Posts Tagged ‘health’

Reason Number 682…

…to hate Governor Arnold Schwarzenegger of California:

A nationally lauded program that has helped thousands of mentally ill homeless men and women break the cycle of psychiatric hospitalization, jail time and street life is now on Gov. Arnold Schwarzenegger’s list of budget cuts.

Many misinformed Republicans and Rednecks (they go hand in hand, really) have this notion that homelessness and poverty are caused by laziness. In the mean time, people who are actually fighting the War on Poverty (a war started by none other than the best president ever, FDR) know the real causes to poverty. Sickness, low wages, too much wealth in the hands of the few, a Republican party run-government, rising gas prices and, of course, MENTAL ILLNESS (one of the largest causes, as well as the most important to address).

So why would we cut the funding of a program that addresses mental illness and helps get human beings off the streets? Because we’re being screwed by another Republican! Integrated Services for Homeless Adults With Serious Mental Illness receives $55 million dollars annually, according to the article in the LA times, “Gov. Seeks to Cut Mental Health Services for the Homeless.” Apparently, the Governor needs to close a $3 billion dollar gap in our budget. So it only makes sense to close that gap by cutting funding to a program that actually saves the tax payers millions and saves lives as well.

Well, the Republicans can fall back on their worn out mantra- “Them people jus’ need a take some ‘sponsability fer there lifes and git a real job.” But, you see, that has never gotten results. The Integrated Services for Homeless Adults With Serious Mental Illness however, has seen great results. As a pilot project in 1999, the ISHAWSMI (not it’s official acronym) took 1,000 people from LA, Stanislaus and Sacramento counties and gave them stabilized housing and guidance. Within 6 months the program reported a “75% reduction in hospitalization and significant declines in time spent on the street or in jail”. The next step was to get state-wide funding with Proposition 63, passed in 2004.

How can a Governor get away with this? Proposition 63 prohibits the State from cutting funds for mental health services. But, since the Governor isn’t cutting the funds below 2004 levels he can get away with putting thousands of mentally ill people on the street where they cannot receive the support they need, be it counseling, medication, or just the ability to call somewhere ‘home.’ This latter service is the corner stone to combating mental illness. I guess ol’ Schwarzy just can’t understand that. And who is going to pay when these people end up back in jail, rehab, prison or dead? Taxpayers. The blood of these people are on your hands, Arnold. And real Americans will foot the bill.

So what does this program do that makes it so vital? Instead of only treating mental illness or only treating homelessness, this programs treats all these aspects. Before this program was begun, mental health patients were only treated for specific issues.

Services had previously been rigidly targeted to addressing one component of a client’s problems — mental illness, for example, or addiction or housing. But many severely mentally ill people needed coordinated help that addressed a host of problems.
The new funds allowed counties to treat the whole person, starting with the notion that stable housing is key to wellness. Substance abuse, chronic medical conditions, job training and education — all are managed along with psychiatric needs in a centralized way, tailored to each individual.

The Governor himself has praised the approach this program takes its results. So now he wants the same results with less money. That’s so like a Republican.

War and Illness

President Bush, nominated for Worst President Ever (in my book), has decided that he knows what’s best for everyone. You see, with a wilting approval rating and strong opposition against the war in Iraq, he has decided that he will do just about whatever he wants.

Although the two political parties in America (dumb and dumber as I have recently began to call them) cannot agree on how or when we should be out of Iraq, they have decided it needs to happen. Congress is telling the president to listen to the American people. We no longer want to spend money on an endless war, we don’t want to see any more of our sons dying, but Jr. is telling Congress and the American people to mind their own business. Jr. Knows Best, right? The New York Times writes:

The president acknowledged that public opinion might be against him — he said that “sometimes the decisions you make and the consequences don’t enable you to be loved” — but suggested that Congress was overstepping its constitutional role by trying to force a change of policy on him.

So, basically he’s going to do whatever he wants because it doesn’t matter what anyone thinks. What a selfish little man. He also said:

“I don’t think Congress ought to be running the war. I think they ought to be funding the troops.”

(I don’t think Congriss oughtn’a be runnin this ‘ere fight righ’ ‘ere. Ayup, ayup, ayup)

So let’s all just shut up and let Bushy have his way.

In other news, patients of the fifth most common cancer in the US, non-Hodgkins Lymphoma, are not getting the effective treatment that they deserve. In the New York Times today, the statistics regarding two drugs Zevalin and Bexxa show that only 10 percent of people that would benefit from these treatments actually receive them. “Why”? you ask.

Reason number one:

The reasons that more patients don’t get these drugs reflect the market-driven forces that can distort medical decisions, Dr. Press and other experts on lymphoma treatment say. A result can be high costs but not necessarily the best care.

Reason number two:

One reason is that cancer doctors, or oncologists, have financial incentives to use drugs other than Bexxar and Zevalin, which they are not paid to administer. In addition, using either drug usually requires oncologists to coordinate treatment with academic hospitals, whom the doctors may view as competitors.

Reason number three:

But the drugs have run into an obstacle that so far has been impassable. Because they are radioactive, they are almost always administered in hospitals, not doctors’ offices. As a result, doctors are not paid by Medicare and private insurers for prescribing them, as they are when they give patients a more common treatment, chemotherapy.

The article says that although these drugs do not prolong survival, a patient is more likely to respond to this drug than others that are used as first-line treatment. But, instead of being available to the 60,000 new cases each year (20,000 being fatal), doctors are holding back because of the almighty dollar. It’s not cost-effective to drive a Mercedes and administer a more effective treatment for cancer. That’s capitalism for you. It leaves no apology to the families of the people that will die this year because they don’t have the right insurance or the right doctor. America, thanks for nothing.

Sources:

The New York Times:

“A Firm Bush Tells Congress Not to Dictate War Policy”
By SHERYL GAY STOLBERG and JEFF ZELENY
Published: July 13, 2007

“Market Forces Cited in Lymphoma Drugs’ Disuse”
By ALEX BERENSON
Published: July 14, 2007

The Beating of his Hideous Heart

My job has given me the opportunity to become a certified Life-Saver. The first-aid and CPR training lasted nearly six hours over the course of two days. Fortunately, there were cookies.

I can now control bleeding, open air-ways, treat shock, recognize a stroke or heart attack as well as perform chest compressions and use an AED. A well rounded course, I must say.

There was one strange element to the chest compressions though. Pushing two inches down on a person’s chest can take a lot out of a rescuer. In real life, the adrenaline would probably allow the person not to feel the largely unused muscles affected by the life-saving act, but in the training room the strain made it hard to keep a steady rhythm. Still, whether in practice or in a true event there is a recommended aid in keeping a solid rhythm.

Here’s it is folks. The song that has the perfect rhythm to push on a person’s chest until an ambulance arrives:

Another One Bites the Dust, by Queen.

Of course, the instructor suggested we not sing it aloud in an emergency situation.

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