Tag: healthcare

bookmark_borderMore insurers are paying for alternative remedies

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By MARILYNN MARCHIONE, AP Medical Writer Marilynn Marchione, Ap Medical Writer – 23 mins ago

EDITOR’S NOTE: Ten years and $2.5 billion in research have found no cures from alternative medicine. Yet these mostly unproven treatments are now mainstream and used by more than a third of all Americans. This is one in an occasional Associated Press series on their use and potential risks.

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Acupuncture, not pain pills that “make me loopy,” is what Cynde Durnford-Branecki wants for her aching back, and a treatment costs her only a $20 copayment.

“If I didn’t have insurance, there’s no way I could afford to go,” said the 51-year-old graphic designer who lives in San Diego.

After years of being lobbied for more choice, insurers and employers increasingly are covering alternative therapies. There are even alternative “HMOs” — networks of nontraditional providers that sell services to big employers and individuals.

It is one of the last frontiers for moving alternative medicine into the mainstream, fans say. Some are pushing to require or expand coverage as part of health care reform.

Choice may sound like a good idea, but it can lead more people to use remedies they may not realize are of unproven value. It also can mean the people who use those treatments will wind up paying for them, rather than have their insurer pay for proven remedies. Here’s how:

_Insurers only cover a narrow range of alternative services for specific conditions where there is evidence of value, such as chiropractors for some types of back pain. But these services are marketed for many other uses that lack such proof, such as chiropractic treatments for asthma or ear infections, and acupuncture for high blood pressure or insomnia. Patients can be stuck with the tab, even though the provider is in their insurer’s network.

_Most insurers do not pay for herbals and dietary supplements because they are of unproven safety and worth. Yet some insurers, such as Aetna, let sellers advertise supplements to members, which can imply a benefit and coverage. Kaiser Permanente’s HMO carries many supplements in its pharmacies and allows its network doctors to “prescribe” ones that it then sells to members, who pay the full cost.

The result: Consumers who choose alternatives can wind up paying a greater share of their health care. Every person who chooses St. John’s wort instead of Prozac for depression, red yeast rice instead of Lipitor for lowering cholesterol, or an unproven therapy instead of a visit to a medical doctor, pays out of pocket and saves the insurer money.

Insurers insist that saving money is not their motivation for offering or promoting alternative remedies.

“In no way would it benefit Aetna to have our members using harmful things,” said Aetna spokeswoman Wendy Morphew.

Instead, these companies say they are offering the choice that consumers have long demanded, and a safer way to get supplements that people already are buying from sources of dubious quality.

“We’re not suggesting you buy this. But if you buy this, here is a place to get it safely,” said R. Douglas Metz, a chiropractor who is chief health services officer of American Specialty Health Inc., of San Diego.

It is the largest of about half a dozen firms that provide complementary and alternative medicine services to insurers, employers and individuals. Like an HMO, it has 15,000 chiropractors, 6,000 acupuncturists, 6,000 massage therapists and others in its network.

About 13 million Americans are covered or eligible to use its services, including Durnford-Branecki, who works for the firm.

Aetna became one of its customers two years ago. A recent Aetna newsletter told members they could get at least a 15 percent discount and free shipping on more than 2,400 health and wellness products offered through American Specialty, including vitamin and herbal supplements, aromatherapy products and homeopathic remedies.

“They offered a great program,” credentialing providers in their network and finding good supplement suppliers, said Robin Downey, head of product development for Aetna.

“We have members who come to us and ask us for these services. When we can get a discount for them, that’s something we are able to pass on,” although Aetna also recommends that members talk with their primary doctors about anything they plan to try, she said.

The discount program is “an offering,” not a recommendation to use a product, said Dr. Robert McDonough, who develops clinical policies for Aetna.

Metz, of American Specialty Health, said: “We only sell products for which there is no known evidence of risk. Our rule is, if a healthy person can safely take the product we will sell it.”

However, he sees great danger in people diagnosing and treating their own ailments, a mindset he described as “I’ve got a headache and I’m going to go on the Internet and see if there’s a dietary supplement that can help me.”

Metz also does not use any of these remedies himself.

“The sense that dietary supplements are safe because they’re natural is not something that I believe,” he said.

bookmark_borderWeil to Bioneers: Health is your responsibility, not politicians

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Paul Liberatore – Contra Costa Times

The annual Bioneers conference prides itself on presenting unsung “superstars” – “great people nobody has ever heard of,” founder Kenny Ausubel said during the weekend gathering at the Marin Civic Center.

But Andrew Weil, a pioneer in the field of integrative medicine, is a superstar physician just about everyone has heard of from his books and appearances on “Larry King Live,” the “Today Show” and “Oprah.”

An avuncular figure with his neatly trimmed white beard, bald head and easy smile, Weil spoke about the contentious health care reform issue at the 20th Bioneers convocation on Saturday.

He was the headliner of the morning plenary session, strolling the stage in jeans and a gray T-shirt, speaking without notes to a large but not capacity crowd in the 2,000-seat Veterans Memorial Auditorium.

He wasted no time in framing the current debate as not about health care, but about health insurance, pointing out that our overly expensive health care system is 37th in the world in terms of quality, about the same as Serbia.

“There is something very wrong with this picture,” he said.

He noted that in his recent speeches on health care, President Barack Obama’s only reference to preventive medicine was to encourage people to get a colonoscopy. But there was no mention of health education or the lifestyle choices – diet and exercise – that are major factors in disease prevention and health promotion.

He blamed a corporate “disease management system” that is overly
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dependent on expensive technology – the overuse of high-tech scans that themselves may cause cancer, and the over-reliance on prescription drugs for treating each and every disease.

“Americans are taking prescription drugs at 10 times the rate as when I was growing up,” he said. And without naming brand names, he got a big hand when he took aim at the proliferation of ads for prescription drugs on television, saying, “If I were king, I would ban direct consumer advertising of pharmaceuticals. If I were on a desert island and had to pick 12 drugs to have with me, I’d pick things like morphine and aspirin, not the stuff advertised on TV. This is a big problem we’ve got to solve.”

He advised his audience against relying on politicians to solve it.

“They only pay lip service to prevention,” he said. “They are too beholden to vested interests. The corrupting influence of money is overwhelming. The profits are outrageous.”

Instead, he placed the responsibility directly on the shoulders of the average person.

“It’s up to you to change the balance of political power,” he said. “Health is an individual responsibility. But we’ve got to make it easier, not harder, for people to make healthier choices.”

He brought up some novel approaches to help people do that. He cited the example of Alabama, which is looking at combating its high obesity rate with a fat tax that would cause people who don’t lose weight to forfeit some health benefits.

“That’s something to experiment with,” he said.

And he brought up a Swedish attempt to make exercise fun by turning a staircase into a piano keyboard, encouraging people to make music while taking the stairs rather than an escalator.

“I like that,” he grinned. “It’s a novel strategy that won’t give people the feeling of being coerced.”

The bottom line, Weil told the group, is that “you can’t afford to get sick.” And he offered some simple ways of staying healthy.

“It’s not that complicated,” he said. “When it comes to nutrition, stop eating refined, processed and manufactured foods. That’s it. Just stay out of the interior of supermarkets.”

He recommended more of the omega-3 fatty acids found in fish and in fish oil. He also suggested that Americans need vitamin D, which comes from the sun, saying that we suffer from a widespread deficiency of it in this country.

Within reason, “the sun is good for you,” he said.

Then there’s exercise. “You’ve got to move your body,” he said. “Figure out ways to move. You don’t have to run marathons or join a gym. Just try to walk. Walk a little more today than you did yesterday.”

And, lastly, “neutralize stress.” He said his favorite method was a simple breathing technique. “Try breathing deeper, slower, quieter and more regularly. Practice this. It’s very simple stuff.”

Despite the divisiveness of the health care debate, Weil said, “I’m optimistic about the future. If enough people demand change, maybe we can change things. But it’s only going to change if we get aroused enough and angry enough to make the change.”