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Medicare Cuts Will Force Many Cancer Centers To Close, Stop Seeing Medicare Patients, Lay Off Staff, According To ASTRO Survey
A new proposal from the Centers for Medicare and Medicaid Services (CMS) to cut payments for radiation therapy treatments would cause many cancer centers to close, stop accepting Medicare patients, lay off support staff and reduce services to cancer patients, according to a survey conducted by ASTRO, the American Society for Radiation Oncology.
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Swine Influenza Daily Update: 20 July 2009, Wales
The NPHS influenza surveillance scheme, which records reports of diagnoses of flu from more than 300 GP practices across Wales, shows low but increasing levels of influenza activity across Wales. Further detail can be found on the NPHS website: click here.
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Blogs Comment On Birth Control Affordability, Abortion Waiting Periods, Patient Rights, Other Topics
The following summarizes women"s health-related blog entries.~ "One in Ten Women Worries About Her Ability To Keep Paying for Contraception," Cristina Page, Birth Control Watch: A Gallup poll released at a conference of the American College of Obstetricians and Gynecologists showed the "alarming news" that women "say that using birth control is extremely important to them but, increasingly, they can"t afford it." The poll reveals that 6% of women using hormonal birth control said they stopped using it because they could not afford it, and 10% said they are worried that they might become unable to afford contraception. On average, women reported that reliable contraception is a "9" on a scale of importance, with the maximum being 10. In addition, those who said they have been greatly affected by the recession were more than twice as likely as others to report deciding to limit the size of their families -- 29% compared with 13%. Page writes, "While family planning in tough economic times is no doubt a reasonable path," the survey shows another "alarming finding: women are sacrificing their health when their pocketbooks are pinched." She writes that the "Obama administration could not have had better timing" in releasing its report on women and health care, which details, among other things, how women in their reproductive years pay higher insurance premiums than men. Page says the White House report and the Gallup poll show that the "cost disparity has a cascading effect" on women and that the "necessities they are forced to give up include contraception." According to Page, "Lucky for us, the Obama administration is approaching the health care crisis with the understanding that women and men might not have equal access to the care they need" and seeks to "view women"s health and rights as critical pieces of our nation"s recovery plan." She concludes, "Beginning to feel better already" (Page, Birth Control Watch, 5/14).~ ""Timeouts" For Grown Women," Lynn Harris, Salon"s Broadsheet: Currently, 24 states have laws requiring women to receive counseling and wait -- usually for 24 hours -- before undergoing an abortion, which basically "amounts to giving grown women a timeout," Harris writes. She cites a recent Guttmacher Institute analysis, which finds that abortion counseling and waiting periods have "next to no effect at all," except to "likely increase both the personal and the financial costs of obtaining an abortion, thereby preventing some women from accessing abortion services," according to the Guttmacher report. Harris continues that earlier research "unsurprisingly" confirms that women "have usually decided to go through with the procedure before they call to make their appointment." Therefore, "mandated, scripted in-person "counseling" is, at best, an exercise mainly in shame and burdensome logistics," Harris writes. She notes that these "restrictions are sold to lawmakers and voters wrapped in the sheep"s clothing of "informed consent."" However, such laws "are intended primarily to block abortion access," according to Lawrence Finer, co-author of the Guttmacher report. Harris concludes that "the most epic fail[ure] here of all" is "the amount of time and res and energy spent to establish, administer -- and circumvent -- these spurious, fatuous laws," which could "otherwise be spent, call me crazy, taking care of living, breathing women and children" (Harris, Salon"s Broadsheet, 5/13).~ "Patients" Rights Suddenly "Sacred" to Scared GOP," Lois Uttley, RH Reality Check: GOP strategist Frank Luntz has become the "newest defender of reproductive rights" by advising congressional Republicans "on how to defeat health reform this year by scaring voters about a "Washington takeover of health care,"" Uttley writes. Luntz, in a leaked GOP strategy memo on challenging the Democrats public health insurance plan option, is trying to "reinvent a group of politicians who have spent the last eight years standing for maximum government interference in Ameri
Endocrinology

Mayo Clinic Study Continues To Refine Most Effective Methods To Predict Alzheimer's Disease

A new Mayo Clinic study found that the clinical criteria for mild cognitive impairment is better at predicting who will develop Alzheimer"s disease than a single memory test. This is one more piece of information to aid in the identification and early treatment of individuals most likely to develop Alzheimer"s disease. This study will be presented at the Alzheimer"s Association International Conference on Alzheimer"s Disease on July 14 in Vienna. Alzheimer"s disease is a degenerative disorder of the brain in which nerve cells die over time, resulting in a steady loss of memory and other thinking abilities. An estimated 5.3 million Americans are living with Alzheimer"s disease, and it is the sixth-leading cause of death in the U.S. Mild cognitive impairment is a transitional state between normal aging and the earliest features of Alzheimer"s disease. "The goal of this research is to try to predict who is going to develop Alzheimer"s disease in the future," says Ronald Petersen, M.D., Ph.D., a neurologist at Mayo Clinic and the lead author of this study. "Ideally, we"d like to identify individuals before any damage is done in the brain. The sooner we intervene on this process with medications or other therapies, the greater impact we can have on lessening the number of people who will ultimately develop Alzheimer"s disease." Dr. Petersen and his team studied 1,261 individuals aged 70+ years who were cognitively normal or had only slight memory impairment at the onset of the study. The individuals were followed for up to 10 years. Scores on a memory test and the clinical criteria for mild cognitive impairment (including a memory test as well as other assessments of cognitive function) were studied as possible predictors for eventual development of Alzheimer"s disease. The team found that the clinical criteria for mild cognitive impairment was better able to predict who was going to develop Alzheimer"s disease in the future. "As the baby boomers age into the period of risk for Alzheimer"s disease, we"re talking about a significant number of individuals who may become cognitively impaired in the very near future," says Dr. Petersen. "Consequently, we need information like this about the best methods of early prediction so that we can develop therapies to prevent or treat the condition and avoid being overwhelmed by the burden of these individuals on the health care system." Other members of the Mayo Clinic research team included David Knopman, M.D.; Bradley Boeve, M.D.; Ruth Cha; V. Shane Pankratz, Ph.D.; Yonas Geda, M.D.; Rosebud Roberts, M.B.Ch.B.; and Clifford Jack, M.D. Karl Oestreich Mayo Clinic


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