Jury set to deliberate in case of ex-Senator Edwards

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Fate of ‘uninsurables’ hinges on Supreme Court

WASHINGTON (AP) ? Cancer patient Kathy Watson voted Republican in 2008 and believes the government has no right telling Americans to get health insurance. Nonetheless, she says she’d be dead if it weren’t for President Barack Obama‘s health care law.

Now the Florida small businesswoman is worried the Supreme Court will strike down her lifeline. Under the law, Watson and nearly 62,000 other “uninsurable” patients are getting coverage through a little-known program for people who have been turned away by insurance companies because of pre-existing medical conditions.

“Without it, I would have been dead on March 2,” Watson said of the Pre-Existing Condition Insurance Plan, known as PCIP. That’s when she was hospitalized for a life-threatening respiratory infection.

It’s not clear how the Supreme Court will rule on Obama’s law, but Watson’s case illustrates the potential impact of tying everything in the far-reaching legislation to the fate of one provision, the unprecedented requirement that most Americans carry health insurance.

The law’s opponents say if that insurance mandate is found to be unconstitutional, the rest of the law should also go, since courts should not be picking and choosing policy. The administration defends the insurance requirement but says if the court decides to overturn it, most of the rest of the law should stay.

State officials who administer the federal pre-existing condition plan in 27 states are trying to make fallback arrangements in case the law is invalidated and coverage suddenly terminates.

“Some of these individuals are critically ill and are being treated for very serious illnesses, whether it be cancer or HIV-AIDS, and we feel a responsibility to them to do what we can to see they don’t lose access,” said Amie Goldman, who oversees PCIP in Wisconsin.

Federal officials who administer the plan in the remaining 23 states and Washington, D.C., remain mum on what might happen there if the law is overturned.

The White House line is that Obama is confident the Supreme Court will uphold the Affordable Care Act, and his administration therefore is making no contingency plans for a reversal. None of that sounds reassuring to Watson, who owns a medical transport service in rural north-central Florida.

“It’s scary,” she said. “They need to look at this carefully because it is going to affect a lot of people with a lot of bad conditions who are not going to have any health care coverage.”

Before PCIP, Watson had been uninsured since 2003, originally turned down because of elevated white blood cells. About three years ago, she was diagnosed with a chronic form of non-Hodgkin’s lymphoma, a cancer of the immune system. Unable to afford medications, she relied on the emergency room to treat flare-ups.

She tried applying to a major insurance company for a small business plan for her and her employees, and was quickly rejected. Then she heard about PCIP.

The temporary program is meant to serve as a patch until 2014, when the federal health care law will require insurers to accept all applicants, including cancer patients like Watson, regardless of medical history. The law’s controversial mandate for individuals to carry health insurance is related to that guaranteed acceptance provision. By forcing healthy people to buy insurance, it would help keep premiums in check.

Initially, Watson could not afford the $800 monthly premium the government was asking for PCIP. High premiums are part of the reason the program has not attracted more people.

But officials retooled to make coverage more affordable. Watson applied again and was accepted. She met the basic requirements: uninsured at least six months, turned away because of pre-existing conditions, having U.S. citizenship or legal residence. Her premium is $363.

In March, Watson went to the emergency room with what she thought was pneumonia. She was admitted, and quarantined the next morning when tests showed she had an antibiotic-resistant bacterial infection, highly dangerous. She spent five days in intensive care.

Without her PCIP coverage, Watson is convinced she would have been sent home from the emergency room after initial treatment to ease her shortness of breath.

“I’m not a candidate for any for type of indigent program, and without insurance they would not have put me in ICU,” she said.

“I would have gone into cardiac arrest and probably died,” she added. Emergency rooms must treat the uninsured, “but they are only required to get you stable. And then they release you and tell you to go to the health department.”

A government report this year found that people in the pre-existing condition plan tended to be middle-aged patients with no access to employer coverage and with medical conditions that require continuous care. The top five diagnoses: cancer, heart disease, degenerative bone diseases, organ failure requiring a transplant and hemophilia.

If the federal law is struck down, some state officials are considering taking the patients into their own, separate, state high-risk insurance pools. Wisconsin, for example, has decided that PCIP enrollees would be automatically accepted into its pool. But not all states have them. In the 35 that do, premiums would generally be higher, and there might be waiting periods.

Republicans, including presidential candidate Mitt Romney, have long favored insurance pools for high-risk patients. And Congress could take emergency action to keep PCIP going. But no assurances have been offered. Michael Steel, a spokesman for House Speaker John Boehner, says Republicans are ready to work on “step-by-step, commonsense” approaches.

Watson says she still disagrees with Obama’s requirement that individuals have health insurance, either through an employer, a government program or by purchasing their own plan. “I approve of some of it,” she said of the law, “I don’t approve of the mandatory … insurance.”

But she doesn’t want to go back to depending on the emergency room.

“I have no problem paying my insurance and paying my copays,” she said. “I just think I should have the right to purchase insurance.”

___

Online:

Pre-Existing Condition Insurance Plan: https://www.pcip.gov/

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Does Jeremiah Wright have a place in this campaign? (Powerlineblog)

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Iran, Syria among top for G-8 and NATO

President Barack Obama shakes hands with Britain’s Prime Minister David Cameron on arrival for the G8 Summit Friday, May 18, 2012 at Camp David, Md. (AP Photo/Charles Dharapak)

President Barack Obama shakes hands with Britain’s Prime Minister David Cameron on arrival for the G8 Summit Friday, May 18, 2012 at Camp David, Md. (AP Photo/Charles Dharapak)

President Barack Obama meets with French President Francois Hollande, Friday, May 18, 2012, in the Oval Office of the White House in Washington. (AP Photo/Pablo Martinez Monsivais)

President Barack Obama kisses German Chancellor Angela Merkel on the cheek on arrival for the G8 Summit Friday, May 18, 2012 at Camp David, Md. (AP Photo/Charles Dharapak)

President Barack Obama, right, greets Japan’s Prime Minister Yoshihiko Noda on arrival for the G8 Summit Friday, May 18, 2012 at Camp David, Md. (AP Photo/Charles Dharapak)

President Barack Obama, right, shakes hands with Italy’s Prime Minister Mario Monti on arrival for the G8 Summit Friday, May 18, 2012 at Camp David, Md. (AP Photo/Charles Dharapak)

(AP) ? President Barack Obama and leaders of other major industrial powers grappled Friday with options to solidify world resolve against development of an Iranian nuclear bomb and encourage a more forceful response to worsening violence in Syria.

Obama will have the ear of key players on both issues during back-to-back G-8 and NATO summits that will be dominated with discussions of European economic woes and Afghanistan. Talks about Syria and Iran will be aimed directly and indirectly at Russia, a sometime protector of both Iran and Syria and the chief blockade to such U.S. goals as an arms embargo on Syria.

The gatherings come in the shadow of the eurozone debt crisis and plummeting public support for the war in Afghanistan. Political and economic chaos in Greece and Spain underscored just how fragile Europe’s economy remains after an eviscerating austerity regime. Germany’s finance minister predicted Friday that the crisis could last up to another two years.

Most of the leaders are part of overlapping international coalitions formed to address the Iranian nuclear problem and the newer crisis in Syria, where an estimated 9,000 people have died in more than a year of violence that arose from the pro-democracy Arab uprisings.

Faced with implacable Russian opposition to significant new United Nations punishments on the Syrian regime of President Bashar Assad, U.S. officials are trying to get consensus among other allies about ways to promote Assad’s ouster.

A senior U.S. official said one goal of Friday’s closed-door discussion at the secluded presidential retreat in Camp David, Md., was to impress on Russian Prime Minister Dmitry Medvedev that other nations that share Russia’s usual role at the forefront of international diplomacy are seeking ways to address the Syria debacle without Russian help.

Obama greeted each leader by name, calling Medvedev “my friend,” before the group went inside for dinner.

The United States wants to avoid escalating a confrontation with Moscow over Syria, the official said, but wants Medvedev to hear the depth of international outrage. The official spoke on condition of anonymity to discuss internal diplomacy.

A senior Obama administration official said Friday night that the Group of Eight leaders unified behind a dual track effort of sanctions and diplomacy toward Iran and agreed to focus on political transition in Syria.

The eight leaders gathered for a dinner of more than two hours in the secluded woods of Camp David, the presidential retreat in Maryland’s Catoctin Mountains.

The official spoke on the condition of anonymity to share details of the private session.

Russia is a partner with the United States and European nations in containing Iran’s nuclear program, although with China it has blocked the most severe penalties the United Nations Security Council might impose. A U.N.-affiliated negotiating group including Russia will meet with Iranian officials next week in Baghdad, Iraq.

On Iran, the U.S. official said each of the leaders, including Medvedev, indicated that Iran has the burden of proving that its nuclear program is for peaceful purposes.

As for Syria, the official said the leaders continued to back the peace plan brokered by special envoy Kofi Annan brokered in April, including its call for political transition. But they did not go beyond that.

U.S. officials say the economic pressure of sanctions is key to drawing Iran back to the bargaining table this spring after a long hiatus.

“Each member of the G-8 is a core member of this sanctions effort,” White House national security adviser Thomas Donilon said Thursday. “Each member has been absolutely essential to really putting in place what has been an extraordinarily effective and, I think most people would say, surprisingly effective sanctions effort.”

Iran says it is enriching only to create nuclear fuel. Its refusal to halt enrichment has provoked U.N. and other sanctions, including U.S. and European Union penalties meant to cripple its oil exports ? its main revenue source ? that are to fully take effect in a few weeks.

“The message will be that the Iranians should seize this opportunity” for talks, Donilon said. “And while this goes on, in parallel, the sanctions and pressure effort will continue, led by the United States and the others who will be at the table on Friday evening.”

Syria is a much harder case, in part because Russia and China oppose U.N. action that could set a precedent for outside interference in internal ethnic or human rights matters, and partly because there is no international appetite for a military confrontation with Assad.

Syrian forces on Friday fired on protesters holding the largest opposition marches yet in Aleppo, a sign of rising anti-regime sentiment in the country’s biggest city, which has largely remained supportive of President Bashar Assad throughout the 15-month uprising.

The head of the U.N. observer mission in Syria warned that neither his team nor armed action could solve the country’s crisis, and called on all sides to discuss a solution. But the regime kept up its assaults on opposition areas and protests, while the head of Syria’s largest exile opposition group dismissed the U.N.’s plan as unrealistic.

The White House abruptly moved the G-8 session to Camp David earlier this spring, after months of planning for a Chicago venue. A desire for seclusion and intimacy was one reason and a gesture to Russia was another.

Russia is opposed to a NATO plan for a missile defense shield in Europe that will be detailed at the NATO summit Sunday in Chicago, causing Russian President Vladimir Putin to let NATO know he did not want to be invited to the alliance meeting.

Separating the two sessions was supposed to make it easier for Putin to attend one and not the other. But Putin made his own abrupt change, telling Obama last week that he would skip the gathering and send Medvedev in his place.

The administration denied speculation that the sessions were moved for security reasons. Past G-8 meetings have seen large and sometimes violent protests by activists opposed to the increasing globalization of world economies. Street violence overshadowed the 2001 summit in Genoa, Italy. Critics have accused the G-8 of representing the interests of an elite group of industrialized nations to the detriment of the needs of the wider world. Since Genoa, the meetings have been held in increasingly isolated locations to shield leaders from protests, playing into criticism of the G-8′s closed-door image.

Obama, an infrequent visitor to Camp David, is putting the presidential hideaway on full display for the G-8, the largest gathering of foreign leaders ever to assemble there. The leaders will stroll leafy paths to rustic meetings halls and bed down in the 11 residential cabins. Four African leaders will join them for lunch Saturday.

The G-8 is made up of the leaders of the United States, Japan, Britain, Germany, France, Italy, Canada and Russia. The meetings began in 1975 at a forum instigated by France, where leaders of the six largest economic powers agreed to annual meetings. Canada joined a year later, making it the G-7. Russia was brought into the organization in 1997, six years after the collapse of the Soviet Union. The European Union is represented but is not granted the power to act as host of the annual sessions or to serve as the rotating leader.

Obama holds the chairmanship this year.

Associated Press

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The foodie caucus (Offthekuff)

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Mental Illness Is the Leading Cause of Hospitalization for Active-Duty Troops

The Defense and Veterans Affairs departments have spent almost $2 billion since 2001 to buy drugs to treat mental illness and post-traumatic stress disorder despite growing evidence some of those drugs exacerbate PTSD symptoms, a Nextgov investigation shows. In addition, military research released this week highlighted that Defense faces what one Army clinician called an epidemic of mental illness.

Despite this vast expenditure on psychotropic drugs since the beginning of the wars in Afghanistan and Iraq, mental illness ranks as the leading cause of hospitalization for active-duty troops, according to a report published by the Armed Forces Health Surveillance Center in the April issue of its Medical Surveillance Monthly Report, released on Monday. Mental-health disorders stood out as the leading cause of hospitalization of active-duty service members in 2007, 2009, and 2011, the report noted.

AFHSC also reported that troops seeking help for mental health problems ranked third in outpatient visits in all treatment categories, behind unspecified ?other? conditions — which included routine physicals, immunizations, ?and predeployment assessments — and musculoskeletal injuries during the same time period.

According to the report, the military hospitalized 21,735 active-duty personnel for mental disorders in 2011, an increase of more than 30 percent from 2009, when 15,339 troops needed hospital treatment for mental- health problems. Hospitalizations in 2009 jumped 8 percent from the 14,112 troops hospitalized for mental health reasons in 2007.

?The crude hospitalization rate for mental disorders in the Army was approximately 70 percent higher than in the Marine Corps and more than twice as high than in the other services? in 2011, AFHSC said, noting that 13,003 soldiers were admitted to hospitals for mental health treatment that year.

The surveillance center identified 1,890,111 outpatient visits for mental-health disorders in 2011, or more visits than the number of troops on active duty that year — 1,425,113 — indicating multiple visits by individual troops. Outpatient treatment for mental-health care in 2011 marked a 21 percent increase over 1,506,671 visits in 2009 and a 37 percent increase over the 946,187 mental-disorder outpatient visits in 2007.

An active-duty Army doctor who declined to be identified for publication said the outpatient statistics that AFHSC compiled may be somewhat misleading because many relatively mild mental-health conditions increasingly are subject to screening and identification.

But the ?stunning growth in numbers and rates of mental health hospitalizations … is undeniable evidence of an unprecedented and arguably unmanageable epidemic that is now threatening the viability of the force,? he wrote in an e-mail.

Treatment Challenges

Top military leaders recently have acknowledged that some of the prescription drugs used to treat mental illness, including second-generation antipsychotic drugs?also known as atypical antipsychotics?such as Seroquel and Risperidone, may be exacerbating the problem.

Dr. Jonathan Woodson, assistant Defense secretary?for health affairs, said in a Feb. 22 memo on drug use, ?articles in popular media and the concern of several national and military leaders in recent months have raised the question of whether certain psychoactive medications are inappropriately prescribed for post-traumatic stress disorder.?

In the memo, first reported by Army Times?on May 3, he noted that 1.4 percent of soldiers and 0.7 percent of Marines on active duty in 2010 — about 11,000 troops — received prescriptions for Seroquel. Woodson told military clinicians to use caution when prescribing atypical antipsychotics as sleep aids or to manage irritability and anger. He said military health care providers should prescribe the lowest drug dose possible and recommend ?non-medication therapy options? to treat PTSD.

In April, the Army Medical Command warned that the use of benzodiazepine tranquilizers such as Xanax and Valium to treat PTSD could intensify combat stress symptoms and lead to addiction.

Seven months earlier, in September 2011, the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury emphatically warned against their use. In its Co-Occurring Conditions Toolkit, the center said in boldface: ?There is evidence against the use of benzodiazepines in PTSD management as it may cause HARM. Strongly recommend against the use of benzodiazepines for treatment of PTSD.?

The Defense center also recommended against the use of Seroquel and another atypical antipsychotic to treat PTSD saying, in boldface, ?evidence does NOT support the use of atypical antipsychotics as a monotherapy for PTSD.?

Data provided to Nextgov by the Defense Logistics Agency shows the Defense Department spent $44.1 million on benzodiazepines from October 2001 to March 2012. The Veterans Affairs Department said it spent $72.1 million on benzodiazepines during the same period.

VA told Nextgov in April that it spent $846 million on Seroquel since 2001 and $717 million on Risperidone, another atypical antipsychotic, during the same period.

Defense has spent $14.1 million on Seroquel and $74 million on Risperidone since 2001.

A paper published by VA researchers in August 2011 said Risperidone was no more effective than a placebo in treating PTSD. The Army acknowledged VA?s research in its April 10 policy memo, but the February 2012 Woodson memo made no mention of Risperidone.

The Navy Bureau of Medicine and Surgery, which provides health care for Navy and Marine Corps personnel, told Nextgov in an e-mail that the bureau ?concurs with the Army’s policy that benzodiazepines are relatively contraindicated and should be avoided in the treatment of PTSD.?

But Shoshona Pilip-Florea, a bureau spokeswoman, said, ?there are many scenarios where the judicious prescription of benzodiazepines may be appropriate, [including] when the clinician’s assessment and clinical judgment warrant treatment with this class of medications.? She added, ?Navy Medicine has not explicitly warned clinicians not to use benzodiazepines to treat patients with PTSD because some of these patients may benefit from treatment with a benzodiazepine based on the clinician’s assessment and clinical judgment.?

Jonathan Stock, a spokesman for the Air Force Surgeon General, said the Air Force has not prohibited providers from using benzodiazepines in cases of PTSD. ?It is important to note that every medication has associated cautions and contraindications. Prescribing providers are required to understand the contraindications and precautions of the medications they prescribe,? he said.

VA and DLA did not provide details on how many individual doses of benzodiazepines they have purchased since 2001, but they receive substantial bulk discounts. The active-duty Army doctor said this could be as low as $1 dollar per pill, or a total of 116 million doses since 2001, which work out to more than 100 benzodiazepine pills per person on active duty today.

Besides a mental-health epidemic, the Army clinician said the Pentagon also faces the epidemic consequences of widespread psychotropic drug use, which military researchers warned about in a 2008 report. It showed that one of 14 members of a 701-man Army infantry battalion had been prescribed antianxiety drugs before deployment.

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Texting: the truth serum of the 21st century

Image

The University of Michigan has found that if you want someone to tell you the truth, you should text them. Dispensing with the lie detector for job interviewees, academics found that people gave more honest and detailed answers via SMS than over the phone. The team believes it’s due to the lack of time pressure and not having to produce a pleasing answer for your interrogator. If the findings continue to provide similar results, it looks like Steve Wilkos could be replaced with a smartphone.

Texting: the truth serum of the 21st century originally appeared on Engadget on Thu, 17 May 2012 15:47:00 EDT. Please see our terms for use of feeds.

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Look beautiful with natural skincare products ? Beauty, Health and …

Skin is the outermost and the most delicate part which protects your body. As you all know skins are of different types for different people. It can range from oily to dry. skin is very sensitive and great care should be taken to protect it from damage than can be caused due to various factors like the harmful radiation of sun, chemicals in cosmetics, etc. Women are fond of using make ups on their faces to enhance their beauty

As you all know? major functions of skin are sensation, excretion, immunity, blood storage, regulation of body temperature, protection and synthesis of vitamin d. Natural skincare is taking care of your skin naturally. Lifestyles, diet and other healthy habits is involved in natural skincare. Smoking, poor diet etc are not going to keep your skin healthy .

Natural skin care for fresh and radiant looking skin

Natural beauty starts from inside your body. Some natural skincare factors that can influence the look of your skin are :

Diet- a balanced diet which includes fruits, vegetables, cereals , low sugar and low fat products all can do magic to make your skin fresh and natural

Regular exercise

Avoid stress as it can affect your skin adversely

Avoid medications if not necessary


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