Primary Health Care Quotes

Our primary health care should begin on the farm and in our hearts, and not in some laboratory of the biotech and pharmaceutical companies.

The American Institute of Health estimates that 75–90 percent of all visits to primary care physicians are for stress-related problems.

The goal of the Deep Southern oligarchy has been consistent for over four centuries: to control and maintain a one-party state with a colonial-style economy based on large-scale agriculture and the extraction of primary resources by a compliant, poorly educated, low-wage workforce with as few labor, workplace safety, health care, and environmental regulations as possible.

The most common complaint heard by primary care physicians today is fatigue, and the most common cause of fatigue is sleep deprivation.

this is a serious development for our medical training establishment is that a host of technological enablers will fuel the disruption of specialists by primary care physicians in the future.

The primary problem with modern psychiatry is its reduction of mental illness to bodily dysfunction. Objectification of those identified as mentally ill, by insisting on the somatic nature of their illness, may apparently simplify matters and help protect those trying to provide care from the pain experienced by those needing support. But psychiatric assessment too often fails to appreciate personal and social precursors of mental illness by avoiding or not taking account of such psychosocial considerations. Mainstream psychiatry acts on the somatic hypothesis of mental illness to the detriment of understanding people's problems.

Along with better training, pediatricians need better pay. Paradoxically, physicians involved in the primary care of our children—the doctors on the front lines who receive tens of thousands of visits every day from parents and their children—are among the lowest paid of all physicians in the United States. Something is wrong with our system when the doctor who performs a brief diagnostic procedure—some form of X-ray, for example, or a fifteen-minute operation—is paid many times more than the doctors making crucial decisions about our children’s health.

Poor health was not just the result of random acts, bad luck, bad behavior or unfortunate genetics. Deliberate public policy decision about housing, education, parks and streets were the key drivers of racial differences in mortality. Crime kept people off the streets and limited their ability to exercise. The lack of grocery stores limited dietary choices. The lack of primary care doctors and specialists in these communities made chronic disease care more difficult. The degradation and loss of hospital services in these communities affected hospital-based outcomes. … The chronic underfunding of critical health services at Cook County Hospital and other safety-net providers contributed to these poor outcomes as well. The deleterious impact of social structures such as urban poverty and racism on health has been called 'structural violence.

Fresh drinking water is an issue of primary importance, since it is indispensable for human life and for supporting terrestrial and aquatic ecosystems. Sources of fresh water are necessary for health care, agriculture and industry. Water supplies used to be relatively constant, but now in many places demand exceeds the sustainable

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.

By now, I hope you recognize this as one more example of the reductionist paradigm at work, even when it's couched in natural and alternative terms. As we saw in chapter ten, one of the major problems with modern medicine is its reliance on isolated, unnatural chemical pharmaceuticals as the primary tool in the war against disease. But the medical profession isn't the only player in the health-care system that has embraced this element of reductionism. The natural health community has also fallen prey to the ideology that chemicals ripped from their natural context are as good as or better than whole foods. Instead of synthesizing the presumed "active ingredients" from medicinal herbs, as done for prescription drugs, supplement manufacturers seek to extract and bottle the active ingredients from foods known or believed to promote good health and healing. And just like prescription drugs, the active agents function imperfectly, incompletely, and unpredictably when divorced from the whole plant food from which they're derived or synthesized.

What, then, would it mean to imagine a system in which punishment is not allowed to become the source of corporate profit? How can we imagine a society in which race and class are not primary determinants of punishment? Or one in which punishment itself is no longer the central concern in the making of justice? An abolitionist approach that seeks to answer questions such as these would require us to imagine a constellation of alternative strategies and institutions, with the ultimate aim of removing the prison from the social and ideological landscapes of our society. In other words, we would not be looking for prisonlike substitutes for the prison, such as house arrest safeguarded by electronic surveillance bracelets. Rather, positing decarceration as our overarching strategy, we would try to envision a continuum of alternatives to imprisonment—demilitarization of schools, revitalization of education at all levels, a health system that provides free physical and mental care to all, and a justice system based on reparation and reconciliation rather than retribution and vengeance. The creation of new institutions that lay claim to the space now occupied by the prison can eventually start to crowd out the prison so that it would inhabit increasingly smaller areas of our social and psychic landscape. Schools can therefore be seen as the most powerful alternative to jails and prisons. Unless the current structures of violence are eliminated from schools in impoverished communities of color—including the presence of armed security guards and police—and unless schools become places that encourage the joy of learning, these schools will remain the major conduits to prisons. The alternative would be to transform schools into vehicles for decarceration.

Consider the following: More than 40 percent of women in the United States have likely been the victim of violence, including childhood sexual abuse (almost 18 percent), physical assault (more than 19 percent), rape (more than 20 percent), and intimate partner violence (almost 35 percent).4 Some 6 percent of all pregnant women experienced violence during their pregnancies as well.5 Despite the widespread violence against women, less than 10 percent of primary care physicians normally screen for domestic violence during routine office visits.6 Yet if the violence is not addressed, it

Secure attachment reflects the deep emotional bond that forms in the first months of life between an infant and the primary caregiver when the child feels consistently loved and cared for. The caregiver conveys in many ways that the child is safe, protected, and valued: by holding, skin-to-skin touching, kissing, and hugging; by loving gazes and facial expressions; by safe, rhythmic gestures and vocal sounds; by timely attention to the infant’s needs; and by smiling, laughing, and having fun with the child. Through repeated encounters that are sensitive to the child’s needs, the child learns that the caregiver is available and responsive, and will not abandon her.

Our failure to keep our children attached to us and to the other adults responsible for them has not only taken away their shields but put a sword in the hands of their peers. When peers replace parents, children lose their vital protection against the thoughtlessness of others. The vulnerability of a child in such circumstances can easily be overwhelmed. The resulting pain is more than many children can bear. Studies have been unequivocal in their findings that the best protection for a child, even through adolescence, is a strong attachment with an adult. The most impressive of these studies involved ninety thousand adolescents from eighty different communities chosen to make the sample as representative of the United States as possible. The primary finding was that teenagers with strong emotional ties to their parents were much less likely to exhibit drug and alcohol problems, attempt suicide, or engage in violent behavior and early sexual activity. Such adolescents, in other words, were at greatly reduced risk for the problems that stem from being defended against vulnerability. Shielding them from stress and protecting their emotional health and functioning were strong attachments with their parents. This was also the conclusion of the noted American psychologist Julius Segal, a brilliant pioneer of research into what makes young people resilient. Summarizing studies from around the world, he concluded that the most important factor keeping children from being overwhelmed by stress was “the presence in their lives of a charismatic adult — a person with whom they identify and from whom they gather strength.” As Dr. Segal has also said, “Nothing will work in the absence of an indestructible link of caring between parent and child.” Peers should never have come to matter that much — certainly not more than parents or teachers or other adult attachment figures. Taunts and rejection by peers sting, of course, but they shouldn't cut to the quick, should not be so devastating. The profound dejection of an excluded child reveals a much more serious attachment problem than it does a peer-rejection problem.

When you finally meet someone who loves you and respects you in words and actions, relationships take on a whole new meaning. Your life becomes bigger because the things you discovered about yourself in your alone time are still being honored and cared for and you have a partner to share your life with. Love accommodates you and all your interests and obligations. You’re not being asked to give anything up for love and someone is helping to support you while you support him or her. Real love, functional love, doesn’t cause you to lose people, places, things, health, sleep, or appetite. Real love does not demand, either actively or passively, that you give up your friends, hobbies, or interests. In fact, it encourages independence and being fulfilled by other people, places, and things. When you are a healthy and functional person, your healthy and functional mate trusts and supports you. Your partner does not purposefully or unwittingly engulf you. If you’re losing your friends, your family, or your children due to a relationship you’re in, you need to think about what is going on in this relationship. Don’t automatically blame your friends, family, and children. If your partner always wants you to choose him or her over others in your life, even if it’s not an explicit demand but always turns out that way, there is something wrong. Real love does not strip you of the things you love or the people you love, and real love does not make you choose. Real love encourages quality time alone with friends, family, and children. Being nurtured and loved by others makes a person fulfilled and, in turn, adds to the primary relationship.

what makes life worth living when we are old and frail and unable to care for ourselves? In 1943, the psychologist Abraham Maslow published his hugely influential paper “A Theory of Human Motivation,” which famously described people as having a hierarchy of needs. It is often depicted as a pyramid. At the bottom are our basic needs—the essentials of physiological survival (such as food, water, and air) and of safety (such as law, order, and stability). Up one level are the need for love and for belonging. Above that is our desire for growth—the opportunity to attain personal goals, to master knowledge and skills, and to be recognized and rewarded for our achievements. Finally, at the top is the desire for what Maslow termed “self-actualization”—self-fulfillment through pursuit of moral ideals and creativity for their own sake. Maslow argued that safety and survival remain our primary and foundational goals in life, not least when our options and capacities become limited. If true, the fact that public policy and concern about old age homes focus on health and safety is just a recognition and manifestation of those goals. They are assumed to be everyone’s first priorities. Reality is more complex, though. People readily demonstrate a willingness to sacrifice their safety and survival for the sake of something beyond themselves, such as family, country, or justice. And this is regardless of age. What’s more, our driving motivations in life, instead of remaining constant, change hugely over time and in ways that don’t quite fit Maslow’s classic hierarchy. In young adulthood, people seek a life of growth and self-fulfillment, just as Maslow suggested. Growing up involves opening outward. We search out new experiences, wider social connections, and ways of putting our stamp on the world. When people reach the latter half of adulthood, however, their priorities change markedly. Most reduce the amount of time and effort they spend pursuing achievement and social networks. They narrow in. Given the choice, young people prefer meeting new people to spending time with, say, a sibling; old people prefer the opposite. Studies find that as people grow older they interact with fewer people and concentrate more on spending time with family and established friends. They focus on being rather than doing and on the present more than the future.

By April 23, 2014, thirty-four cases and six deaths from Ebola in Liberia were recorded. By mid-June, 16 more people died. At the time it was thought to be malaria but when seven more people died the following month tests showed that was the Ebola virus. The primary reason for the spreading of the Ebola virus was the direct contact from one person to the next and the ingesting of bush meat. Soon doctors and nurses also became infected. On July 2, 2014, the head surgeon of Redemption Hospital was treated at the JFK Medical Center in Monrovia, where he died from the disease. His death was followed by four nurses at Phebe Hospital in Bong County. At about the same time two U.S. health care workers, Dr. Kent Brantly and a nurse were also infected with the disease. However, they were medically evacuated from Liberia to the United States for treatment where they made a full recovery. Another doctor from Uganda was not so lucky and died from the disease. Arik Air suspended all flights between Nigeria and Liberia and checkpoints were set up at all the ports and border crossings. In August of 2014, the impoverished slum area of West Point was cordoned off. Riots ensued as protesters turned violent. The looting of a clinic of its supplies, including blood-stained bed sheets and mattresses caused the military to shoot into the crowds. Still more patients became infected, causing a shortage of staff and logistics. By September there had been a total of 3,458 cases of which there were 1,830 deaths according to the World Health Organization. Hospitals and clinics could no longer handle this crisis and patients who were treated outside died before they could get help. There were cases where the bodies were just dumped into the Mesurado River. The Ivory Coast out of compassion, opened carefully restricted humanitarian routes and resumed the previously suspended flights to Liberia. Ellen Johnson Sirleaf the president of Libera sent a letter to President Barack Obama concerning the outbreak of Ebola that was on the verge of overrunning her country. The message was desperate, “I am being honest with you when I say that at this rate, we will never break the transmission chain and the virus will overwhelm us.” Having been a former finance minister and World Bank official, Johnson Sirleaf was not one for histrionics however she recognized the pandemic as extremely dangerous. The United States responded to her request and American troops came in and opened a new 60-bed clinic in the Sierra Leone town of Kenema, but by then the outbreak was described as being out of control. Still not understanding the dangerous contagious aspects of this epidemic at least eight Liberian soldiers died after contracting the disease from a single female camp follower. In spite of being a relatively poor country, Cuba is one of the most committed in deploying doctors to crisis zones. It sent more than 460 Cuban doctors and nurses to West Africa. In October Germany sent medical supplies and later that month a hundred additional U.S. troops arrived in Liberia, bringing the total to 565 to assist in the fight against the deadly disease. To understand the severity of the disease, a supply order was placed on October 15th for a 6 month supply of 80,000 body bags and 1 million protective suits. At that time it was reported that 223 health care workers had been infected with Ebola, and 103 of them had died in Liberia. Fear of the disease also slowed down the functioning of the Liberian government. President Sirleaf, had in an emergency announcement informed absent government ministers and civil service leaders to return to their duties. She fired 10 government officials, including deputy ministers in the central government who failed to return to work.

Even those who claimed he’d never be president credited him with reaching voters in a visceral way, as having a gift for channeling the rage of a white America which felt it had been left behind, had its privileges stolen by female, nonwhite interlopers—the kinds of people who’d never occupied the White House or held representative numbers of seats in legislative bodies, people who were paid less, taxed more for health care, and denied full control of their reproductive lives, but who had given such a convincing impression of having taken up more than an equal share of space that they were the objects of the resentful ire being channeled by the orange-tinted and toupéed businessman from Queens. The guy who just kept winning primaries.

In Egypt in 1960, 30 percent of all children in the land around the Nile died before their fifth birthday. The Nile delta was a misery for children, with all sorts of dangerous diseases and malnutrition. Then a miracle happened. The Egyptians built the Aswan Dam, they wired electricity into people’s homes, improved education, built up primary health care, eradicated malaria, and made drinking water safer. Today, Egypt’s child mortality rate, at 2.3 percent, is lower than it was in France or the United Kingdom in 1960.

Genes are merely codes. They act as a set of rules and as a biological template for the synthesis of the proteins that give each particular cell its characteristic structure and functions. They are, as it were, alive and dynamic architectural and mechanical plans. Whether the plan becomes realized depends on far more than the gene itself. Genes exist and function in the context of living organisms. The activities of cells are defined not simply by the genes in their nuclei but by the requirements of the entire organism — and by the interaction of that organism with the environment in which it must survive. Genes are turned on or off by the environment. For this reason, the greatest influences on human development, health and behaviour are those of the nurturing environment. Hardly anyone who raises plants or animals would ever dispute the primary role of early care in shaping how genetic endowment and potential will unfold. For reasons that have little to do with science, many people have difficulty grasping the same concept when it comes to the development of human beings. This paralysis of thought is all the more ironic, since of all animal species it is the human whose long-term functioning is most profoundly regulated by the early environment. Given the paucity of evidence for any decisive role of genetic factors in most questions of illness and health, why all the hoopla about the genome project? Why the pervasive genetic fundamentalism? We are social beings, and science, like all disciplines, has its ideological and political dimensions. As Hans Selye pointed out, the unacknowledged assumptions of the scientist will often limit and define what will be discovered. Settling for the view that illnesses, mental or physical, are primarily genetic allows us to avoid disturbing questions about the nature of the society in which we live. If “science” enables us to ignore poverty or man-made toxins or a frenetic and stressful social culture as contributors to disease, we can look only to simple answers: pharmacological and biological. Such an approach helps to justify and preserve prevailing social values and structures. It may also be profitable.

Voters in the Republican primary in South Carolina who handed Trump a walkover victory declared terrorism to be their foremost concern, one that eclipsed a low-wage economy; deteriorating living standards that have led to an actual increase in the death rate of the GOP’s core demographic of late-middle aged, non-college educated whites; and the most expensive and least available health care in the “developed” world. So while Trump—a Vietnam-era draft avoider who appeared not even to know what the nuclear triad was—could hardly be considered a product of the national security sector of the Deep State, his demagogic skills and authoritarian demeanor placed him in a far better position than his rivals to exploit the national neurosis created by the war on terror.

Former Health Minister Khaw Boon Wan has said that the public sector should always play the dominant role in providing care services, but there needs to be a private healthcare system to challenge it. In his view, the public sector is necessary to set the ethos for the entire system—which should not only be about maximization of profits, a primary focus of the private sector.

About 41 percent of mothers are primary breadwinners and earn the majority of their family’s income. Another 23 percent of mothers are co-breadwinners, contributing at least a quarter of the family’s earnings.30 The number of women supporting families on their own is increasing quickly; between 1973 and 2006, the proportion of families headed by a single mother grew from one in ten to one in five.31 These numbers are dramatically higher in Hispanic and African-American families. Twenty-seven percent of Latino children and 51 percent of African-American children are being raised by a single mother.32 Our country lags considerably behind others in efforts to help parents take care of their children and stay in the workforce. Of all the industrialized nations in the world, the United States is the only one without a paid maternity leave policy.33 As Ellen Bravo, director of the Family Values @ Work consortium, observed, most “women are not thinking about ‘having it all,’ they’re worried about losing it all—their jobs, their children’s health, their families’ financial stability—because of the regular conflicts that arise between being a good employee and a responsible parent.”34 For many men, the fundamental assumption is that they can have both a successful professional life and a fulfilling personal life. For many women, the assumption is that trying to do both is difficult at best and impossible at worst. Women are surrounded by headlines and stories warning them that they cannot be committed to both their families and careers. They are told over and over again that they have to choose, because if they try to do too much, they’ll be harried and unhappy. Framing the issue as “work-life balance”—as if the two were diametrically opposed—practically ensures work will lose out. Who would ever choose work over life? The good news is that not only can women have both families and careers, they can thrive while doing so. In 2009, Sharon Meers and Joanna Strober published Getting to 50/50, a comprehensive review of governmental, social science, and original research that led them to conclude that children, parents, and marriages can all flourish when both parents have full careers. The data plainly reveal that sharing financial and child-care responsibilities leads to less guilty moms, more involved dads, and thriving children.35 Professor Rosalind Chait Barnett of Brandeis University did a comprehensive review of studies on work-life balance and found that women who participate in multiple roles actually have lower levels of anxiety and higher levels of mental well-being.36 Employed women reap rewards including greater financial security, more stable marriages, better health, and, in general, increased life satisfaction.37 It may not be as dramatic or funny to make a movie about a woman who loves both her job and her family, but that would be a better reflection of reality. We need more portrayals of women as competent professionals and happy mothers—or even happy professionals and competent mothers. The current negative images may make us laugh, but they also make women unnecessarily fearful by presenting life’s challenges as insurmountable. Our culture remains baffled: I don’t know how she does it. Fear is at the root of so many of the barriers that women face. Fear of not being liked. Fear of making the wrong choice. Fear of drawing negative attention. Fear of overreaching. Fear of being judged. Fear of failure. And the holy trinity of fear: the fear of being a bad mother/wife/daughter.

The country needs over 300,000 health-and-wellness-centres to provide comprehensive primary care of the type described earlier.

Adding a highly targeted risk-based primary care23 benefits package becomes possible on top of even a thinly financed Universal Health Insurance and Employee State Insurance Schemes, if there are strong electronic health records and analytics deployed on top of them.

Dental care in children under 20 years of age This initiative has allowed more than 366,000 women to recover their smile and oral health, improving their quality of life, their self-esteem, and also their opportunities to access employment. It is focused on women beneficiaries of FONASA and/or PRAIS over 15 years of age. The goal is to reach 100,000 annual registrations Who can access? Women aged 15 or over, and beneficiaries of Fonasa A, B, C, D and Prais (Comprehensive Health Repair and Help Program). How to access? To access you can register at your health center or at the Sernam office of your commune. What includes? This program includes carrying out primary care actions, such as fillings, extractions and scaling, as well as dental prosthetics.

Some researchers even argue that weight stigma is a primary driver of the so-called obesity epidemic,19 citing a range of studies showing that experiences of discrimination and internalized weight stigma cause weight gain and that health-care providers’ bias leads many fat people to postpone health care or avoid it altogether—another driver of poor health outcomes.

Note: The first incident happened after the arrest by the Netherlands police in May 1980. I suffered from that, which destroyed my career, future, health, and life. I tried and tried to investigate that, but the police didn't even register the first information report (FIR). It stayed, refusing since 1980 until now, which creates suspicious questions about what the reasons are for not filing the case. It mirrors whether the Netherlands government victimised me or whether the hired ones of the international intelligence agencies have been a hindrance or the criminal groups. - The second incident happened in the shape of uncurable cancer; it was a deliberate mistake and ignorance of the Netherlands Urologists, who did not follow even the primary medical borderlines for the checkup during one year from 2016 to 2017. After the diagnosis, they are hiding the reality, and they still do not take it seriously. I still hope that the Netherlands' neutral and free media will awaken to help me investigate the incident. It will save millions of lives around the world. In God's name, take it seriously to protect me and others. I feel suspicious elements around me. I cry and pray day and night for God's protection since I do not exclude the Qadeyanis witches and magicians, who keep doing black magic continuously that the West does not understand. My Real Story In A Poem *** I never thought I would suffer from cancer The metastatic prostate gland I still cannot decide that It is natural or human-made Since everything is possible In the medical-criminal world How it happened in Western society; Civilized urologists ignored it deliberately From 2016 to 2017 Telling that nothing was wrong Whereas I was suffering from Bleeding, burning, and pain During urinating I begged urologists for a wide-scale checkup With MRI scans and other new technologies But urologists stayed rejecting; Whereas I was paying insurance for that Consequently, at the beginning of 2017 The diagnosis became a time bomb that I had metastatic prostate gland cancer, Which was not curable, They listed me on the death list, Treating for longer life expectancy However, they do tell not the truth And stay suspicious It confuses me and creates grave fear Since then I am bearing terrible side effects Factually, I became victimized twice By criminals, Intelligence Agencies And underground-mafias Which I am unable to trace alone In this regard, I approached Western Media, Ministries, police, courts, Euro Union Unfortunately, none of those responded Even my motherland media cruelly ignored It seems as if I am in the grip of the demon And The Prisoner Of The Hague Everyone has left me alone in pain, Stress, fear, depression Even my children don't care And realize my tears Where resides sympathy, empathy, And humanity? I feel death before death It is a silent cruelty Ah, where should I ask and beg For justice, help, and investigation That civilized world should know An innocent is under victimization I believe God will help and protect And someone from somewhere Appear to hold my hands To eliminate all criminals and demons My cancer will be curable With a longer life expectancy, in some ways Amen, O' merciful God amen.

No matter that both colds and flu are the work of viruses, not bacteria, and antibiotics can’t touch them. Or that the majority of colds will burn themselves out in days or weeks, without risk to life or limb. As antibiotic resistance becomes an ever more serious problem, the pressure is on doctors to be judicious in their prescribing habits. There’s plenty of room for improvement. In the US in 1998, three-quarters of all the antibiotics doled out by primary care doctors were for five respiratory infections: ear infections, sinusitis, pharyngitis (sore throat), bronchitis and upper respiratory tract infections (URI). Of the 25 million people who went to their doctor about a URI, 30 per cent were prescribed antibiotics. Not so bad, you might think, until you realise that only 5 per cent of URIs are caused by bacteria. The same goes for sore throats; 14 million people were diagnosed with pharyngitis that year, and 62 per cent of them were given antibiotics. Only 10 per cent of them would have had bacterial infections. Overall, around 55 per cent of antibiotic prescriptions given out that year were unnecessary.

In the developing health care economy, doctors have more power than hospitals. They haven’t always known this. As I mentioned in the last chapter, many doctors still view the hospitals as a safe haven, and thousands are selling them their practices. But in a market focused on establishing long-term relations with patients, doctors hold the cards. This is especially true of primary care doctors, whose perceived value (and pay) has been

SCANDALS AND MISMANAGEMENT If Secretary Clinton’s political career had ended with her defeat for the Democratic presidential nomination in 2008, her skills as a manager would have been judged by her disorganized and drama-filled campaign for the presidency and her disastrous Health Care Task Force as First Lady. President Obama, who defeated her calamitously run campaign, should have been wary of nominating Clinton to a post that was responsible for tens of thousands of federal employees throughout the world. While her tenure in Foggy Bottom didn’t have the highly publicized backstabbing element that tarnished her presidential campaign, Secretary Clinton’s deficiencies as a manager were no less evident. There was one department within State that Secretary Clinton oversaw with great care: the Global Partnerships Initiative (GPI), which was run by long-time Clinton family aide Kris Balderston. Balderston was known in political circles for creating a “hit list” that ranked members of Congress based on loyalty to the Clintons during the 2008 presidential primaries.[434] Balderston was brought to Foggy Bottom to “keep the Clinton political network humming at State.”[435] He focused his efforts on connecting CEOs and business interests—all potential Clinton 2016 donors—to State Department public/private partnerships. Balderston worked alongside Clinton’s long-time aide Huma Abedin, who was given a “special government employee” waiver, allowing her to work both as Secretary Clinton’s deputy chief of staff, and for other private sector clients. With the arrangement, Abedin would serve as a consultant to the top Clinton allied firm, Teneo, in a role in which, as the New York Times reported, “the lines were blurred between Ms. Abedin’s work in the high echelons of one of the government’s most sensitive executive departments and her role as a Clinton family insider.”[436] Secretary Clinton and her allies have placed great emphasis on the secretary of state’s historic role in promoting American business interests overseas, dubbing the effort “economic statecraft.”[437] The efforts of the GPI, Abedin, and Balderston ensured that Secretary Clinton’s “economic statecraft” agenda would be rife with the potential for conflicts of interest reminiscent of the favor-trading scandals that emanated from her husband’s White House. While the political office and donor maintenance program was managed with extreme meticulousness, Secretary Clinton ignored her role as manager of the rest of the sprawling government agency.[438] When it came to these more mundane tasks, Secretary Clinton was not on top of what was really going on in the department she ran. While Secretary Clinton was preoccupied with being filmed and photographed all around the world, the State Department was plagued by chronic management problems and scandals, from visa programs to security contractors. And when Secretary Clinton did weigh in on management issues, it was almost always after a raft of bad press forced her to, and not from any proactive steps she took. In fact, she and her department’s first reaction in certain instances was to silence critics or intimidate whistleblowers, rather than get to the bottom of what was actually going on. The events that unfolded in Benghazi were the worst example of Secretary Clinton neglecting her managerial responsibilities. This pattern of behavior, which led to the tragedy, was characteristic of her management style throughout her four years at Foggy Bottom. “Economic Statecraft” A big part of Secretary Clinton’s record-breaking travel—112 countries visited—was her work as a salesperson for select U.S. business interests.[439] Today, her supporters would have us believe her “economic statecraft” agenda was a major accomplishment.[440] Yet, as always seems to be the case with the Clintons, there was one family that benefited more than any other from all this economic statecraft—the Clinton family.

The breakthrough study was done by Dr. Peter Elwood and a team from the Cochrane Institute of Primary Care and Public Health, Cardiff University, United Kingdom, and released in December 2013. For thirty years, these researchers followed 2,235 men living in Caerphilly, Wales, aged 45 to 59, and observed the impact of five activities on their health and on whether they developed dementia or cognitive decline, heart disease, cancer, or early death. The Cardiff study was meticulous, examining the men at intervals over the thirty years, and if they showed signs of cognitive decline or dementia, they were sent for detailed clinical assessments of high quality. It overcame study design problems from eleven previous studies (discussed in the endnotes). Results showed that if the men did four or five of the following behaviors, their risk for cognitive (mental) decline and dementia (including Alzheimer’s) fell by 60 percent:

On the other hand, the shortage of primary care physicians is so severe that 43.7 percent of the 21,885 residency positions in internal medicine in 2005 were filled by graduates of foreign medical schools30—because most of those coming out of American medical schools opt for training as specialists. This

comprehensivist.” (IBM’s Grundy coined this term. He’s also president of the Patient-Centered Primary Care Collaborative, a set of large employers, provider groups, and private insurers looking to transform health care.) Comprehensivists are skilled project

Reimbursement has become the primary mechanism through which the regulation of doctors occurs in the United States.2 To the extent that doctors cannot afford to do things they are not paid to do, and will gladly do more of those things they are paid handsomely to do, the decisions about whether, when, and how much to pay doctors for the various things they do has unwittingly become one of the most pervasive and powerful regulatory mechanisms ever devised.

prevention supports the health care infrastructure, is an effective use of health care resources, and assists those most in need by decreasing disparities in health.

Blum notes that, in reality, there are four major determinants of health: environment, heredity, lifestyle, and health care services. Of these four, Blum found that “by far the most potent and omnipresent set of forces is the one labeled ‘environmental, ’ while behavior and lifestyle are the second most powerful force” (p. 43).

Furthermore, the return on investment for prevention is substantial; for every $1 invested in community-based prevention, the return amounts to $5.60 in the fifth year. Prevention investments result in savings for both public and private health care

women are the greatest consumers of health-related products and services. Women are often first to take responsibility, not only for the health and well-being of themselves and their offspring, but also for the health of men. This helps explain why single men have the greatest health risks—and why the benefits of marriage are consistently found to be greater for men than for women (who can suffer substantial stress in caring for their spouses) (Courtenay, 2000a).

The Importance of an Accountant for Medical Professionals Medical professionals, including doctors, specialists, and surgeons, often face the challenge of managing both patient care and the financial aspects of their practices. An accountant who specializes in working with medical professionals can alleviate much of this burden. By offering financial expertise tailored to the healthcare industry, accountants help medical professionals maintain the financial health of their practices while ensuring compliance with tax laws and regulations. Unique Financial Challenges in Healthcare Medical professionals face distinct financial challenges that other industries may not encounter. These include managing patient billing, insurance reimbursements, and government payments. Additionally, healthcare professionals often have to handle large expenses for medical equipment and office operations while ensuring they maintain a steady cash flow. With fluctuating income and the need to comply with healthcare regulations, financial management can become complex. A specialized accountant for medical professionals understands these nuances and provides essential support to navigate these challenges effectively. Key Roles of an Accountant for Medical Professionals An accountant plays a critical role in managing the financial side of a medical practice. They assist with bookkeeping, ensuring that all financial records are accurate and up-to-date. Furthermore, they handle tax planning and filing, making sure that healthcare-specific deductions are maximized while ensuring compliance with tax laws. Additionally, accountants offer strategic advice on managing overhead costs, optimizing cash flow, and planning for future financial goals, such as retirement or expanding the practice. Benefits of Hiring a Healthcare-Specific Accountant The benefits of hiring a specialized accountant for medical professionals are numerous. By entrusting financial management to a professional, medical practitioners can focus more on patient care. Specialized accountants understand the unique aspects of healthcare finance, offering tailored solutions that enhance profitability and reduce financial risks. Moreover, they provide peace of mind by ensuring all financial matters are handled efficiently and in compliance with the law. Conclusion In conclusion, medical professionals benefit significantly from hiring an accountant who specializes in healthcare finance. With their expertise, accountants help ensure the smooth operation of the practice while providing strategic financial planning. This allows medical professionals to focus on their primary responsibility—caring for their patients—while maintaining a financially sound practice.

the tissues in your body contain proteins. Over the course of a single year, nearly every one of these proteins gets replaced. It’s mission-critical to ensure that you have sufficient and proper nutrients to meet, and exceed, these requirements. A body trying to make do with a low-protein diet will prioritize the survival of the liver, heart, brain, kidney, and gastrointestinal tract. Given the body’s constant rebuild and repair cycles, these organs have high amino-acid demands, and your body will always work to take care of your organs first. Eating only enough protein to fuel these essential functions will leave your body lacking sufficient amino-acid supply to support skeletal-muscle growth and repair. By eating for muscle health, on the other hand, you will simultaneously meet all your primary biological needs while also optimizing for body composition.

Just as centralized military communication systems were vulnerable to nuclear attacks (and thus the Internet was developed to maintain communication even if there was a nuclear hit), an outdated “mainframe” model of health care delivery left many countries more vulnerable. Centering on hospitals, rather than care at home, public health and primary care was a key contributor to outbreaks worsening.

We are an empathetic, energetic, and receiving family practice that has experienced medical professionals and family doctors ready to ensure that you get the care you need. We provide general primary care doctor services in Las Vegas, NV including: Same Day Appointments, Diagnose Symptoms, Blood Pressure Checkup, Telemedicine to diagnose your health from home.

Dr Rajasundaram GP worked for the National Health Service in the UK for over 40 years, where he took on a patient-facing role as a primary and secondary care physician. Dr Rajasundaram GP enjoys travelling and spending time with his wife, who also has a medical background as a speech and language therapist.

After beginning his medical career as a junior doctor in Sri Lanka, Dr Sittambalam Rajasundaram GP worked as an SHO in the National Health Service in the UK before moving into General Practice. He served the NHS for four decades as both primary and secondary care physician. A caring, patient attitude has made Dr Sittambalam Rajasundaram GP popular amongst patients.

Many people saw Sanders’s run for the presidency in 2016 as a joke. But his crazy socialist ideas of free college, free health care for all, higher minimum wage, income redistribution, and tearing the heart out of capitalism almost gave him the Democrat Party’s nomination. It’s hard to run against “free everything.” Even if that is a pipe dream, it’s appealing to those who don’t get or choose not to realize that nothing is free. He won twenty-three primaries, 13.2 million votes, and 1,865 delegates. Though he ultimately lost to Hillary, in what was really a stolen and rigged primary, his success gave birth to a new generation of socialists who now threaten to take over the Democrat Party—and the country, if they ever find their way to power.

The lack of training in nutrition mirrors that in other important areas of human health, including exercise (more than half of the physicians trained in the United States received no formal education in physical activity), sleep (medical school students across several nations receive about three hours of education on healthy sleep), and stress (just 3 percent of visits to a primary care physician include any discussion on this topic).

Though it is becoming an increasingly popular area of advocacy, the United States continues to top the list of nations that are disconnected from the basic concept of relieving a mother of overwork and giving her dancing hormones the time and space to regulate through rest and proper nutrition. It's a grin-and-bear-it moment (complete with dark circles and wan complexion). And, these days, with more and more women literally and energetically holding the home together as the primary breadwinner, and very often as the emotional center of the home as well, the postpartum period becomes a pressure cooker. The unconscious message beamed from all angles is, "Get back at it. You can't afford to rest." But it seems we can't afford not to. Anecdotal evidence strongly suggests that when deliberate physical care and support surround a new mother after birth, as well as rituals that acknowledge the magnitude of the event of birth, postpartum anxiety and its more serious expression, postpartum depression, are much less likely to get a foothold. Consider that the key causes of these disturbingly common, yet still highly underreported, syndromes include isolation, extreme fatigue, overwork, shame or trauma about birth and one's body, difficulties and worries about breastfeeding, and nutritional depletion, all of which suggests that when we let go of the old ways, we inadvertently helped create a perfect storm of factors for postpartum depression.

On another front, the ACA allocated $1.5 billion to the National Health Service Corps, a training program, which for decades has offered scholarships and loan forgiveness to young primary care clinicians who volunteer to practice in underserved areas. As of September 30, 2015, there were 9,600 Corps clinicians providing primary care services, more than twice the number of these clinicians in 2008 (White House, 2016). Under the Trump administration, however, these achievements were significantly scaled back.

Our love and honor for our parents should enable us to care for them without the need for such a shock. God loves us and wants us to care for one another, which underscores one of the primary purposes of the family—to ensure health and stability from generation to generation.

When Gary Becker, an American economist, in his celebrated `Treatise of Family’ imagined a household as a primary site of production of goods and sustenance in the form of child care, meals, and shelter, besides a range of commodities such as health, happiness, self-esteem, security, sexual pleasure, and so on, he disregarded the fact that a family is also a site of reproducing inequalities and sustaining patriarchal values. Becker proposed the theory of a rational `economic man’ who makes choices based on his self-interest, but he has not contemplated the dire situations of exploitation, blackmail, and extortion within marriages in South Asian patriarchal, hierarchical societies where self-interest would turn into insatiable greediness to create an antagonistic situation where an `economic man’, driven by irrational voracity, ends up torturing and murdering `his wife’, and destroying his own family when his arbitrary demands remain unfulfilled

of the Deep Southern oligarchy has been consistent for over four centuries: to control and maintain a one-party state with a colonial-style economy based on large-scale agriculture and the extraction of primary resources by a compliant, poorly educated, low-wage workforce with as few labor, workplace safety, health care, and environmental regulations as possible. On being compelled by force of arms to give up their slave workforce, Deep Southerners developed caste and sharecropper systems to meet their labor needs, as well as a system of poll taxes and literacy tests to keep former slaves and white rabble out of the political process. When these systems were challenged by African Americans and the federal government, they rallied poor whites in their nation, in Tidewater, and in Appalachia to their cause through fearmongering: The races would mix. Daughters would be defiled. Yankees would take away their guns and Bibles and convert their children to secular humanism, environmentalism, communism, and homosexuality. Their political hirelings discussed criminalizing abortion, protecting the flag from flag burners, stopping illegal immigration, and scaling back government spending when on the campaign trail; once in office, they focused on cutting taxes for the wealthy, funneling massive subsidies to the oligarchs’ agribusinesses and oil companies, eliminating labor and environmental regulations, creating “guest worker” programs to secure cheap farm labor from the developing world, and poaching manufacturing jobs from higher-wage unionized industries in Yankeedom, New Netherland, or the Midlands. It’s a strategy financial analyst Stephen Cummings has likened to “a high-technology version of the plantation economy of the Old South,” with the working and middle classes playing the role of sharecroppers.[1] For the oligarchs the greatest challenge has been getting Greater Appalachia into their coalition and keeping it there. Appalachia has relatively few African

Bill may have thought he or Hillary could persuade voters, but she would have needed a stronger vision to make the case. She had plans for every imaginable corner of public policy, but they were loosely strung together. There was no simple vision unifying them—no central, defining promise of a Hillary presidency. Bernie, on the other hand, presented a very clear idea of where he wanted to take the country. He told voters he would break up a system that favored the privileged over the masses. What he lacked in breadth and depth, he made up for with a bright, tight thunderbolt of a message that benefited from the echo effect of Trump’s populism in the Republican primary. His platform of breaking up big banks, providing universal single-payer health care, and subsidizing free college tuition for students suffocated her among the white economic liberals who dominate the Democratic electorates in Iowa, New Hampshire, and many other states. But this was not the only set of voters she found in the primaries, and the calendar after New Hampshire would allow Hillary another chance to fashion a message that would get her campaign on track.

Most health experts agree 75%-90% of visits to primary care physicians are for stress-related complaints, according to the American Institute of Stress.

KeywordsBig data​ – ​Confounding variables​ – ​Residual confounding​ – ​Selection bias​ – ​Pathophysiology​ – ​Propensity scores Take Home Messages Any observational study may have unidentified confounding variables that influence the effects of the primary exposure, therefore we must rely on research transparency along with thoughtful and careful examination of the limitations to

But not only did Trump seem to surge ahead in spite of his hatred and dismissal of nonwhite non-men, his supporters seemed to love him because of it. Even those who claimed he’d never be president credited him with reaching voters in a visceral way, as having a gift for channeling the rage of a white America which felt it had been left behind, had its privileges stolen by female, nonwhite interlopers—the kinds of people who’d never occupied the White House or held representative numbers of seats in legislative bodies, people who were paid less, taxed more for health care, and denied full control of their reproductive lives, but who had given such a convincing impression of having taken up more than an equal share of space that they were the objects of the resentful ire being channeled by the orange-tinted and toupéed businessman from Queens. The guy who just kept winning primaries.

Global health consultant is your one-stop shop for all of your health care needs, both in dental and hair implant.Browse online or speak directly with our doctors .we will help you find the specialist or primary care physician that is right for you.

The cost was not, as I have been led to believe, that women had been prevented from working. Quite the opposite: we have been doing all of the work, around the clock, for centuries. Somebody, after all, must wash and feed and train the kids and get the food and clean the house and care for the sick and elderly. That work is physically depleting, logistically daunting, and relentless. It is not a job, but a constant gaping demand for labor. It's a ceaseless work that has gobbled up our energy and stamina, eroded our collective health, and starved our communal mind of oxygen for generations. We did the work, taught our daughters to do the work (assuming we survive their births), and then we died. That was it. Domestic toil had ground us, one after the next, to dust. We have not been educated because then, naturally, we might balk at the work. We might have the audacity to point out that we were doing all the work. We might ask the man to do some of the work, themselves. And they didn't want to do that work. Nobody wants to do the work, if they can escape it. Still we go around thinking about our primary problem, the essence of our position, is that men explain things to us or that we make less money for the same job. but, most basically, it's the work —the work that we still, somehow, have not managed to escape. It is the work we pretend doesn't exist.

Why the us government Should Maintain students Healthcare Claims education and learning is probably the finest ventures in ensuring the people stay a greater existence from the contemporary setting. Over time, education and learning methods have transformed to guarantee individuals gain access to it in the very best ways. Besides, the adjustment can be a purposeful relocate making sure that learning meets pupils distinct needs nowadays. Consequently, any country that is focused on establishing in the current technical period must be ready to devote in schooling no matter what. We appreciate that lots of claims have was able to meet the most affordable threshold in offering secondary and basic education. It is actually commendable for schooling is focused and attends on the needs in the present environment. In addition to, we certainly have observed reduced rates of dropouts due to correct education and learning systems into position. Nevertheless, it is not enough because there are many other factors that, in turn, lower the superiority of education. We appreciate the reality that educational costs is mainly purchased and virtually totally given through the express or low-successful businesses. Sadly, small is defined in range to be sure the unique treatment of learners. It has led to the indiscriminate govt accountability. Apart from putting everything in place, the government must also provide the proper healthcare of a learner because it' s the foundation of excellent learning. The arranged provision of health care to students is defined around the periphery, plus it is amongst the essential things that degrade the grade of training. Standard attendance is actually a necessity for pupils to acquire much more and carry out greater. For that reason, government entities need to ensure an original set up of arranged healthcare to pupils to ensure they are certainly not stored away from university because of health care problems. Re-Analyzing the goal of Government in mastering It can be only by re-dealing with government entitiesAnd#039; s role in supplying primary and secondary education and learning that people can completely set up the skewed the outdoors of learner’s health care and the desire to influence the state to reconsider it. The cause of why the government must pay for the student’s healthcare is that its responsibility is unbalanced. It provides maintained to purchase basic training effectively but has did not shield the health-related requirements of any learner. Aside from, it is suitably interested in increasing the size of young menAnd#039; s and ladiesAnd#039; s chances in obtaining technical and professional education. But it has not searched for has and aims unacceptable method of achieving the medical care requirements of any learner. As a result, education require is not met because its services are skewed. The possible lack of equilibrium in government activities replicates the malfunction to discrete primarily sharply amid the steps right for authorities financing and activities to become implemented. Financing healthcare for students, which is equally essential, is neglected, though Financing education is largely accepted. For that reason, this is a deliberate demand government entities to perform the circle by paying for student' s health care. When there is stability in federal government commitments in education and learning, its requirements will probably be fulfilled. So, the state should pay for pupil' s medical care. If they are healthful, they find out better. In addition to, a large stress will probably be lifted, and will also unquestionably raise enrolment in professional coachingcenters and colleges, along with other studying companies.

Dr S Rajasundaram, Petts Wood, Kent, UK, is heavily involved with charitable foundations in the UK and in Sri Lanka. Following his retirement from the National Health Service, Dr Rajasundaram, Petts Wood began to focus more of his time and resources on his philanthropic efforts and has recently completed a major refurbishment of a hospital in a deprived area in the Northern Sri Lankan province.

Sling Health modernizes primary care with tech-enabled clinical support teams.

Rather, I was fascinated with how going through the process of becoming Robert's kidney donor gave me a glimpse of the kidney transplant system that being a primary care doctor did not provide. Though at the time I was working on research projects on the effects of language barriers on health outcomes, my experience with Robert inspired me to change my research focus to what made some people more likely to get a kidney transplant than others. Donating my own kidney was my solution for Robert. I saw research as the way to help other people like him.

Whites had already posted a sign on the black church in Taylor County, Georgia: "The first Negro to vote will never vote again." Snipes was not deterred. In July 1946, he cast his ballot in Taylor County's primary. In fact, he was the only black person to do so; and with that act of democratic bravery, Maceo Snipes signed his death warrant. A few days later four white men showed up at Snipes's house and demanded that he step outside. As he stood on the porch, they pointed their guns at him and began firing. Snipes staggered and fell to the ground. They just walked away. His mother ran out of the house and got him to the hospital, but in Jim Crow America, black patients did not have the right to health care. He lay in a room the size of a closet unattended for six hours bleeding, just bleeding. This strong man, this veteran, lingered for two more days, but the damage was too extensive, the medical treatment too slow, and Georgia's hate too deep.

The term "functional somatic syndrome" is used to describe groups of co-occurring symptoms that are medically unexplained. Polysymptomatic functional somatic syndromes frequently encountered by both mental health and primary care practitioners include irritable bowel syndrome (IBS), chronic fatigue syndrome (CFS), and fibromyalgia.

Savings in excess of 20 percent is the primary reason foodservice directors use group purchasing. Other benefits include product standardization, increased quality, decreased administrative cost for processing multiple purchase orders, and less time spent in purchasing products and supplies. Members also cite improved knowledge of new and existing products and enhanced networking as a result of participation in GPO meetings.

The answer was that the most protective factors in childhood were largely social.18 Genetics definitely helped, in that children who were born with calm and agreeable dispositions naturally attracted care and support, but it was the social support that made the difference. Kids who were able to bond as babies with their parents or primary caregivers had one social advantage. Kids who formed close bonds with substitute parents within the family had another. These substitutes might be older siblings, aunts or uncles, or grandparents; a child only needed one. What mattered was that the surrogate be both nurturing and available and emotionally stable and mature.

Why Regularly Checking Your Oil Level Using an Oil Level Gauge is Crucial for Engine Health Your vehicle’s engine is a complex system with numerous moving parts, each working in unison to ensure optimal performance. However, like any machine, it requires proper maintenance to avoid wear and tear. One of the simplest yet most important maintenance tasks you can perform is regularly checking your engine’s oil level. Using an oil level gauge to monitor oil levels is a simple process, but it plays a crucial role in the overall health and longevity of your engine. The Role of Engine Oil Engine oil serves multiple vital functions. It lubricates the engine's moving parts, reducing friction, preventing wear and tear, and ensuring smooth operation. In addition to lubrication, oil also helps cool the engine by dissipating heat and filtering out harmful contaminants. Over time, the oil absorbs dirt, metal particles, and other debris from the engine, helping to keep everything clean and running efficiently. Regularly checking the oil level ensures that there’s enough oil to perform these critical functions. Lubrication: The Heart of Engine Function One of the primary functions of engine oil is lubrication. Moving parts inside the engine, such as pistons, camshafts, and crankshafts, generate substantial friction as they move at high speeds. Without proper lubrication, these parts can grind against each other, leading to significant damage. When oil levels are low, friction increases, and the engine parts are at a higher risk of wearing out prematurely. By checking your oil regularly using the oil level gauge, you can ensure that there is enough oil to keep the engine parts well-lubricated, preventing unnecessary damage. Preventing Overheating An often overlooked aspect of oil is its role in cooling the engine. As the engine operates, it generates heat, and oil helps absorb and transfer this heat away from the engine components. Without adequate oil, the engine can overheat, causing severe damage. Overheating can lead to warped components, blown gaskets, or even a seized engine. By regularly monitoring oil levels, you can prevent overheating and avoid costly repairs. Contaminant Removal In addition to lubrication and cooling, engine oil helps remove contaminants that accumulate in the engine. As oil circulates through the engine, it traps particles of dirt, metal shavings, and other debris, preventing them from circulating through the engine and causing damage. However, when oil levels drop too low, there is less oil to carry out this function. Contaminants may build up, which can lead to clogged oil filters or, in extreme cases, engine damage. Regular oil checks ensure that the oil remains at the proper level, so it can effectively remove harmful contaminants. Preventing Expensive Repairs Low oil levels can cause a range of engine problems, from poor performance and reduced fuel efficiency to catastrophic engine failure. By checking your oil level with the oil level gauge on a regular basis, you can catch low oil levels early and top up before any damage occurs. Ignoring this task may result in serious engine issues, which can lead to expensive repairs or even the need for an entire engine replacement. A simple check could save you hundreds, if not thousands, of dollars in repair costs. Prolonging Engine Life Engines are designed to last for many years with proper care. By regularly checking your oil level and keeping it topped up, you are ensuring that the engine continues to function as intended for a longer period. Proper maintenance, including oil checks, reduces the likelihood of early wear and tear, helping your engine run smoothly for miles to come. Conclusion Regularly checking your oil level using the oil level gauge is a simple yet effective way to maintain the health of your engine.