Saturday October 21, 2017

Obamacare: Lessons Indian healthcare can imbibe

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health-621353_640By Dr. J.K. Bhutani

The healthcare system of any country, be it US or India essentially has three key players, viz. Providers, Payers and the Public Health. The successive governments have had many successes inter playing these keys and such actions have led to many improvements in the US healthcare delivery systems. But much work still remains to be done. The private and public insurance reforms and other interventions apart, one in six Americans still does not have insurance cover and thus, cannot access the best health care.

The infant mortality, the life expectancy, other health parameters and quality of healthcare have improved over the years but the cost escalation has increased to disturbing levels too. The US health care costs are disturbingly high, so much so that the providers are sometimes labeled as ‘Working just for commerce and profits unlike the forefathers who worked for serving the humanity’.

From Harry Truman shortly after World War II, to Barack Obama now, many presidents have tried to reform the US healthcare system. The most laudable and controversial has been ‘The Patient Protection and Affordable Care Act of 2010’ or ACA, which has attempted to recognize and support the key role of Public Health in the healthcare system. The US Supreme Court recently upheld the nationwide availability of tax subsidies for the implementation of President Barack Obama’s signature healthcare law… Obamacare (Affordable Care Act – 2010).

Of the four components of any health delivery system (Patients, providers, payers, and public health), The Affordable Care Act attempts for more funding and key role of Public Health. The ACA shall reduce ‘out of pocket’ expenses and bring all preventative care under insurance… subsides by the Federal Government. All developing economies including India, need to learn and strengthen the Public Health institutions from the greedy corporates and their ‘Target-business’ models of health delivery for hospitals and service providers.

Other issues which need attention in US and India are –

1. The American health system with a provision of ‘cutting edge technology’, ‘micro-specialization’ and the ‘best evidence-based practice state of the art medicine’, is the role model for the whole world. The costs are more essentially because of the excessive reliance on the investigative ‘work up’ for fear of litigation. The bulk of the common diseases which have self-limiting course are also worked up unnecessarily.

The primary care strengthening should address this and some strategy can be evolved and legislated to keep common day-to-diseases out of the ambit of litigation. This single step can reduce the cost of nearly 80 percent of the diseases which have an insignificant or self-limiting course.

2. The onus of responsibility exclusively on the Federal Government though sounds responsible but is more of a populist measure for winning the elections in democratic set ups. The onus of the physical and mental health of the family and children should be the responsibility of the parents and the role of the governments should be to improve the social component of health like providing good civil conditions and good environment including water, housing etc.

3. The Insurance concept makes us all reckless with our health and should not be owned completely by the governments and should be shared by the people especially for the Metabolic disorders and Lifestyle diseases like Obesity, Hypertension, Diabetes, Trauma, Alcoholism, Drug Abuse, etc. for which the person himself should pay and Federal Government should only have affirmative role in such diseases. These should be out of ambit of Medicare or Medicaid and insurance subsidies….!

JK1

Dr J.K.Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self-healing powers of human organism.
You can follow him at https://twitter.com/drjkbhutani

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5 Reasons Why You Should Not Skip Breakfast!

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Breakfast
Breakfast is the most important meal of the day. Pexels

New Delhi, October 17, 2017: Breakfast is the most important meal of the day. Have you ever wondered why we call this meal ‘breakfast’?

After waking up you must treat your poor belly with some love as it’s been on a FAST for 6 to 8 hours. That is the reason why the first meal of the day is called ‘breakfast.’ You must break your fast with a healthy, nutritious, carbs filled diet. And there are many reasons for that.

Here are the top 5 reasons Why you should not skip breakfast

1. Weight Loss

You may be skipping your breakfast thinking you are consuming fewer calories. But what you don’t realize is that you are unknowingly setting yourself up for a disappointment.

Skipping brings your blood sugar level down, and that results in you having less energy and later, cravings for calories. To make up for your feebleness, you gobble up whatever appears in front of you without caring about its nutritious value. Thus, it is important for weight loss as it keeps you energetic and stops you from consuming more calories as the day progresses.

2. Breakfast Helps You Stay Focused

When you are running low on calories, your body has to work extra hard to sustain you. During this process, you will find it extremely difficult to focus on the task before you as your body will keep reminding you of the struggle it is going through. This is another reason for eating breakfast so that you can focus on the job at hand.

Studies have proven the importance of breakfast by showing how our memory and concentration levels increase after our first meal of the day.

3. A Full Stomach Means A Happy Day

Breakfast Muesli
A full stomach means an energetic start for a day. Pixabay

It is important that you start off your day with a smile on your face. Research suggests that consuming breakfast that is rich in carbs, proteins, whole grains can uplift your mood.

A healthy breakfast provides glucose to our brain after a long fast.  What happens is, our blood glucose levels increase after having a healthy breakfast, giving more energy to our body, which in turn results in a happy mood.

If you a have a child, a good breakfast is very important. Children who don’t have a healthy become jaded in school and tend to have shorter attention spans.

4. Helps Avoid Heart Disease

According to a study in the American Heart Association journal Circulation, heart disease has a slight association with breakfast. Men who admitted missing breakfast on a regular basis had a 27 percent higher chance of heart-related diseases than those who ate breakfast regularly.

It is quite clear how important is breakfast for our first meal of the day and there are multiple reasons for attending to it sincerely.

– prepared by Siddheshwar Sharma. Twitter: @MancSiddheshwar

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WHO Releases New Guidelines to Fight Global Childhood Obesity

India ranks second in the number of obese children in the world with China taking the first spot

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OBESITY
Obesity exposes an individual to multiple health problems. VOA

New Delhi, October 12, 2017:  In 2016, an Official data in had revealed that over 41 million children below the age of 5 were affected by obesity. Without due attention and efficient treatment, they are likely to remain obese throughout their lives, with an increased risk of developing a host of diseases and physical and psychological consequences like anxiety, low self-esteem, depression, diabetes, cardiovascular diseases and even premature death.

In view of an escalating number of people constantly coming under the ambush of obesity, and with childhood obesity becoming a cause of worry globally, the World Health Organization (WHO) released new guidelines on October 4, emphasizing the growing importance of healthcare experts and professionals, underlining their positive role in helping kids and teenagers fight the global menace.

What is Obesity?

Obesity is defined as ‘excess adipose tissue’. In other words, it is a body-weight disorder involving excessive body fat that exposes an individual to multiple health problems.  In case a person’s body-weight is nearly 20 per cent higher than it should be, he is considered obese.

obesity
Excessive body fat that exposes an individual to multiple health problems. Pixabay

There are different ways to calculate excess adipose tissue, the most common one being the Body Mass Index.

Index :

Overweight – BMI greater than or equal to 25

Obesity – BMI greater than or equal to 30

Global Data

According to data obtained by WHO, one half of all overweight children or obese children lived in Asia, and one-quarter of the total obese children lived in Africa.

According to a study published in The New England Journal of Medicine in June, India ranks second in the number of obese children in the world with China taking the first spot.

The global menace continues to rise rapidly in low and middle-income countries.

Also Read: Obesity leads to 13 types of Cancer, including that of Pancreas and Esophagus: Study

WHO Guidelines

The new report released by WHO on October 4 is titled ‘Assessing and Managing Children at Primary Healthcare Facilities to Prevent Overweight and Obesity in the Context of the Double Burden of Malnutrition’.

The report provides guidelines and updates for the Integrated Management of Childhood Illness (IMCI). The guidelines attempt to confine the spread of childhood obesity from expanding further, and prescribe undertaking proper assessment of dietary habits along with weight and height measurements. It also recommends dieting and proper counseling by healthcare experts.

Recommendations by WHO

  • WHO has recommended that primary healthcare facilities should be made available to all children below the age of 5 years and infants. These should include measurement of both weight and height of the children to determine their weight-for height and nutritional status as previously defined by WHO child growth standards.
  • For children and infants identified as overweight, healthcare experts should provide counseling to parents and caregivers on nutrition and physical activity, which includes creating awareness about healthy practices like exclusive breastfeeding in the first six months and continuing the practice until 2 years or more.
  • WHO also prescribes that an appropriate management plan should be devised to counter the menace in obese children. This can be developed by a trained health worker at primary healthcare facilities, or local hospitals.

Healthy Eating Tips to Fight Obesity

Here are a few healthy eating tips that will not only help you maintain a healthy weight but will also prove be be beneficial for your metabolism, physical strength and general well-being,

  • Refrain from unnecessary indulgences or random snacking and encourage healthy snacking choices like popcorns, yogurt, fruits, etc.
  • Reduce your sugar intake to less than 10 per cent of the total calories for an individual with normal weight.

obesity
Obese and binge eating junk food? Red Flag! Pixabay

  • Consume a gracious serving of seasonal vegetables and fruits everyday that are rich in soluble and insoluble fibres, antioxidants, vitamins and minerals.
  • Make healthy food selections- include whole grain products, avoid excessive use of oil and salt and refrain from processed or packaged food.
  • A balanced diet must be complimented with regular exercise to counter unnecessary weight gain

– prepared by Soha Kala of NewsGram. Twitter @SohaKala

 

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Get Ready for Winters with Petroleum Jelly, Get the Glow In The Festive Season

Know the magical benefits of Petroleum Jelly and adapt beauty hacks to look best this festive season from the Vaseline experts

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homemade face mask
Do you want glowing skin this festive season? We have got you covered. Pixabay

New Delhi, October 12, 2017 : With October comes an energizing and exciting series of festivals combined with colors, celebration and delicious food which bind everyone together. But amidst all this, we often forget taking good care of our body and skin. Not anymore!

Benefits of Petroleum Jelly
Apply Petroleum Jelly For Healthy Lips and Hairs. Pixabay.

To add to the already magical benefits of Petroleum Jelly, a Vaseline expert shares six beauty hacks to look best this festive season!

  • Smooth glossy hair: Use a little bit of Petroleum Jelly for your split ends and get sleek, glossy hair
  • DIY (Do It Yourself) Highlighter: Mix a little bit of face powder with Petroleum Jelly and dab it on your cheekbones to get that instant glow.
  • DIY Body Lotion: Mix a little of Vaseline with Sea Salt and apply it on your body after a bath. This will serve as a long-lasting lotion for your skin.
  • On the eyelids: Apply it for an instant glossy eye shadow look.
  • Eyebrow gel: A quick application of Petroleum Jelly can slick eyebrow hair back and keep them in place all day for a neat look that perfectly frames your face.
  • Soothe embroidery rashes: Apply Jelly on your skin to soothe embroidery rashes.

Lakme Beauty Expert, Donald Simrock also shares skincare hacks for bringing out your natural radiance this festive season.

Benefits of Petroleum Jelly
Get Warmness on the Hands and Feet of your Kid. Pixabay.

  • Rejuvenating and exfoliating your skin is of utmost importance. While you exfoliate your skin at least once a week, nourish it every morning to ensure you start your day with a fresh and nourished look.
  • Minimalism is all about keeping it simple while not making any compromises. Using a CC cream gives you a uniform complexion that makes your skin look flawless and has a matte finish.
  • Night time beauty regimes are a must: Cleansing your face before hitting the bed is the best way to allow your skin to breathe.
  • Having non-chapped, crack-free lips adds that extra glam to your festive look. Use one drop of the Overnight Oil in Serum to get a smooth finish before you apply a lip color. (IANS)