Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts

Saturday, July 30, 2011

Super Bacteria? Fighting Resistance Could Be Trickier Than Thought

   This hit a couple days ago. I want to draw attention to this sentence:

   "Other broad areas of focus when it comes to preventing antibiotic resistance include limiting the use of antibiotics in farm animals, including pigs and cows."

   You don't say...

Super Bacteria? Fighting Resistance Could Be Trickier Than Thought
Catherine Pearson

A process thought to hamper antibiotic resistant bacteria, one of the world's most pressing public health problems, might actually make them stronger, according to a new Portuguese study that could signal a dramatic shift in our understanding of bacterial resistance.

Though much is still unknown about the exact mechanics involved, bacteria become resistant to antibiotics via chromosomal mutations and the incorporation of new genes, sometimes from other bacteria.

Researchers had believed that the acquisition of new genes conferring resistance has come at some cost to the bacteria, making it tougher for them to reproduce and survive.

But the authors of the new Portuguese study found that when already resistant bacterial cells obtain another antibiotic-resistance gene from a small piece of DNA called a plasmid -- a development that has been thought to have some cost to the host -- the cells sometimes divide faster than before.

Francisco Dionisio of the University of Lisbon, one of the study's authors, said the results, which focused on the bacterium E. coli, were unexpected.

"It is as if your PC with a mistake or bug in the operating system began to run faster after receiving a computer virus," Dionisio explained in an email to The Huffington Post.

"This happened 52 percent of the cases studied," he added. "And we expected zero percent!"

Other experts echoed Dionisio's surprise.

"It has always been an understanding that the acquisition of these resistant genes comes at some cost, so that the bacteria that have picked up these extra genes have extra baggage, so to speak," said Dr. Arjun Srinivasan, associate director for healthcare associated infection prevention programs at the Centers for Disease Control. "That this might actually make them more fit and able to divide more quickly is a real change."

But the good news for resistant bacteria isn't good news for public health. The findings suggest that curbing antibiotic resistant bacteria -- already a top public health issue, according to the CDC -- may be even more difficult than previously thought. Dr. Jan Patterson, president elect of the Society for Healthcare Epidemiology of America, called the results "concerning." She added that the results could signal a shift in future research and control efforts.

"The finding brings up that just controlling antibiotic use alone is not going to take care of the problems of emergence and persistence of resistance," Patterson said. "We might have to start looking at other ways to fight bacteria, like inhibiting production of plasmids or inhibiting how bacteria divide."

To her knowledge, Patterson said little or no research has been done in that area. In the meantime, she pointed to methods like hand hygiene as a means of limiting the spread of resistant bacteria, particularly in hospitals, where the number of resistant strains is on the rise.

The CDC has identified improving in-patient antibiotic use as priority. It says that 50 percent of antimicrobial use in hospitals is "inappropriate," meaning antibiotics are used when they are not needed or they are administered the wrong dose. Increasing use of antibiotics increases the prevalence of resistant bacteria in hospitals, a recent CDC report stated.

Other broad areas of focus when it comes to preventing antibiotic resistance include limiting the use of antibiotics in farm animals, including pigs and cows.

"The prophylactic and potentially careless use of antibiotics on such a large scale provides perfect breeding ground for drug-resistant strains," said Gunnar Kaufmann, assistant professor of chemical immunology at The Scripps Research Institute.

Such efforts to curb antibiotic use and increase things like hand washing in hospitals will have to suffice for now, the experts agreed, as the public waits for more research on exactly how antibiotic resistance works to be funded so that it has a better chance of being stopped.

"Medicine is a study in humility," Srinivasan of the CDC added. "We learn every day that something we thought was true is not correct. A study like this simply calls upon us to recognize the fact that we don't know everything we need to know yet. We need more investment in these problems."

[READ THE ORIGINAL ARTICLE HERE]

   So the CDC says we don't know everything we need to know yet. Still, we genetically modify crops and pump livestock with chemicals all in the name of efficiency (which really boils down to the almighty dollar). I've said it before and I'll say it again: the problem is not that we don't have enough food or the means to transport it all over the world, the problem is that we don't have the desire to share it with folks without money. We don't want to do things the natural way they've been done forever because there's not as much profit in it.

   We are literally killing each other to make a buck.

Wednesday, July 20, 2011

Four Things Republicans Used To Believe

Four things Republicans used to believe
Commentary: The party used to be conservative, but not extreme
By Rex Nutting

WASHINGTON (MarketWatch) — The Republican Party used to be a center-right party, conservative but mainstream. Now it's the home of extreme views.

Just how extreme have Republican leaders become? Here are four things mainstream Washington Republicans used to believe in, but no longer do.

Taxation: The Republican Party has long favored low tax rates as a way to encourage economic efficiency, but its leaders have always recognized that some taxation is necessary and good. Under the old Republican philosophy, the purpose of taxation is to raise the revenues needed by the government. They believed, in theory, that the government shouldn’t spend money it didn’t have, so sufficient revenues were needed.

Ronald Reagan cut taxes dramatically in his first year in office, but when the deficits rose, he smartly agreed to raise taxes 12 times, including a broad tax-reform bill that eliminated many loopholes and removed many provisions of the tax code that distorted economic incentives.

Today’s Republican Party has abandoned the principle that some taxation is necessary. The party has fully bought into the “starve-the-beast” rhetoric espoused by Grover Norquist and other anti-tax zealots. It has adopted a rigid libertarian philosophy that equates taxation to tyranny, which argues that the government has no right to your money. Taken to its logical conclusion, this would mean all taxes are immoral.

For today’s Republicans, the proper level of taxation is no longer a question of paying for needed services in the most efficient manner, but is strictly a moral and political matter. The proper level is zero, and only political obstacles stand in the way of achieving that goal.

The current Republican Party pretends to care about deficits, but it clearly doesn’t. It refuses to even consider raising taxes to reduce the deficit, even by closing inefficient loopholes that distort the economy. The Republican-controlled House passed the Ryan budget plan, which cuts taxes and spending by trillions of dollars but does almost nothing to reduce the deficit over the next 10 years

A strong presidency: Republicans have long favored a strong presidency, especially in foreign affairs. Under the administration of George W. Bush, high officials even promoted an extreme theory of a “unitary executive” that claimed that the president was largely above the law, and could do pretty much what he wanted, including ignoring national and international laws banning torture and unlawful imprisonment.

That’s a far cry from today, when Republicans in the House rushed to approve a resolution to condemn President Barack Obama’s involvement in Libya’s civil war, saying he didn’t consult with Congress enough. That was the same complaint some Republicans had about Democratic President Bill Clinton’s decision to fight in Kosovo.

The Libyan crisis put the Republicans in a terrible jam. Generally, they like a good fight, especially against a cartoonish bully like Moammar Gadhafi. When the rebellion first broke out, many Republicans demanded that the U.S. get involved in the civil war. But then Obama ordered a no-fly zone over Libya, just as Republicans had demanded. Nothing infuriates Republicans more than when Obama agrees with them.

It seems as if the Republicans do have a consistent principle when it comes to the president’s war-making powers: Republican presidents are the unquestioned commander-in-chief of the armed services and may start wars wherever they please, but Democratic presidents aren’t even qualified to order lunch, much less boss the troops around.

Protecting our planet: Republicans used to be conservatives in the truest sense of the word. They favored sensible laws to conserve the water, air and land. The Environmental Protection Agency was created by Republican President Richard Nixon.

For years, Republicans favored market-based solutions to environmental problems, rather than relying on government regulations and bureaucrats. For instance, many Republicans, including John McCain, Lindsey Graham, Mark Kirk, Tim Pawlenty and Mitt Romney, favored a plan to give businesses an incentive to reduce greenhouse gases by giving them the right to sell their rights to emit carbon dioxide — what’s known as the cap-and-trade plan to combat climate change.

Cap and trade is a Republican idea through and through; it was modeled on the successful cap-and-trade acid-rain program initiated by the White House under Republican President George H.W. Bush in 1990. Read the Political History of Cap and Trade.

Today’s Republicans reject almost all government actions to protect the environment, saying they kill jobs. They want to drill for oil and gas everywhere, they want the EPA to stop regulating pollution, and they categorically reject all scientific evidence for climate change. They are so dead-set against conservation that they voted to kill a regulation (approved under Republican President George W. Bush) requiring that Americans use light bulbs that actually emit more light than heat.

Universal health coverage: It’s no secret that today’s Republican Party loathes the idea of universal health-care coverage. It believes requiring Americans to buy coverage is unconstitutional and immoral. One of its most cherished goals is to repeal the Affordable Care Act.

But did you know that the Affordable Care Act — derisively known as ObamaCare — is essentially a Republican plan, modeled after a 1993 Republican health-care bill and the Massachusetts state law signed by Mitt Romney?

The ambition of the 1993 bill introduced by Rhode Island Republican John Chafee was to provide universal coverage, with all Americans required to buy insurance. The bill would have subsidized coverage for those with low incomes. It would have prohibited denial of coverage based on pre-existing conditions. And it would have fined employers who did not offer a qualified health-care plan. Sound familiar?

It was sponsored by 19 Republican senators, including Bob Dole, Pete Domenici, Chuck Grassley, Orrin Hatch, Bob Bennett, Dick Lugar, Alan Simpson and Ted Stephens.

You may not recognize all those names, but you should know this group was the Republican establishment in 1993. And that Republican establishment was far to the left of today’s Republican Party.

[READ THE ORIGINAL ARTICLE HERE]

Wednesday, June 22, 2011

Man Robs Bank Demanding $1 In Hopes For Health Care

   From The San Francisco Chronicle:

John Thorpe
Tuesday, June 21, 2011

Having already set his affairs in order, James Verone calmly walked into an RBC bank in North Carolina and committed his first crime in his 59 years on this planet. Verone handed the teller a note that read "This is a bank robbery. Please only give me one dollar," took the dollar from the terrified clerk, and sat down on a couch in the bank's lobby.

"'I'll be sitting right over there in the chair waiting for the police," Verone told the bank teller. And wait he did. Police arrived moments later and apprehended him, hauling him off to the jail cell he so desperately wanted to enter.

No, James Verone isn't crazy. He isn't a career criminal. He didn't rob the bank to get drugs or booze. He didn't do it to get attention or on a lark. James Verone walked into that bank and committed a felony because going to jail was the only way he could receive the health care he needed to survive.

Verone is one man, but he could really be any one of us. He's 59 and well past the point of finding a new career. He was laid off from his 17-year job and, with unemployment hardly a survivable wage, took the first job that came his way. He developed a growth on his chest - the sort of medical condition that could be life-threatening - and earned two ruptured disks in his back, along with problems with his left foot.

After depleting his life savings and realizing he had, literally, nowhere else to turn, Verone committed the crime, hoping he could get the medical care that he so desperately needs.

This is what America has come to? Otherwise honest folks, with no where to turn in life, have to resort to fake-robbing a bank with the hopes they'll be arrested so they can receive medical care?

There is absolutely no reason for an allegedly civilized country, particularly one as wealthy as America, to pass the buck on providing health care for everyone. Yes, everyone: the employed and the unemployed; the sick and the healthy; old and young.

Before you scream "oh no, socialism!!!" stop and consider what you mean by that. How do socialist systems pay for health care? Taxes are collected from businesses and citizens, and a portion of those taxes go to cover the health care costs of everyone in the plan - in other words, everyone in the country.

How do health insurance systems pay for health care? Premiums are collected from businesses and employees, and a portion of those premiums go to cover the health care costs of everyone in the plan.

The difference between the two? Socialized care costs less (because it has a much larger pool of people to draw from), covers everyone at all times, and prevents people from purposefully committing crimes to get treated. Insurance systems ARE socialized systems, except they don't cover everyone and allow a corporation - and entity that neither receives nor provides the medical treatment - to skim a profit off the top.

In what sort of twisted mind is that the rational way to provide medical care? It's not like the marketplace can rationally set prices for health care. A dying man has no ability to check prices and compare services before deciding which hospital he'll take his heart attack to.

Chemotherapy cannot wait for patients to decide if they want to upgrade to the premium service that ABC Cancer, Inc is offering, or if they'll settle for the basic package. Health care is not cable TV and cannot be solved with these over-simplified market solutions. Anyone who tells you otherwise is a liar, a fraud, or a charlatan - and perhaps a moron. (I would bet on "moron".)

At some point, Americans need to grow up and accept that providing single-payer, government-paid health care for the entire country is not only mandatory - it is the only morally acceptable choice.


[READ THE ORIGINAL SFGATE ARTICLE]