Unaffordability Ebola is Spreading Throughout US Healthcare | healthcare

Driven by “The Number One Concern of Adults and Businesses in the US,” an insatiable, immutable ‘Unaffordability Ebola is attacking another compliant US host: The US Healthcare System.According to experts at Harvard, Johns Hopkins and Mercer, the US System is sick; its prognosis, poor.”We’re reaching the outer limits of affordability,” said Arnold Milstein, MD, Medical Director of PBGH and Chief Physician at Mercer. Milstein was addressing an international conference of providers, educators, brokers and facilitators on Global Health when he said, “We’re seeing an upward spread of The ‘Unaffordability Ebola.”WHAT HAPPENS IN VEGAS…
At the first, International Medical Tourism Conference in Las Vegas in April, Milstein was one of the prominent canaries singing an early warning of a virus attacking the seemingly immune US Healthcare System – “The Best System in the World.” The Canaries were singing at all venues in ‘Vegas but what happened there WON’T stay there. The Ebola is spreading faster than many people will admit…500,000 U.S. PATIENTS ABROADThe National Coalition of Healthcare estimates 500,000 people left the US for treatments last year; 500,000 international patients will visit India this year infusing $2.2Billion into its economy; 200,000 patients visited Singapore in ’05; 100,000 visited Malaysia that same year. It’s a $60 Billion Global Business that’s growing 20% a year.A presentation titled: “Leveling the Global Healthcare Playing Field,” Harvard Medical International President Dr. Robert Crone argued:1.) Regional Health Systems have achieved quality services at lower cost than US systems;2.) Global Standards and Benchmarks of quality are emerging;3.) Medical Tourism is growing, and global insurers will participate. Privately, he said, “they’re going to eat our lunch.”BARK, AND A BITE!Dr. Crone knows what’s he’s talking about. He has the credentials one would expect of a guy who’s at the top of the food chain at Harvard Medical. He’s lectured and implemented health education and delivery system programs in more countries than the average American could spell – or find on a map! A Top Dog in global healthcare, Dr. Crone has the bedside manner of a Junk Yard Dog: both his bark – and bite – hurt!”In the Flat Medicine World,” he said, “US facilities may be seriously disadvantaged, and adversely impacted in the global marketplace. Oh well,” he said smugly, “we had our Century.”Crone rattled off the maladies running rampant throughout the US system today, then piled on several scary scenarios ahead. It was a foreboding message for anyone planning to access US Healthcare today, or tomorrow. (Meaning, probably, every single American: rich, poor, healthy, sick!)Like other industries, healthcare has globalized and the new, uber competitive marketplace is introducing unimagined (some say impossible) features and benefits to consumers: Cheap, Comparable Outcomes and Outstanding Customer Service…What’s not to like?Let’s say you are uninsured and need a new knee? (What if you needed something less invasive like, say, your annual physical?) What if you wanted a face lift; a breast reduction; tummy tuck or a sex change? Since you’re responsible for the FULL price, you’re probably going to shop around a bit (after you self-diagnosed yourself, of course).As you’re shopping, you’re probably trying to find other important things to study and measure besides reputation and credentials alone. Unfortunately, there is very little accessible, comparable consumer information on cost, quality and care in the US. As a result, even the most unsophisticated buyer of healthcare is drawn to the international healthcare bizarre on the internet – and a sale can be made half way ’round the earth in the dead of night. That’s the new world of medicine.JOE SIXPACKLet’s say you’re a self insured employer – responsible for the first $50,000 or so on each employee. Would you consider recommending old Joe from Sales consider an awake, beating heart coronary artery bypass grafting at a superspeciality hospital in India – instead of the local provider? Would you ask/beg Joe (and his wife) to go halfway around the world for three weeks of treatment for the financial health of the company? Would you rewrite your Plan Document to take advantage of global pricing? Would you consider Singapore as your new Preferred Provider Network?And what about a good deal for taxpayers? Should the US Government send Medicaid patients packing? What about Medicare? Should taxpayers shell out $65,000 for grandma’s new hip when she can get hip resurfacing for $13,500 in India (including air fare and a week on the beach)?And how about all those new, high deductible health plans being sold in the US – where your best interest (maybe your only interest) is buying the most cost-effective care you can find?Would you fly 10,000 miles for a couple new crowns – plus a week on the beach – if you’d save $1,000? A TIME Magazine poll in May ’06 found that 45% of uninsured people said they would; 19% of insured people said they would, too.When asked if they could save $5000, 61% of the uninsured and 40% of insureds said they would travel 10,000 miles for an elective procedure.HOLD THE MAYOImagine your Executive Physical at a Mayo vs Maya? (Come on, guys, wouldn’t you be more inclined to actually have an annual physical – even with a colonoscopy – if it included a week on the beach with a martini and a massage for less than you’d spend for three days in Rochester, Minnesota?)Medical Tourism is Hot. (Some call it: “Medical Value Travel;” to others, it’s Consumer Driven Healthcare at its most driven level.) Whatever YOU call it, it’s economics applied to healthcare for the first time in more than 50 years.Medical Value Travel has been going on in the world for a long time, but most tourism has been inbound to the Mayos and the Cleveland Clinics of the world. Since 911, however, inbound Medical Travel has all but dried up in the US while outbound tourism is growing by leaps and bounds. Instead of Cleveland, it’s Chennai; Mumbai instead of Mayo. The Brave New World of Healthcare.Nicolet Bank Business Pulse© is a quarterly economic study of CEOs, O&Os and GMs in 10 Northeastern Wisconsin counties. (Businesses from all sectors and all sizes are represented in the sample.)In January, Nicolet Bank posed several questions about Medical Tourism: 52% of the CEOs, O&Os and GMs never heard of Medical Tourism; 23% heard of it, but didn’t know much about it; 17% were somewhat familiar; 9% very familiar.The Nicolet Bank Business Pulse© also asked: How interested would you be in traveling to another country for a routine procedure (e.g. your Executive Physical) if you knew the cost would be considerably less – and the care would be equally good?”Nearly a third said they’d be interested,” said Dr. David Wegge, president of IntellectualMarketing, LLC – the firm that conducts the studies for Nicolet Bank of Green Bay. “I don’t know how this compares to national CEO data; I suspect we’re the first ones to ask.”Wegge was surprised that a third of the CEOs would be interested, “especially among CEOs who probably have health insurance and fewer financial worries.” 30% were definitely not interested; 23% were probably not interested; 19% said, “It depends on the country.” (Of the countries listed, Canada was the overall preferred provider; Russia was dead last – definitely an OUT of network provider!)Nicolet Bank also asked CEOs 1.) “Would you be more interested if a medical trip were combined with a business opportunity and; 2.) Would you be more interested if it included a vacation with spouse/partner. “The levels changed substantially,” Wegge said.**Contact Wegge for detailed analysis: 920.217.7738

Bra Fitting For Ladies Who Have Undergone Breast Surgery | fitness

Women can be extremely vulnerable after breast surgery. The boost to their self confidence and self-esteem from having a really good bra fit can be enormous. It is absolutely crucial to have a good bra fitting as soon as possible after surgery, in fact I would encourage all women to have a bra fitting BEFORE their surgery.There are, at present, no specific qualifications for bra fitting and the level of expertise varies widely depending on the fitter you happen to see. As a result it is difficult to know the level of service you are getting. The following points relate directly to post-surgery bra fitting and the level of expertise you should expect. Anything less than this, in my opinion, is absolutely unacceptable.Almost 80% of ladies are said to be in the wrong bra size – some of this is not just down to the individual woman’s ignorance or apathy but also down to wrong advice at the time of fitting. Many ladies do not experience a professional bra fitting until they are forced into the situation (pregnancy and surgery are two of the main reasons).I see so many women who have either been fitted incorrectly (or not fitted at all), it is such a small thing but getting it right can make a real difference. It sounds almost silly, but time after time I have seen women walk out of my shop looking taller, and with a spring in their step.So what should you look for, to be confident you are getting a really professional fit.* At the first point of contact the fitter should be observing the customer’s body shape, breast shape, bone structure, fat density, body length and approximate age (e.g.: Sloping shoulders, narrow shoulders, short measurement from apex to shoulder point, and obviously the type of surgery and how much breast tissue has been removed)* They should also be aware that it is important to make the customer feel at ease, as bra fitting can be an intimidating experience for some women, especially after surgery. It is also an advantage to have a separate relaxed seating area close to the fitting room for friends or relatives. Many ladies will bring along family members for moral support and it’s so important for them to be near but not too close that they can hear your conversation while fitting.* The fitter should sensitively ask about the customer’s requirements ( what surgery they have undergone, when it was undertaken, any concerns with fit and importantly previous favourite styles)* They should also ask what size/style the client normally wore prior to surgery.* The fitter should be in ‘friendly’ and ‘approachable’ mode. Try not to invade the customer’s space when talking to her.* The fitter should not discuss the suitability of the customer’s current underwear, unless asked to do so.* For ladies who have prosthesis, the fitter should never suggest that the breast form seems to be the wrong size; the customer can come to her own conclusion or specifically ask your advice. It is always best to refer the client back to her breast care nurse or G.P.* The fitting room should be private, with good lighting and large enough for two people. It should also have a comfortable chair as we could be dealing with ladies who may feel tired, hot or faint.* Often ladies can become upset and you will need tissues at the ready. Also ladies may be going through a forced menopause, due to the drugs they may be taking, so do not have the fitting room too hot. A fan should always be handy* A large table or shelf is needed to lay breast forms on and some cami/ vest tops to try on over the bra to truly see bust shape.* The changing room should contain also a full length mirror. (This should be discretely covered or rotated as some post surgery ladies have not yet looked at scars etc.)* An experienced fitter may not require a tape measure – some will measure the underband, some may require both measurements to diagnose size.* The fitter needs to take into account what stage of surgery the customer is. Fluid often needs to be drained, lymphoedema can occur as well as numbness which can affect a customer’s decision making ability and tender scar areas or numbness.* The fitter should then select a full-cup bra for the customer to try on, in order to ensure the size is correct. This is essential if you are have a lady who needs a bra for her first prosthesis fitting* The fitter should also ensure that the underband is fastened on the loosest fastening, as wash and wear will ensure the underband ‘gives’ over a short period of time and check strap lengths.* The fitter should check the underband is a secure but comfortable fit, the centre front fits close to the body and high enough to cover lost breast tissue and the side wing is deep enough.* The fitter should take the opportunity to explain what to look for so far as fitting is concerned, when buying a bra.* The fitter should then select a range of different bras for the customer to try on. It is advisable that the fitter sees each bra on the customer, in order to advise which has the best fit.* Finally, the fitter should be flexible to the customer’s requirements and expect that some customers will not always take their advice.I know that sounds like an awful lot to expect – but that is what you should be looking for. If you are not getting this service you are in the wrong shop, talking to the wrong person. Why shouldn’t you expect the best.


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