By Dr. Elaina George
It has been almost three months since the oil spill in the Gulf, yet there has been little attention given to the health effects of exposure to the various components present in the spill or the chemical used to disperse the oil. The contents of the oil spill contain several components; each has the potential to cause health risks to those who are exposed to them. It is clear that the oil spill in the Gulf is a toxic mixture that has the potential to not only destroy the ecosystem of the Gulf, but to harm the short and long term health of both the residents of the Gulf and people living in neighboring states who can be adversely affected by toxins carried in the jet stream and rain carried from the Gulf. It makes one wonder how long it will be before we see a rise in illnesses from not only the workers and volunteers who are cleaning up the spill without proper protective equipment such as respirators and protective clothing, but also those in neighboring states. [more...]
Wednesday, July 7, 2010
Wednesday, February 24, 2010
The President’s Health Care Proposal: Trying to Get Blood From a Stone
By Dr. Elaina George
If the goal of the President’s proposal was to drive doctors into hospital-based practices or community health centers; or if it was to break the spirit of providers and bend them to the will of the government that holds the threat of criminal prosecution over their heads if they are found to be Medicare cheats; or if the goal was to dumb down the practice of medicine by ramping up the power of the HHS secretary and the evidence-based medicine posse, then the President’s proposal for health care reform was successful. However, we as physicians are individuals. There approximately 890,000 doctors currently practicing in the U.S. Those of us who want the autonomy to practice medicine the way we were trained, those of us who run a private practice who are entrepreneurs at heart, those who are tired of being pitted against our patients and other physicians, and those who are just sick and tired are NOT going to take this. Those of us who can will retire or leave medicine all together. Those within the system will simply opt out. [more…]
If the goal of the President’s proposal was to drive doctors into hospital-based practices or community health centers; or if it was to break the spirit of providers and bend them to the will of the government that holds the threat of criminal prosecution over their heads if they are found to be Medicare cheats; or if the goal was to dumb down the practice of medicine by ramping up the power of the HHS secretary and the evidence-based medicine posse, then the President’s proposal for health care reform was successful. However, we as physicians are individuals. There approximately 890,000 doctors currently practicing in the U.S. Those of us who want the autonomy to practice medicine the way we were trained, those of us who run a private practice who are entrepreneurs at heart, those who are tired of being pitted against our patients and other physicians, and those who are just sick and tired are NOT going to take this. Those of us who can will retire or leave medicine all together. Those within the system will simply opt out. [more…]
The Moral Compass of Health Care
By Dr. Evelyn Higgins
How do we define social morality within the context of political morality? Can we even mesh the two? How do we do what’s best for the greater good in the realm of health care? In an area of history, which will come to define us as a nation, health care is at the core of our heated debate. Many claim it’s partisanship at best. I see it as individual political agendas. After all, it would appear that good judgment would look at long-range implications of today’s decision and see that a complete overhaul of a system that is not without fault could be improved upon greatly by some honest politics, such as tort reform. Ah, but that makes the hair on the back of a lawmaker stand straight up. After all, many career bureaucrats and/or career politicians hail from the halls of institutions of higher learning in the area of law. Nepotism perhaps, or cover your back is at risk. But then again so is your seat at risk as a representative of your constituents. [more…]
How do we define social morality within the context of political morality? Can we even mesh the two? How do we do what’s best for the greater good in the realm of health care? In an area of history, which will come to define us as a nation, health care is at the core of our heated debate. Many claim it’s partisanship at best. I see it as individual political agendas. After all, it would appear that good judgment would look at long-range implications of today’s decision and see that a complete overhaul of a system that is not without fault could be improved upon greatly by some honest politics, such as tort reform. Ah, but that makes the hair on the back of a lawmaker stand straight up. After all, many career bureaucrats and/or career politicians hail from the halls of institutions of higher learning in the area of law. Nepotism perhaps, or cover your back is at risk. But then again so is your seat at risk as a representative of your constituents. [more…]
Thursday, February 18, 2010
Changing the Healthcare Paradigm: A Physician and Patient-Centered Approach
By Dr. Elaina George
We are at a crossroads. As a practicing physician, I am really concerned about the state of our healthcare system if the Congressional reform bill gets passed. Even if it is an amalgam of both the House and Senate bill, there are so many negatives that the basic tenets that are good, like coverage for pre-existing conditions and not being dropped from an insurance plan, will not make any significant difference in our healthcare overall. Some have said that the reform effort is a stepping-stone to a single payer system and I agree that is possible. What physician would want to enter a system where their freedom to practice medicine is controlled by government task forces, and where the final medical decision is made by a government administrator who will be all about cost savings, and NOT what is best for the individual patient? [more…]
We are at a crossroads. As a practicing physician, I am really concerned about the state of our healthcare system if the Congressional reform bill gets passed. Even if it is an amalgam of both the House and Senate bill, there are so many negatives that the basic tenets that are good, like coverage for pre-existing conditions and not being dropped from an insurance plan, will not make any significant difference in our healthcare overall. Some have said that the reform effort is a stepping-stone to a single payer system and I agree that is possible. What physician would want to enter a system where their freedom to practice medicine is controlled by government task forces, and where the final medical decision is made by a government administrator who will be all about cost savings, and NOT what is best for the individual patient? [more…]
Tuesday, February 16, 2010
Are High Health Care Costs Tied to Evidence-Based Medicine?
By Dr. Elaina George
Did you ever wonder exactly what evidence-based medicine is? The National Center for Clinical Excellence bases it in on the philosophy "that as much medical practice as possible ought to be carried out using proven algorithms based on empirically valid evidence from controlled scientific experiments, rather than individual clinical judgment." Congressional health care reform relies heavily on both 'evidence-based guidelines' and 'evidence-based individual decision making' to set the standards of care for medical treatment and outcomes. In fact, House bill 3962, in an effort to control costs, creates a new layer of government bureaucracy that inserts itself between the doctor and the patient. [more…]
Did you ever wonder exactly what evidence-based medicine is? The National Center for Clinical Excellence bases it in on the philosophy "that as much medical practice as possible ought to be carried out using proven algorithms based on empirically valid evidence from controlled scientific experiments, rather than individual clinical judgment." Congressional health care reform relies heavily on both 'evidence-based guidelines' and 'evidence-based individual decision making' to set the standards of care for medical treatment and outcomes. In fact, House bill 3962, in an effort to control costs, creates a new layer of government bureaucracy that inserts itself between the doctor and the patient. [more…]
Wednesday, February 10, 2010
Duality of the Heart and Washington
By Dr. Evelyn Higgins
Cardiovascular disease is the number one killer in the U.S. The ridiculous part is that the largest killer is PREVENTABLE! And, by the way, we consider ourselves to be an educated, evolved society. Preventable, yet what we “prescribe” culturally as the answer is Big Pharma. The statin drug market is a $20 billion-a-year racket alone. In an industry that spends $50 billion on advertising alone, with an additional $20 billion on lobbying, the first action step requires an honest inventory of the relationship of Big Pharma and the politicians it gets elected to run “our” government. You can afford $50 billion in advertising when you make $20 billion just on statins. And, I would totally agree with the statin mentality if it solved the problem. We wouldn’t have a $500 billion tab for heart disease yearly if the stuff was the answer! [more…]
Cardiovascular disease is the number one killer in the U.S. The ridiculous part is that the largest killer is PREVENTABLE! And, by the way, we consider ourselves to be an educated, evolved society. Preventable, yet what we “prescribe” culturally as the answer is Big Pharma. The statin drug market is a $20 billion-a-year racket alone. In an industry that spends $50 billion on advertising alone, with an additional $20 billion on lobbying, the first action step requires an honest inventory of the relationship of Big Pharma and the politicians it gets elected to run “our” government. You can afford $50 billion in advertising when you make $20 billion just on statins. And, I would totally agree with the statin mentality if it solved the problem. We wouldn’t have a $500 billion tab for heart disease yearly if the stuff was the answer! [more…]
Monday, February 8, 2010
Why Are We Ignoring The Role of the Food Industry in Healthcare Reform?
By Dr. Elaina George
According to the National Center for Health Statistics, the epidemic rise in the number of Americans young and old who are either overweight or obese account for 67%. The number of obese people has more than doubled since 1980. When you take into account the number of diseases like breast cancer, heart disease, diabetes and osteoarthritis, to name a few that are linked to obesity, it doesn’t take a genius to figure out that the link between healthcare costs and obesity is strong, and changes can go a long way to both bringing down the costs and helping us live longer healthier lives. Over the past two decades we have gotten fatter and sicker, but there has been another change. Our food, by and large, is no longer produced by the small farmer; corporate farming has taken over our food supply. The farms have gotten larger and techniques to increase the amount of food while making it cheaper and produce it more quickly have been the goal of the food industry. The argument can be made that the changes in the way our food is produced has had a direct correlation with the rise in obesity, diabetes, heart disease and the ever increasing cancer rate. In addition, it can also be argued that government policies have empowered the food industry to adopt policies that are making us sick. [more…]
According to the National Center for Health Statistics, the epidemic rise in the number of Americans young and old who are either overweight or obese account for 67%. The number of obese people has more than doubled since 1980. When you take into account the number of diseases like breast cancer, heart disease, diabetes and osteoarthritis, to name a few that are linked to obesity, it doesn’t take a genius to figure out that the link between healthcare costs and obesity is strong, and changes can go a long way to both bringing down the costs and helping us live longer healthier lives. Over the past two decades we have gotten fatter and sicker, but there has been another change. Our food, by and large, is no longer produced by the small farmer; corporate farming has taken over our food supply. The farms have gotten larger and techniques to increase the amount of food while making it cheaper and produce it more quickly have been the goal of the food industry. The argument can be made that the changes in the way our food is produced has had a direct correlation with the rise in obesity, diabetes, heart disease and the ever increasing cancer rate. In addition, it can also be argued that government policies have empowered the food industry to adopt policies that are making us sick. [more…]
Tuesday, January 26, 2010
It’s Not Us Versus Them; We Are All in This Together
By Dr. Evelyn HigginsWashington is under the false impression that all it will take is a new tax, a new czar or a new bailout to fix health care in America - that the problem is US versus THEM. All eyes will be on Washington on Wednesday for the State of the Union to see and hear the new 'answer' to our health care ills. The problem is that the real solutions are not even on the drawing board. The problem is that we don’t have our problem defined. The problem is that we don’t have a health care crisis at all, but rather a problem in how we think about health care. The problem is that the administration wants a government-run bureaucracy that will dictate and define prevention and treatment. We are all in this together and we need to have positive solutions - positive for everyone, not a few. Positive solutions for what 'We the People' want to see. [more...]
Massachusetts Voters Decided to Make a Stand, But Is It Enough to Save American Healthcare?
By Dr. Elaina GeorgeIt has become clear that health care reform in its present state has nothing to do with delivering quality healthcare to the American people. The idea of universal coverage, with protection against insurance company wrongs (e.g., denying patients for pre-existing conditions and limiting the insurance company’s ability to deny coverage when you really need it) has been the sheep’s clothing cloaking a bill designed to destroy our healthcare system. In short, the proposed healthcare reform will doom us to a future that has the potential to make us sicker by limiting our access to screening exams such as mammograms, and limiting our access to physicians while making us pay more for the privilege. The vote in Massachusetts was a stand against those in the government who are bent on telling us that they know what is best for us. I have been astounded by the complete contempt in which those in power hold the American people. A majority of the people in this country think the healthcare reform effort is going in the wrong direction. Although the vote in Massachusetts made it clear that there was major opposition to the current bill, I have doubts that the voices of the majority will be heard and this debacle will be stopped. [more...]
Monday, January 11, 2010
Are Total Body Scanners Safe? The Jury Is Still Out
By Dr. Elaina GeorgeA few weeks ago we were told that CT scans and mammograms can increase the risk of cancer. Since the rush to deploy the new total body scanners in our airports has been a topic of hot debate. There has been a burning question that has not been answered that needs to be. If CT scans and mammograms are no longer considered safe, what makes the total body scanners safe to use? The technology used in the full body scanners is either backscatter X-ray or millimeter waves both use a form of radiation call terahertz photons (T-rays). T-rays are a form of infrared energy that lies between radio waves at the low-end and microwaves at its higher end. It may be non-ionizing unlike X-rays; however, the energy is able to penetrate tissue, clothing, paper, plastic, wood and ceramics among other things. The TSA Web site represents the full body scanner as a safe method of screening. However, not only are we giving up our privacy, we are also playing Russian roulette with our safety. [more...]
Monday, January 4, 2010
Healthcare Reform: Bending the Cost Curve on the Backs of Patients
By Dr. Elaina GeorgeAfter reading Bob Herbert’s column on how the Senate’s version of the healthcare reform bill is nothing but a tax hike that will adversely affect the middle class, it struck me how really awful this bill is for patients. Divide and conquer is a time honored technique used to advance an agenda especially when it is unpopular, and the Senate played into our worse instincts. It sounded great to tax the “fat cats” who have the best health insurance policies to pay for extending coverage to those without health insurance. The way it has been framed, it seems that the wealthy have somehow been gaming the system and denying precious pieces of the health care pie to those who cannot afford insurance. [more...]
Big Pharma Wins Again
By Dr. Evelyn HigginsThe stakes are high. In an industry that understands money prevails and common sense is a lost virtue, big pharma willingly spent $50 billion last year on advertising and over $20 billion on lobbying to make sure their interests remained untouched by the new administration. Today, it appears the industry continues to be brilliant and they played their cards just right, bought off the right people, and once again money prevails. Last October, the now President Barack Obama was campaigning hard to make his new home 1600 Pennsylvania Avenue. As he spoke to America, his tale sounded like this: “then we’ll tell the drug companies thanks, but no thanks for overpriced drugs” and “we’ll allow low cost drugs from places like Canada” referring to keeping everyone honest for a better country with a better health care system. We bought it - hook, line and sinker. Wow, was that the smoothest fairytale ever heard about health care and the making of fiscal responsibility for a better America. [more...]
Monday, December 21, 2009
Government is Cause of High Costs of Health Care
By Dr. Elaina GeorgeThe reality about the health care bill is that the government's insertion into healthcare has led to the high costs that we are living with today. It began when the Medicare reimbursements to physicians were disconnected from the costs of delivering quality healthcare. For over 10 years the reimbursements for physicians has dropped every year while the cost of supplies, malpractice premiums and overhead expenses have continued to rise. This is the underlying engine for the cost shifting to both insured and self pay patients that we have seen over the years. It has become an untenable situation leading physicians to seek paid positions in hospitals, form large single and multi-specialty groups, opt out of the system and move towards a concierge model or leave the practice of medicine completely. Overall, this has led to a fracture in the doctor patient relationship, and a rise in the number and clinical expansion of providers such as physician assistants and nurse practitioners in an effort to fill the gap left by the physician's need to see an ever increasing patient load per day to keep the doors open. [more...]
Dr Elaina George is a Board certified Otolaryngologist. She graduated from Princeton University with a degree in Biology. She received her Masters degree in Medical Microbiology from Long Island University, and received her medical degree from Mount Sinai School of Medicine in New York. Dr George completed her residency at Manhattan, Eye Ear & Throat Hospital.
Monday, November 23, 2009
Practicing Gratitude Daily
By Dr. Evelyn HigginsNovember is a reflective time of year, one packed with beauty, splendour, wonder and tradition - a perfect time to ponder gratitude. Whether you are seasoned in the art of gratitude or a novice spending time developing this skill, you will reap huge benefits. The emotional and physiological benefits are numerous. Being thankful and holding that feeling for just 15-20 seconds can actually reduce the stress hormones in your body, relax the coronary arteries and increase the blood supply to your heart. Another bonus, which we are all concerned about today as we face the H1N1 swine flu is that being grateful can actually increase your immune system. Doesn't this sound like a skill that you should spend some time investing in? By contrast, the use of anti-depressant medication has nearly doubled over the last 10-year period from 1996-2005. Currently, 10 percent of the population over the age of 6 is taking some kind of psychotropic drug. Is being "medicated" the new normal? [more…]
Thursday, September 17, 2009
A Great Big Public Health Experiment - At What Cost?
By Dr. Evelyn HigginsThe powerful topic from BusinessWeek, September 7, 2009 reads: Is Merck Overselling a Cancer Vaccine? This served as a very stimulating topic for my show last week as fresh controversies heat up over the marketing of products to "protect cervical cancer." Great debate exists over the topic of vaccinations in general; however, this particular vaccine is of concern because what is sold is a protection against cancer when in fact it is really a protection against some strains of HPV or the human papilloma virus. As both a doctor and mother myself, this leaves room for great discussion with real facts as well as honest science. I think of the majority of moms who wouldn't even think twice about saying "of course, let's vaccinate" if they were told by their physician this will protect your daughter from cervical cancer. After all, what mom wouldn't? ...based on a physician saying just that. Caution-there's more to the story. [more...]
Wednesday, September 9, 2009
Debunking the H1N1 Swine Flu
By Dr. Evelyn HigginsThe news media is beginning to create hysteria and fear surrounding the H1N1 Swine Flu. I must first say, this is very real and to be taken seriously. However, it is not different than any other health situation where people in poor health are at greater risk. This is always the case! Everyone needs to be aware of building and strengthening their immune system. Infants, babies, toddlers and the elderly have a natural weakened immunity. Obviously, respect the importance of sleep, water, limit alcohol and smoking. Be aware of your body's reaction to stress and limit wherever possible. I suggest everyone watch a very important 60 Minutes video on my Web site and listen to the podcast of my show. You'll also find the suggested quality supplements you'll need. Please before you make any decisions educate yourself. [more...]
Thursday, August 13, 2009
We Don't Have a Health Care Crisis - We Have a Crisis in How We Think About Health Care
By Dr. Evelyn HigginsAs I sicken myself glossing over the 1,000+ page document supposedly created to “reform” our troubled health care system, the thought of my illness turns from acute to chronic. I become nauseous at the thought of the expense we continue to incur with government-ease attorney writings, which have absolutely nothing to do with health and everything to do with creating more expense with the likes of “judicial review” and so-called “Health Choices Commissioner” as well as the “Health Care Exchange.” Benjamin Rush, MD, a founding father and signer of the Declaration of Independence said over 200 years ago: “Unless we put medical freedom into The Constitution, the time will come when medicine will organize into an undercover dictatorship and force people who wish doctors and treatment of their own choice to submit to only what the dictating outfit offers.” The words I read in this 2009 document certainly sound like an undercover dictatorship - one that was envisioned by a very wise man. [more…]
Tuesday, June 23, 2009
Unhealthy Bed Partners
By Dr. Evelyn HigginsAs promised, this is the first week of the action steps to reverse our current health care crisis. In an industry that spends $50 billion on advertising alone, this first action step requires an honest inventory of the relationship of 'Big Pharma' and the politicians it gets elected to run our government. Unless we get Big Pharma out of medical schools we will never change our present mentality, which has us stuck in a revolving door. The revolving door presents room for the disease model only. Allow me to explain. In our current system, we use a disease model rather than a wellness model for health care. We therefore spend all our time and resources on disease. We look to a pill and/or surgery as the answer to every health problem. Don't get me wrong; we need both pharmaceuticals and surgery. The fact of the matter is that both save lives. The problem is that we abuse them rather than use them. Such faulty thinking eliminates the personal responsibility of the individual. Lack of freedom creates lack of responsibility. This allegiance presents misguided judgments from even the best-intended thoughts. [more...]
Tuesday, June 9, 2009
America's Health Care Crisis
By Dr. Evelyn HigginsBenjamin Rush MD, a Founding Father and Declaration of Independence signer, stated: "Unless we put medical freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship and force people who wish doctors and treatment of their own choice to submit to only what the dictating outfit offers. To restrict the art of healing to one class of men and deny equal privilege to others will constitute the Bastille of medical science. All such laws are UN-American and despotic and have no place in a republic. The Constitution of this republic should make special privilege for medical freedom as well as religious freedom."
Over 200 years later, we are living what Dr. Rush envisioned. We must adhere to a dictatorship - a failing one at that. The answers to our health care conundrum lie in freedom of choice - freedom, which rewards all of us personally as well as nationally. The answers are there; however, they require honest politics, dissemination of information free of censorship, closing of the revolving door between the FDA and Big Pharma, education, and the rewarding of positive lifestyle behaviors by each and every American who are willing to restore health to the USA. Over the next several months, I will be proposing an action item a week to reverse our current health care crisis. Stay tuned... [more...]
Tuesday, March 31, 2009
Food Safety Bill?
By Dr. Evelyn HigginsIf Connecticut Congresswoman Rosa DeLauro has her way, H.R. 875 ("Food Safety Modernization Act of 2009") will be a reality. She introduced this bill February 4, 2009 while the nation was in deep debate over passage of President Obama's "Stimulus Bill." Smart move. DeLauro's bill is supposed to protect the U.S. food supply; however, it leaves a lot of wiggle room. It leaves small farmers, especially organic farmers, at a great disadvantage to the corporate giants. Enter the world of politics. As we all know by now, in politics, everything is premeditated, nothing is by accident. This bill masquerades itself as a food safety bill while cutting the legs out from under the farmers - the blood, sweat and tears behind the family farm in America. You would think we are finally waking up; we are going green (even Washington tells us to go green) but you're wrong. It's only on the terms specified by the giants. So what mega giant business would benefit from knocking out any competition? Monsanto, the giant of genetically engineered food - the same folks that brought us the excitotoxin aspartame, which literally translates to exciting your neurons to death. That one was snuck in under the guise of helping you to lose weight, so of course it's good for you. Interestingly enough Congresswoman DeLauro's husband , Stanley Greenberg, a political strategist, has Monsanto as a client. Change? Where is the change? [more...]
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