Medical Expenses Quotes

But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

It is very expensive to give bad medical care to poor people in a rich country.

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don’t remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias. But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

There are two visions of America a half century from now. One is of a society more divided between the haves and the have-nots, a country in which the rich live in gated communities, send their children to expensive schools, and have access to first-rate medical care. Meanwhile, the rest live in a world marked by insecurity, at best mediocre education, and in effect rationed health care―they hope and pray they don't get seriously sick. At the bottom are millions of young people alienated and without hope. I have seen that picture in many developing countries; economists have given it a name, a dual economy, two societies living side by side, but hardly knowing each other, hardly imagining what life is like for the other. Whether we will fall to the depths of some countries, where the gates grow higher and the societies split farther and farther apart, I do not know. It is, however, the nightmare towards which we are slowly marching.

No one 'just adopts'.

Do you want to have free medical care at the expense of other people, whether they wish to provide it or not? But this would require them to work longer for you whether they want to or not, and other men's lives are not yours to dispose of.

If you demand the collective to pay for your medical expenses, then be prepared for the collective to demand to make your medical decisions for you.

We don’t need anything. Just listen to us and try to understand. Society is good at doing things, ‘giving’ medical help, pensions, flats. But all this so-called giving has been paid for in very expensive currency. Our blood.

When my parents passed on, and we read their wills, we discovered something we didn’t at all expect, especially from our devoutly Catholic mother: they had both left instructions that their bodies be donated to science. We were bewildered and we were pissed. They wanted their cadavers to be used by medical students, they wanted their flesh to be cut into and their cancerous organs examined. We were breathless. They wanted no elaborate funerals, no expense incurred for such stuff – they hated wasting money or time on ceremony, on appearances. When they died there was little left – the house, the cars. And their bodies, and they gave those away. To offer them to strangers was disgusting, wrong, embarrassing. And selfish to us, their children, who would have to live with the thought of their cold weight sinking on silver tables, surrounded by students chewing gum and making jokes about the location of freckles. But then again: Nothing can be preserved. It’s all on the way out, from the second it appears, and whatever you have always has one eye on the exit, and so screw it. As hideous and uncouth as it is, we have to give it all away, our bodies, our secrets, our money, everything we know: All must be given away, given away every day, because to be human means: 1. To be good 2. To save nothing

that fifty percent of a person’s medical expenses are incurred in the last six months of life.

I remember my mother telling me, when she was in the midst of settling my grandfather's estate, that fifty percent of a person's medical expenses are incurred in the last six months of life. My grandfather's history of himself was distributed even more disproportionately: Ninety percent of everything he ever told me about his life, I heard during its final ten days.

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

The HSA (Health Savings Account) is a great way to save on premiums. The high deductible creates a much lower premium, and this plan allows you to save for medical expenses in a tax-free savings account.

Do you work a job that slowly kills you so you can afford health coverage to pay medical expenses? Or do you live right with the earth and make your own way, keep things simple, and take care of yourself?

There’s no medical expense can break us now. They called LBJ every name in the book but believe me he did a lot of good for the little man. Wherever he went wrong, it was his big heart betrayed him. These pretty boys in the sky right now, Nixon’ll hog the credit but it was the Democrats put ’em there, it’s been the same story ever since I can remember, ever since Wilson—the Republicans don’t do a thing for the little man.

Ethanol is a volatile, flammable, colourless liquid with a slight chemical odour. It is used as an antiseptic, a solvent, in medical wipes and antibacterial formulas because it kills organisms by denaturing their proteins. Ethanol is an important industrial ingredient. Ethanol is a good general purpose solvent and is found in paints, tinctures, markers and personal care products such as perfumes and deodorants. The largest single use of ethanol is as an engine fuel and fuel additive. In other words, we drink, for fun, the same thing we use to make rocket fuel, house paint, anti-septics, solvents, perfumes, and deodorants and to denature, i.e. to take away the natural properties of, or kill, living organisms. Which might make sense on some level if we weren’t a generation of green minded, organic, health-conscious, truth seeking individuals. But we are. We read labels, we shun gluten, dairy, processed foods, and refined sugars. We buy organic, we use natural sunscreen and beauty products. We worry about fluoride in our water, smog in our air, hydrogenated oils in our food, and we debate whether plastic bottles are safe to drink from. We replace toxic cleaning products with Mrs. Myers and homemade vinegar concoctions. We do yoga, we run, we SoulCycle and Fitbit, we go paleo and keto, we juice, we cleanse. We do coffee enemas and steam our yonis, and drink clay and charcoal, and shoot up vitamins, and sit in infrared foil boxes, and hire naturopaths, and shamans, and functional doctors, and we take nootropics and we stress about our telomeres. These are all real words. We are hyper-vigilant about everything we put into our body, everything we do to our body, and we are proud of this. We Instagram how proud we are of this, and we follow Goop and Well+Good, and we drop 40 bucks on an exercise class because there are healing crystals in the floor. The global wellness economy is estimated to be worth $4 trillion. $4 TRILLION DOLLARS. We are on an endless and expensive quest for wellness and vitality and youth. And we drink fucking rocket fuel.

Hospitals are supposed to help heal the sick. How, then, do we explain the thousands of Americans harmed in hospitals every year when patients are given the wrong medication? In addition to the devastating human toll, these preventable errors cost an estimated $3.5 billion in extra medical expenses.

There’s a reason they call childbirth labor. Making a healthy baby takes effort: It requires foresight and self-denial and courage. It’s expensive and demanding and tiring. You have to learn new things, change many habits, possibly deal with complicated medical situations, make difficult decisions, and undergo stressful ordeals. I had a wisdom tooth pulled without Novocaine while I was pregnant—it hurt a lot and seemed to go on forever. The kindness of the very young dental assistant, holding back my hair as I spat blood into a bowl, will stay with me for the rest of my life. Pregnant women do such things, and much harder things, all the time. For example, they give birth, which is somewhere on the scale between painful and excruciating. Or they have a cesarean, as I did, which is major surgery. None of this is without risk of death or damage or trauma, including psychological trauma. To force girls and women to undergo all this against their will is to annihilate their humanity. When they undertake it by choice, we should all be grateful.

An officer who lost an eye or a limb would receive a year’s pay and medical expenses; the widows of officers killed in action would also get a year’s pay, plus another third for each child. Those who died of their wounds within six months were “deemed slain in battle.” No bonuses were announced for enlisted men.

CCA finds ways to minimize its obligation to provide adequate health care. At the out-of-state prisons where California ships some of its inmates, CCA will not accept any prisoners who are over sixty-five years old, have mental health issues, or serious conditions like HIV. The company's Idaho prison contract specified that the 'primary criteria' for screening incoming offenders was 'no chronic mental health or health care issues.' The contracts of some CCA prisons in Tennessee and Hawaii stipulate that the states will bear the cost of HIV treatment. Such exemptions allow CCA to tout its cost efficiency while taxpayers assume the medical expenses for the inmates the company won't take or treat.

Humility allows us to take risks at the expense of our ego.

It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

I remember my mother telling me, when she was in the midst of settling my grandfather’s estate, that fifty percent of a person’s medical expenses are incurred in the last six months of life. My grandfather’s history of himself was distributed even more disproportionately: Ninety percent of everything he ever told me about his life, I heard during its final ten days.

The traditional gross anatomy lab represented a sort of sink-or-swim mentality about dealing with death. To cope with what was being asked of them, medical students had to find ways to desensitize themselves. They quickly learned to objectify cadavers, to think of the dead as structures and tissues, and not a former human being. Humor--at the cadaver's expense--was tolerated, condoned even.

s medical expenses. When he was finally released from the hospital, he convalesced at home for a long time. He couldn’t work for years, and my mother, with nine kids, including a newborn, to take care of, couldn’t earn any money either. Eventually our money ran out, and we had to live on welfare. We used to joke that we were so poor you could look up the word poor in the dictionary and it would say, “SEE THE BILTZ FAMILY.

Many people from the UK have the impression that the USA medical profession is the best in the world. After a decade of treatment from them, I had concluded that it is a very expensive system that is riddle with incompetence and delivers mediocre care.

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.” People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The hard question we face, then, is not how we can afford this system’s expense. It is how we can build a health-care system that will actually help dying patients achieve what’s most important to them at the end of their lives.

The cost spikes for the government programs that protected the elderly and the poor were even worse. Better medical care kept people alive longer, and that meant Medicare had to pay for more complicated and more expensive treatment during those prolonged lives.

But the worst of the expense lies with the medications, and there is no reason for their high and fluctuating prices: the drugs have been off patent for decades, and we know that the same companies sell the same drugs at wildly different prices in different countries. Drug prices should not constitute the chief barrier to effective therapy for all patients... With less complaining, and more coordination, international public health authorities could have brought these prices down rapidly, as we have learned by our efforts to do so.

ECONOMIC RULES OF THE DYSFUNCTIONAL MEDICAL MARKET More treatment is always better. Default to the most expensive option. A lifetime of treatment is preferable to a cure. Amenities and marketing matter more than good care. As technologies age, prices can rise rather than fall. There is no free choice. Patients are stuck. And they’re stuck buying American. More competitors vying for business doesn’t mean better prices; it can drive prices up, not down. Economies of scale don’t translate to lower prices. With their market power, big providers can simply demand more. There is no such thing as a fixed price for a procedure or test. And the uninsured pay the highest prices of all. There are no standards for billing. There’s money to be made in billing for anything and everything. Prices will rise to whatever the market will bear.

But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

Also, the high standard held up to the public mind by the College of which which gave its peculiar sanction to the expensive and highly rarefied medical instruction obtained by graduates of Oxford and Cambridge, did not hinder quackery from having an excellent time of it; for since professional practice chiefly consisted in giving a great many drugs, the public inferred that it might be better off with more drugs still, if they could only be got cheaply, and hence swallowed large cubic measures of physic prescribed by unscrupulous ignorance which had taken no degrees.

So much of what is broadly called wellness now involves an expensive kind of burrowing into our selves, wobbling on the plank between self-care and self-obsession. Many get lost in the labyrinth of internal observation, an endless cycle of maintenance of muscle, mood and self-medication.

If any field needs integration, it is medicine. If any field needs an integrative paradigm that can make sense out of all the different models of healing, it is medicine. The weaknesses of the conventional medical model have been clear for some time. Its procedures are too invasive and have too many harmful side effects. There is no conventional medical model for the treatment of most chronic and degenerative diseases (germ theory and genetic predisposition are not adequate explanations for most conditions in this category). Last, but not least, conventional medicine is expensive. In contrast, there are so many

Over the next few months, I set out to understand why in our country with the most expensive and advanced medical technology in the world, growing numbers of American women, disproportionately Black women, were dying as a result of pregnancy and childbirth, including African American women whose income and education should protect them.

And yet it has been estimated that in the developed world, 75 per cent of our lifetime medical costs are incurred in the last six months of our lives. This is the price of hope, hope which, by the laws of probability, is so often unrealistic. And thus we often end up inflicting both great suffering on ourselves and unsustainable expense on society.

Not one of those big-city thirty-nine-year-olds who deal with their midlife crisis by buying ridiculously expensive cycling shorts and swimming caps because they have a black hole in their soul that devours Instagram pictures, more the sort of thirty-nine-year-old whose daily consumption of cheese and carbohydrates was more likely to be classified medically as a cry for help rather than a diet.

Or, if your out-of-pocket medical expenses amount to $50,000 per night (as they did for my father’s hospital stay at the end of his life), does it really matter whether you’ve saved $10,000 or $50,000 or even $250,000? No, it doesn’t, because the extra $50,000 will buy you one extra night, a night that might well have taken you a year’s worth of work to earn! Similarly, $250,000 saved over however many years will get wiped out in five days. I’m not suggesting that you should rack up large hospital costs with a plan to then stiff the hospital on those bills. What I’m saying is that you can’t pay your way out of high-priced end-of-life medical care; since uninsured medical care is so expensive, it won’t make any real difference for the vast majority of us whether we save for it or not. Either the government will pay for it or you will die.

Thomas Insel, the former director of the National Institute of Mental Health, has estimated that mental illness costs taxpayers $444 billion a year. Two-thirds of that total is eaten up by disability payments and lost productivity. Only a third is spent on medical care. “The way we pay for mental health today is the most expensive way possible,” Insel has said. “We don’t provide support early, so we end up paying for lifelong support.

Income and inheritance taxes imply the denial of private property, and in that are different in principle from all other taxes. The government says to the citizen: “Your earnings are not exclusively your own; we have a claim on them, and our claim precedes yours; we will allow you to keep some of it, because we recognize your need, not your right; but whatever we grant you for yourself is for us to decide.” This is no exaggeration. Take a look at the income-tax report that you are required by law to make out, and you will see that the government arbitrarily sets down the amount of your income you may have for your living, for your business requirements, for the maintenance of your family, for medical expenses, and so on. After granting these exemptions, with a flourish of generosity, the government decides what percentage of the remainder it will appropriate. The rest you may have.

have no way of knowing what combination of external pressures and personal failings led that physician to conceal a less costly cure from my friend and keep her on expensive and ineffective drugs with a gallery of noxious side effects instead, but from outside the walls of the office, it certainly looked like a callous betrayal of whatever ethics the medical profession might still have left—and again, the view from outside is the one that counts.

And he carefully stored what he considered the most vital piece of equipment: a satellite phone with solar-powered batteries, which would allow the men not only to record short audio dispatches but also to check in every day with an ALE operator and report their coordinates and medical condition. If the team failed to communicate for two consecutive days, ALE would dispatch a search-and-rescue plane—what Worsley called “the most expensive taxi ride in the world.

The goal in this “triumph of the therapeutic” is supposedly good “health,” but good “health” achieved at the expense of critical awareness and exploration of the oppressiveness of the roles themselves. This goal of good “health” is particularly ironic in light of the fact that the word health originally meant “whole.” As defined by the medical model, “health” values come to mean partial solutions, which go against total integrity of the body, the individual concerned, and society in general.

After manufacture, the units go into the field. With consumer products, that means they go into millions of homes where any bugs you created are enjoyed by many. With medical, aviation, or other critical products, your bugs may be catastrophic (which is why you get to do so much paperwork). With scientific or monitoring equipment, the field could be a place where the unit cannot ever be retrieved (or retrieved only at great risk and expense; consider the devices in volcano calderas), so it had better work.

• Auto and Homeowner Insurance—Choose higher deductibles in order to save on premiums. With high liability limits, these are the best buys in the insurance world. • Life Insurance—Purchase twenty-year level term insurance equal to about ten times your income. Term insurance is cheap and the only way to go; never use life insurance as a place to save money. • Long-Term Disability—If you are thirty-two years old, you are twelve times more likely to become disabled than to die by age sixty-five. The best place to buy disability insurance is through work at a fraction of the cost. You can usually get coverage that equals from 50 to 70 percent of your income. • Health Insurance—The number one cause of bankruptcy today is medical bills; number two is credit cards. One way to control costs is to look for large deductibles to lower your premium. The HSA (Health Savings Account) is a great way to save on premiums. The high deductible creates a much lower premium, and this plan allows you to save for medical expenses in a tax-free savings account.

What is the Southern Strategy? It is this. It says to the South: Let the poor stay poor, let your economy trail the nation, forget about decent homes and medical care for all your people, choose officials who will oppose every effort to benefit the many at the expense of the few—and in return, we will try to overlook the rights of the black man, appoint a few southerners to high office, and lift your spirits by attacking the ‘eastern establishment’ whose bank accounts we are filling with your labor and your industry.”42 McGovern

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach....During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony..... But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

Defeated by the Southern strategy, McGovern neatly summed it up: “What is the Southern Strategy? It is this. It says to the South: Let the poor stay poor, let your economy trail the nation, forget about decent homes and medical care for all your people, choose officials who will oppose every effort to benefit the many at the expense of the few—and in return, we will try to overlook the rights of the black man, appoint a few southerners to high office, and lift your spirits by attacking the ‘eastern establishment’ whose bank accounts we are filling with your labor and your industry.”42

study of thirty thousand elderly people in fifty-two countries found that switching to an overall healthy lifestyle—eating a diet rich in fruits and vegetables, not smoking, exercising moderately, and not drinking too much alcohol—lowered heart disease rates by approximately 50 percent.14 Reducing exposure to carcinogens, such as tobacco and sodium nitrite, have been shown to decrease the incidence of lung and stomach cancers, and it is likely (more evidence is needed) that lowering exposures to other known carcinogens, such as benzene and formaldehyde, will reduce the incidence of other cancers. Prevention really is the most powerful medicine, but we as a species consistently lack the political or psychological will to act preventively in our own best interests. It is worthwhile to ask to what extent efforts to treat the symptoms of common mismatch diseases have the effect of promoting dysevolution by taking attention and resources away from prevention. On an individual level, am I more likely to eat unhealthy foods and exercise insufficiently if I know I’ll have access to medical care to treat the symptoms of the diseases these choices cause many years later? More broadly within our society, is the money we allocate to treating diseases coming at the expense of money to prevent them?

Animals, including people, fight harder to prevent losses than to achieve gains. In the world of territorial animals, this principle explains the success of defenders. A biologist observed that “when a territory holder is challenged by a rival, the owner almost always wins the contest—usually within a matter of seconds.” In human affairs, the same simple rule explains much of what happens when institutions attempt to reform themselves, in “reorganizations” and “restructuring” of companies, and in efforts to rationalize a bureaucracy, simplify the tax code, or reduce medical costs. As initially conceived, plans for reform almost always produce many winners and some losers while achieving an overall improvement. If the affected parties have any political influence, however, potential losers will be more active and determined than potential winners; the outcome will be biased in their favor and inevitably more expensive and less effective than initially planned. Reforms commonly include grandfather clauses that protect current stake-holders—for example, when the existing workforce is reduced by attrition rather than by dismissals, or when cuts in salaries and benefits apply only to future workers. Loss aversion is a powerful conservative force that favors minimal changes from the status quo in the lives of both institutions and individuals.

Personal cultivation is crucial. It protects consumers from the possibility, once marijuana is legalized, that big corporations take over the market. Tobacco companies, for instance, already have the land and processing plants available—but the marijuana they may offer could be too expensive, too weak, or otherwise not as high in quality as we have grown accustomed to during the Grow American Movement. Should that occur, we have the ultimate instrument in our hands: we can refuse to purchase their commercially produced marijuana and simply grow our own. Without the right to cultivate for personal use, consumers could end up with poor choices, poor marijuana, and no real alternatives. Ed

We are under a deception similar to that which misleads the traveler in the Arabian desert. Beneath the caravan all is dry and bare; but far in advance, and far in the rear, is the semblance of refreshing waters... A similar illusion seems to haunt nations through every stage of the long progress from poverty and barbarism to the highest degrees of opulence and civilization. But if we resolutely chase the mirage backward, we shall find it recede before us into the regions of fabulous antiquity. It is now the fashion to place the golden age of England in times when noblemen were destitute of comforts the want of which would be intolerable to a modern footman, when farmers and shopkeepers breakfasted on loaves the very sight of which would raise a riot in a modern workhouse, when to have a clean shirt once a week was a privilege reserved for the higher class of gentry, when men died faster in the purest country air than they now die in the most pestilential lanes of our towns, and when men died faster in the lanes of our towns than they now die on the coast of Guiana. ... We too shall in our turn be outstripped, and in our turn be envied. It may well be, in the twentieth century, that the peasant of Dorsetshire may think himself miserably paid with twenty shillings a week; that the carpenter at Greenwich may receive ten shillings a day; that laboring men may be as little used to dine without meat as they are now to eat rye bread; that sanitary police and medical discoveries may have added several more years to the average length of human life; that numerous comforts and luxuries which are now unknown, or confined to a few, may be within the reach of every diligent and thrifty workingman. And yet it may then be the mode to assert that the increase of wealth and the progress of science have benefited the few at the expense of the many, and to talk of the reign of Queen Victoria as the time when England was truly merry England, when all classes were bound together by brotherly sympathy, when the rich did not grind the faces of the poor, and when the poor did not envy the splendor of the rich.

For the attitude of society towards the criminal appears to be that of a community of stark lunatics. In effect, society addresses the professional criminal somewhat thus: "' You wish to practice crime as a profession, to gain a livelihood by appropriating--by violence or otherwise--the earnings of honest and industrious men. Very well, you may do so on certain conditions. If you are skilful and cautious you will not be molested. You may occasion danger, annoyance and great loss to honest men with very little danger to yourself unless you are clumsy and incautious; in which case you may be captured. If you are, we shall take possession of your person and detain you for so many months or years. During that time you will inhabit quarters better than you are accustomed to; your sleeping-room will be kept comfortably warm in all weathers; you will be provided with clothing better than you usually wear; you will have a sufficiency of excellent food; expensive officials will be paid to take charge of you; selected medical men will be retained to attend to your health; a chaplain (of your own persuasion) will minister to your spiritual needs and a librarian will supply you with books. And all this will be paid for by the industrious men whom you live by robbing. In short, from the moment that you adopt crime as a profession, we shall pay all your expenses, whether you are in prison or at large.' Such is the attitude of society; and I repeat it is that of a community of madmen. ~ Humphrey Challoner

In the present state of the world, not only are many people destitute but the majority of those who are not being haunted by a perfectly reasonable fear that they may become so at any moment. Wage-earners have the constant danger of unemployment; salaried employees know that their firm may go bankrupt or find it necessary to cut down its staff; businessmen, even those who are reputed to be very rich, know that the loss of all their money is by no means improbable. Professional men have a very hard struggle. After making great sacrifices for the education of their sons and daughters, they find that there are not the openings that there used to be for those who have the kinds of skills that their children have acquired. If they are lawyers, they find that people can no longer afford to go to law, although serious injustices remain unremedied; if they are doctors, they find that their formerly lucrative hypochondriac patients can no longer afford to be ill, while many genuine sufferers have to forgo much-needed medical treatment. One finds men and women of university education serving behind the counters in shops, which may save them from destitution, but only at the expense of those who would formerly have been so employed. In all classes, from the lowest to almost the highest, economic fear governs men’s thoughts by day and their dreams at night, making their work nerve-wracking and their leisure unrefreshing. This ever-present terror is, I think, the main cause of the mood of madness which has swept over great parts of the civilized world.

R.J. Reynolds owns a subsidiary called RJR Packaging, which produces packaging used on many food products for both human and pet consumption.[276] They also produce packaging for many medical devices and over-the-counter medications, as well as personal care, coffee, and confectionary products.[277] In order to remain in business, a company must be profitable. In order to remain profitable in the face of extensive, long-term compulsory levies by state governments via the tobacco settlement, the costs of products must go up so that income remains higher than expenses. Thus, Altria can raise prices on their Kraft food products you buy in order to pay off their tobacco settlement. R.J. Reynolds can pass along the cost by raising packaging costs for manufacturers of many different types of consumer products, who pass the increased production costs along to you.

In 1963, Robert Novak had written that many Republican leaders were intent on converting the Party of Lincoln into the White Man’s Party. The following year, Goldwater went down in crushing defeat, winning only 36 percent of the white vote. Even so, less than a decade later, the racial transmogrification of the Republicans was well underway. In 1972, Nixon’s first full dog whistle campaign netted him 67 percent of the white vote, leaving his opponent, George McGovern, with support from less than one in three whites. Defeated by the Southern strategy, McGovern neatly summed it up: “What is the Southern Strategy? It is this. It says to the South: Let the poor stay poor, let your economy trail the nation, forget about decent homes and medical care for all your people, choose officials who will oppose every effort to benefit the many at the expense of the few—and in return, we will try to overlook the

For starters, of the four so-called weapons of mass destruction, three are far less massively destructive than good old-fashioned explosives.272 Radiological or “dirty” bombs, which are conventional explosives wrapped in radioactive material (obtained, for example, from medical waste), would yield only minor and short-lived elevations of radiation, comparable to moving to a city at a higher altitude. Chemical weapons, unless they are released in an enclosed space like a subway (where they would still not do as much damage as conventional explosives), dissipate quickly, drift in the wind, and are broken down by sunlight. (Recall that poison gas was responsible for a tiny fraction of the casualties in World War I.) Biological weapons capable of causing epidemics would be prohibitively expensive to develop and deploy, as well as dangerous to the typically bungling amateur labs that would develop them.

Read the following chain of events and see whether a similar pattern might apply to other toxic products that were reported in the news during your lifetime: 1. Workers were told that the paint was nontoxic, although there was no factual basis for this declaration. The employers discounted scientists. The workers believed their superiors. 2. Health complaints were made in ever-increasing frequency. It became obvious that something was seriously wrong. 3. U.S. Radium and other watch-dial companies began a campaign of disinformation and bogus medical tests - some of which involved X-rays and may even have made the condition worse. 4. Doctors, dentists, and researchers complied with U.S. Radium's and other companies' requests and refused to release their data to the public. 5. Medical professionals also aided the companies by attributing worker deaths to other causes. Syphilis was often cited as the diagnosis, which had the added benefit to management of being a smear on the victims' reputations. 6. One worker, Grace Fryer, decided to sue U.S. Radium. It took Fryer two years to find a lawyer who was willing to take on U.S. Radium. Only four other workers joined her suit; they became known as the "Radium Girls." 7. In 1928, the case was settled in the middle of the trial before it went to the jury for deliberation. The settlement for each of the five "Radium Girls" was $10,000 (the equivalent of $124,000 in 2009 dollars), plus $600 a year while the victim lived and all medical expenses. Remember the general outline of this scenario because you will see it over and over again: The company denies everything while the doctors and researchers (and even the industrial hygienists) in the company's employ support the company's distorted version of the facts. Perhaps one worker in a hundred will finally pursue justice, one lawyer out of the hundreds of thousands in the United States will finally step up to the plate, and the case will be settled for chump change.

For in America this season is decreed “family season”. (Eat your hearts out, you pitiable loners who don’t have families!) Melancholy as Thanksgiving is, the Christmas-New year’s season is far worse and lasts far longer, providing rich fund of opportunities for self-medicating, mental collapse, suicide and public mayhem with firearms. In fact it might be argued that the Christmas-New year’s season which begins abruptly after Thanksgiving is now the core-sason of American life itself, the meaning of American life„ the brute existencial point of it. How without families must envy us who bask in parental love, in the glow of yule-logs burning in fireplaces stoked by our daddie’s robust pokers, we who are stuffed to bursting with our mummie’s frantic holiday cooking; how you wish you could be us, pampered/protected kids tearing expensive foil wrappings off too many packages to count, gathered about the Christmas tree on Christmas morning as Mummy gently chided: “Skyler! Bliss! Show Daddy and Mummy what you’ve just opened, please! And save the little cards, so you know who gave such nice things to you

For in America this season is decreed “family season”. (Eat your hearts out, you pitiable loners who don’t have families!) Melancholy as Thanksgiving is, the Christmas-New year’s season is far worse and lasts far longer, providing rich fund of opportunities for self-medicating, mental collapse, suicide and public mayhem with firearms. In fact it might be argued that the Christmas-New year’s season which begins abruptly after Thanksgiving is now the core-sason of American life itself, the meaning of American life„ the brute existencial point of it. How without families must envy us who bask in parental love, in the glow of yule-logs burning in fireplaces stoked by our daddie’s robust pokers, we who are stuffed to bursting with our mummie’s frantic holiday cooking; how you wish you could be us, pampered/protected kids tearing expensive foil wrappings off too many packages to count, gathered about the Christmas tree on Christmas morning as Mummy gently chided: “Skyler! Bliss! Show Daddy and Mummy what you’ve just opened, please! And save the little cards, so you know who gave such nice things to you”.

Revitalized and healthy, I started dreaming new dreams. I saw ways that I could make a significant contribution by sharing what I’ve learned. I decided to refocus my legal practice on counseling and helping start-up companies avoid liability and protect their intellectual property. To share some of what I know, I started a blog, IP Law for Startups, where I teach basic lessons on trade secrets, trademarks, copyrights, and patents and give tips for avoiding the biggest blunders that destroy the value of intellectual assets. Few start-up companies, especially women-owned companies that rarely get venture capital funding, can afford the expensive hourly rates of a large law firm to the get the critical information they need. I feel deeply rewarded when I help a company create a strategy that protects the value of their company and supports their business dreams. Further, I had a dream to help young women see their career possibilities. In partnership with my sister, Julie Simmons, I created lookilulu.com, a website where women share their insights, career paths, and ways they have integrated motherhood with their professional pursuits. When my sister and I were growing up on a farm, we had a hard time seeing that women could have rewarding careers. With Lookilulu® we want to help young women see what we couldn’t see: that dreams are not linear—they take many twists and unexpected turns. As I’ve learned the hard way, dreams change and shift as life happens. I’ve learned the value of continuing to dream new dreams after other dreams are derailed. I’m sure I’ll have many more dreams in my future. I’ve learned to be open to new and unexpected opportunities. By way of postscript, Jill writes, “I didn’t grow up planning to be lawyer. As a girl growing up in a small rural town, I was afraid to dream. I loved science, but rather than pursuing medical school, I opted for low-paying laboratory jobs, planning to quit when I had children. But then I couldn’t have children. As I awakened to the possibility that dreaming was an inalienable right, even for me, I started law school when I was thirty; intellectual property combines my love of law and science.” As a young girl, Jill’s rightsizing involved mustering the courage to expand her dreams, to dream outside of her box. Once she had children, she again transformed her dreams. In many ways her dreams are bigger and aim to help more people than before the twists and turns in her life’s path.

Addicts should not be coerced into treatment, since in the long term coercion creates more problems than it solves. On the other hand, for those addicts who opt for treatment, there must be a system of publicly funded recovery facilities with clean rooms, nutritious food, and access to outdoors and nature. Well-trained professional staff need to provide medical care, counseling, skills training, and emotional support. Our current nonsystem is utterly inadequate, with its patchwork of recovery homes run on private contracts and, here and there, a few upscale addiction treatment spas for the wealthy. No matter how committed their staff and how helpful their services may be, they are a drop in comparison to the ocean of vast need. In the absence of a coordinated rehabilitation system, the efforts of individual recovery homes are limited and occur in a vacuum, with no follow-up. It may be thought that the cost of such a drug rehabilitation and treatment system would be exorbitant. No doubt the financial expenses would be great — but surely less than the funds now freely squandered on the War on Drugs, to say nothing of the savings from the cessation of drug-related criminal activity and the diminished burden on the health care system.

It’s a demonic feedback loop. Let me see if I can get this straight. Pharmaceutical companies sell mountains of drugs to factory farms, which depend on them to maintain their abnormally intensive systems. The animals develop antibiotic resistance that spreads to humans. Humans need stronger drugs. In the meantime, the animal industries flood the government with cash in exchange for subsidies. The government, invested in keeping the generous animal food lobbies flush, runs federal programs pushing people to eat increasing amounts of animal-based foods. People oblige. People get sick, requiring medication for the rest of their lives, along with expensive medical procedures. The drugs and procedures falsely assure them that they can continue to eat the food that made them sick in the first place. People continue to support the animal agriculture industry by buying their products, which pay for studies to further convince the public that animal products are an essential part of a healthy diet. People continue to support the pharmaceutical companies because they are tethered to their prescription drugs. This allows drug companies to pay for the “education” of our doctors who prescribe more drugs to us. Then pharmaceutical companies sell mountains of drugs to factory farms…

Obsessive-compulsive personality disorder (OCPD) is unhelpfully named, since it is not particularly closely related to the better known obsessive-compulsive disorder (OCD). It does not tend to co-occur with obsessive-compulsive disorder, or even run in the same families. Obsessive-compulsive disorder is an anxiety disorder, in which the sufferer feels compelled to repeat particular thoughts or actions, such as checking or hand-washing. As an anxious condition, it belongs to the same family as depression and generalized anxiety disorder, and thus is related to high Neuroticism and responds to some extent to serotonergic antidepressant medications. Some people have even seen obsessive-compulsive disorder as a low Conscientiousness problem, since the affected individual cannot inhibit the checking or washing response in rather the same manner as the alcoholic cannot inhibit his desire to drink. Whether this is the right characterization or not, it is clear that OCPD is a very different type of problem.16 What, then, does OCPD entail? Psychiatrists define it as ‘a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness and efficiency, beginning by early adulthood and present in a variety of contexts’.

He ran long at the White House, and arrived late to his next meeting with Hillary Clinton, Jake Sullivan and Frank Ruggiero—their first major strategy session on Taliban talks after the secret meeting with A-Rod. She was waiting in her outer office, a spacious room paneled in white and gilt wood, with tasseled blue and pink curtains and an array of colorfully upholstered chairs and couches. In my time reporting to her later, I only ever saw Clinton take the couch, with guests of honor in the large chair kitty-corner to her. She’d left it open for him that day. “He came rushing in. . . . ” Clinton later said. “And, you know, he was saying ‘oh I’m so sorry, I’m so sorry.’ ” He sat down heavily and shrugged off his coat, rattling off a litany of his latest meetings, including his stop-in at the White House. “That was typical Richard. It was, like, ‘I’m doing a million things and I’m trying to keep all the balls in the air,’ ” she remembered. As he was talking, a “scarlet red” flush went up his face, according to Clinton. He pressed his hands over his eyes, his chest heaving. “Richard, what’s the matter?” Clinton asked. “Something horrible is happening,” he said. A few minutes later, Holbrooke was in an ambulance, strapped to a gurney, headed to nearby George Washington University Hospital, where Clinton had told her own internist to prepare the emergency room. In his typically brash style, he’d demanded that the ambulance take him to the more distant Sibley Memorial Hospital. Clinton overruled him. One of our deputies on the SRAP team, Dan Feldman, rode with him and held his hand. Feldman didn’t have his BlackBerry, so he scrawled notes on a State Department expense form for a dinner at Meiwah Restaurant as Holbrooke dictated messages and a doctor assessed him. The notes are a nonlinear stream of Holbrooke’s indomitable personality, slashed through with medical realities. “Call Eric in Axelrod’s office,” the first read. Nearby: “aortic dissection—type A . . . operation risk @ > 50 percent”—that would be chance of death. A series of messages for people in his life, again interrupted by his deteriorating condition: “S”—Secretary Clinton—“why always together for medical crises?” (The year before, he’d been with Clinton when she fell to the concrete floor of the State Department garage, fracturing her elbow.) “Kids—how much love them + stepkids” . . . “best staff ever” . . . “don’t let him die here” . . . “vascular surgery” . . . “no flow, no feeling legs” . . . “clot” . . . and then, again: “don’t let him die here want to die at home w/ his fam.” The seriousness of the situation fully dawning on him, Holbrooke turned to job succession: “Tell Frank”—Ruggiero—“he’s acting.” And finally: “I love so many people . . . I have a lot left to do . . . my career in public service is over.” Holbrooke cracked wise until they put him under for surgery. “Get me anything you need,” he demanded. “A pig’s heart. Dan’s heart.

Marlboro Man and Tim were standing in the hall, not seven steps from the bathroom door. “There she is,” Tim remarked as I walked up to them and stood. I smiled nervously. Marlboro Man put his hand on my lower back, caressing it gently with his thumb. “You all right?” he asked. A valid question, considering I’d been in the bathroom for over twenty minutes. “Oh yeah…I’m fine,” I answered, looking away. I wanted Tim to disappear. Instead, the three of us made small talk before Marlboro Man asked, “Do you want something to drink?” He started toward the stairs. Gatorade. I wanted Gatorade. Ice-cold, electrolyte-replacing Gatorade. That, and vodka. “I’ll go with you,” I said. Marlboro Man and I grabbed ourselves a drink and wound up in the backyard, sitting on an ornate concrete bench by ourselves. Miraculously, my nervous system had suddenly grown tired of sending signals to my sweat glands, and the dreadful perspiration spell seemed to have reached its end. And the sun had set outside, which helped my appearance a little. I felt like a circus act. I finished my screwdriver in four seconds, and both the vitamin C and the vodka went to work almost instantly. Normally, I’d know better than to replace bodily fluids with alcohol, but this was a special case. At that point, I needed nothing more than to self-medicate. “So, did you get sick or something?” Marlboro Man asked. “You okay?” He touched his hand to my knee. “No,” I answered. “I got…I got hot.” He looked at me. “Hot?” “Yeah. Hot.” I had zero pride left. “So…what were you doing in the bathroom?” he asked. “I had to take off all my clothes and fan myself,” I answered honestly. The vitamin C and vodka had become a truth serum. “Oh, and wipe the sweat off my neck and back.” This was sure to reel him in for life. Marlboro Man looked at me to make sure I wasn’t kidding, then burst into laughter, covering his mouth to keep from spitting out his Scotch. Then, unexpectedly, he leaned over and planted a sweet, reassuring kiss on my cheek. “You’re funny,” he said, as he rubbed his hand on my tragically damp back. And just like that, all the horrors of the evening disappeared entirely from my mind. It didn’t matter how stupid I was--how dumb, or awkward, or sweaty. It became clearer to me than ever, sitting on that ornate concrete bench, that Marlboro Man loved me. Really, really loved me. He loved me with a kind of love different from any I’d felt before, a kind of love I never knew existed. Other boys--at least, the boys I’d always bothered with--would have been embarrassed that I’d disappeared into the bathroom for half the night. Others would have been grossed out by my tale of sweaty woe or made jokes at my expense. Others might have looked at me blankly, unsure of what to say. But not Marlboro Man; none of it fazed him one bit. He simply laughed, kissed me, and went on. And my heart welled up in my soul as I realized that without question, I’d found the one perfect person for me.

Although there are certainly a number Hair Loss regarding treatments offering great results, experts say that normal thinning hair treatment can easily yield some of the best rewards for anybody concerned with the fitness of their head of hair. Most people choose to handle their hair loss along with medications or even surgical treatment, for example Minoxidil or even head of hair hair transplant. Nevertheless many individuals fail to realize that treatment as well as surgical procedure are costly and may have several dangerous unwanted effects and also risks. The particular safest and a lot cost efficient form of thinning hair treatment therapy is natural hair loss remedy, which includes healthful going on a diet, herbal solutions, exercise as well as good hair care strategies. Natural thinning hair therapy is just about the "Lost Art" associated with locks restore and is frequently ignored as a type of treatment among the extremely expensive options. A simple main within normal hair loss treatment methods are that the identical food items which are great for your health, are good for your hair. Although hair loss may be caused by many other factors, not enough correct diet will cause thinning hair in most people. Foods which are loaded with protein, lower in carbohydrates, and have decreased excess fat articles can help in maintaining healthful hair as well as preventing hair loss. For instance, efa's, seen in spinach, walnuts, soy products, seafood, sardines, sunflower seed products and also canola acrylic, are important eating essentials valuable in maintaining hair wholesome. The omega-3 and also rr Half a dozen efas contain anti-inflammatory properties that are valuable in maintaining healthier hair. Insufficient amounts of these types of efa's may lead to more rapidly hair loss. A deficiency in nutritional B6 and also vitamin B12 can also result in excessive hair thinning. Food items containing B vitamins, like liver organ, poultry, seafood and soybean are important to healthier hair growth and normal thinning hair treatment. Both vitamin B6 and also vitamin B12 are simply within protein rich foods, which are needed to preserve natural hair growth. Vitamin b are incredibly essential to your diet plan to avoid extreme hair thinning. Certain nutritional vitamins as well as supplements are often essential to recover protein amounts which in turn, are helpful in stopping thinning hair. Growing b vitamin consumption in your diet is an effective method to avoid or perhaps treat hair damage naturally. Alongside the thought of eating healthily regarding vitamins, nutrients and also vitamins and minerals are also the utilization of herbal treatments which are good at preventing hair thinning as a organic thinning hair therapy. One of the herbal remedies producing healthcare head lines will be Saw Palmetto. Although most studies regarding Saw palmetto extract happen to be for your management of prostatic disease, more modern numerous studies have been carried out about its effectiveness for hair thinning. The actual plant has been seen as to operate in eliminating benign prostatic disease by lowering degrees of Dihydrotestosterone, the industry known cause of androgenic alopecia, the medical phrase regarding man or woman routine hair loss. While there isn't any clinical trials supporting this herb's usefulness being a normal hair thinning treatment, there is certainly some dependable investigation proving that it could decrease androgen exercise within

FDA classifies devices according to the risk they pose to consumers. Premarket review is required for moderate- and high-risk devices. There are two paths that manufacturers can use to bring such devices to market. One path consists of conducting clinical studies, submitting a premarket approval (PMA) application and requires evidence providing reasonable assurance that the device is safe and effective. The other path involves submitting a 510(k) notification demonstrating that the device is substantially equivalent to a device already on the market (a predicate device) that does not require a PMA. The 510(k) process results in FDA clearance and tends to be much less expensive and less time-consuming than seeking FDA approval via PMA.

Out of one pocket, we pay billions of our tax dollars to support the production of expensive, disease-causing foods. Out of the other pocket, we pay medical bills that are too high because our overweight population consumes too much of these rich, disease-causing foods. Our tax dollars are actually used to make our society sicker and keep our health insurance costs high.

What the research shows is that the charge master and commercial insurance company prices for the same test or treatment will also vary substantially even at neighboring medical facilities where, presumably, basic input costs such as rent and wages do not vary substantially. Colonoscopies in New York City can vary fourfold—between $2,025 and $8,700—depending on the hospital. This variation in price is very hard to justify. Typically, neither patients nor physicians have access to the price, so they cannot shop around for lower prices. Imagine you were shopping for a new shirt but there was no price tag and you could not know until weeks after you bought it whether the shirt cost $25 or $200. This would make shopping a crazy experience.

The infant feeding industry provides products, research grants, health information, gifts and sponsorship for conferences: all the activities believed to be essential for progress. When a company donates expensive medical equipment or funds research, the recipients become beholden. That is why the donors invest in these activities.

Health related emergency can occur in any one’s life without giving any prior notifications. It is quite tough for some of us to deal with their unexpected health troubles as they are not having sufficient amount of income or saving. To assist such unprivileged people in emergency healthcare loans are planned. With the assistance of this loan service borrowers can easily gain the desired amount of funds to deal with their unexpected health related emergency.

The comprehensive integrity level was calculated based on the results of surveys (by internal, external, and policy customers) after deducting the points for corruption cases, rebate, and not implementing the systems to exempt medical expenses

In a medical study, it turned out that obstetricians in areas with declining birth rates are much more likely to perform cesarean-section deliveries than obstetricians in growing areas—suggesting that, when business is tough, doctors try to ring up more expensive procedures.

Several years earlier, when Henson Associates’ insurance provider had notified Jim that it would no longer be paying all of Christine’s medical expenses, Jim had insisted that Henson Associates change insurance companies to ensure her costs would continue to be fully covered. Nelson had gone to Jim’s office and tearfully thanked him in person, nearly choking on emotion. “Jerry,” said Jim, smiling, “that’s what insurance companies are for.

In fact, the effect of the expensive placebo was not significantly different from that of levodopa, the most effective medication for Parkinson’s disease. Levodopa acts by raising levels of the neurotransmitter dopamine in the brain.

In the story, Ivan Ilyich is forty-five years old, a midlevel Saint Petersburg magistrate whose life revolves mostly around petty concerns of social status. One day, he falls off a stepladder and develops a pain in his side. Instead of abating, the pain gets worse, and he becomes unable to work. Formerly an “intelligent, polished, lively and agreeable man,” he grows depressed and enfeebled. Friends and colleagues avoid him. His wife calls in a series of ever more expensive doctors. None of them can agree on a diagnosis, and the remedies they give him accomplish nothing. For Ilyich, it is all torture, and he simmers and rages at his situation. “What tormented Ivan Ilyich most,” Tolstoy writes, “was the deception, the lie, which for some reason they all accepted, that he was not dying but was simply ill, and he only need keep quiet and undergo a treatment and then something very good would result.” Ivan Ilyich has flashes of hope that maybe things will turn around, but as he grows weaker and more emaciated he knows what is happening. He lives in mounting anguish and fear of death. But death is not a subject that his doctors, friends, or family can countenance. That is what causes him his most profound pain. “No one pitied him as he wished to be pitied,” writes Tolstoy. “At certain moments after prolonged suffering he wished most of all (though he would have been ashamed to confess it) for someone to pity him as a sick child is pitied. He longed to be petted and comforted. He knew he was an important functionary, that he had a beard turning grey, and that therefore what he longed for was impossible, but still he longed for it.” As we medical students saw it, the failure of those around Ivan Ilyich to offer comfort or to acknowledge what is happening to him was a failure of character and culture. The late-nineteenth-century Russia of Tolstoy’s story seemed harsh and almost primitive to us. Just as we believed that modern medicine could probably have cured Ivan Ilyich of whatever disease he had, so too we took for granted that honesty and kindness were basic responsibilities of a modern doctor. We were confident that in such a situation we would act compassionately. What worried us was knowledge. While we knew how to sympathize, we weren’t at all certain we would know how to properly diagnose and treat. We paid our medical tuition to learn about the inner process of the body, the intricate mechanisms of its pathologies, and the vast trove of discoveries and technologies that have accumulated to stop them. We didn’t imagine we needed to think about much else. So we put Ivan Ilyich out of our heads. Yet within a few years, when I came to experience surgical training and practice, I encountered patients forced to confront the realities of decline and mortality, and it did not take long to realize how unready I was to help them. *   *   *

People with serious illness have priorities besides simply prolonging their lives. Surveys find that their top concerns include avoiding suffering, strengthening relationships with family and friends, being mentally aware, not being a burden on others, and achieving a sense that their life is complete. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The question therefore is not how we can afford this system’s expense. It is how we can build a health care system that will actually help people achieve what’s most important to them at the end of their lives.

It’s over between them.” “Seriously?” Jake shrugged. “She didn’t give me the details, but the ring’s gone, and she said it was over.” “Is she upset?” “Doesn’t seem to be.” That was good, right? “Hmm.” Wyatt handed him a plate. “You gonna make your move now?” Jake elbowed Wyatt in the ribs. “She just broke her engagement.” “Or he did.” Jake frowned. “I prefer to think of it the other way.” Wyatt shrugged. “Just saying. She doesn’t sound too distressed. Hey, maybe she broke up because she has the hots for you.” “Shut up.” The thought was too ludicrous to entertain. Meridith might be attracted to him, but that was a far cry from what Wyatt suggested. “It’s about the kids,” Jake said. “I’m sure of it. They spent the day together yesterday, and Max told me that Ben puked on Stephen.” Wyatt laughed. “Classic!” “Yeah, I enjoyed that little tidbit.” He was surprised the man hadn’t gone running home the day before. From what Max said, Stephen hadn’t been very friendly. They washed and dried in silence for a minute, and Jake’s thoughts turned to Meridith. She’d told him the engagement was broken so matter-of-factly. How could she love the guy and react so calmly? “You know,” Wyatt said, pulling him from his thoughts. “It’s pretty remarkable, what she’s doing. Not every chick would take on three kids at the expense of her engagement.” Wyatt was right, and it only deepened his feelings for Meridith. He hated that she was planning to take the children away, but there was no doubt she cared about them. And his suspicions about the bipolar illness had all but disappeared. He’d found no medications, seen no symptoms. “You guys would make a cute couple,” Wyatt said. “You could get married and have a ready-made family.” “You’re forgetting one little detail.” “Ah, yeah. You’re the uncle she called—what was it—self-absorbed and irresponsible?” Jake scowled and grabbed the plate from Wyatt. “So tell her the truth.” “Yeah, right. That’ll go over well.” She’d be furious. She’d kick him from Summer Place and might not let him see the kids anymore. His gut clenched. “Gotta tell her eventually.” “When the house is finished.” “The longer you wait, the worse it’ll be.” “Maybe not.” Maybe he could change her mind about staying. Maybe he could make her see that he cared for her. Maybe they really could be a family.

Even if the purely personal hardships of "labour" in the 'forties were not exaggerated, they have simply disappeared now...instead of starvation-wages for the individual "hand", elaborate calculations are made - not on comic opera stages, but in solemn Committees and even Commissions - how much it will take to keep him, his wife, and their two or three children, housed, fed, clothed, and amused - education and medical attendance being already provided for at the expense of the upper and middle classes...have all these enormous changes in their favour benefited the morale of the working classes?...Are they not lazier, greedier, more full of hatred, malice, and all uncharitableness towards other classes, readier to put on those classes any burden of which they may relieve themselves?

Saffron The earliest recorded medical use of a spice appears to be more than 3,600 years ago, when saffron was evidently first used for healing.43 A few thousand years later, scientists finally put saffron to the test in a head-to-head trial against the antidepressant drug Prozac for the treatment of clinical depression. Both the spice and the drug worked equally well in reducing depression symptoms.44 As you can see in the box here, this may not be saying much, but at the very least, the saffron was safer in terms of side effects. For example, 20 percent of people in the Prozac group suffered sexual dysfunction, a common occurrence with many antidepressant medications, whereas no one in the saffron group did. However, saffron may be one of those rare cases in which the natural remedy is more expensive than the drug. Saffron is the world’s most expensive spice. It is harvested from crocus flowers, specifically the dried stigmas

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Unlike those of almost any other area we can think of, the dynamics of the medical marketplace seem to be such that the advance of technology has made medical care more expensive, not less. First, it appears to encourage more procedures and treatment by making them easier and more convenient. (This is especially true for procedures like arthroscopic surgery.) Second, there is little patient pushback against higher costs because it seems to (and often does) result in safer, better care and because the customer getting the treatment is either not going to pay for it or not going to know the price until after the fact. Beyond

The hallmark of originality is rejecting the default and exploring whether a better option exists. I’ve spent more than a decade studying this, and it turns out to be far less difficult than I expected. The starting point is curiosity: pondering why the default exists in the first place. We’re driven to question defaults when we experience vuja de, the opposite of déjà vu. Déjà vu occurs when we encounter something new, but it feels as if we’ve seen it before. Vuja de is the reverse—we face something familiar, but we see it with a fresh perspective that enables us to gain new insights into old problems. Without a vuja de event, Warby Parker wouldn’t have existed. When the founders were sitting in the computer lab on the night they conjured up the company, they had spent a combined sixty years wearing glasses. The product had always been unreasonably expensive. But until that moment, they had taken the status quo for granted, never questioning the default price. “The thought had never crossed my mind,” cofounder Dave Gilboa says. “I had always considered them a medical purchase. I naturally assumed that if a doctor was selling it to me, there was some justification for the price.” Having recently waited in line at the Apple Store to buy an iPhone, he found himself comparing the two products. Glasses had been a staple of human life for nearly a thousand years, and they’d hardly changed since his grandfather wore them. For the first time, Dave wondered why glasses had such a hefty price tag. Why did such a fundamentally simple product cost more than a complex smartphone? Anyone could have asked those questions and arrived at the same answer that the Warby Parker squad did. Once they became curious about why the price was so steep, they began doing some research on the eyewear industry. That’s when they learned that it was dominated by Luxottica, a European company that had raked in over $7 billion the previous year. “Understanding that the same company owned LensCrafters and Pearle Vision, Ray-Ban and Oakley, and the licenses for Chanel and Prada prescription frames and sunglasses—all of a sudden, it made sense to me why glasses were so expensive,” Dave says. “Nothing in the cost of goods justified the price.” Taking advantage of its monopoly status, Luxottica was charging twenty times the cost. The default wasn’t inherently legitimate; it was a choice made by a group of people at a given company. And this meant that another group of people could make an alternative choice. “We could do things differently,” Dave suddenly understood. “It was a realization that we could control our own destiny, that we could control our own prices.” When we become curious about the dissatisfying defaults in our world, we begin to recognize that most of them have social origins: Rules and systems were created by people. And that awareness gives us the courage to contemplate how we can change them. Before women gained the right to vote in America, many “had never before considered their degraded status as anything but natural,” historian Jean Baker observes. As the suffrage movement gained momentum, “a growing number of women were beginning to see that custom, religious precept, and law were in fact man-made and therefore reversible.

The fact that drugs are as expensive as they are, necessitating the desperate and dangerous efforts we see addicts making to obtain them, is entirely the result of their legal status. Once the laws change, and we have well-behaved people showing up at clinics to get legally prescribed medication, then we can talk about whatever medical, psychological, and social problems remain.

Why don’t I just stop training juniors? I said to myself as I angrily turned the pedals. Why don’t I just do all the operating myself? Why should I have to carry the burden of deciding whether they can operate or not when the fucking management and politicians dictate their training? I’ve got to see the patients every day on the ward anyway as the juniors are so inexperienced now – on the few occasions when they’re actually in the hospital, that is. Yes, I shall no longer train anybody, I thought with a sudden sense of relief. It’s not safe. There are so many consultants now that having to come in occasionally at night wouldn’t be a great hardship . . . The country’s massively in debt financially, why not have a massive debt of medical experience as well? Let’s have a whole new generation of ignorant doctors in the future. Fuck the future, let it look after itself, it’s not my responsibility. Fuck the management, and fuck the government and fuck the pathetic politicians and their fiddled expenses and fuck the fucking civil servants in the fucking Department of Health. Fuck everybody.

Every person has short-term goals. Some are modest, such as setting aside money for a vacation next month or paying for medical bills. Other short-term goals are more ambitious, such as accruing funds for a down payment to purchase a new home within six months. Whatever the expense or purchase, you need a predictable accumulation of cash soon. If this sounds like your situation, stay away from the stock market!

I looked at her face. Besides being covered in tears, it was above all marked by dissatisfaction. Deep-lying dissatisfaction, the kind a person is born with. Nothing helps to drive out that dissatisfaction. Expensive espresso machines, attention, a new wing on the house— for a fleeting moment the dissatisfaction disappears into the background, but it's like a leak coming through the wallpaper: You can cover it with new wallpaper, but after a while the brown spots soak through, anyway. There's not much you can do about it. You can muffle it for a bit with medication, with what they call “mother’s little helpers,” but in the end it only comes back with renewed strength.

You see, the rich treat the poor like cattle in their stockyards. They keep us alive only as long as we continue to bring them profit. They starve us out for jobs, so our sons and daughters are conscripted by the poverty draft and sent to die as soldiers in their wars. They poison us with their cheap food, so then we must slave in their debt-camps to pay for their expensive medical care. They convict us for crimes of survival and then tax us double to lock our brothers and sisters into privatized prisons! Too much money is made from the suffering of the poor!

Runaway costs are crushing the American medical system. Hispanics are the group least likely to have medical insurance, with 30.7 percent uninsured. Ten point eight percent of whites and 19.1 percent of blacks are without insurance. Illegal immigrants rarely have insurance, but hospitals cannot turn them away. In 1985, Congress passed the Emergency Medical Treatment and Active Labor Act, which requires hospitals to treat all emergency patients, without regard to legal status or ability to pay. Anyone who can stagger within 250 yards of a hospital—a distance established through litigation—is entitled to “emergency care,” which is defined so broadly that hospital emergency rooms have become free clinics. Emergency-room care is the most expensive kind. Childbirth is an emergency, and hospitals must keep mother and child until both can be discharged. If the mother is indigent the hospital pays for treatment, even if there are expensive complications. Any child born in the United States is considered a US citizen, so thousands of indigent illegal immigrants make a point of having “anchor babies” at public expense. The new American qualifies for all forms of welfare, and at age 21 can sponsor his parents for American citizenship. In 2006 in California, an estimated 100,000 illegal immigrant mothers had babies at public expense, and accounted for about one in five births. The costs were estimated at $400 million per year, and in the state as a whole, half of all Medi-Cal (state welfare) births were to illegal immigrant mothers. In 2003, 70 percent of the babies born in San Joaquin General Hospital in Stockton were anchor babies. In Los Angeles and other cities with heavy gang activity, hospitals must deal with “dump and run” patients—criminals wounded in shootouts who are rolled out of speeding cars by fellow gang members. Illegal-immigrant patients often show up without papers of any kind, and doctors have no idea whom they are treating. Mexican hospitals routinely turn away uninsured Mexicans, and if the US border is not far, may tell the ambulance driver to head for the nearest American hospital. “It’s a phenomenon we noticed some time ago, one that has expanded very rapidly,” said a federal law enforcement officer.

Every American should be able to expect certain standards, freedoms, benefits, and opportunities form a twenty-first-century health system. If they are willing to participate and be responsible, they will gain: •Improved health; •Longer lives with a much better quality of life; •A more convenient, understandable and personalized experience -- all at a lower cost; •Access to the best course of treatment for their particular illness and their unique characteristics; •A system that fosters and encourages innovation, competition, and better outcomes for patients; •A system that truly values the impact that medical innovation has on patients and their caregivers as well as on society as a whole; •A government that facilitates and accelerates extraordinary opportunities to improve health and health care; •Continuous but unobtrusive 24/7 monitoring of their general health, chronic conditions, and acute health problems; •Access to the most modern medical knowledge and breakthroughs, including the most advanced technologies, therapies and drugs, unimpeded by government-imposed price controls or rationing; •The chance to increase their personal knowledge by learning from a transparent system of information about their diagnosis, costs and alternative solutions; •A continuously improving, competitive, patient-focused medical world in which new therapies, new technologies, and new drugs are introduced as rapidly and safely as possible -- and not a day later; •Greater price and market competition, innovation and smarter health care spending; •A system of financing that includes insurance, government, charities, and self-funding that ensures access to health and health care for every American at the lowest possible cost without allowing financing and short-term budgetary considerations to distort and weaken the delivery of care; •Genuine insurance to facilitate access to dramatically better care, rather than the current system, which is myopically focused on monthly or annual payments; •A health system in which third parties and government bureaucrats do not impede the best course of treatment that doctors and their patients decide on; •A health system in which seniors, veterans, or others under government health programs receive the same quality of care as their children in private markt systems. Big reforms are required to transform today’s expensive, obsolete health bureaucracy into a system that conforms to these principles.

If the genes themselves are unchanged, then deciphering the underlying genetic code at great expense is of limited usefulness. By the time work on the Cancer Genome Atlas (TCGA) started, it was already well known that changes in DNA methylation are vital to the development of some cancers.3 A number of known carcinogens are considered to act through epigenetic pathways. In colon cancer, up to 10 percent of protein-coding genes are methylated differently from normal colon cells, emphasizing the role of epigenetics.

All one must do is remember basic math. If one system that administers medical payments require hundreds of duplicate services, equipment, software, & databases, and must make profits for passive investors, and must pay thousands of executives millions of dollars, then it is mathematically impossible for that system to be more efficient than one that must provide the same medical payments without those expenses and overhead. Not even an inordinate amount of waste and fraud in any single-payer system would likely match the legalized fraud of the private healthcare insurance system. It is simply basic math.

the bureaucracy has arrogated the right to define certain states of mind as ‘diseased.’ A lack of desire to spend money becomes a symptom of disease that requires expensive medication. Which medication then destroys the libido, in other words destroys the appetite for the one pleasure in life that’s free, which means the person has to spend even more money on compensatory pleasures. The very definition of mental ‘health’ is the ability to participate in the consumer economy. When you buy into therapy, you’re buying into buying.

I'm saying the structure and f the entire culture is flawed, chip said. I'm saying the bureaucracy has arrogated the right to define certain states of mind as 'diseased.' A lack of desire to spend money becomes a symptom of disease that requires expensive medication. Which medication then destroys the libido, in other words destroys the appetite for the one pleasure in life that's free, which means the person has to spend more money on compensatory pleasures. The very definition of mental health is the ability to participate in the consumer economy. When you buy into therapy, you're buying into buying. And I'm saying that I personally am losing the battle with a commercialized, medicalized, totalitarian, modernity right this instant.

Job pressure: Coworker tension, bosses, work overload Money: Loss of a job, reduced retirement, medical expenses Health: Health crisis or terminal or chronic illness Relationships: Divorce, death of spouse, arguments with friends, loneliness Poor nutrition: Inadequate nutrition, caffeine, processed foods, refined sugars Media overload: Television, radio, Internet, e-mail, social networking Sleep deprivation: Inability to release the stress hormones (adrenaline, norepinephrine, cortisol) interfering with the ability to sleep (APA 2013)

The 8 Basic Headers Work Family & Kids Spouse Health & Fitness Home Money Recreation & Hobbies Prospects for the Future Work The Boss Time Management Compensation Level of interest Co-workers Chances of promotion My Job Description Subordinates Family Relationship with spouse Relationship with children Relationship with extended family Home, chores and responsibilities Recreation & hobbies Money, expenses and allowances Lifestyle and standard of living Future planes and arrangements Spouse Communication type and intensity Level of independence Sharing each other's passions Division of roles and responsibilities Our time together Our planes for our future Decision making Love & Passion Health & Fitness General health Level of fitness Healthy lifestyle Stress factors Self awareness Self improvement Level of expense on health & fitness Planning and preparing for the rest of my life Home Comfort Suitability for needs Location Community and municipal services Proximity and quality of support/activity centers (i.e. school. Medical aid etc) Rent/Mortgage Repair / renovation Emotional atmosphere Money Income from work Passive income Savings and pension funds Monthly expenses Special expenses Ability to take advantage of opportunities / fulfill dreams Financial security / resilience Financial IQ / Understanding / Independent decision making Social, Recreation & Hobbies Free time Friends and social activity Level & quality of social ties Level of spending on S, R&H Culture events (i.e. theater, fairs etc) Space & accessories required Development over time Number of interests Prospect for the future Type of occupation Ratio of work to free time Promotion & Business development (for entrepreneurs) Health & Fitness Relationships Family and Home Financial security Fulfillment of vision / dreams  Creating Lenses with Excel If you wish to use Excel radar diagrams to simulate lenses, follow these steps: Open a new Excel spreadsheet.

For instance, in 1990, the FDA raided the offices of Dr. Jonathan Wright, a fully qualified physician with an M.D. from the University of Michigan Medical School, terrorized the staff with drawn guns, and seized all the vitamins and herbs they could find. They never did file criminal charges against Dr. Wright for the heresy of giving his patients cheap medicines instead of expensive ones*, but this raid was only one of hundreds of similar Gestapo-style operations, creating what libertarians call “a chilling effect” on scientific freedom.

The sitting area at Griffin Concierge Medical in Tampa, Florida, has the vibe of an upscale bed-and-breakfast, with sunlight casting through double-hung windows onto warm hardwood floors. Nashville’s Brentwood MD feels more like a wealthy man’s living room, with a wide, brown leather sofa and an expensive-looking wooden coffee table with photo books.

The over-use of antibiotics is also causing more bacteria to become resistant. Today, 70 percent of microbes held responsible for lung illnesses no longer respond to medications.180 The increase in resistance prompts the pharmaceutical sector to conduct more intensive research for new antibiotics. But the discovery of such molecules is a long, difficult and costly process (about $600 million per molecule).181 For many years, no important new antibiotic has come onto the market. At the same time, increasingly stronger preparations are being introduced, which only leads to the bacteria becoming even more resistant and excreting even more toxins.