A federal judge in Florida has ruled that the healthcare reform law is unconstitutional, siding with the 26 states that sued to block enforcement of the law.
The lawsuit, filed by 26 states that sued to block the Affordable Care Act (ACA), is considered likely to go all the way to the Supreme Court.
Judge Roger Vinson, of the U.S. District Court in Pensacola, Fla., stopped short of directing the federal government to stop implementing the law. Still, the ruling is the harshest legal action yet against the ACA.
Unlike a ruling last month by a judge in Richmond, Va., stating that the individual mandate portion of the ACA violates the Constitution, Vinson ruled the entire law “void” because the individual mandate provision can’t be separated out from the rest of the law.
Congress “exceeded the bounds of its authority in passing the Act with the individual mandate,” Vinson wrote in his 78-page ruling, which was released Monday afternoon. The mandate requires all citizens to have health insurance by 2014 or else pay a penalty.
“Because the individual mandate is unconstitutional and not severable, the entire Act must
The U.S. Food and Drug Administration (FDA) judges a drug to be safe enough to approve when the benefits of the medicine outweigh the known risks for the labeled use.
Doctors, physician assistants, nurses, pharmacists, and YOU make up your health care team. To reduce the risks from using medicines and to get the most benefit, you need to be an active member of the team.
To make medicine use SAFER:
- Speak up
- Ask questions
- Find the facts
- Evaluate your choices
- Read the label and follow directions
The more information your health care team knows about you, the better the team can plan the care that’s right for you.
The members of your team need to know your medical history, such as illnesses, medical conditions (like high blood pressure or diabetes), and operations you have had.
They also need to know all the medicines and treatments you use, whether all the time or only some of the time. Before you add something new, talk it over with your team. Your team can help you with what mixes well, and what doesn’t.
It helps to give a written list of all your medicines and
Mom was right: Good personal hygiene is essential to promoting good health.
Personal hygiene habits such as washing your hands and brushing and flossing your teeth will help keep bacteria, viruses, and illnesses at bay. And there are mental as well as physical benefits. “Practicing good body hygiene helps you feel good about yourself, which is important for your mental health,” notes Donald Novey, MD, an integrative medicine physician with the Advocate Medical Group in Park Ridge, Ill. People who have poor hygiene — disheveled hair and clothes, body odor, bad breath, missing teeth, and the like — often are seen as unhealthy and may face discrimination.
Personal Hygiene: Healthy Habits Include Good Grooming
If you want to minimize your risk of infection and also enhance your overall health, follow these basic personal hygiene habits:
- Bathe regularly. Wash your body and your hair often. “I’m not saying that you need to shower or bathe every day,” remarks Dr. Novey. “But you should clean your body and shampoo your hair at regular intervals that work for you.” Your body is constantly shedding skin. Novey explains, “That skin
“C. difficile is a deadly diarrheal infection that poses a significant threat to U.S. health care patients,” Ileana Arias, principal deputy director at the U.S. Centers for Disease Control and Prevention, said during a morning news conference. “C. difficile is causing many Americans to suffer and die.”
The germ is linked to about 14,000 deaths in the United States every year. People most at risk from C. difficile are those who take antibiotics and also receive care in any medical facility.
“This failure is more difficult to accept because these are treatable, often preventable deaths,” Arias said. “We know what can be done to do a better job of protecting our patients.”
Much of the growth of this bacterial epidemic has been due to the overuse of antibiotics, the CDC noted in its March 6 report. Unlike healthy people, people in poor health are at high risk for C. difficile infection.
Almost 50 percent of infections are among people under 65, but more than 90 percent of deaths are among those aged 65 and older, according to the report.
Previous estimates found that about 337,000 people are hospitalized each year because of C. difficile infections. Those are historically high levels and add at least
Regular aerobic exercise such as walking may protect the memory center in the brain, while stretching exercise may cause the center — called the hippocampus — to shrink, researchers reported.
In a randomized study involving men and women in their mid-60s, walking three times a week for a year led to increases in the volume of the hippocampus, which plays an important role in memory, according to Dr. Arthur Kramer, of the University of Illinois Urbana-Champaign in Urbana, Ill., and colleagues.
On the other hand, control participants who took stretching classes saw drops in the volume of the hippocampus, Kramer and colleagues reported online in the Proceedings of the National Academy of Sciences.
The findings suggest that it’s possible to overcome the age-related decline in hippocampal volume with only moderate exercise, Kramer told MedPage Today, leading to better fitness and perhaps to better spatial memory. “I don’t see a down side to it,” he said.
The volume of the hippocampus is known to fall with age by between 1 percent and 2 percent a year, the researchers noted, leading to impaired memory and increased risk for dementia.
But animal research suggests that exercise reduces the loss of volume and preserves memory, they added.
Retired National Football League players who abused opioid painkillers while active were most likely to use and abuse the same drugs after leaving the sport, the results of a telephone survey and analysis found.
The survey found more than half of the retired NFL players interviewed used opioid painkillers during their career. Of those, 71 percent reported misusing the drugs while playing, and 15 percent said they still abuse the prescription medication, Dr. Linda B. Cottler, of Washington University School of Medicine, and colleagues reported online in Drug and Alcohol Dependence.
The former broadcaster and NY Giants great, Frank Gifford, said, “pro football is like nuclear warfare. There are no winners, only survivors.”
The findings from Cottler’s survey support Gifford’s assessment.
An analysis of survey data showed the rate of opioid misuse while the retired players were active in the NFL was roughly three times greater than the lifetime rate of nonmedical use of opioids in the general population of approximately the same age.
Misuse in the past 30 days in retired players was seven percent, versus less than two percent in adults 26 and older in the general population. Looking only at men in the general population, the abuse rate is about two
The federal government has issued the first update in five years of its “Dietary Guidelines for Americans” — but despite broad recognition of the U.S. obesity crisis, the update left the major cornerstones of the guidelines largely intact.
The recommendations for salt intake are likely to be among the most controversial elements in the 2010 edition, but it’s the absence of change that will be driving this controversy since the sodium recommendations hardly vary from the 2005 Dietary Guidelines for Americans.
The sole difference is that the 1,500-mg/day sodium limit for individuals with hypertension or its risk factors was a “suggestion” in 2005 — but has now been promoted to a full-fledged recommendation that the document notes “applies to about half of the U.S. population, including children, and the majority of adults.”
Earlier this month, the American Heart Association called for an across-the-board, 1,500-mg/day limit for everyone — including people without risk factors for hypertension.
Other groups and individual researchers have also argued that the government’s 2,300-mg/day sodium target for the general population was too high.
The revision, a joint effort of the U.S. Department of Agriculture (USDA) and the Department of Health and Human Services (HHS), was released today — although it carries
Imagine waking up in the morning, looking in the mirror and realizing that one side of your face is sagging, your eyelid is drooping, and you are drooling out the side of your mouth. If you have ever had this experience, you were probably experiencing Bell’s palsy.
Bell’s palsy is the most common cause of facial paralysis. Although Bell’s palsy duration is usually limited to a few months, the symptoms can certainly be disturbing.
What Causes Bell’s Palsy?
Bell’s palsy can occur at any age but is most common at around age 40. Men and women are affected equally. Every year about 15 to 30 people out of 100,000 get Bell’s palsy. The cause of Bell’s palsy is not completely understood but is believed to be caused by a viral infection that causes swelling of the facial nerve.
A Sneak Peek Inside the Human Body
The two facial nerves are large nerves that branch out across the face and carry electrical impulses to the facial muscles. Each nerve contains 7,000 nerve fibers. When the nerve swells in response to an infection, the electrical impulses get weak and the facial muscles lose their movement. Branches of the facial nerve are also important for tear and
Since the earthquake struck on Jan. 12, many non-profit organizations have been providing search and rescue aid, medical care, shelter, food, and other essential services in Haiti. All need additional funds to continue their work in the coming weeks and months.
Health and Medical Care
Doctors Without Borders (Médecins Sans Frontières)
An international humanitarian organization created by doctors and journalists that provides medical and health services, often in emergency situations.
Direct Relief International
Provides medical care to people harmed by poverty, natural disasters, and civil unrest.
Partners in Health
An organization that provides medical care and advocacy in Haiti and nine other countries.
Emergency Services and Logistical Support
American Red Cross
The U.S. branch of the International Red Cross, which assists people whose lives have been disrupted by natural disasters, humanitarian crises, and health emergencies.
Clinton Bush Haiti Fund
A fundraising group started by Presidents Bill Clinton and George W. Bush at the request of President Barack Obama to support immediate relief efforts such as the provision of food, water, shelter, and medical care, and to work on long-term recovery plans.
The International Rescue Committee
A group of volunteer first responders, humanitarian relief workers, healthcare providers, educators, and other volunteers who provide emergency relief services.
A volunteer group of professional engineers, financial analysts, public
What is medical identity theft? In this serious and growing problem, someone else uses your personal information to obtain medical goods or services. Medical identity theft affects consumers, health care providers, and insurance organization. According to the Federal Trade Commission (FTC), medical identity theft accounts for about 3 percent of all identity theft, and the World Privacy Forum claims it’s the most difficult form of identity theft to correct.
When you are the victim of medical identity theft, incorrect information about diagnoses and treatments may appear on your medical records, potentially affecting your health care providers’ decisions about your care and treatment. Also, in addition to paying for treatment you didn’t receive, in some cases you might be denied treatment or coverage because of fraudulent medical or insurance information.
But there is some good news: HIPAA (the Health Insurance Portability and Accountability Act) regulations and the Identity Theft Protection Act, already in place, give you many of the tools you need to get errors corrected at your doctor’s office and with your insurance provider. Of course, like any crime, you’re better off preventing it from happening in the first place.
Spotting Medical Identity Theft
Among other signs, the FTC states that you may
A recall of certain medicines due to odor problems has been expanded by Johnson & Johnson’s McNeil Consumer Healthcare unit.
On Jan. 15, the company recalled a number of over-the-counter medicines due to consumer complaints about a moldy smell that caused nausea and sickness in some people, the Associated Press reported.
The expanded recall covers four lots of Benadryl Allergy Ultratablets and one lot of Extra Strength Tylenol that were distributed in the United States, Puerto Rico, Bermuda and Tobago.
The odor is from a chemical treatment on wooden pallets used to store and transport packaging materials for medications, the AP reported.
Personal Hygiene: Poor Hygiene Hints at Other Issues
If someone you know hasn’t bathed or appears unkempt, it could be a sign that he or she is depressed. “When people are sad or depressed, they neglect themselves,” Novey says. Talking about the importance of proper personal hygiene for preventing illnesses and providing personal hygiene items may help some people. Be candid but sensitive and understanding in your discussions, Novey says. Despite your best efforts, your friend or loved one may need professional help. You should encourage them to see a counselor or doctor if their personal hygiene doesn’t improve.
Personal Hygiene: Good
A large number of studies have shown that moderate alcohol intake can lower the risk of cardiovascular disease in men and women. Moderate drinking means one drink per day for women and one to two for men, says Donald Novey, MD, an integrative medicine physician with the Advocate Medical Group in Park Ridge, Ill. “The difference in amounts is because of how men and women metabolize alcohol,” Dr. Novey explains.
“When you say one drink, the size of that drink matters,” Novey adds. According to the U.S. Department of Agriculture one drink is equal to:
- 12 ounces of beer or
- 5 ounces of wine or
- 1½ ounces of spirits (hard liquor such as gin or whiskey, 80-proof)
The Dangers of Drinking Too Much
Unfortunately, some people can’t stop at just one or two drinks. Too much alcohol can result in serious health consequences. Heavy alcohol intake can damage the liver, causing cirrhosis, a fatal disease. Excessive drinking also can raise blood pressure and damage the heart, and is linked to many different cancers, including mouth, esophagus, breast, prostate, and colorectal cancers. The health risks are even greater for those who not only drink but smoke as well.
The consequences of excessive drinking can be serious not
If you are what you eat, it follows that you want to stick to a healthy diet that’s well balanced. “You want to eat a variety of foods,” says Stephen Bickston, MD, AGAF, professor of internal medicine and director of the Inflammatory Bowel Disease Center at Virginia Commonwealth University Health Center in Richmond. “You don’t want to be overly restrictive of any one food group or eat too much of another.”
Healthy Diet: The Building Blocks
The best source of meal planning for most Americans is the U.S. Department of Agriculture (USDA) and U.S. Department of Health and Human Services Food Pyramid. The pyramid, updated in 2005, suggests that for a healthy diet each day you should eat:
- 6 to 8 servings of grains. These include bread, cereal, rice, and pasta, and at least 3 servings should be from whole grains. A serving of bread is one slice while a serving of cereal is 1/2 (cooked) to 1 cup (ready-to-eat). A serving of rice or pasta is 1/2 cup cooked (1 ounce dry). Save fat-laden baked goods such as croissants, muffins, and donuts for an occasional treat.
- 2 to 4 servings of fruits and 4 to 6 servings of vegetables. Most fruits
It’s been proven time and again, on back roads and superhighways: A seat belt can save a life in a car accident. According to the National Highway Traffic Safety Administration (NHTSA), more than 15,000 lives are saved each year in the United States because drivers and their passengers were wearing seat belts when they were in accidents.
Seat Belt Safety: 5-Way Protection
“Seat belts prevent occupants of the vehicle from serious injury in five ways,” says Angela Osterhuber, director of the Pennsylvania Traffic Injury Prevention Project in Media, Pa. A seat belt:
- Keeps the occupants of the vehicle inside. “It’s clearly a myth that people are better off being thrown clear from the crash,” Osterhuber says. “People thrown from a vehicle are four times more likely to be killed than those who remain inside.”
- Restrains the strongest parts of the body. “Restraints are designed to contact your body at its strongest parts. For an older child and adult, these parts are the hips and shoulders, which is where the seat belt should be strapped,” Osterhuber says.
- Spreads out any force from the collision. “Lap-and-shoulder belts spread the force of the crash over a wide area of the body. By putting less stress on any
The benefits of regular exercise are unrivaled: Physical activity can help you lose weight and prevent a host of ailments, including heart disease, diabetes, and osteoporosis. Being fit also can help you stay mentally sharp.
While most people know they should exercise, you may not know where to start or how to fit it into a busy schedule. The American College of Sports Medicine (ACSM) and the American Heart Association (AHA) recommend that healthy adults get at least 150 minutes of moderate-intensity aerobic activity spread out over five days a week, or 20 minutes of vigorous-intensity aerobic activity on each of three days a week.
“This is something we recommend to all Americans,” says Gerald Fletcher, MD, a cardiologist at the Mayo Clinic in Jacksonville, Fla., and a spokesman for the AHA.
An ideal fitness routine also includes resistance or weight training to improve muscle strength and endurance. The ACSM and the AHA recommend that most adults engage in resistance training at least twice a week.
Finding Fitness: 10 Ways to Get in Exercise
Sometimes the problem isn’t motivation — it’s simply finding the time. But scheduling exercise isn’t as difficult as you might think. Here are 10 ways to get you moving more