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Despite the fact that today a sufficient number of thematic articles are published, there are still a lot of topics related to men’s health, which should be illuminated.
Today we would like to stay with the disease in the U.S. that affects about 35 million men. If a man is not able to fully realize his sexual function, receiving satisfaction from sex with a partner, we cannot say that such a man is healthy. In most cases, the cause of reducing men’s opportunities is an erectile dysfunction. It is estimated that about 152 million men worldwide suffer from erectile dysfunction. The prevalence of erectile dysfunction is directly linked to age-related changes. More than half of men over 55 years are exposed to disorder. In reality, there are millions of men suffering from erectile dysfunction, whose sexual relationship is not satisfying, but rather, seeking a solution to their problem.
Into compliance with accepted terminology, erectile dysfunction – is the inability of man to achieve erection needed to commit a sexual act, maintaining it and obtaining sexual gratification. Feelings that arise in such cases between partners can seriously affect the relationship.
Until recently it has been believed that these difficulties are mainly the result of psychological problems, but with the development of medicine it has been shown that in 80-90 percent of cases of erectile dysfunction, including its extreme form – impotence, frustration is due to physical problems, primarily laying in the lack of blood flow to the penis. So it became clear that erectile dysfunction can be cured at any age. In reality, human knowledge in this area are increasing day by day, and today more and more men seek help in solving their problems and return a normal sexual relationship.
In 1998, with the release of a new drug Viagra, the company Pfizer has given hope to millions of men suffering from erectile dysfunction. Office of the Food and Drug Administration approved the drug for the treatment of erectile dysfunction and from that moment the men said goodbye to painful operations, injections and therapy, having entered the era of the magic blue pill. Viagra is the most common and popular drug to combat erectile dysfunction. More than 5 million Americans have used this drug to improve their sex life. Viagra is relatively cheap and can easily be applied. Since its launch Viagra has become a magic cure, an international phenomenon. The reason for such popularity is obvious – Viagra is inexpensive, readily available and comes in tablet form.
Erectile dysfunction is usually the result of low blood pressure in the penis, which, in turn, may be the result from stress, poor living conditions, addiction to alcohol and drugs, aging, etc. Under the action of Viagra muscles of the penis relax that leads to improved blood flow to the penis and, consequently, to stronger erections and sexual satisfaction of both partners. Viagra is taken by mouth for about an hour before sexual intercourse. The effect usually lasts about four hours. The effect can be weakened by the drug intake at the same time with abundant fatty foods and alcohol that in other matters does not extend to chewing tablets of Viagra. Many scientific studies conducted in different countries have shown that Viagra is effective in virtually 100 percent of cases. Viagra helps regardless of how long dysfunction is continuing, regardless of the reasons which led to dysfunction, regardless of age. Viagra helps everyone.
Nevertheless, there are contraindications for receiving this wonderful product, so before taking the drug you should consult a doctor or at least read instructions carefully.
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Having paid off one high-profile litigant and facing protests by men's and fathers' rights organizations, British Airways has finally done what it should have been doing all along. It's established gender-neutral policies about who can sit next to unaccompanied minors on international flights. Better late than never, I suppose, but BA shareholders might be wondering why it took the geniuses in top management so long to figure out the obvious – that preventing men from sitting next to unaccompanied minors discriminates and stigmatizes men. Read about it here (Telegraph, 8/21/10).
It took a lawsuit by Luxembourg resident Mirko Fischer and a £2,900 payout to him to goad BA into changing its policy. That came after men's and fathers' rights protesters had long excoriated the company for its anti-male discrimination.
BA, which carried out a review of its policy following the case, now says “seating of unaccompanied minors is managed in a safe but non discriminatory manner”.
Mr Fischer, who lives in Luxembourg, said he was “absolutely delighted” by the policy change. He has donated his compensation money to Kidscape and Orphans in the Wild, two child protection charities.
Predictably, BA now characterizes its anti-male discrimination as a “service” it offered to children. Stated another way, it provided the “service” of holding men like Fischer up to public ridicule for no reason other than their sex. Nice.
Beyond that, it provided the “service” of creating a problem where there was none. Has anyone ever seen a case in which a man abused a child he was sitting next to on a commercial flight? I haven't, although I have seen one in which a woman is accused of doing so.
And beyond even that, BA provided the “service” of forcing unaccompanied minors to sit beside women, who by the way, do far more child abuse than do men. U.S. figures from the HHS Administration for Children and Families show that every year, mothers and other women do more than twice the abuse and neglect that fathers and other men do.
So, in addition to being discriminatory against men, BA's policy didn't make sense. If anything, it might have increased the danger to children flying BA.
BA's official statement on its change in policy is mostly incomprehensible, but it seems that it's going to start setting aside a section for unaccompanied minors and dropping its policy of discriminating against men in seating. Again, why they couldn't have figured that out long ago and without the assistance of a lawsuit, I'll never understand.
Apparently Qantas and Air New Zealand are the only airlines that still hew to the “all men are perverts and no women are” policy that BA has just abandoned. So the next time you have an opportunity to fly Qantas or Air New Zealand, don't.
Thanks to John for the heads-up.
This entry was posted
on Thursday, August 26th, 2010 at 5:58 am and is filed under Misandry.
Both comments and pings are currently closed.
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The federal government has released a state-by-state analysis of the more immediate benefits to citizens of this year’s federal health care reform bill. People from Colorado are expected to see stronger consumer protections and more access to health care providers.
The federal Government passed the Patient Protection and Affordable Care Act which contained numerous provisions to expand health care coverage for Americans that are designed to come into effect during a four-year period.
The Congressional Budget office explicitly suggested that that series of reforms would reduce the federal deficit by $143 billion in the next ten years.
The analysis stated, “(T)he Affordable Care Act invested $250 million this year in programs that will boost the supply of primary care providers in this country — by creating new residency slots in primary care and supporting training for nurses, nurse practitioners, and physicians assistants.”
The act is scheduled for October when it will start funding over a five-year period $1.5 billion to the National Health Service Corps to provide funds for health care providers as incentives.
Is a provision in the Affordable Care Act that
regulates health insurer profit margins a backdoor attempt to turn
health insurance into a public utility?
The PPACA’s rules governing medical loss ratios—which determine
what percentage of an insurance company’s operating budget can be
devoted to administrative costs and profit—were set at the
maximum threshold at which the Congressional Budget Office
would
decline to include the cost of private insurance premiums in
its cost estimates; crossing that threshold would have made the
bill far more expensive. Currently, the ratios are set at 80
percent for the small group market and 85 percent for the large
group market, meaning that insurers must make certain that either
80 or 85 percent of their budgets are spent on “clinical services.”
Those ratios are as high as they can be while still leaving
insurers some semblance of independence; if nationwide MLRs were
set even a single point higher,
according to the CBO, health insurance would constitute “an
essentially governmental program.”
In other words, in the CBO’s view, the new health care law
walked right up to the government-takeover line, but didn’t
technically cross it.
Now, however, a handful of Democratic committee chairmen, led by
Sen. Max Baucus, are pushing the department of Health and Human
Services to interpret the MLR provision in a way that makes it even
more onerous than what the bill’s language actually calls for.
As the American Action Forum’s Douglas Holtz-Eakin and Michael
Ramlet explain in
a piece for Kaiser Health News, “the new law says unambiguously
that the MLR is supposed to be calculated ‘excluding Federal and
State taxes and licensing or regulatory fees.’”
But
just because the law’s language is unambiguous doesn’t mean that
legislators won’t try to clarify it. Baucus and the other committee
chairmen have written to HHS director Kathleen Sebelius to say that
“federal taxes and fees in this context is meant to refer only to
federal taxes and fees that relate specifically to revenue derived
from the provision of health insurance coverage that were included
in the [health reform legislation].” What they don’t mention is
that including those federal taxes will make it substantially more
difficult to satisfy the requirement.
Of course, that seems to be exactly the idea; as
a piece in Politico noted this morning, in the
ongoing arguments over how regulators should define and enforce
the MLR rules, “top House and Senate chairmen want to include as
many items as possible on the administrative side of the ledger,
which would make the quota harder [for insurance companies] to
reach.” Not content with having written a law that the CBO views as
all but a takeover of the insurance industry, Baucus and his
colleagues are now attempting to expand the authority of insurance
regulators even further. With the PPACA, Congress walked right up
to the government-takeover line; will medical loss ratio
regulations let Max Baucus and his fellow Democratic chairmen stick
a toe over it?
Read Ronald Bailey's take on health insurance as a public
utility here.
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If your part-time or contractor position comes with a health insurance plan, follow this important career advice to make sure that it's just that– health insurance. Even though benefits agencies and employers may call the package health insurance, the reality is that this type of plan is actually something very different, and it won't save you a whole lot of money.
Like health insurance plans, health incentive packages offer financial coverage for illnesses, ER visits, and regular check-ups. While health insurance plans cover substantial costs, health incentive packages will reimburse very little.
Believe it or not, some health incentive plans are outright scams that are under investigation by the Federal Government. According to The Consumerist, health incentive companies are masking their plans as insurance through deceptive practices. One company, Health Care One LLC, even went so far to suggest that it was affiliated with the federal government. Another company called the Consumer Health Benefits Association promised savings of up to 85 percent when in reality, prescription drug prices were more expensive on the plan.
While all of these programs may not be outright scams, they certainly can be misleading, especially for employees who think that they are receiving true health insurance.
This dilemma leads us to the big question: whose problem is it? Is it the government's responsibility to enforce legal consequences? In fact, the answer to this question is yes, and the FTC is pursuing action. Is it the employer's problem? Absolutely. Even if a health incentive package isn't a scam, it should not be marketed as a health insurance benefits package. It should be marketed for exactly what it is– a medical discount plan with minimal value. Employers who are aware of this difference should make the distinction clear, and employers who are not sure about what's offered with their plans should make an effort to understand.
Above all, it's your responsibility as an employee and consumer to understand your benefits package. Don't be mislead by the term “health insurance,” especially if you are young and entering the working world for the first time. For recent graduates and people under the age of 26, you may not realize that you're eligible for Obama's extension of health care benefits because you may think that you're already covered. Be careful not to accept the term “health insurance” at face value, especially if you weighing different career planning options or job offers.
From the FTC, here is some advice to help you distinguish health insurance from health incentives:
1) Double check the list of providers that are included in the plan.
2)Pay attention to the fine print, focusing especially on the fine print
3)Calculate actual costs by weighing your enrollment fees with your savings potential. Be sure to factor all costs of prescriptions and medical office visits.
What do you think? Have you enrolled in a medical discount plan, thinking that it was health insurance? What career advice do you have for people in this position?
Photo Credit: a.drian
<p> Condition is the condition of the body when in the state of perfect health. Staying physically fit is essential to remain vigilant, not only physically, but mentally. This body will remove diseases that normally surface when the body ages. Fitness training programs agreed schedule one person in their daily routine duties involved. There are several reasons why the majority of people who have concerns about their health and fitness training go. Some people are driven by their goals, eg to gain strength, to lose body fat, lose weight, of a particular disease, or simply to be more fit to fight. <br /> <br /> Fitness training is aimed at the body stronger and fitter. Today there are several types of fitness programs that strength training, cardiovascular training, nutrition and weight control can include. All these kinds of fitness programs can be combined in a fitness program with a higher level of strength, healthy and balanced body weight. Actually there is no standard fitness training program for all people because everyone has different needs and potential. A custom-designed fitness training programs are best suited for anyone who wants to be fit. <br /> <br /> Fitness Training offers the benefits of an increased metabolism, flexibility, strength and muscle tone. It will also help reduce stress in the body. There are now designed sports fitness training programs for football success, swimming, golf, and others. There are also specially designed workout programs for children. <br /> <br /> A fitness trainer should be able to create a custom form of fitness training program design for each individual according to his needs. He is also in the gym training all essential aspects such as strength, aerobic and anaerobic endurance, flexibility, agility and speed. Today there are several fitness training centers that use advanced equipment to all types of people and their demands fitness. Most of these professional fitness training centers have specialists who are prepared to advise on the best form of fitness training program for anyone to offer. They provide customized nutrition plans, workout routines, personal fitness trainers, and expert advice to make the program successful fitness training for each individual. <br /> </ p>
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Primary care workforce delivery using estimates for 2010 emerging graduates across their careers:
US origin family medicine residency graduate – 25 Standard Primary Care years with 35 years at 85% active at 85% primary care at 100% of top volume
Caribbean US origin FM – 19 -22 SPC years (later entry, less retention)
Average graduate of Duluth medical school – 14 – 16 SPC years due to 45 – 50% family medicine
Non-Citizen International Graduate FM – 12 – 15 SPC years (late entry, some departure to other nations)
US origin pediatric graduate 12 SPC years (US average is just below 50% entering primary care now)
US origin internal medicine graduate – 5 SPC years due to 20% primary care retention for a career
Physician assistant graduate – 4 SPC years (33 yrs, 70% active, 70% volume, 25% primary care)
Nurse practitioner graduate – 3 SPC years (26 yrs, 65% active, 65% volume, 30% primary care)
Non-citizen internal medicine – 2 – 3 SPC years (28 yrs, 70% active in US workforce due to departure and inactivity, 80% volume, 20% primary care). The nation’s most exclusive medical schools also share this lowest level of primary care delivery per graduate.
Delays in entry to the US workforce, departures after graduation from primary care and from US workforce, lower volume, fewer years, and lower primary care percentages all reduce primary care delivery capacity. This is mainly common sense. All primary care sources are not alike, mainly because some are more likely to be hospital and specialty workforce sources.
Meanwhile the US elderly are doubling (2 to 3 times more primary care) and the US is increasing health care coverage, and has been dissolving continuity primary care (many posts), and pays too little for the cost of delivering primary care, and erects more barriers to efficient care, and continues to convert each primary care source steadily to hospital and specialty workforce. The 27,000 so-called primary care annual graduates a year only enter primary care at graduation less than 30% of the time. And more leave steadily in the years after graduation.
The US vision for health access is missing the one ingredient most needed and that ingredient takes the longest to restore – primary care workforce. Also the responsibility for sufficient primary care falls on the last two generations. About 50 years of effort is required to prepare basic health access workforce. The past two generations have failed the US for 2010 – 2030 primary care in designs for training, designs for support, and designs for distribution. And more family physicians will also not work even though this is the most efficient solution in primary care delivery per graduate, mainly because the US has to spend much more than 125 billion dollars a year to actually deliver the primary care needed. More graduates in primary care has only bounces more to hospital and specialty workforce. The US does not need more rearrangements, innovations, and reorganizations – it requires more primary care delivery.
Ditching Traditional Health Insurance for a Health Savings Account Plan
If you're fed up with your health care provider and think you could manage your medical bills better yourself, a health savings account might be a better option for you and your family.
WorkAwesome offers up the pros and cons of using a health savings account (HSA) plan instead of traditional health insurance. If you're not familiar, a HSA is a pre-tax account where you can save money from each paycheck to pay for a variety of qualified medical expenses. This doesn't just include visits to the doctor, but prescriptions, eyeglasses, and even over the counter medicine. Most people use an HSA for medical expenses that aren't covered by their health insurance plans, but with a maximum annual contribution of $6,150 (for people under 55), you also have the option to use your HSA as a personal insurance plan (that rolls over from year to year) when paired with a high deductible health plan.
The biggest disadvantage to a HSA plan is that you're starting off with a small amount of money. Paying out of pocket can be difficult if you're sick or injured when your HSA holds a low balance. Over time, however, you'll end up with a hefty sum to cover your medical expenses and—best of all—when you don't spend the money, you get to keep it. HSA options vary so you may not be able to roll your own health insurance this way, but check with your employer if you're not happy with your traditional coverage.
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The oil spill along the United States Gulf Coast poses health risks to volunteers, fishermen, clean-up workers and members of coastal communities, according to a new commentary by UCSF researchers who spent time in the region and are among the first to look into health problems caused by the oil spill. The good news, the authors say, is that one of the risk factors, coastal air quality, is improving now that the oil leak has been stopped.
The commentary will be published online August 16th and in the September 8, 2010 issue of the Journal of the American Medical Association.
The goal of the article is to inform physicians and coastal communities about the immediate and long-term health risks posed by toxic vapors, oil slicks, tar balls and contaminated seafood. The authors hope to encourage community members to protect themselves and seek treatment if symptoms from oil contamination occur.
“The oil spill in the Gulf of Mexico is well known as an ecological disaster, but what is less known is the risk to human health caused by oil contamination. We want to reach the volunteers, clean-up workers, fishermen, medical specialists and community members with practical information about the impact to their health from these chemicals. With correct information, we hope they can protect themselves and seek treatment if they don’t feel well,” said Gina Solomon, MD, MPH, senior author, director of UCSF’s Occupational and Environmental Medicine Residency and Fellowship Program and senior scientist with the Natural Resources Defense Council (NRDC) in San Francisco.
Air quality, skin irritation, mental health and seafood safety are the primary areas of short and long term health concerns, according to the authors. The article cites health information collected from previous oil spills in Alaska, Spain, Korea and Wales, which report an increase in health effects such as respiratory problems, DNA alterations, anxiety, depression, post-traumatic stress disorder, psychological stress and self-reported neurological impairment in workers and local residents.
In the early months of the Gulf oil spill, more than 300 individuals, most of whom were cleanup workers, sought medical attention for headaches, dizziness, nausea, chest pain, vomiting, cough and respiratory distress that might be consistent with chemical exposure, according to data collected by the Louisiana Department of Health and Hospitals.
“Louisiana is making an effort to track health complaints,” said Solomon. “But it is important to remember that these 300 reported cases are only from one state and only within a few months. The Gulf Coast is a large region with many coastal communities, and it is imperative that we do whatever we can to help everyone impacted by this disaster.”
The risk to air quality comes partly from volatile organic compounds that evaporate within hours after oil makes contact with water. These chemical compounds can cause respiratory irritation, headaches, and nausea. Other compounds released by the oil or by the chemicals used to disperse the oil include chemicals that can cause skin irritation, respiratory problems and damage to the central nervous system.
“Clinicians should be aware of and look for evidence of toxicity from exposures to oil and related chemicals,” study co-author Sarah Janssen, MD, PhD, MPH, assistant clinical professor at UCSF and senior scientist with the NRDC. “Symptomatic patients should be asked about occupation and location of residence, and the physical examination should focus on the skin, respiratory tract, and neurological system.”
To protect coastal community members from exposure to chemicals caused by the oil spill or its dispersants, the researchers advise the following measures:
- Workers may need protective equipment such as hats, gloves, boots, coveralls, safety goggles, and even respirators in some areas;
- Workers need to take breaks and drink ample fluids to prevent heat-related illness;
- Avoid skin contact with tar or oil on beaches, marshland or in the water;
- Do not fish in areas of known oil contamination or where there is visible oil;
- Do not eat seafood that smells oily or strange;
- If there is a strong smell of oil outside and it makes you feel ill, go inside and adjust the air conditioner to recirculate air;
- If you are feeling persistently ill, seek medical attention so your symptoms can be assessed and reported.
UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. For further information, visit www.ucsf.edu.
Every one of us humans innate biomedical factors that influence health functions, since every person has a different combination of characteristics from either one of there parents or ancestors they adapt to different types of psychological behaviors and nutrient needs. Therefore some of us are genetically suited for vegetarian-based diets and others are not. Some get satisfied with nutritional needs by diet alone and others require nutrition supplements to overcome genetic aberration. When genetics differ from body to body in the process of food then we can ponder that some of us have an overload of nutrients than the others. Some of us have very low levels of such nutrients causing at most times the RDA ( Recommended Daily Allowance ) to achieve not on a physical but also a mental health unbalance. Its also very important to understand that excessive amount of such nutrients can also result to serious health problems- namely such nutrients include copper, iron, folic acid,, calcium and many forms of fatty acids, this naturally differs from person to person but the presence of multiple vitamins and minerals can be harmful for some and act normal for some. The medical communities agree on tremendous influence of neurotransmitters on behavior of disorder. People can have a predisposition for there problems due to genetically aberrant level of neurotransmitters. Our mental health is dependant upon having the proper amounts nutrient intake or presence to be comprehensive of no critical brain malfunction. The brain works like a factory producing serotonin , dopamine and various such chemicals everyday, the only relief for our brain is the proper intake of nutrients such as vitamins and minerals. Improper amounts of nutrients can cause serious problems with our neurotransmitters. People with depression require basic amounts of vitamin B-6. This vitamin is the deplete nutrient we persist or have to synthesis our actual mental health trauma. There are other serotonin enhancing medications and other altering drugs but the true cause of mental difficulties so often remains uncorrected, therefore if a patient needs the support in basic mental conditions medical administrators improvise on vitamin B-6 with supporting nutrients to achieve simple health benefits of the body and mind. Hence nutrient therapy can be very potent chemistry that doesn’t involve side effects, since no molecules foreign are needed for body support. This therapy may eventually eliminate the need for most psychiatric medication and observation. Nutrients play a critical role in mental health, they are the building blocks of the nervous system, correct testing and understand of deficiencies, and overloads can pinpoint the causes of many sever mental symptoms, thus opening the door to hope and recovery.
About the author: Mehjabeen Poonawala – Ph.D. Research Scholar (Foods and Nutrition) The author is Content Editor ofhttp://www.eguruguide.com which is a health information portal. eguruguide.com offers quality information on topics like Nutrition, Diet, Obesity, Diabetes, Food habits, Blood pressure and weightloss.
To find other free health content see e-healtharticles.com
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The health insurance industry in Vietnam has seen significant increases recently. During the period between the 4th quarter in 2009 and June 2010, 5.5 million new customers were generated. In total over 50.2 million people in Vietnam now have some form of health insurance.
The significant growth in the insurance market in Vietnam comes at a time when healthcare insurance providers launch new insurance products across the sector to take advantage of the growing demand for health insurance in the expanding economy. Health insurance coverage in Vietnam has become a main objective for the Vietnamese government, with international insurance companies taking full advantage of the growing market.
The findings released in Hanoi in August 2010 on health insurance policies in Vietnam indicated that 8.27 million workers in Vietnam purchased healthcare insurance, with more than 15 million low income Vietnamese, 10.8 million students and pupils, 2.3 million voluntary people, 7.5 million children under six years old, and 6.3 million state budget beneficiaries also coming under some form of coverage. However, even with this acceleration in business, the mission remains to increase the access to health insurance to the less advantaged people in Vietnam; universal health insurance still remains a key focus for the government.
It was reported that in the first half of 2010, over VND 8.5 billion (US$ 44 million) from health insurance funds was spent on medical treatment for both residents and non-resident patients; a figure which indicates the potential for expanding healthcare cover in Vietnam.
According to the Association of Vietnamese Insurers, the general insurance market increased by 10.2% in 2009 compared to 2008, equating to 4.26 million new general insurance policies. The combined healthcare insurance and life insurance market totaled 11.86 trillion dong (US$ 575 million) – an increase of 14% year-on-year, reflecting a significant growth in income generated from premiums. The figures for the year ending 2010 are expected to display a further strengthening of the insurance market in Vietnam.
The Government of Vietnam introduced ‘The Law of Health Insurance’ in October 2009, to develop health insurance across the country, with the aim of benefiting all people in the country, and expanding the access to Vietnamese health insurance. However, the provision of healthcare facilities remains weak, with an overload of patients; the main issue affecting ‘The Law of Health Insurance’ is the monetary contributions that need to be made by policy holders, with the lower income Vietnamese struggling to meet the financial cost of seeking medical treatment.
Vietnam has a population exceeding 89 million people, with an expanding and prosperous economy. This is providing lucrative opportunities in the Vietnamese insurance market with the potential for further growth expected in the short/mid-term. During the 2008-2009 economic downturn, international insurance companies struggled for growth in their respective market segments. Prudential was the leading insurance provider in 2009 – generating 4.73 trillion dong (US$ 246 million), while Manulife, in the same period generated 1.26 trillion (US$62 million) from new policy premiums.
The forecast is for further growth in the Vietnamese insurance market with a number of established insurance companies entering the market in Vietnam. These companies recognize the opportunities in this expanding business sector in one of the faster growing and robust South-east Asian economies. With growth in the middle-class expected over the next decade and higher disposable income levels, the demand for better quality healthcare services will drive the provision for improvements hospitals and health insurance in Vietnam. In summary, the full potential for the insurance market in Vietnam still has significant room to develop, with competition between insurance providers fighting to gain market share.
Insurance Companies Mentioned:
Prudential Vietnam
Prudential Vietnam is one the leading insurance providers in Vietnam, offering services to
millions of Vietnamese people via the network of over 155 customer service centers, branch offices and general agency and business partner offices nationwide. Prudential Vietnam now takes the lead in the life market with over 40% market share in terms of premium income.
Manulife in Vietnam
Manulife Vietnam was the first 100 per cent foreign-owned life insurance company in Vietnam, being its operation in September 1999 as a joint-venture called Chinfon-Manulife Insurance Company (CMIC). Manulife in Vietnam has grown rapidly to become a world class company providing a competitive array of financial protection products and services to Vietnamese customers. Since commencing operations, Manulife has helped more than 300,000 middle to upper-income Vietnamese plan right for their life.
According to the Substance Abuse and Mental Health Services Administration, an estimated two-thirds of the young people who need mental health services aren’t getting them. The time is now for a career in child and adolescent mental health.
Mental Health Career Profile
Establish and maintain interpersonal relationships, discover private, and very often hidden, information, and then use that information to potentially save someone’s life. If you believe a meaningful career is about more than just a paycheck, mental health could your profession. With a growing population and the identification of new disorders, the field is ripe for growth and discovery.
Child and adolescent mental health services typically focus on a variety of mental, emotional, and substance abuse issues kids experience daily. This may mean working with patients as individuals or in group settings in order to find answers to developmental difficulties. Working environments may include hospitals, clinics, schools, as well as mental health facilities.
A Career at the Competitive Edge
Why mental services? In a word, diversity. One of the primary benefits of a career in this profession is that you’re typically not restricted to a predictable track. There are multi-level tiers that cater to a variety of interests and education levels. Many of the niches overlap, which can allow you to explore your preferences. A few of your options include:
• psychiatry occupational therapy
• clinical psychology
• psychiatric nursing
• social services
• psychotherapy
• language development
Flexibility is another key benefit. A surprising percentage of mental health professionals are self-employed, working within their own established practice or as a freelance consultant. Because mental health is such an in-demand profession, graduates may find that they can create their own schedules, deciding when and how much to work based on their own professional and personal obligations.
Mental Health in the Numbers
When most people think of mental health, the psychologist usually comes immediately to mind. And it can be a good place to start when looking at the growth potential in the field of child and adolescent mental health. The Bureau of Labor Statistics reports that psychologists alone held 166,000 positions in 2006. And employment of psychologists projected to increase by 15 percent through 2016–that’s faster than the national average. Also, psychologists working in elementary and secondary schools enjoyed one of the higher annual mean salary levels at $66,040.
To Follow This Career Path
While all professionals in the mental health field typically possess a bachelor’s degree in a pertinent subject, students wishing to be competitive for the top jobs should pursue a specialist’s or doctoral degree in psychiatry, psychology, or counseling. For example, if you have your sights set on serving in an educational setting, a specialist (EdS) degree in school psychology traditionally requires 3 years of full-time graduate study plus a 1-year full-time internship.
The requirements for potential psychologists are usually more stringent. Geri Fox, Director of Psychiatry Undergraduate Medical Education with the University of Illinois at Chicago, encourages board certification by completing two years of child and adolescent psychiatry training in addition to earning board certification in general psychiatry.
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Among the many victims of the levees that failed in New Orleans following Hurricane Katrina was Charity Hospital, a historic institution that played a critical role in caring for the city's large uninsured population.
In the wake of the floods, Louisiana State University chose not to reopen the hospital but instead build a more modern one. To compensate for Charity's loss, the federal government funded a network of some 90 neighborhood-based health clinics that provide care to the uninsured.
But the federal funding for the clinics could soon dry up — even though Charity's replacement has still not been built. That could spell disaster for a safety-net system that has served about 100,000 people since Katrina. And the loss would come at a time when the region's residents are facing new physical and mental health threats related to the BP oil-spill catastrophe.
A $100 million federal grant to Louisiana has supported the clinics in the four-parish Greater New Orleans area since 2007, but the money will run out on Sept. 30. The Primary Care Access and Stabilization Grant funded 25 public and private nonprofit organizations that provide services including primary health care, mental health counseling and substance abuse treatment in Orleans, Jefferson, Plaquemines and St. Bernard parishes.
A recent report from the federal Government Accountability Office raised the concern that “the primary care gains made in the greater New Orleans area may not be sustainable after PCASG funding ends.”
That would have major implications not only for the people who rely on the clinics, but for the positive changes that have come about in the way health care is delivered in the New Orleans area.
“One of our concerns pre-Katrina was care-seeking behavior, because for generations, people would go to hospital and rely on the emergency room,” Joseph Kimbrell, chief executive of the Louisiana Public Health Institute that administers the grant, recently told the medical journal The Lancet. “That paradigm has forever changed here and the influx of dollars made that possible.”
A survey released earlier this year found that in the New Orleans region more than 100,000 adults between the ages of 19 and 64 do not have health insurance. The region has one of the highest rates of uninsured adults at 22%, compared to 18% nationwide.
Before Katrina, many of the uninsured sought care at Charity's emergency room or its outpatient clinics. But as Kimbrell noted, the neighborhood health clinic network was successful in reducing reliance on costly emergency room care. It is also able to treat patients more holistically, Karen DeSalvo, a professor at Tulane's medical school, told the Lancet:
“The clinics have been thinking about how best to relate to their community,” said DeSalvo. “There's no point just prescribing insulin to a diabetic if that patient's landlord hasn't fixed the electricity because the insulin has to be kept cold. Or, instead of just telling a patient to eat more vegetables, they give them a list of farmers' markets in their neighborhood that also take food stamps.”
Louisiana has requested a federal waiver of Medicaid rules in order to allow Medicaid funds to be used for the clinics. Negotiations are underway for that waiver, which has the support of the New Orleans City Council, the state's congressional delegation and the New Orleans Business Council, among other groups. The state, LPHI and organizations that run the clinic are working to submit a formal request by Aug. 15.
In the meantime, one of the clinics affected — the New Orleans Musicians' Clinic, which has been serving the city's vibrant musical community since 1998 — is turning to the public for support. It's issued an urgent appeal in the form of a website and video asking people to contribute to keep the facility afloat.
“A lot of our musicians fall between a rock and a hard place,” New Orleans rhythm and blues icon Deacon John says in the video. “They're too young for Medicare and Social Security, they're not totally disabled, and they can't afford private health insurance.”
Watch that video here:
Business owners say they offer health care benefits to attract employees and retain workers. But providing health care to employees is the second highest cost for business owners behind payroll and many owners fear costs will only increase, according to a non-scientific survey taken by the Shoals Chamber of Commerce of 33 small local businesses.
“Small groups are too expensive for the coverage you get. There are a lot of benefits that companies like Blue Cross don't even offer unless you have 50 or more people,” Lorinda Snoddy, who runs a medical massage practice in Florence, wrote in her survey response.
“One example is massage therapy benefits. I have checked into coverage, but it was too expensive. Most of us have insurance through our spouse.”
Small businesses with 20 or fewer employees pay 18 percent more for health insurance than larger corporations for the same coverage, according to a 2009 report from the president's counsel of economic advisers.
The high costs mean some businesses simply cannot afford health care for their employees.
“Without market competition as it currently exists, small businesses can't squeeze health care benefits into their limited budgets,” said Elba Barnes, executive director of Westminster Interfaith Caring Place. “The result is that while we can hire the unemployed who have no income or benefits, we are vulnerable to losing them when they are recruited by larger employers who offer health care coverage as a benefit and/or higher wages.”
Small businesses locally and across the nation are adapting in many ways to heath care costs that in some cases inflate by 11 percent each year. For some, medical insurance costs doubled in the past decade.
Most who responded to the chamber survey agreed health care costs hit small businesses especially hard.
“Group coverage premiums continue to increase with reductions in benefits,” Randall Davis, of Tennessee Valley Animal Clinic in Tuscumbia, wrote in his survey response. “No options to shop for different coverage because only a few companies are allowed to offer coverage in state.”
In January, most Blue Cross Blue Shield plans will eliminate out-of-pocket maximums for hospital visits. Instead of capping off hospital bills at between $1,500 for individuals or $6,750 for families, hospital visits and procedures could balloon into crippling amounts for employees.
“There will still be a calendar year out-of-pocket maximum, but these two hospital co-pays (in-network inpatient hospital co-pay and in-network outpatient hospital co-pay) will not apply to this maximum; therefore, employees utilizing hospital services may experience more out-of-pocket costs,” Koko Mackin, vice president of Blue Cross and Blue Shield of Alabama, stated in an e-mail response.
Opinions about the federal health care overhaul differed among those surveyed from the Chamber of Commerce.
“Although it is too early to say, our initial thought is that anytime the government expands coverage to an additional 30 million individuals that otherwise could not afford health insurance or were excluded from coverage by an existing health insurer, it will increase our business overhead, and ultimately, those costs will impact the fees we must charge clients (thus, an inflationary impact to the economy),” stated Martin Abroms, owner of Abroms & Associates.
The Patient Protection and Affordable Care Act (PPACA) passed in March, but its effect on small businesses won't be felt for several years. Part of the reform package includes requiring states to establish “exchanges” — marketplaces for health coverage run by government or nonprofit organizations that give common rules for insurance prices and offer health plan choices.
Small Business Health Options Program (SHOP) exchanges will start in 2014 whereby businesses with fewer than 100 employees can obtain coverage for their employees. By 2017, businesses with more than 100 employees will be able to purchase health care coverage through exchanges, according to an analysis from the Kaiser Family Foundation, a nonprofit California think tank that focuses on health care issues.
By 2014, adults without health coverage will be fined $95 or 1 percent of income. Those penalties increase in 2016 to $695 per uninsured adult or 2.5 percent of income.
“From what I understand, a small business may come out better to dump the policies on the government and pay the fine,” wrote Tom Magazzu, editor of the Courier Journal. “I would be hesitant to do that simply because of all the unknowns regarding government-run health care.”
The Congressional Budget Office estimated in November that premiums for small groups would decrease by 1 to 4 percent under the
exchanges.
The U.S. Small Business Administration, a governmental agency, has embraced the regulatory reform. The U.S. Chamber of Commerce soundly rejected the reform.
Blue Cross Blue Shield of Alabama, the state's primary health care insurer, estimates health care costs will only increase with the federal reform.
“We are concerned that the coverage mandates and insurance reforms for 2010 and 2011 imposed by the federal health care reform laws will increase the cost of coverage for our small group customers,” Mackin stated in an e-mail.
The government reform hasn't been welcomed with open arms locally.
“I would expect it to only make matters worse. Just look what the fed has done with the postal service, Social Security, Fanny Mae and Freddie Mac,” wrote Rick Sharp, founder and president of Integrated Corporate Solutions that specializes in developing efficiencies for businesses.
The business community still has more than three years before the regulations take effect specifically for small businesses.
Trevor Stokes can be reached at 256-740-5728 or trevor.stokes@TimesDaily.com.
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