Healthy Tips

Life is very unpredictable. Today, you might be in good shape, but we do not know what will happen next. However, life can also be practical. The practicality of life is something that most people hold onto. Everyone is so concerned with their personal life, especially their health. One way of being practical is to be prepared for the life ahead concerning your health. The cost of health insurance is on the rise, and the most common kinds of health insurances are medical health insurances.

 

With the current costs of medical care, it is readily understood why medical health insurance is badly needed. These medical health insurances pay much of the total hospital bills, while the person insured pays only a little. Such a transaction is very beneficial. If we have incurred medical health insurance then we need not worry about any emergencies that may come at any time.

 

There are different types of medical health insurance available. Medicare and Medicaid are the most common. Though the two may sound similar they are actually quite different. Medicare is issued to senior citizens and the Medicaid program is offered to people with lower incomes. Both are sponsored by the government. There are also other insurances such as the Point of Service Health Insurance, the Preferred Provider Organization, and the Health Maintenance Organization, which offers similar services but differ in some points.

 

Though everything is practical, still we have to consider if it is practicable. Nowadays, the means of living is very tough. Inflation is getting growing. As the recent survey shows, the total health expenditures last 2007 were expected to rise to 6.9 percent, which is twice the inflation rate. This means that the total cost of health care is rising gradually.

 

To this point, a person may have to consider his financial status before engaging in such transactions.  A person has to be very careful and wise in making a decision about which medical health insurance will fit him best. If he has other bills to be paid off each month, consider which is more valuable, which is more important, and which is more efficient and conducive.

 

People say that the best things in life are free, but nowadays, nothing is given free of charge. Although, these medical health insurances helps you in various ways, still be reminded that they require money. As to what old folks may say, “no money, no honey.” Money really makes the world go round. If you do not have a stable job in which you can get enough to pay your bills every month, it would not be practicable to get any health insurance.

 

Practicality in life may seem easy, but practicability may not. Still it would be better to just take good care of yourself and live a life that is satisfying, free of extra bills. 

Colon cancer is one of the most diagnosed forms of cancer in the United States. Although colon cancer has the highest incidence in people with ages over 50, the disease can also be developed by young adults and even children. Despite the fact that it can occur in both sexes, colon cancer predominantly affects the male gender. In most cases, colon cancer is a life-threatening disease that requires immediate treatment.

According to the factors that lead to the development of colon cancer, there are two main types of the disease: hereditary colon cancer, which occurs due to genetically inherited physiological abnormalities of the large bowel; and acquired (sporadic) colon cancer, which occurs due to inappropriate diet and unhealthy lifestyle.

Oncologists claim that acquired colon cancers have an unpredictable pattern of progression, usually evolving latently. Unlike hereditary colon cancer, acquired colon cancer can be very difficult to diagnose. The presence of acquired colon cancer in patients is usually discovered long after the disease becomes serious, rendering medical treatments and therapies ineffective in overcoming it.

While most people with underlying hereditary predispositions to colon cancer can’t effectively prevent the occurrence of the disease, healthy people can avoid colon cancer by following a proper diet and by making lifestyle improvements. Research results indicate that the leading cause of acquired colon cancer among the American population is obesity, followed by physical inactivity and the excessive intake of red meat and other meat products that are rich in saturated fats. Doctors claim that by reducing the consumption of processed meat and by increasing the intake of fiber-rich foods, one would be able to decrease the chances of developing sporadic colon cancer or colorectal cancer by up to 50 percent. Doctors also inform that people who exercise regularly and maintain a normal body weight are very unlikely to develop colon cancer.

In order to minimize the risk of developing colon cancer, one should reduce the intake of saturated fats, proteins and simple carbohydrates (foods containing sugar), in favor of unsaturated fats, complex carbohydrates and fiber-rich foods (fresh fruits and vegetables). Doctors state that margarines, cooking oil and processed foods considerably add to the risks of colon cancer and thus they should be avoided from any diet.

To completely eliminate meat products from one’s diet can be very frustrating. However, this is rarely necessary. In small amounts, properly cooked meat products don’t increase the chances of developing colon cancer. A healthy diet can include low-fat meats, as long as they are prepared through other methods rather than frying. Instead of frying the meat, consider broiling, grilling, steaming or roasting it. This way, you will be able to eliminate unhealthy fat, the substance that greatly contributes to the development of colon cancer.

For more resource on different colon cancer subjects please click this link http://www.colon-cancer-center.com. You can also find valuable information about stage3 colon cancer or even about colon cancer diet

Five Critical Criteria used to compare California carriers.

1. Health Plan pricing in the market. Ultimately, benefits need to be priced well relative to other similar plans on the market. Also, the plans have to make sense financially in today’s world of ever-increasing cost. Some large multi-line carriers like Principle offer extremely rich benefits that have completely priced themselves out of the market. There’s a “sweet spot” where plan design meets the consumer’s budget and that has to be a given when choosing a plan. Interestingly enough, this pricing value is driven by a carriers ability to do well in the following other areas so let’s take a look at them. More information on the major carriers in the California market.

2. Extensive provider network for HMO and PPO. A carrier needs to have as many doctors and hospital in all major areas participate in their HMO and PPO networks. The more the better. This is especially true for PPO plans which is the direction the market is ultimately heading as costs escalate. This is primarily a function of how many subscribers the carrier can bring to the bargaining table with medical and hospital groups. If a carrier covers a significant number of people in a given area, the doctors and hospitals of that area need to contract with the carrier. Also, the carrier can negotiate rates better which is essentially the foundation for PPO plans. PPO’s are big group discounts essentially. Here, bigger is better. You can find more information on how the California health networks work.

3. Flexibility and Scope of plan design. The carrier must also offer a full range of plan options: both rich and value HMO options; a full range of PPO plans from rich copay plans to hybrid lower priced plans; Health Savings Account or HSA compatible plans and strictly catastrophic lower-priced plans. No one’s needs are the same. The carrier should be able to provide for both sides of the spectrum. A key direction in the market today is towards the segmentation of maternity and non-maternity benefit plans on the Individual/Family market. This is a critical consideration or any enrollee who may need maternity coverage in the future. Health Net currently only has one plan with maternity benefits in their PPO portfolio. On the group side, it has been more a move towards higher deductibles and in some instances, generic drug coverage only. The Generic only benefit is more and more prevalent on the Individual/Family side. We feel strongly at http://CalHealth.netthat Brand name prescription is important as more exotic medical conditions can require new drugs that run 10’s of thousands of dollars.

4. Ease of Use. One more time… EASE OF USE. The carrier has to be easy to deal with. This is critical for the day-to-day management of your policy (which we help with) and more importantly, the claims-processing side. Technology is increasingly figuring here. Which carriers have made the investment in the Information systems to facilitate both the membership and claims side. We deal with all the carriers day-in and day-out… common sense and practicality are essential in the carrier you choose.

5. Pricing Stability. Over the past decade, California health insurance costs have increased significantly. Barring major changes, it will likely continue as Americans use more and more health care. The ability to mitigate this increase is primarily a function of a carrier’s management of the above four items. Are they designing and pricing correctly for the market to encourage future rate stability? Can they negotiate well with the medical groups and large hospital chains in the California health market? Do they offer options for carriers to reduce benefits (and cost) and still feel well protected? Have they invested in making their business effective from and IT perspective? These are all important questions that directly your future rates and results as a function of the health carrier’s management.

California health insurance Carrier by Carrier listing in descending order based on our experience

Blue Cross of California

Blue Cross is owned by Wellpoint, which is probably the dominant carrier nationwide in terms of stability and progressive plan design. They are known as Anthem Blue Cross Blue Shield or Unicare in most other States. They have been the ones to beat in the California health market.

1. Plan Pricing – they are consistently priced in the top 1-2 for comparable plans.

2. Network – For PPO plans, they probably the most extensive network with providers in all counties. Over 70K providers and 400 hospitals State-wide plus access to the Blue Card network for family members or employees in other States.

3. Flexibility – On the Small Group side, they started the Employee Elect program which is still the most flexible and easiest to use. They even apply choice to the dental plans as well. They have 4 HMO plans, 5 HSA plans, and 12 PPO plans plus a suite called BeneFit for low cost plans. On the individual side, they consistently bring out new plans from the Right Plan 40 no-deductible PPO plan to the new Tonik health plan suite that the other carriers invariably try to copy 6-12 months later.

4. Ease of Use – They are easiest carrier to do business with. They tend to be the most flexible when dealing with issues and the issues tend to be less frequent than with other carriers. They are ahead of the curve (and have been) with technology both in terms of their internal processes and interaction with groups. New online control panels allow employee additions, terminations, changes and more on the Group side. They can be strict in underwriting (company requirements) and benefit management is definitely there but both of these attributes work ultimately to keep cost down which is the biggest issue (hence #1) in the market now. They the first to unveil an online application and online account management and visibility. Tonik enrollment is completely handled online.

5. Pricing Stability – Their increases as a percentage tend to be in the lower quadrant of the market…primarily due to their work on the above four items.

Blue Shield of California

Blue Shield of California a strong carrier in California and also participates in the Blue Card network for out-of-State employees and family members. It is one of the few non-profits. Cross and Shield are two separate, completely independent carriers at the Small Group (2-50 employees) and Individual/Family level. If PPO is your preferred option, they are a good comparison for Cross and Health Net.

1. Plan Pricing – they are consistently priced in the top 1-3 for comparable plans.

2. Network – For PPO plans, they probably rival Blue Cross with providers in all counties. They probably do not negotiate as well as Blue Cross but may have a better reception from doctors/hospitals because of it. This also affects their pricing going forward. They do allow access to the Blue Card network for employees or dependents in other States. Their HMO is comparable to Cross but neither is thought to be the strongest carrier for HMO plans.

3. Flexibility – They allow selections from the different classes of plans (HMO, PPO, and HSA). They have a full range of plans with one of the last no-deductible PPO Small Group plans on the market. They have 7 HMO plans, 4 HSA plans, and 13 PPO plans on the Small Group side and an equivalent suite of plans on the individual side.

4. Ease of Use – Their Group underwriting is slightly more flexible than Cross but their claims and membership side is not as advanced…especially in terms of technology. Our sources say that they are undertaking a pretty significant IT project to integrate their systems and have been working to bring Small Group resources to the web (behind Cross). On the individual side, they have an online application and online tracking but their underwiting tends to be more involved.

5. Pricing Stability – Their increases as a percentage tend to be in the lower to mid quadrant of the market depending on the class of plan (HSA versus PPO for example). They will need to continue modernizing in order to keep this trend going forward.

Health Net of California

Health Net of California was originally Blue Cross’ HMO many years ago. Traditionally, they were a strong HMO carrier but they have aggressively moved into the PPO market as the future of HMO’s and its cost structure dimmed. They tend to copy Cross’ moves in the market so at least they are smart enough to the follow the leader. If a company’s main focus is HMO and they do not have employees out of State, Health Net is definitely to be considered. On the individual/family side, they are a solid carrier but need more of a PPO track record.

1. Plan Pricing – Health Net tends to copy Cross’ offerings and then under-price the market. In the short-term, this is fine for your company. Long term, the rates always increase and/or change. The only issue is if the increase occurs mid-year and employees have already met deductibles/max-out-of-pockets…making a carrier change difficult. This is true on the Individual/Family side and Small Group.

2. Network – Health Net has a strong HMO network as that has been their bread and butter long before the PPO came along for them. The PPO network should be well represented throughout the State although it’s range probably does not match Cross or Shields, whose experience in the PPO market goes back decades.

3. Flexibility – Health Net copied Cross beneficially in that they copied the nature of Employee Elect where you can offer multiple plans to their employees. They have a full range of plans with 16 HMO’s, 4 HSA’s, and 8 PPO’s. You can see their HMO background from the plan options. On the individual side, they only have one maternity PPO plan but offer a wider range of HMO plans. Their HSA’s are comparable but probably under-priced.

4. Ease of Use – Health Net tends to be pretty reasonable both in terms of enrollment (underwriting) and membership. They are behind Cross and Shield in terms of online capabilities and systems. On the individual side, they tend to be more strict with underwriting and if an applicant’s health is not clean, they have declined a high percentage of apps. Cross and Shield appear to be more pragmatic in terms of actually looking at a person’s health history and making a decision.

5. Pricing Stability – Pricing stability has been a weaker area for Health Net especially on the PPO front. For HMO, they have a good grasp of the market and the model. PPO has been a bit more elusive with more requent and significant changes with their plans. This is to be expected as PPO requires a good 5-7 years of claims experience to truly wrap your head around the model actuarially speaking.

We have listed Blue Cross of California, Blue Shield of California, and Health Net of California separately as they really are the strongest California health insurance carriers that offer both PPO and HMO options. Kaiser is a major carrier but primarily acts as an HMO. There are many other options on the market, but from our experience, they usually are not advisable against one of the above mentioned four.

Many people don’t even realize that they are paying too much for health insurance in Texas. If you are one of these people you might want to consider searching online for some different health insurance prices to see if you could be saving money.

There are several things you can do to save money on your health insurance in Texas:

Scale back your insurance and keep only what you need. Many people pay too much for health insurance in Texas because they are paying for options they don’t even need. Some people that pay for health insurance rarely go to the doctor, so opting for a less expensive plan with a higher co-pay might make a lot more sense for them.

In order to save time when searching for health insurance in Texas make your search terms as specific as possible like adding the city you live in or at least adding “Texas” to the term “health insurance”. This will help you bring up only the most relevant search results and should save you a lot of time sifting through information that doesn’t apply to you.

Opting for a good HMO (Health Maintenance Organization) plan is a great way to save money. When it comes to health insurance in Texas, HMO’s are generally much more affordable than most other types of health insurance. HMO’s save money by contracting only with doctors and hospitals that agree to charge the fees the HMO has deemed fair and reasonable. Choosing this type of health insurance limits your choices of doctors and hospitals, but for most people the savings is worthwhile.

Age plays a factor in the cost of health insurance plans in Texas, but don’t let that stop you from looking for a better rate. Shopping around is still the best way to compare the features and benefits of each plan and weigh them out with the costs in order to make the choice that is right for you. Whether you are 20, 40, 60 or older, have children or don’t, you have the right to get the best health care you can at a price you can afford and you shouldn’t give up until you get exactly what you need.

Finding the right health insurance in Texas at the right price means making choices. Choices about the type of plan you need, choices about how much coverage you require, what co-pays you are willing to pay and how much your deductible should be. Once you get all the pieces to the puzzle in the right places you should have a health insurance plan that you can afford and live with.

Filling out health insurance applications online is the most efficient way to get the health insurance in Texas that you need. You can take all the time you want without an insurance agent breathing down your neck and trying to talk you into spending more money than you can afford for options you don’t need or want. It is easy to find the information, compare it and then sign up with health insurance plan of your choice all right on the internet.

MAJOR HEALTH PROBLEMS OF ORISSA

 

By Dr Nihar Ranjan Ray

  

Orissa is a high focus state for its culture, heritage, rich with minerals and diseases as well. It has rated as one of the measurable state so far the health care is concerned. Badly affected by the poverty, illiteracy, natural disasters Orissa registered very poor health indicators as per the WHO reports. Its state with a population of 3.68 crores, comprising of 85% rural habitants, with 22% Scheduled Tribe and 16.5% Scheduled Caste population. From a lot of health issues I need to focus the following topics with bird vision felling their importance and seriousness.

 

 Infant mortality

Infant Mortality Rate (IMR) is only 53 per 1,000 live births in urban areas as compared to 76 in rural areas, only 26.4 per cent of tribal children are immunized when compared to 43.7 per cent among the general population in the State and anemia is very high of 61.2 per cent among women.

The State needed to arrest the malnutrition trend as early as possible. “The level of malnutrition in the State is quite high. Over 30 per cent of children are severely malnourished. As per the latest survey, 40.7 per cent under age of 3 are underweight, 45 per cent are stunted and 19.5 per cent are wasted. About 65 per cent of children aged between 6 and 35 months are anemic.

Maternal mortality rate

One woman dies every seven minutes from complications related to pregnancy and child birth in India and in Orissa nine women die everyday for the same reasons.

The MMR in the state has come down from 367 per one lac (100,000) child births in 1993 to 358 deaths per one lac births in 2003 which is a very negligible drop. In fact there has not been any significant reduction in the rate of maternal deaths in the last few years and this is a worrying factor, said participants at the “Know Your Entitlements” organized here to coincide with the National Safe Motherhood Day.

The White Ribbon Alliance-Orissa in collaboration with Department of Health and Family Welfare, government of Orissa, Unicef and UNFPA organized the workshop.

With a view to curb this problem by minimizing maternal death rate, the White Ribbon Alliance for Safe Motherhood unites individuals, organizations and communities who are committed towards increasing public awareness on this issue and promote Safe Motherhood.

This year, the Central government declared, “Know your Entitlement” as the theme of the National Safe Motherhood Day. The objective was to generate awareness amongst women and family members on their entitlements under various schemes and policies taken up by the government.

Several NGO’s working in the health sector across the state including the Nehru Yuva Kendra which has trained 12,000 youths for the purpose participated in the workshop here today.

Flood ravaged Orissa

Floods cause health problems in Orissa: Oxfam India has warned that 8.5 million people affected by July’s floods are facing serious health threats. 78 870 cases of diarrhoea have occurred, resulting in 41 deaths; 124 cases of jaundice were reported, with two deaths. 300 people have been bitten by snakes, leading to 22 deaths.

Malaria

Malaria is the foremost public health problem of Orissa contributing 23% of malaria cases, 40% of Plasmodium falciparum cases and 50% of malaria deaths in the country. The tribal population are badly affected by the  Malaria. More than 60% of tribal population of Orissa live in highrisk areas for malaria. Though the tribal communities constitute nearly 8% of the total population of the country, they contribute 25% of the total malaria cases and 15% of total P.falciparum cases. Various epidemiological studies and malariometric surveys carried out in tribal population including primitive tribes reveal a high transmission of P.falciparum in the forest regions of India, because malaria control in such settlements has always been unattainable due to technical and operational problems. In a specific

study conducted in undivided Koraput district, it was observed that the district is endemic for malaria and is hyperendemic in top hills where Bondo primitive tribes are residing.

 

Diarrhoeal Disorders

Water-borne communicable diseases like gastrointestinal disorders including acute diarrhoea are responsible for a higher morbidity and mortality due to

poor sanitation, unhygienic conditions and lack of safe drinking water in the tribal areas of the country. In a cross sectional study conducted by RMRC, Bhubaneswar in 4 primitive tribes of Orissa, the diarrhoeal diseases including cholera was found to occur throughout the year attaining its peak during the rainy season .Generally the infants ,preschool children and adolescent groups are mostly affected.

 

Micronutrient Deficiency

Orissa is very much infamous for starvation death cases. Micronutrient deficiency is closely linked with nutritional disorders and diarrhoea. Deficiency of essential dietary components leads to malnutrition, protein calorie deficiency and micronutrient deficiencies (like vit A, iron and iodine deficiency). Vitamin A deficiency in the form of Bitot’s spot, conjunctival xerosis and night blindness was observed

 

Skin Infection

Skin problems like scabies is a major health problem amongst the rural population of orissa and the problem is much worse in the primitive tribes because of overcrowding and unhygienic living conditions as also close contacts and lack of health awareness. In a study conducted by the RMRC, Bhubaneswar.

 

Intestnal Paracitism

Intestinal protozoan and helminthic infestations are the major public health problems and were observed in Most of these infections are due to indiscriminate defecation in the open field, bare foot walking and lack of health awareness and hygiene. The problem enhances in the rainy season. These are preventable with repeated administration of anti-helminthic and protozoal treatment at 4 months interval which can be used effectively in national parasitic infection control program.

 

 

 

HEALTH INDICATORS OF ORISSA

             The Total Fertility Rate of the State is 2.6. The Infant Mortality Rate is 73 and Maternal Mortality Ratio is 358 (SRS 2001 – 03) which are higher than the National average. The Sex Ratio in the State is 972 (as compared to 933 for the country). Comparative figures of major health and demographic indicators are as follows: 

Table I: Demographic, Socio-economic and Health profile of Orissa State as compared to India figures 

S. No.

Item

Orissa

India

1

Total population (Census 2001) (in million)

36.80

1028.61

2

Decadal Growth (Census 2001) (%)

16.25

21.54

3

Crude Birth Rate (SRS 2007)

21.9

23.5

4

Crude Death Rate (SRS 2007)

9.3

7.5

5

Total Fertility Rate (SRS 2006)

2.6

2.9

6

Infant Mortality Rate (SRS 2007)

73

57

7

Maternal Mortality Ratio (SRS 2001 – 2003)

358

301

8

Sex Ratio (Census 2001)

972

933

9

Population below Poverty line (%)

47.15

26.10

10

Schedule Caste population (in million)

6.08

166.64

11

Schedule Tribe population (in million)

8.15

84.33

12

Female Literacy Rate (Census 2001) (%)

50.5

53.7

 

 

 Table II: Health Infrastructure of Orissa 

Particulars

Required

In position

shortfall

Sub-centre

7283

5927

1356

Primary Health Centre

1171

1279

-

Community Health Centre

292

231

61

Multipurpose worker (Female)/ANM at Sub Centres & PHCs

7206

6768

438

Health Worker (Male) MPW(M) at Sub Centres

5927

3392

2535

Health Assistant (Female)/LHV at PHCs

1279

726

553

Health Assistant (Male) at PHCs

1279

168

1111

Doctor at PHCs

1279

1353

-

Obstetricians & Gynaecologists at CHCs

231

NA

NA

Physicians at CHCs

231

NA

NA

Paediatricians at CHCs

231

NA

NA

Total specialists at CHCs

924

NA

NA

Radiographers

231

8

223

Pharmacist

1510

1984

-

Laboratory Technicians

1510

311

1199

Nurse/Midwife

2896

637

2259

(Source: RHS Bulletin, March 2007, M/O Health & F.W., GOI) 

Health Institution

Number

Medical College

4

District Hospitals

32

Referral Hospitals

 

City Family Welfare Centre

 

Rural Dispensaries

 

Ayurvedic Hospitals

8

Ayurvedic Dispensaries

624

Unani Hospitals

-

Unani Dispensaries

9

Homeopathic Hospitals

-

Homeopathic Dispensary

603

  

  

  

  

  

Conclusion

     Despite the above said problems we have to make our stands strong to fight against the disease, poverty, illiteracy and natural as well as the man made disasters(Naxlite problem).Now under the able leadership of Mr Naveen Pattnaik Orissa has registered record foreign investment as well as an appreciable economical growth. Now it is time to flex our muscles and brain to expedite our development in health care system. Orissa is doing well in the influence of NRHM .Orissa has many a miles to go to improve its health indicators that needs a lot of patience, composure and brain storming.

                             

                                                                       Dr.Nihar Ranjan Ray

                                                                       Dt.29th july 2008

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Etic and emic categories in male sexual health: a case study from Orissa. As a result, sexual health services often ignores the possibility of STD/HIV transmission resulting from such a sexual practice both for males and females. Oriental (Panax) ginseng – supports physical stamina and has long been used to support male sexual health. Training of police staff and the judiciary on issues regarding males who have sex with males and sexual health concerns. http://www.man-sexual-health.com/