Monthly Archives: July 2009

Health of the Uninsured

The health care reform debate has been in the media frequently the last few weeks. President Obama stopped in Raleigh on Wednesday to hold a town hall style meeting to discuss not only health care services, but health insurance as well.

A report from the Kaiser Commission on Medicaid and Uninsured found that, “Not having health insurance makes a difference in people’s access to needed medical care and their financial security.”

Did you know that the uninsured are:

· Less likely to get preventive care such as screenings and check-ups,

· Less likely to follow through with recommended treatment such as drug prescriptions,

· More likely to be hospitalized for illness that could have been prevented,

· More likely to put off necessary health care due to inability to pay, and are

· More likely to die in the hospital than those who do have health insurance.

Opinions differ on how to best cover Americans without health insurance. The debate continues and probably will for some time. The only thing that is clear is that change needs to happen to help an estimated 45 million in the U.S. without health insurance.

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Q & A with Public Health Professionals

Many people in the community don’t know what services their health department offers beyond immunizations. Did you know that your public health department does that, but also provides low cost spaying and neutering, teaches health promotion classes in the community, hosts the annual Reindeer Run, among many other services?

To help you become familiar with the health department, we’re starting a new feature that will give you more insight to what the health department does and who is doing it.

Please meet Vanessa Farrar.

1. How long have you been working in the public health field?

I have worked in the public health field over 20 years.

2. What is your current position?

Division Manager, Health Educator III

3. What do your job duties include?

Developing and managing programs for improving health of the individuals and communities.

Providing leadership to staff on developing and implementing programs and services for Chatham County residents.

4. What other positions have you held in the public health field?

Health Educator I

Health Educator II

Health Educator Supervisor

5. What is your degree in?

Health Education

6. Why do you work in public health?

The field of public health gives me an opportunity to make a difference in my community.

7. What is your favorite thing about your job?

Working with a variety of people, continuous learning and seeing change happen over time.

 8. Do you have a favorite/funny memory about a public health experience you’ve had while working?

My favorite experience was working with a community around health promotion issues and having a community member bring a program to us that she would like implemented in her community. As result, we not only worked with her community in implementing the program but have implemented the LIGHT Way program in several communities.


Stay tuned for upcoming Q & As with Chatham County health department professionals.

 

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President Obama Pushes for Health Care Plan

As you may have read about, seen on TV, or heard on the radio, President Obama is pushing for a reform of the U.S. health care system. Here is the rationale for rebuilding the system:

From http://www.whitehouse.gov/issues/health_care/Guiding Principals

President Obama is committed to working with Congress to pass comprehensive health reform in his first year in order to control rising health care costs, guarantee choice of doctor, and assure high-quality, affordable health care for all Americans.

Comprehensive health care reform can no longer wait. Rapidly escalating health care costs are crushing family, business, and government budgets. Employer-sponsored health insurance premiums have doubled in the last 9 years, a rate 3 times faster than cumulative wage increases. This forces families to sit around the kitchen table to make impossible choices between paying rent or paying health premiums. Given all that we spend on health care, American families should not be presented with that choice.

The United States spent approximately $2.2 trillion on health care in 2007, or $7,421 per person – nearly twice the average of other developed nations. Americans spend more on health care than on housing or food. If rapid health cost growth persists, the Congressional Budget Office estimates that by 2025, one out of every four dollars in our national economy will be tied up in the health system. This growing burden will limit other investments and priorities that are needed to grow our economy. Rising health care costs also affect our economic competitiveness in the global economy, as American companies compete against companies in other countries that have dramatically lower health care costs.

The President has vowed that the health reform process will be different in his Administration – an open, inclusive, and transparent process where all ideas are encouraged and all parties work together to find a solution to the health care crisis. Working together with members of Congress, doctors and hospitals, businesses and unions, and other key health care stakeholders, the President is committed to making sure we finally enact comprehensive health care reform.

The Administration believes that comprehensive health reform should:

- Reduce long-term growth of health care costs for businesses and government
- Protect families from bankruptcy or debt because of health care costs
- Guarantee choice of doctors and health plans
- Invest in prevention and wellness
- Improve patient safety and quality of care
- Assure affordable, quality health coverage for all Americans
- Maintain coverage when you change or lose your job
- End barriers to coverage for people with pre-existing medical conditions

For more information on both sides of the health care reform debate, please go to:

http://news.aol.com/article/obama-health-care-plan/573350

http://abcnews.go.com/Politics/Story?id=7922187&page=1

http://www.smartmoney.com/personal-finance/health-care/obamas-health-care-plan-what-it-means-for-you/

http://news.yahoo.com/s/ap/20090723/ap_on_go_pr_wh/us_obama_fact_check

These are just a few of the sites that are debating the topic. You are encouraged to read more and form your own opinion.

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Health Department Releases Physical Activity Resource Guide

 On June 1, 2009, the Chatham County Physical Activity Resource Guide was released. The resource guide lists organizations that have facilities for physical activity. The resource guide provides the contact information for the organization, the address of the facility, and amenities of the facility. A map of the county gives users direction to visit the facility.

Megan Bolejack, Chatham County Public Health Department Health Educator states, “The map will be a great way for residents and visitors to explore Chatham County and be active.”

The resource guide can be picked up from the health department on 80 East Street or 109 Camp Drive in Pittsboro and at 1000 South Tenth Street in Siler City. The guide can be mailed by request. Please call 919-545-8518 for more information. Pick up a guide and get active!

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President Obama Selects Dr. Regina Benjamin for Surgeon General

WASHINGTON (CNN) — President Obama announced Monday his choice for surgeon general — Dr. Regina Benjamin, a 52-year-old family practice doctor who has spent most of her career tending to the needs of poor patients in a Gulf Coast clinic in Alabama.

“When people couldn’t pay, she didn’t charge them,” Obama said. “When the clinic wasn’t making money, she didn’t take a salary for herself.”

He called Benjamin “a relentless promoter” of programs to fight preventable illness.

Benjamin cited the toll of preventable illness as the reason her family was not with her at the announcement: Her father died with diabetes and high blood pressure; her older brother and only sibling died at age 44 of an HIV-related illness; her mother died of lung cancer after taking up smoking as a girl; her mother’s twin brother could not attend because he is at home “struggling for each breath” after a lifetime of smoking.

“I cannot change my family’s past, but I can be a voice to improve our nation’s health for the future,” she said. Benjamin received a bachelor’s degree in 1979 from Xavier University of Louisiana, attended Morehouse School of Medicine from 1980 to 1982, and received a doctor of medicine degree from the University of Alabama at Birmingham in 1984.

She completed her residency in family practice at the Medical Center of Central Georgia in 1987.

Her medical training was paid for by a federal program, the National Health Service Corps, under which medical students promise to work in areas with few doctors in exchange for free tuition, one year of service for every year of paid tuition.

Benjamin founded the Bayou La Batre Rural Health Clinic in 1990 in the fishing village of Bayou La Batre, Alabama, and has served as its CEO since.

Like many of her patients, the clinic has suffered its own life-threatening challenges. It was heavily damaged by Hurricane Georges in 1998 and Hurricane Katrina in 2005. It also burned to the ground several years ago. But Benjamin rebuilt it after each setback and has continued to offer medical care to the village’s 2,500 residents.

Her commitment to them has meant making house calls during the rebuilding, mortgaging her house and maxing out her credit cards, Obama said.

“Regina Benjamin has refused to give up; her patients have refused to give up,” he said.

Many of her family practice patients are immigrants from Vietnam, Cambodia and Laos who make up a third of Bayou La Batre’s population, and many of them are uninsured.

Benjamin’s expertise goes beyond medicine; she earned a master’s in business administration in 1991 from Tulane University. But her focus has not been on making money for herself, she said.

“My priority has always been the needs of my patients,” she said. “I decided to treat patients regardless of their ability to pay.”

Benjamin said she has worked for years to scrape together the resources needed to keep the clinic doors open and found “it has not been an easy road… It should not be this hard for doctors and other health care providers to care for their patients.”

She praised Obama “for putting health care reform at the top of your domestic agenda,” and said she hopes, if confirmed by the Senate, “to be America’s doctor, America’s family physician.”

“As we work toward a solution to this health care crisis, I promise to communicate directly to the American people, to help guide them through whatever changes come with health care reform. I want to make sure that no one falls through the cracks,” she said.

A call to the clinic, where Benjamin was working last week, found it in full swing. “We are just packed in with patients right now, and I’m the only one at the front office,” said a breathless woman who then hung up.

Benjamin has served as the associate dean for rural health at the University of South Alabama’s College of Medicine and as president of the State of Alabama Medical Association, from 2002-2003.

She was the first African-American woman board member of the American Medical Association, and she just served a term as chairwoman of the group’s Council on Ethical and Judicial Affairs.

The position of surgeon general, whose effectiveness is largely in its use as a bully pulpit, requires Senate confirmation.

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