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Acupuncture CME Offered By Harvard Medical School

Some universities have more cachet than others. On the West Coast it’s Stanford that has the reputation as the best. Then there’s Oxford, Yale, and MIT. I would wager that in most people’s minds the creme de la creme is Harvard, where you find the best of the best. If Harvard is involved, a project gains an extra gobbet of credibility. Brigham and Women’s Hospital also has similar reputation in U.S. as one the hospitals associated with only Harvard and the New England Journal of Medicine (NEJM) — premier university, premier hospital, premier journal.

So if Harvard Medical School and Brigham and Women’s Hospital are offering continuing medical education (CME) for acupuncture, there must be something to it, right? A course called “Structural Acupuncture for Physicians” must have some validity. Read more »

*This blog post was originally published at Science-Based Medicine*

For Cancer Survivors, Yoga May Ease Sleeplessness And Fatigue

People who’ve been diagnosed cancer can be heartened by the results of a study that will be presented June 5 at the upcoming American Society of Clinical Oncology annual meeting. The researchers found that the practice of yoga helped cancer survivors improve sleep quality and reduce fatigue.

The lead researcher, Dr. Karen Mustian, professor of Radiation Oncology and Community and Preventive Medicine at the University of Rochester in New York,  followed 410 patients who had already completed treatment for cancer but who experienced sleep disturbance that required medication. Read more »

*This blog post was originally published at EverythingHealth*

Where Quackademic Medicine Is Taught

One advantage of having a blog is that I can sometimes tap into the knowledge of my readers to help me out.

As many readers know, a few of the SBM bloggers (myself included) will be appearing at the Northeast Conference on Science and Skepticism (NECSS) today (Saturday, April 17). Since the topic of our panel discussion is going to be the infiltration of quackademic medicine into medical academia, I thought that now would be a very good time for me to update my list of medical schools and academic medical centers in the U.S. and Canada that have embraced (or at least decided to tolerate) quackademic medicine in their midst. Read more »

*This blog post was originally published at Science-Based Medicine*

Unintended Consequences: Penalizing Insurers Kills Employer-Based Wellness Programs

I thought everyone knew the major goal of health care reform is to control spending.

Then why are Democratic leaders proposing changes that would outlaw some of the most successful cost-savings programs in the country?

Today’s The Hill reports on the new strategy to attack insurance companies as “villains.”  No doubt, health insurers have a bad reputation and have done plenty to earn it.  As the Hill reports, the message is going to be that the reform plan will lead to “capping what [insurers] can force you to pay in out-of-pocket expenses, co-pays and deductibles.”

But for at least half of Americans – those who work for large and mid-sized companies and their families – their “insurer” is actually their employer.  And many of these employers have been using out-of-pocket expenses, co-pays and deductibles to improve employee health, and reduce the cost of care.  They are creating strong wellness programs and creating financial rewards and penalties, all based on employee participation.

As I wrote in April:

Companies like Safeway, Wal-Mart, Michelin, General Mills, Marriott and so many others have implemented programs to create a “culture” of wellness among their employees and their families.  Leaders at these companies constantly talk about living healthy lifestyles, and are paying to make it happen.  At Michelin, employees get a cash reward for getting a biometric screening and for participating in company-sponsored health improvement programs.  It even started work-site exercise programs, including yoga (although it found that with a workforce that was 82% male it had to call its yoga classes “strengthening and conditioning”).

General Mills published wellness statistics about its different plants and found that the workers in each one competed with the others to get the best scores for BMI and other important health metrics.  Marriott found that by eliminating co-pays on drugs for certain chronic diseases, more employees followed doctors’ orders to take them, and although Mariott’s drug costs went up, overall health expenses went down.  Abbott Labs brings in motivational speakers and set up weigh-in kiosks in its offices that took pictures of employees as they got healthier so they could see the difference.  All of these companies reported on enthusiastic participation, and a sense among employees that their company cared about their well-being.

Safeway has taken this idea even further, and redesigned its entire benefits plan around this concept.  Employees who live unhealthy lifestyles and refuse to participate in wellness programs pay more for their health insurance — just like a bad driver pays more for  auto insurance.  Safeway did this in a highly positive and motivational way, making available a wide array of free services to help employees be more healthy and enjoy lower health premiums.  The results have been dramatic:  Steve Burd, Safeway’s CEO reported at the WHCC that Safeway’s health costs have been flat since 2005.

This Safeway model – creating both soft and hard incentives for employee health – is one of the fastest growing trends in plan design.  The idea is to give employees control over their own health care, including financial  responsibility.  When this happens, employees live healthier, look for value in their health care spending, and overall costs are lower.

And yet the statements from the Congressional leadership suggest they want to severely limit these kinds of innovations.

It may be good politics to demonize the insurers, but we should realize that “insurers” aren’t exactly who we think they are.   Health reform that stifles the innovation that’s working at America’s best companies is no reform at all.

*This blog post was originally published at See First Blog*

Water-Saving Toilet Requries Strong “Squat Muscles”

A team from Arizona State University decided to redesign the toilet, brazenly removing the seat and forcing the user to apply yoga techniques while flexing a variety of muscles. Perhaps the old fashioned among us, can choose to multitask on the commode with a bit of some light reading. No doubt some of our readers can do that, some yoga, and chew gum at the same time.

ASU reports:

The Flo toilet is an ergonomic, sustainable design concept for baby boomers that functions like a squat toilet. Designers maintain that using the Flo toilet is akin to yoga – by building and strengthening abdominal and back muscles. Only one-half to one gallon of water is used for flushing and The Flo reuses water from hand washing. To flush water from the tanks to the toilet, the Flo employs an electromagnetic ball valve. Go With the Flo also is free of mechanical parts. The toilet is fully self-sustaining and independent of electric power.

ASU press release:Industrial product design wastes away the competition …

(hat tip: Gizmodo via Core77)

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