 350 million new infections occurring annually, resulting in approximately 2 million deaths, predominantly in young children. Untreated malaria can become a life-long affliction—general symptoms include fever, headache, and malaise.
The climate sensitivity of malaria arises owing to the nature of the interactions of parasites, vectors, and hosts, all of which impact the ultimate transmission rates to humans. The gestation time required for the parasite to become fully developed within the mosquito host (a process termed sporogony) is from eight to thirty-five days. When temperatures are in the range of 20°C to 27°C, the gestation time is reduced. Rainfall and humidity also have an influence. Both drought and heavy rains tend to reduce the population of mosquitoes that serve as vectors for malaria. In drier regions of the tropics, low rainfall and humidity restricts the survival of mosquitoes. Severe flooding can result in scouring of rivers and destruction of the breeding habitats for the mosquito vector, while intermediate rainfall enhances vector production.
Ecological Imbalances. Cholera is a serious and potentially fatal disease that is caused by the bacterium Vibrio cholerae. While not nearly so prevalent as malaria, cases are nonetheless numerous. In 1993, there were 296,206 new cases of cholera reported in South America; 9,280 cases were reported in Mexico; 62,964 cases in Africa; and 64,599 cases in Asia. Most outbreaks in Asia, Africa, and South America have originated in coastal areas. Symptoms of cholera include explosive watery diarrhea, vomiting, and abdominal pain. The most recent pandemic of cholera involved more regions than at any previous time in the twentieth century. The disease remains endemic in India, Bangladesh, and Africa. Vibrio cholerae has also been found in the United States—in the Gulf Coast region of Texas, Louisiana, and Florida; the Chesapeake Bay area; and the California coast.
The increase in prevalence of V. cholerae has been strongly linked to degraded coastal marine environments. Nutrient-enriched warmer coastal waters, resulting from a combination of climate change and the use of fertilizers, provides an ideal environment for reproduction and dissemination of V. cholerae. Recent outbreaks of cholera in Bangladesh, for example, are closely correlated with higher sea surface temperatures. V. cholerae attach to the surface of both freshwater and marine copepods (crustaceans), as well as to roots and exposed surfaces of macrophytes (aquatic plants) such as the water hyacinth, the most abundant aquatic plant in Bangladesh. Nutrient enrichment and warmer temperatures give rise to algae blooms and an abundance of macrophytes. The algae blooms provide abundant food for copepods, and the increasing copepod and macrophyte populations provide V. cholerae with habitat. Subsequent dispersal of V. cholerae into estuaries and fresh water bodies allows contact with humans who use these waters for drinking and bathing. Global distribution of marine pathogens such as V. cholerae is further facilitated by ballast water discharged from vessels. Ballast water contains a virtual cocktail of pathogens, including V. cholerae.
Two other examples of how ecological imbalances lead to human health burdens concern the increased prevalence of Lyme disease and hantavirus pulmonary disease. Lyme disease, sonamed because it was first positively identified in Lyme, Connecticut, is a crippling arthritic-type disease that is transmitted by spirochete-infected Ixodes ticks (deer ticks). Ticks acquire the infection from rodents, and spend part of their life cycle on deer. Three factors have combined to increase the risk to humans of contracting Lyme disease, particularly in North America: (1) the elimination of natural deer predators, particularly wolves; (2) reforestation of abandoned farmland has created more favorable habitat for deer; and (3) the creation of suburban estates, which the deer find ideal habitat for browsing. The net result is a rising deer population, which increases the chances of humans coming into more contact with ticks.
By 1995, in the southwestern United States, hantavirus infection was confirmed in ninety-four persons in twenty states, with 48 percent mortality. Variants of the strain that causes hantavirus pulmonary syndrome have also been found in other areas of the country, as well as in Asia and Europe. The virus is apparently asymptomatic in rodents, and it is transmitted in their saliva and excreta. In humans it has a flu-like presentation, which is followed by acute respiratory distress syndrome. The primary reservoir in the Four Corners area of the southwestern United States is the deer mouse. Climatic disturbances, which in recent years are thought to be exacerbated by human activity (e.g., global warming), appear to set up conditions that trigger outbreaks. In the early 1990s, ENSO events initially caused drought conditions to develop in the southwestern United States. This led to a decline in plant and animal populations, including natural predators of the deer mouse. Heavy rains followed the drought in 1993, resulting in a bumper crop of piñon nuts, a major food supply for the deer mouse. Subsequently the deer mouse population greatly increased, bringing about increased contact with humans and triggering the outbreak of hantavirus.
Antibiotic Resistance and Agricultural Practice Antibiotic resistance is a growing threat to public health. Antibiotic resistant strains of Streptococcus pneumoniae, a common bacterial pathogen in humans and a leading cause of many infections, including chronic bronchitis, pneumonia, and meningitis, have greatly increased in prevalence since the mid-1970s. In some regions of the world, up to 70 percent of bacterial isolates taken from patients proved resistant to penicillin and other b-lactam antibiotics. The use of large quantities of antibiotics in agriculture and aquaculture appears to have been a key factor in the development of antibiotic resistance by pathogens in farm animals that subsequently may also infect humans. One of the most serious risks to human health from such practices is vancomycin-resistant enterococci. The use of avoparcin, an animal growth promoter, appears to have compromised the utility of vancomycin, the last antibiotic effective against multi-drug-resistant bacteria. In areas where avoparcin has been used, such as on farms in Denmark and Germany, vancomycin-resistant bacteria have been detected in meat sold in supermarkets. Avoparcin was subsequently banned by the European Union. Another example is the use of ofloxacin to protect chickens from infection and thereby enhance their growth. This drug is closely related to ciprofloxacin, one of the most widely used antibiotics in the year 2000. There have been cases of resistance to ciprofloxacin directly related to its veterinary use. In the United Kingdom, ciprofloxacin resistance developed in strains of campylobacter, a common cause of diarrhea. Multi-drug-resistant strains of salmonella have been traced to European egg production.
Food and Water Security. Agricultural practices are also responsible for a growing number of threats to public health. Some of these are related to inadequate waste management, which has resulted in parasites and bacteria entering water supplies. Others are of entirely different origins and involve apparent transfer across species of pathogens that affect both animals and humans. The most recent and spectacular example is mad cow disease, known as variant Creutzfeldt-Jakob disease in humans, a neuro-degenerative condition that, in humans, is ultimately fatal. The first case of Bovine Spongiform Encephalopathy (BSE), the animal form of the disease, was identified in Southern England in November 1981. By the fall of 2000, an outbreak had also occurred in France, and isolated cases appeared in Germany, Switzerland, and Spain. More than one hundred deaths in Europe were attributed to what has come to be commonly called mad cow disease.
Improper manure management was the likely source of the outbreak of E. coli 0157:H7 in Walkerton, Ontario, Canada. Other health risks associated with malfunctioning agroecosystems include periodic outbreaks of cryptosporidiosis, a parasitic disease that is spread by surface runoff contaminated by feces of infected cattle. This parasite causes fever and diarrhea in immunocompetent individuals and severe diarrhea and even death in immunocompromised individuals.
ECOSYSTEM RESTORATION
Ecosystem pathology in some cases can be reversed simply by removing the source of stress. In cases, for example, where ecosystem degradation is the result of point-source additions of nutrients or toxic chemicals, removal of these stresses may result in considerable recovery of ecosystem health. A classic case is Lake Washington (near Seattle, Washington). This lake had become highly anoxic (oxygen-depleted) owing to a sewage outfall entering the lake. Redirecting the sewage outfall away from the lake reversed many of the signs of pathology.
In cases where it is not feasible to remove the source of stress, more innovative engineering solutions have been tried. For example, in the Kyrönjoki and Lestijoki Rivers in western Finland, spring and fall runoff leads to sharp pulses of acidity. Spring runoff from snowmelt, which releases acid from tilled or dug soils, has been particularly damaging to fish, during the critical time of year for spawning. Fish reproduction is severely curtailed, if not all together eliminated in highly acidic water. Further there have been massive fish kills resulting from the highly acidic waters. One possible remedy is to replace the original drains which take runoff from the land to the rivers with new limed drains that can neutralize the acidity. This solution has been implemented on an experimental basis and appears to substantially reduce acidic runoff.
More radical treatments for damaged ecosystems involve "ecosystem surgery." In some cases, invading exotic vegetation (such as mangroves in Hawaii) have been removed from regions, and native vegetation has been replanted. In areas of North America where wetlands have been severely depleted owing to farming, urbanization, and industrial activity, efforts have been made to establish new wetlands.
More often than not, however, reversing ecosystem pathology is not possible. Efforts to restore the indigenous grasslands in the Jornada Experimental Range in the southwestern United States provide an example. Overgrazing by cattle has severely degraded the landscape and has lead to replacement of the native grasses by largely inedible shrubs, dominated by mesquite. Erosion by wind and episodic heavy rains have left areas between shrubs largely bare, and subsequently underlying sands have developed in dune-like fashion over a large part of the area. The resulting mesquite dunes have proven highly resistant to efforts to restore the native grasslands, although almost every intervention has been tried, including highly toxic defoliants (Agent Orange), fire, and bulldozing.
Even where it has been possible to restore some of the ecological functions of degraded ecosystems, and thus improve ecosystem health, the restoration seldom results in reestablishment of the pristine biotic community. The best that can be achieved in most cases is reestablishment of the key ecological functions that provide the required ecosystem services, such as the regulation of water, primary and secondary productivity, nutrient cycling, and pollination. In all such efforts, key indicators of ecosystem health (vigor, productivity, and resilience) are essential to monitor progress. Standard ecological indicators can be used for this purpose (e.g., measures of productivity, species composition, nutrient flows, soil fertility) along with socioeconomic and human health indicators.
Experience in efforts to restore highly damaged ecosystems suggests that ecosystem-health prevention is far more effective than restoration. For marine ecosystems, setting aside protective zones that afford a sanctuary for fish and wildlife has considerable promise. Many countries are adopting policies to establish such areas with the prospect that these healthy regions can serve as a reservoir for biota that have become depleted in the unprotected areas. Yet this remedy is not without its limits. Restoring ecosystem health is not simply a matter of replenishing lost or damaged biota. It is also a matter of reestablishing the complex interactions among ecosystem lifeforms. Having a ready source of healthy biota that could potentially recolonize damaged ecosystems is important, but it is only part of the solution.
PREVENTION OF ECOSYSTEM DISRUPTIONS
Given the difficulties in reversing ecosystem degradation, and the many associated human health risks that arise with the loss of ecosystem health, the most effective approach is simply the prevention of ecosystem disruption. However, like many common-sense approaches, this is easier said than done. In both developed and developing countries there is a strong inclination to continue economic growth, even at the cost of severe environmental damage. Apart from selfish motivations, the argument is made that economic growth has many obvious health benefits, such as providing more efficient means of distributing food supplies, providing more plentiful food, and providing better health services and funding for research to improve standards of living. These are indeed benefits of economic development, and have led to substantial increases in health status worldwide.
However, at the dawn of the twenty-first century, the past is not necessarily the best guide to the future. The human population is at an all-time high, and associated pressures of human activity have led to increasing degradation of the earth's ecosystems. As ultimately healthy ecosystems are essential for life of all biota, including humans, current global and regional trends are ominous. Under these circumstances, a tradeoff between immediate material gains and long-term sustainability of humans on the planet may be the only option. If so, the solution to sustaining human health and ecosystem health becomes one of devising a new politic that places sustaining life support systems as a precondition for betterment of the human condition.
BIBLIOGRAPHY
Aldhous, P. (2000). "Inquiry Blames Missed Warnings for Scale of Britain's BSE Crisis." Nature 408:3–5.
Baquero, R., and Blazquez, J. (1997). "Evolution of Antibiotic Resistance." Trends in Ecology and Evolution 12:482–487.
Bright, C. (1998). Life Out of Bounds: Bioinvasion in a Borderless World. New York: W. W. Norton.
Colwell, R. R. (1996). "Global Climate and Infectious Disease: The Cholera Paradigm." Science 274:2025–2031.
Colwell, R. R., and Patz, J. A. (1998). Climate, Infectious Disease and Health: An Interdisciplinary Perspective. Washington, DC: American Academy of Microbiology.
Epstein, P. R. (1995). "Emerging Diseases and Ecosystem Instability: New Threats to Public Health." American Journal of Public Health 85(2):168–172.
Huq, A., and Colwell, R. R. (1996). "Vibrios in the Marine and Estuarine Environment: Tracking Vibrio Cholerae." Ecosystem Health 2:198–214.
Mageau, M. T.; Costanza, R.; and Ulanowicz, R. E. (1995). "The Development and Initial Testing of a Quantitative Assessment of Ecosystem Health." Ecosystem Health 1:201–213.
Rapport, D. J. (1989). "What Constitutes Ecosystem Health?" Perspectives in Biology and Medicine 33:120–132.
Rapport, D. J., and Friend, A. M. (1979). Towards a Comprehensive Framework for Environmental Statistics: A Stress-Response Approach. Ottawa: Statistics Canada.
Rapport, D. J., and Regier, H. A. (1980). "An Ecological Approach to Environmental Information." Ambio 9:22–27.
—— (1995). "Disturbance and Stress Effects on Ecological Systems." In Complex Ecology: The Part-Whole Relation in Ecosystems, ed. B. C. Patten and S. E. Jorgensen. Englewood Cliffs, NJ: Prentice Hall.
Rapport, D. J.; Costanza, R.; and McMichael, A. J. (1998). "Assessing Ecosystem Health: Challenges at the Interface of Social, Natural, and Health Sciences." Trends in Ecology and Evolution 13(10):397–401.
Rapport, D. J.; Christensen, N.; Karr, J. R.; and Patil, G. P. (1998). "The Centrality of Ecosystem Health in Achieving Sustainability in the Twenty-First Century: Concepts and Approaches to Environmental Management." In Human Survivability in the Twenty-First Century, ed. D. M. Hayne. Toronto: University of Toronto Press.
Rapport, D. J.; Costanza, R.; Epstein, P. R.; Gaudet, R.; and Levins, R., eds. (1998). Ecosystem Health. Malden, MA: Blackwell Science.
Rapport, D. J., and Whitford, W. (1999). "How Ecosystems Respond to Stress: Common Properties of Arid and Aquatic Systems." Bio Science 49(3):193–203.
Rapport, D. J.; Regier, H. A.; and Hutchinson, T. C. (1985). "Ecosystem Behavior under Stress." American Naturalist 125:617–640.
Reeves, W. C.; Hardy, J. L.; Reisen, W. K.; and Milby, M. M. (1994). "The Potential Effect of Global Warming on Mosquito-Borne Arboviruses." Journal of Medical Entomology 31(3):323–332.
Ruiz, G. M.; Rawlings, T. K.; Dobbs, F. C.; Drake, L. A.; Mullady, T.; Huq, A.; and Colwell, R. R.. (2000). "Global Spread of Microorganisms by Ships." Nature 408:49–50.
Watson R. T.; Zinyowera, M. C.; and Moss, R. H., eds. (1996). Second Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK: Cambridge University Press.
Living Wills and Health Care Directives â What is Involved?
The following is an example of a Health Care Directive (many people still refer to this as a Living Will). It is broken down into 3 basic parts. 1) Appointment of the Health Care Agent. 2) Health Care Instructions. 3) Making the Document Legal. Like most legal documents, it can be a bit confusing and overwhelming. The purpose for making this easily available to the public is simple. To help people know what to expect before contacting a lawyer and having him or her draft a directive for them. Nobody likes thinking about their demise or incapacity. However, dealing with such issues is a necessary part of life.
This example should not be used as a substitute for getting solid legal advice from a licensed attorney. Every individual is different. Please consult a lawyer in your area to discuss your specific estate planning needs.
HEALTH CARE DIRECTIVE
I, ___________________________________, understand this document allows me to do One or both of the following:
PART I: Name another person (called the health care agent) to make health care decisions for me if I am unable to decide or speak for myself. My health care agent must make health care decisions for me based on the instructions I provide in this document (Part II), if any, the wishes I have made known to him or her, or must act in my best interest if I have not made my health care wishes known.
And/or
PART II: Give health care instructions to guide others making health care decisions for me. If I have named a health care agent, these instructions are to be used by the agent. These instructions may also be used by my health care providers, others assisting with my health care and my family, in the event I cannot make decisions for myself.
PART I: APPOINTMENT OF HEALTH CARE AGENT
This is who I want to make health care decisions for me if I am unable to decide or speak for myself (I know I can change my agent or alternate agent at any time and I know I do not have to appoint an agent or an alternate agent)
NOTE: If you appoint an agent, you should discuss this health care directive with your agent and give your agent a copy. If you do not wish to appoint an agent, you may leave Part I blank and go to Part II.
When I am unable to decide or speak for myself, I trust and appoint ___________________ to make health care decisions for me. This person is called my health care agent. Relationship of my health care agent to me: ___________________
Telephone number of my health care agent: _________________________
Address of my health care agent: _________________________
(OPTIONAL) APPOINTMENT OF ALTERNATE HEALTH CARE AGENT: If my health care agent is not reasonably available, I trust and appoint _________________ to be my health care agent instead. Relationship of my alternate health care agent to me: ___________________________Telephone number of my alternate health care agent: ___________________________ Address of my alternate health care agent: ___________________________
THIS IS WHAT I WANT MY HEALTH CARE AGENT TO BE ABLE TO
DO IF I AM UNABLE TO DECIDE OR SPEAK FOR MYSELF (I know I can change these choices)
My health care agent is automatically given the powers listed below in (A) through (D).
My health care agent must follow my health care instructions in this document or any other instructions I have given to my agent. If I have not given health care instructions, then my agent must act in my best interest. Whenever I am unable to decide or speak for myself, my health care agent has the power to:
(A) Make any health care decision for me. This includes the power to give, refuse, or
withdraw consent to any care, treatment, service, or procedures. This includes deciding whether to stop or not start health care that is keeping me or might keep me alive, and deciding about intrusive mental health treatment.
(B) Choose my health care providers.
(C) Choose where I live and receive care and support when those choices relate to my
health care needs.
(D) Review my medical records and have the same rights that I would have to give my
medical records to other people.
If I DO NOT want my health care agent to have a power listed above in (A) through (D) OR if I want to LIMIT any power in (A) through (D), I MUST say that here:
______________________________________________________________________
My health care agent is NOT automatically given the powers listed below in (1) and (2). If I WANT my agent to have any of the powers in (1) and (2), I must INITIAL the line in front of the power; then my agent WILL HAVE that power.
______ (1) To decide whether to donate any parts of my body, including organs, tissues, and eyes, when I die.
______ (2) To decide what will happen with my body when I die (burial, cremation).
If I want to say anything more about my health care agent's powers or limits on the powers, I can say it here: ________________________________________________________________________
PART II: HEALTH CARE INSTRUCTIONS
NOTE: Complete this Part II if you wish to give health care instructions. If you appointed an agent in Part I, completing this Part II is optional but would be very helpful to your agent. However, if you chose not to appoint an agent in Part I, you MUST complete some or all of this Part II if you wish to make a valid health care directive.
These are instructions for my health care when I am unable to decide or speak for myself.
These instructions must be followed (so long as they address my needs).
THESE ARE MY BELIEFS AND VALUES ABOUT MY HEALTH CARE
(I know I can change these choices or leave any of them blank)
I want you to know these things about me to help you make decisions about my health care:
My goals for my health care: ________________________________________________________________________________________________________________________________________________
My fears about my health care: ________________________________________________________________________________________________________________________________________________
My spiritual or religious beliefs and traditions: ________________________________________________________________________________________________________________________________________________
My beliefs about when life would be no longer worth living:
________________________________________________________________________________________________________________________________________________
My thoughts about how my medical condition might affect my family:
________________________________________________________________________________________________________________________________________________
THIS IS WHAT I WANT AND DO NOT WANT FOR MY HEALTH CARE
(I know I can change these choices or leave any of them blank) Many medical treatments may be used to try to improve my medical condition or to prolong my life. Examples include artificial breathing by a machine connected to a tube in the lungs, artificial feeding or fluids through tubes, attempts to start a stopped heart, surgeries, dialysis, antibiotics, and blood transfusions. Most medical treatments can be tried for a while and then stopped if they do not help. I have these views about my health care in these situations: (Note: You can discuss general feelings, specific treatments, or leave any of them blank)
If I had a reasonable chance of recovery, and were temporarily unable to decide or speak
for myself, I would want:
________________________________________________________________________________________________________________________________________________
If I were dying and unable to decide or speak for myself, I would want:
________________________________________________________________________________________________________________________________________________
If I were permanently unconscious and unable to decide or speak for myself, I would want:
________________________________________________________________________________________________________________________________________________
If I were completely dependent on others for my care and unable to decide or speak for
myself, I would want: .....
________________________________________________________________________________________________________________________________________________
In all circumstances, my doctors will try to keep me comfortable and reduce my pain. This is how I feel about pain relief if it would affect my alertness or if it could shorten my life:
________________________________________________________________________________________________________________________________________________
There are other things that I want or do not want for my health care, if possible:
Who I would like to be my doctor:
________________________________________________________________________________________________________________________________________________
Where I would like to live to receive health care:
________________________________________________________________________________________________________________________________________________
Where I would like to die and other wishes I have about dying:
________________________________________________________________________________________________________________________________________________
My wishes about donating parts of my body when I die:
________________________________________________________________________________________________________________________________________________
My wishes about what happens to my body when I die (cremation, burial):
________________________________________________________________________________________________________________________________________________
Any other things:
________________________________________________________________________________________________________________________________________________
PART III: MAKING THE DOCUMENT LEGAL
This document must be signed by me. It also must either be verified by a notary public
(Option 1) OR witnessed by two witnesses (Option 2). It must be dated when it is verified or witnessed.I am thinking clearly, I agree with everything that is written in this document, and I have made this document willingly.
___________________________________
My Signature
___________________________________
Date signed:
___________________________________
Date of birth:
___________________________________
Address:
If I cannot sign my name, I can ask someone to sign this document for me.
_____________________________________________________
Signature of the person who I asked to sign this document for me.
________________________________________________________
Printed name of the person who I asked to sign this document for me.
Option 1: Notary Public
In my presence on___________________________________ (date), __________________________________________ (name) acknowledged his/her
signature on this document or acknowledged that he/she authorized the person signing this document to sign on his/her behalf. I am not named as a health care agent or alternate health care agent in this document.
___________________________________________
(Signature of Notary)
(Notary Stamp)
Option 2: Two Witnesses
Two witnesses must sign. Only one of the two witnesses can be a health care provider or an employee of a health care provider giving direct care to me on the day I sign this document.
Witness One:
(i) In my presence on _______________________ (date), ________________ (name) acknowledged his/her signature on this document or acknowledged that he/she authorized the person signing this document to sign on his/her behalf.
(ii) I am at least 18 years of age.
(iii) I am not named as a health care agent or an alternate health care agent in this document.
(iv) If I am a health care provider or an employee of a health care provider giving direct
care to the person listed above in (A), I must initial this box: [ ]
I certify that the information in (i) through (iv) is true and correct.
______________________________________
(Signature of Witness One)
Address: ________________________________________________________________________________________________________________________________________________
Witness Two:
(i) In my presence on ________________________ (date), _________________ (name) acknowledged his/her signature on this document or acknowledged that he/she authorized the person signing this document to sign on his/her behalf.
(ii) I am at least 18 years of age.
(iii) I am not named as a health care agent or an alternate health care agent in this document.
(iv) If I am a health care provider or an employee of a health care provider giving direct
care to the person listed above in (A), I must initial this box: [ ]
I certify that the information in (i) through (iv) is true and correct.
________________________________________
(Signature of Witness Two)
Address:
________________________________________________________________________________________________________________________________________________
REMINDER: Keep this document with your personal papers in a safe place (not in a safe deposit box). Give signed copies to your doctors, family, close friends, health care agent, and alternate health care agent. Make sure your doctor is willing to follow your wishes. This document should be part of your medical record at your physician's office and at the hospital, home care agency, hospice, or nursing facility where you receive your care.
Some of this information was taken from Minnesota statute section 145C.16. This should not be considered legal advice, it is provided as a public service.
Thursday, November 27, 2008
Tuesday, November 25, 2008
Monday, November 24, 2008
Cheap Health Insurance Made Easy
Cheap health insurance has become the issue of the moment in South Carolina and across the country. More small businesses are increasingly unable to provide cheap health insurance plans to their employees because of the rising cost and the lack of federal and state legislation that would allow small businesses to purchase cheap medical insurance in pools. In the meantime South Carolina and other states are looking to cut the costs of the Medicare and Medicaid health insurance programs for the elderly and the poor. However, more affordable forms of health insurance plans are available as some private companies are experimenting with a new variation of cheap health insurance known as health discount plans. In the article that follows we'll explain the various aspects of cheap health insurance in South Carolina and how to find a plan that works for you.
Health Care Costs due to Managed Health Care
The current health care system in America is inaccessible to approximately 47 million poor and lower middle class people. In order to address the growing health care insurance crisis in the U.S. that resulted in health care cost growth in the 1970s and 1980s, health maintenance organizations (HMOs) sprung up. These were initially as non-profit groups designed to separate unnecessary tests and treatments from those that the patient required in an effort to keep costs down. Managed care organizations began screening requested procedures by physicians to pre-authorize what the HMO would or would not cover. However, the number of people who are the riskiest to insure-diabetics, cancer, etc.-continues to rise. Many South Carolina managed care industry experts say the cost of cheap health insurance is still high because of the existing pool of insured people who use the health care system more than an average amount.
The other battle that is ongoing in South Carolina involves the health insurance companies and hospitals, the latter which cannot turn anyone away from care by law. However, as the number of South Carolinians who cannot afford cheap health insurance increases, hospital emergency rooms are handling the majority of the load. More people have to turn to hospitals as their primary health care givers given a lack of adequate or non-existant health insurance coverage.
Cheap Health Insurance Plans Through the Workplace
Most cheap medical insurance policies in South Carolina are usually written through group coverage offered at work by your employer through a private South Carolina cheap health insurance company. This is usually the more cost effective way to purchase cheap health insurance now available since a large number of employees allows South Carolina companies to reduce their insurance premiums. Similar to buying in bulk, the more health insurance plans a business can purchase for its employees the less expensive the insurance is per employee. In South Carolina, like the rest of the nation, the number of companies that can provide cheap health insurance for their employees is declining.
Personal Health Insurance Plans
Health insurance plans can be purchased by individuals and families from virtually every insurance provider in South Carolina. Trying to purchase health insurance on an individual basis can be more expensive if the person already has a health problem, known as a pre-existing condition. Many companies will not cover people with pre-existing conditions if they have no continuation of coverage-renewing health insurance coverage after only a prescribed short period of time-picked up from an earlier cheap health insurance policy.
South Carolina Health Insurance Pool
The South Carolina Health Insurance Pool is a state health insurance plan designed to provide coverage for those that either do not have or have lost medical coverage at no fault of their own and are uninsurable. The pool was created by the General Assembly to help people who couldn't get health insurance coverage from any other source, including people with certain disabilities. Blue Cross and Blue Shield of South Carolina currently administers the pool.
Coverage is available to a person who has been a state resident for at least 30 days and meets the following criteria:
- They were turned down for private health insurance coverage for health reasons;
- They were accepted for private health insurance, but have pre-existing illnesses or conditions excluded from coverage, for a period exceeding 12 months;
- They are paying health insurance premiums for comparable coverage which are more than 150 percent of the premium levels charged by the pool;
- In certain situations, other individuals whose last health insurance coverage was an employer based group health plan may be eligible for coverage.
No matter what your age, there are also several federally sponsored programs to help you if can't afford the premiums for individual health insurance, providing you meet their eligibility guidelines.
- Medicare, a health insurance program for people age 65 or older, certain younger people with disabilities, and people with end-stage renal disease.
- Medicaid, a program for the poorest individuals and low-income families with children.
- The Children's Health Insurance Program (CHIP), a plan that provides health care to children whose parents make too much to qualify for Medicaid, but earn too little to afford individual health insurance.
Types of Cheap Health Insurance Coverage
Cheap health insurance plans generally fall into one of two categories: indemnity plans and managed care plans (HMOs, PPOs or POS plans). An indemnity plan allows you to choose your own doctors and pays for your medical expenses totally, in part, or up to a specified amount. Managed care plans generally provide broader coverage within a specified network of health-care providers.
Although you can purchase cheap health insurance plans that cover specific areas of health care (surgical, hospital, physician expense plans) most plans cover varying degrees of health care in a number of different areas. This health insurance coverage, known as major medical insurance, offers extremely broad coverage with a very high maximum benefit that's designed to protect you against losses from catastrophic illness or injury.
When comparing cheap medical insurance plans, check to see if they provide additional benefits that you may need, including prescription drugs, preventive care, mental health benefits, maternity care, and vision care. A comparison of various health insurance policies and rates through many South Carolina health insurance companies can be obtained at www.insurances.sc.
Cheap Health Insurance Recipient Costs
With most cheap health insurance policies available in South Carolina, the way to control cost is to cut down on the out-of-pocket expenses. Since most health care insurance policies require you to make a co-payment (the amount you pay a health care provider with every visit), anything involving a lot of time spent in the doctor or dentist's office can become expensive. Most also require a deductible (costs you must cover out of your pocket for any major expense before your cheap health insurance policy picks up the remaining costs). You may also have coinsurance, the percentage of cheap medical insurance cost you will still have to pay after you reach your deductibles.
Another thing to consider is COBRA health insurance. This law allows employees who leave a job the ability to stay on that South Carolina company's employee health insurance for up to 18 months although they have to pay the full amount of the coverage. Check the COBRA benefits to see if purchasing a less expensive individual health insurance plan may be in your best interest.
How to Buy Cheap Health Insurance
If you need to purchase individual health insurance, it can be expensive. Unlike group plans, in which the costs and risks associated with health care are spread among many people; individual health policies are "medically underwritten" to take into account your personal health history. Any "pre-existing" condition such as heart disease, diabetes, and even pregnancy, can nix your chances of acceptance or boost your premiums.
To determine the acceptability of a particular applicant, a health insurance underwriter can require information regarding the following:
- The individual's age: Age determines rates and whether coverage will be issued at all.
- The individual's gender: at younger ages, males have a lower rate of illness and injury than females. That changes by age sixty.
- The individual's health history and physical condition: Someone who has had a previous condition that can contribute to a future illness/injury is not considered an ideal risk. In response to a less than ideal medical history, modified coverage may be offered depending on the individual's health, higher than normal premiums may be issued, or the person may be denied coverage altogether.
- The individual's occupation and hobbies: Some occupations such as construction workers have higher insurance rates, along with people who enjoy dangerous activities such as skydiving or bungee jumping. At times certain occupations are considered so hazardous that insurance companies will not cover them at all.
Your first step in getting cheap health insurance coverage is to understand exactly what you need. Think carefully about what coverage you must have. Do you need health insurance for your whole family, or just yourself? Do you want to choose your providers? If you're over 65, do you need insurance to fill the gaps in Medicare? Do you need - and can you afford - long-term disability and/or long term care coverage? Even if you begin by soliciting cheap health insurance quotes you must still know exactly what you want in terms of health insurance coverage so you will be comparing apples to apples when weighing any cheap health insurance premium quote.
After that, contact a South Carolina insurance agent in your area. Ideally, you can start with an independent South Carolina insurance agent who is familiar with the insurance companies that do business in your area. This agent is also not bound to write coverage for any particular health insurance company so he or she can give you an honest appraisal of various health insurance policies.
When you've found the right coverage, you'll give information to your agent to complete the necessary forms. Be honest. It's important to disclose your medical history thoroughly and accurately. Report all of your health problems to your agent. If any of your health information is misstated or incomplete, the company might refuse to pay your claims and could cancel your policy.
Sunday, November 23, 2008
The Yoga Way to Health and Well Being
Yoga is not a recent practice. It is a practice which through time, has developed and increased in significance and appeal worldwide. The rationale behind the appeal is greatly to do with the physical and psychological benefits experienced when integrating yoga into one's daily schedule. Yoga can be viewed as a breath of fresh air in this fast paced lifestyle that we live in.
The word yoga comes from the Sanskrit language and means "to integrate". Yoga promotes a harmonious working together of the body's components leading to both physical and mental training. Despite the fact that there are numerous forms of yoga; Hatha Yoga is still presently seen as one of the more commonly practiced yoga styles. Hatha Yoga consists of non strenuous physical exercise which aids in strengthening, stretching and balancing the body's joints. Regular breathing is performed at the same time which aids in providing oxygen to the muscles, and in turn positively affects bodily structures and organs. The awareness required during yoga practice, ensures that mind and body have to work together to create a mind-body harmony which in turn promotes healing.
Yoga will not be a quick fix for all your aches, worries and pains. However, with regular yoga practice your body will rebalance slowly and steadily, leaving you discovering the results for yourself. Physical benefits which you can anticipate are improved efficiency of the lungs, better use of your respiratory muscles, improved flexibility of the joints, improved coordination and muscle tone, maintenance of bone density, reduced risk of injury as well as the prevention of weight gain. Psychological benefits can also include an increase in self-confidence, decreased cravings for tobacco and food, better sleep, an increased ability to relax, improved concentration as well as a reduced likelihood of depression. Yoga differentiates itself from other exercises as it draws on the entire person as a whole.
Half an hour of yoga a day, or 15 minutes of yoga twice a day, can easily be incorporated into any daily schedule. Some breathing techniques can even be practiced while working or driving home after a long day. A short routine for those of you spending hours staring at a computer screen is to take a few moments every day to glance at a distant object. This allows your eyes a moments rest from glare and a change of focus. Look left and right, up and down at least 5 times, blink at least 8 times to moisten your eyes and if it is at all possible, rest your elbows on a comfortable surface and close your eyes whilst covering them with the palm of your hands. If you can incorporate this with or without some breathing exercises, you will already be on the way to a healthier and possibly more focused lifestyle.
Baby steps everyone...no one expects you to transform overnight.
Find spas and more wellness related information at: http://healthspaguru.com
Thursday, November 20, 2008
Health Spas in South Africa â What Makes Them Unique?
Imagine a smoked ginger and crimson skyline towering down over a diverse natural landscape of wild flowers, untamed wildlife and restless waters. Imagine lying gazing at this distinct setting whilst enjoying the pampering and revitalization that goes along with South African traditional customs and massage techniques. A spa experience in South Africa has often been viewed as being one of the most unique and beautiful experiences that one can wish for. So what makes it so unique and what can one expect at a South African spa?
Spas in South Africa can be simple, uncomplicated and traditional as well as both sophisticated and chic. There is a little bit of everything for everyone. Spas are either set in safari or remote country settings or in classy city or beach hotels. However, it is not only the diverse settings which capture the attention of travelers worldwide, but the fusion of customs and traditions into the spa techniques and treatments. A number of South African spas utilize traditional oils and plant extracts in their treatment products and a great emphasis is placed on age old remedies and secrets.
A truly unique and not to be missed experience can also be found within the beautiful wine lands of South Africa. It is here where you can experience Vinotherapy, an innovative treatment originating in France that utilizes grapes and wine to assist in preventing or assisting in the effects of anti-ageing. The antioxidants as well as other properties of the grape are highly beneficial for the skin and for this reason the ingredients has been utilized in massages, full-body exfoliations and hydrotherapy treatments. With South Africa, boasting some of the best wines in the world, a day of wine tasting and Vinotherapy may just be the treat you have been waiting for.
A number of spas also provide you with a complete African experience. You can expect African dances, food and celebrations incorporated into your day or stay at some of the spa destinations in South Africa. The spa experience becomes one of the elements of your experience and allows you to experience both the African culture and the African therapist's skilled techniques and products. If you are staying over at the spa, you may even be able rest in a traditional yet elegant African hut. This is a wonderful option if you are looking for both serenity and for a place to reflect in an uninterrupted natural setting.
Those of you seeking more sophistication and modern elegance will also find yourself spoilt for choice at some of the many exclusive spa destinations and resorts. Gaze down at the city nightlife from your treatment suite or relax for a day in spas boasting top of the line facilities and therapists. These classy spas can be found both in the city and in the more remote areas of South Africa, so your selection would be based purely on personal choice.
Nonetheless, South Africa is a spa crazy country which promises to offer an array of spa destinations as well as unique experiences. If you wanting to truly experience African culture at its best, booking into a South African destination spa or resort and choosing between the many traditional and natural spa products could set you on the right path.
Find spas and more wellness related information at: http://healthspaguru.com
Saturday, November 15, 2008
American Health Care Academy Volunteers at St. Joseph's Residence
The American Health Care Academy believes that caretaking provides a purpose in life. Volunteers from the AHCA spent an afternoon at the senior care center at St. Joseph's Residence on October 17, 2008 to bring good will and companionships to the residents.
St. Joseph's Residence, www.stjr.org, is an assisted living facility in Dallas that has been operating for 50 years. Run by the Bethlemite Sisters of the Sacred Heart of Jesus They are one of America's best long term care providers and work with residents to provide assisted living for single men, women and married couples over the age 65. The Sisters pride themselves on giving a high quality of life that includes annual field trips, daily activities and programs and social gatherings in a beautiful park-like setting.
The staff of American Health Care Academy began a volunteer program as a way of giving back to the community. The residents at St. Joseph's started the afternoon with a rousing, hour long game of BINGO! Everyone loves to play and high participation kept everyone laughing and having a good time. Winners were given prizes which they treasured.
After BINGO, the staff set up a craft activity and assisted residents in preparing and decorating picture frames. The idea was to actively engage the seniors in helping to make a gift they could give to loved ones or family members. Many residents worked closely with American Health Care Academy volunteers to create special works of art to give as gifts to the sisters who run St. Joseph's Residence or keep and put pictures of their loved one in them. The Bethlemite Sisters of the Sacred Heart of Jesus were very appreciative of the thoughtfulness of the residents and of the participation of AHCA volunteers.
The American Health Care Academy offers nationally certified Online CPR classes. Online training allows flexibility and paced learning that many people respond well to. When the CPR certification class is complete, people have a stronger ability to respond to emergency situations.
American Health Care Academy at www.cpraedcourse.com help prepare people to respond during a crisis. CPR classes are specifically designed to deliver quality education and training through an online format that can be applied to work with adult, children, or infants.
Cleansing Your Body, and Regaining Your Health With Oxy-powder
OxyPowder is a gentle, powerful, and safe, all natural colon cleanser. It has successfully assisted over 2 million people regain their health. This is twice as successful as the Dr. Natura's Colonix. Since the product is safe, many continue to use it for years. It is very simple, and does not have to interrupt your day. There are no shakes or drinks to prepare, and you will not be glued to your toilet either.
How Is Oxy-Powder Different From Other Colon Cleansers?
Oxy-Powder along with all other products developed by Dr. Group are FDA approved and under Current Good Manufacturing Practices (cGMP). So, it is an environmentally friendly, 100% Kosher, Vegetarian Certified cleanser. This is particularly important for people who have specific vegetarian, religious, cultural, or dietary needs...
Ingredients
Oxy-Powder's ingredients have been thoroughly researched. They include:
Ozonated Magnesium: helps motivate your colon, while promoting healthy bowel function.
Organic Germanium 132: helps lower and stabalize your blood pressure and cholesterol.
Natural Citric Acid: helps assist in the cleansing process while metabolizing fats, carbohydrates, and proteins.
Organic Gum Acacia: helps relieve symptoms of diarrhea, lowers your cholesterol, curb your appetite, and reduces malabsorbtion.
Using Oxy-Powder
You will start, in the evening, by taking 4 capsules with an 8 oz. Glass of water. You should be having 3-5 bowel movements every day. If you are not, increase your dosage by 2 until you are having 3-5 bowel movements a day. Once you reach this point you, this will count as day 1. You simply continue taking the same dosage for 7 days. This is the 7-Day Oxygen Colon Cleanse...
What Benefits Will I See From Oxy-Powder?
Since, cleansing your digestive system can have positive affects on the rest of your body, you can see the following results:
- improved body odor
- improved appetite
- weight issues improved and regulated
- improved breath odor
- relieved back pain
- increased energy level
- elevated mood
- relieved constipation symptoms
- improved immune system
- reduced bloating
- maximized ability to absorb nutrients
- improved facial complexion
- detoxified body
Frequently Asked Questions
Is Oxy-Powder Safe?
Yes, Oxypowder is safe.
Is OxyPowder habit forming?
No!
Can I continue using OxyPowder every day?
Yes!
Does Oxy-Powder have side effects I need to know about?
You will notice watery gaseous stools. Be aware that this is not diarrhea. This is the result of Oxy-Powder liquifying the excess buildup of waste and toxins in your body. Colon cleansers also have die-off effects. This is a result of your body purging the toxins from your body. It is a perfectly natural response, similar to when you catch a fever or cold. Your body can get worse, before it gets better. If these die off effects are becomming problematic, you can simply reduce your dosage to make it more manageable.
Will I actually lose weight from using Oxy-Powder?
Yes, it is often observed that people loose weight from using Oxy-Powder. However this is not the intended purpose.
I feel perfectly healthy, and am in good shape. Is there any reason for me to take Oxy-Powder?
Many professional athletes have been using Oxy-Powder on a regular basis. Afterall, no one has a perfect digestive system.
What Specific Conditions Oxy-Powder Can Treat?
Irritable Bowel Syndrome (IBS), Hemorrhoids, & Candida
Wednesday, November 12, 2008
Effective Natural Health & Beauty Products
All we know well that herbal nutrients are required to support healthy metabolism and maintain functions of our body. Available data indicate that many more vitamins and vitamin-like nutrients are yet to be discovered in herbs today. That is why herbal medicines were used for thousand years to fight diseases and improve body functions. Herbal nutrients have been shown to help heal many maladies, improve general health and specific pathological conditions. Herbs can help fight disease and premature aging, maintain sustainable and enjoyable lifestyle.
Alternative health professionals is a NZ based online shop, offering you the largest range of natural health products, including vitamin supplements. We also offer natural beauty products, herbal medicines and remedies.
At Alternative health professionals you will find information on alternative treatments for mind body and soul within our articles section, and in our online store, you will find naturally good products from aromatherapy supplies to herbal balms and lanolin skincare.
Our all natural herbal supplements are obtained from the herbs proven to be the richest natural sources of specific essential nutrients and are provided in the formulation optimal for assimilation by the body. Herbal antioxidants and essential unsaturated oils are not produced by the body but are required for multiple body functions and promote immunity to keep away diseases.
The essential oils used in aromatherapy are extracted from many parts of the aromatic plant: leaves, stems, flowers, seeds, roots, barks, fruits and resins. The oils are a concentrated form of plant energy possessing the qualities of the particular plant, and are usually many times more potent than the comparable dried herbs.
Now a days mostly people face skin problem. All we have different kind of skin so the treatment must be different. We help you to get the best herbal treatment for your skin. When you start shedding the winter layers of clothing upon spring's arrival, you will possibly find your skin and scalp are dry and flaky, itchy and uncomfortable. Winter weather dries your skin out. You can bring skin back to a youthful glow by cleansing your body internally and exfoliating and moisturizing your skin.
Tuesday, November 11, 2008
Pa Health Insurance
Pennsylvania Uninsured Helping Pennsylvanians since 2005
Some states in the US require that all citizens of their state be covered for Health Insurance. Pennsylvania is one of the states that allows PA citizens to receive Free Health Insurance. There are 2 free health insurance programs CHIP for children and AdultBasic for adults. However a Pennsylvania resident must qualify first.
Do you Qualify for CHIP see income charts and apply now at EasyToInsureMe.com
Do you Qualify for AdutlBasic see income charts and apply now at EasyToInsureMe.com
SO, HOW DO I SIGN UP for CHIP?
You're ready to apply - great! Before you do, you will need the following information handy to apply:
- Income amounts for your entire household before taxes - this includes income from employment and all other forms of income (for example - social security, pension, workers compensation, unemployment, child support, etc)
- Social Security Numbers and birthdates for all applicants
- Day care expenses for your household (if any)
- Work transportation expenses for your household (if any)
- Private health insurance information (if you have or had private health insurance in the last six months)
- Car insurance card information (if you have car insurance)
SO, HOW DO I SIGN UP for AdultBasic?
Recognizing the need to provide quality healthcare coverage that is accessible and affordable to the Commonwealths uninsured adult population, adultBasic was launched in 2002 to cover the basic healthcare needs of Pennsylvanians age 19-64 who have no health insurance and who meet certain eligibility requirements.
We are proud to have already covered over 90,000 Pennsylvanians with adultBasic. You may be eligible to take advantage of the benefits that adultBasic has to offer. Find out if you qualify by accessing the links below. You'll be glad you did.
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- Current Enrollment 55,256
- What is adultBasic?
- Am I eligible for the program?
- What are the benefits?
- How do I apply for coverage?
- Is it true adultBasic has a waiting list? YES
- Where can I find additional resources?
Saturday, November 8, 2008
Health Benefits of the Chinese Green Tea Diet
Dating back more than 4,000 years, Chinese green tea diet has been long revered as a tasty drink that can ward off diseases and improve one's well-being. There are only a few herbs that can surpass its impressive history.
Since its first recorded use during the time of Emperor Shen Nung, the link between Chinese green tea diet and good health has never been severed. Today, further studies are made to test the benefits of the remarkable health elixir.
Traditional Health Benefits of the Diet
According to tradition, this diet could cure anything from headaches, body aches, and pains to constipation and depression. Over the centuries, more health claims are made on account of the Chinese green tea diet.
It detoxifies the body. The presence of polyphenols, a naturally occurring antioxidant in this particular tea, is said to combat harmful free radicals and help keep the body free from diseases. In this regard, Chinese green tea helps maintain the overall well-being of the body. It fights against the anti-aging process because the antioxidants can boost immunity, preserve young-looking skin, and brighten the eyes.
Additional health benefits of the green tea is it increases the blood flow throughout the body. Because it contains a little caffeine, ingesting this drink stimulates the heart and allows the blood to flow more freely through the blood vessels. For the same reason that tea stimulates blood flow, it also stimulates mental clarity.
For many years, men of science remained skeptical about the health claims made by Chinese green tea diet enthusiasts because the health benefits are truly vast in number. Their doubt was changed to a more positive reception when subsequent researchers proved its disease-preventing attributes and confirmed most of the health claims.
The Heart
Study after study has shown that drinking green tea and eating polyphenol-rich foods reduces the risk of any heart complications. It helps strengthen the blood vessels that provide oxygen and valuable nutrients to the heart and brain. It has also been researched that men who use the diet have a 75 percent less possibility of having a stroke than those who don't use the diet.
The green tea diet helps lower total cholesterol levels and improve the ratio between LDL cholesterol and HDL cholesterol. Study shows that men who drink nine or more cups of Chinese green tea daily have lower cholesterol levels than those who drink fewer than two cups. While nine cups may seem a lot, break it up through out the day and you'll realize it's not that difficult to drink that many cups. You could have one during and after each meal and during your breaks.
You really need to learn more. The Silent Killer Exposed uncovers and gives you the information you need to maintain a healthy blood system. Visit it here now.
Longevity
The role of the 'Chinese diet' in promoting longevity has been investigated upon by many researchers. They found the premise of their study on observing Japanese women who are greater-than-average green tea drinkers; have lower mortality rates compared to others. This led the researchers to believe that the diet has "a protective factor against premature death."
The polyphenols found in the diet may be held accountable. With its high amount of polyphenols, it seems to have a stimulating effect on the immune system. A stronger immune system as a result of drinking the green tea helps reduce risks of obtaining many illnesses.
If these health benefits of doing the Chinese green tea diet don't motivate you to start drinking this miracle in a cup, chances are you'll never become motivated to loose weight. So start today and drink up. The health benefits go well beyond weight loss!