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Good Health Doesn’t Come From Good Insurance

The CDC has put out an interactive map of heart disease and stroke so you can compare your state or even county with the rest of the country.  It offers data on mortality, hospitalizations and  even penetration of  generalist and subspecialist availability.

What I found interesting was the lack of definitive association between access to generalists or subspecialists and mortality.  While rural areas with a low penetration of physicians generally had a higher mortality than urban centers,  many urban centers with a high penetration of generalists and subspecialist also had a high mortality as well. One could presume that rural America has many factors separate and independent of health care that affects their mortality rate.  The same could be said for urban America. Read more »

*This blog post was originally published at The Happy Hospitalist*

Secrets to Weight Loss: The Body Doesn’t Lie

Now a couple weeks after Thankgiving, an important concept to remember is the following:

The body doesn’t lie.

We’ve all eaten a little too much. If we’ve done any exercise, then it is likely standing in line during Black Friday (or clicking the mouse on Cyber Monday). We should not be shocked about some weight gain. Although my patients find it hard to believe, the body doesn’t lie and are stunned that they continue to gain weight in subsequent office visits. It can’t be due to anything they are doing. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Being Healthy Means Living Healthy, Not Spending More

I opened a fortune cookie the other day, expecting it to say something relatively nonsensical or meaningless, only to have it read:

“Money is not everything. You can buy a doctor but not heath.”

This fortune tells the story of more people than most of us can count, including ourselves at times. All too often we fall into trap of thinking that the more we spend on health the healthier we will become. Not true. In fact, good health is a state of mind and need not cost more than time for exercise, time to give ourselves the R&R we need to nurture our souls, the price of food to eat for proper weight and overall good health, and the occasional co-pay for our primary care physician and needed prescriptions.

We can toss money at vitamins, pricey health clubs, personal trainers, diets, alternative health treatments, doctors, second opinions, medications, prescription and nonprescription, as many people do, but those things can’t get us healthy. More times than not, they only produce the facade of good health. Read more »

*This blog post was originally published at Dr Gwenn Is In*

You Can Save Our Healthcare System

What we need is health reform, not health insurance reform.  If we do nothing about health care inflation, we are all doomed.  Every last one of us.  Taking care of sick people is expensive. The only way to get rid of health care inflation is to stop spending money.  At some point we will either have to

  1. decrease illness
  2. decrease treatment and/or
  3. decrease the cost of treatment

There are no alternatives.  As an American which action plan would you rather see take hold?  Realize that every cost action has a reaction.  You can decrease disease by prevention.  You can decrease treatment by bundling.  And you can decrease the cost of treatment by making it more efficient or simply paying less until access becomes an issue.    I am certain that  keeping the financial stability of America will require all three.  But the only one you as a patient have control over is #1.  As a country, we can prevent 80% of diabetes, heart disease, stroke and cancer by taking care of ourselves with lifestyle modification. Read more »

*This blog post was originally published at A Happy Hospitalist*

Will Taxing Soft Drinks Solve The Obesity Problem?


This week’s New England Journal of Medicine contained a very, very interesting proposal put forth by a few prominent physicians and researchers working on the obesity crisis in America.

They propose that beverages loaded with sugar should be considered a public health hazard (much like cigarettes) and should be taxes. The proposal calls for an excise tax of “a penny an ounce” for beverages like sugar sweetened soft drinks that have added sugars. They cite research that links obesity to heart disease, diabetes, cancers, and other health problems. They say sugar sweetened beverages should be taxed in order to curb consumption and help pay for the increasing health care costs of obesity.

They estimate that the tax would generate about $14.9 billion in the first year alone and would increase prices of soft drinks by about 15-20%. That is big money, but at what cost?

My personal opinion is that while the tax would generate a lot of money that could be put to good use on anti-obesity programs, it is singling out one industry when obesity has numerous contributing factors. Calories Americans are getting from beverages have actually gone down in the past decade, but obesity rates still climb. Soft drinks alone are not making us fatter.

Americans need to pay closer attention to portion sizes and overall calories coming into their bodies from all sources. We know that Americans also eat too much fried food, candy, ice cream, etc. Should we tax everything that is “bad” for us? Absolutely not! And these foods are not “bad” when consumed in reasonable quantities in reasonable frequency.

We also need to learn how to move our bodies more to burn off some of the sweet treats that we love to indulge in. Weight loss is a simple equation that I don’t get tired of explaining again and again: Move more and eat less.

Taxing soft drinks will not decrease heart disease risk…exercising more and losing body fat by consuming less calories definitely will!

This post, Will Taxing Soft Drinks Solve The Obesity Problem?, was originally published on Healthine.com by Brian Westphal.

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