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Meet The New Surgeon General, Dr. Regina Benjamin

President Barack Obama nominated Dr. Regina Benjamin for the position of U.S. Surgeon General on July 13, 2009.  The nomination signaled the end of a multi-candidate process where President Obama’s first candidate, Dr. Sanjay Gupta, decided not to accept the position.  The Senate confirmed Dr. Benjamin’s nomination on October 30, 2009 to the acclaim of groups like the National Alliance for Hispanic Health.  Dr. Benjamin’s career as a physician and director of a small Southern clinic allowed her to become a promising figure in American medicine.  

Dr. Regina Benjamin’s academic credentials include degrees from Xavier University, Morehouse University, and the University of Alabama.  After receiving her medical degree from the University of Alabama, Benjamin established a clinic in Bayou la Batre in Alabama to help uninsured residents.  Bayou la Batre, Alabama is a small fishing village with a majority of its residents without adequate medical coverage.  Benjamin persevered through Hurricane George in 1998 and Hurricane Katrina in 2005, often putting up her own money to cover expenses.  As Benjamin was building her practice in Bayou la Batre, she was becoming prominent nationally for her humane approach to preventive medicine.  

The new Surgeon General was the first black woman elected to the AMA’s Board of Trustees in 1995.  This appointment came from Benjamin’s position in TIME’s 50 promising leaders under 40 published in 1994.  The media has also celebrated Benjamin’s achievements in the past decade including the Person of the Week by ABC Television and 1996 Woman of the Year by CBS This Morning.  In addition to her role as an AMA trustee, Benjamin was also named the head of the Alabama Medical Association in 2002.  Benjamin was a recipient of a $500,000 genius grant from the MacArthur Foundation because of her creative approach to serving poor communities in the South.  

Benjamin’s appointment as the 18th U.S. Surgeon General is the pinnacle of a tremendous career in medicine.  Dr. Benjamin cited her interest in preventive medicine after President Obama’s appointment, pointing out the lessons of preventative medicine in the deaths of her parents and sibling from preventable diseases.  The National Alliance for Hispanic Health points out the importance of an experienced and compassionate surgeon general in the midst of the H1N1 epidemic.  President Obama noted Dr. Benjamin’s willingness to make house calls, pay out of pocket for clinic reconstruction, and stick with patients to the end.  Dr. Regina Benjamin will attempt to replicate her successes in helping the overlooked and uninsured in her role as U.S. Surgeon General.

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Specialist Makes Plea for Men’s Health Awareness

Professor Robert McLachlan, Consultant Andrologist at Monash IVF and Director of Andrology Australia, addressed hundreds of medical professionals attending the annual Fertility Society of Australia Conference in Brisbane encouraging a greater recognition of men’s health matters in the setting of infertility.

“Male reproductive dysfunction is the sole or contributory cause of infertility in half of the couples presenting for treatment at IVF centres”, said Professor McLachlan. He went on to say “while we have made terrific technological advancements such as ICSI that allow a normal pregnancy from many men with severe infertility, we always have a responsibility to fully evaluate men for conditions that can be treated to restore their ability to father children naturally. We must also look for conditions that are known to be more common in this group of men, and also address matters of lifestyle that could impact on fertility and their health more generally.”

These important points were also made recently by Professor McLachlan when addressing General Practitioners at a series of education lectures held by Monash IVF at several sites nationally. The aim of these educational events was to raise awareness of how to make early detection of the signs and symptoms of male and female infertility. Early intervention by lifestyle changes and/or medical treatment could then be more effective at either restoring natural fertility or improving the outcomes of medical treatments for infertility, such as IVF.

When men consult a GP or Fertility Specialist with their female partner in an effort to achieve a pregnancy it is an opportune time for lifestyle issues to be addressed whilst they are relatively young and healthy. The co-morbidities associated with poor lifestyle and infertility include testicular cancer, cardio vascular disease and androgen deficiency but, for many, the symptoms of these will not be realised until a further 20+ years down the track. For many men, their attendance with a fertility problem may be the first time they have seen a doctor for quite a while and taking the opportunity to address their holistic health care should not be missed.

Another important observation is that 70% of men with Klinefelter’s Syndrome (chromosomes XXY) escape diagnosis for their entire lifetime! This is alarming considering that a simple testicular examination would alert a Medical Practitioner to this given that testicular volume in Klinefelter’s men is around 4ml compared to the normal 30ml. Many do not have the “textbook” appearance (tall, feminised) but their health and well-being would greatly benefit from testosterone supplementation once diagnosed.

Andrology Australia has developed an excellent booklet “Your Sperm and How to Look After Them” which provides men with information on factors affecting their fertility and lifelong fertile health. It is aimed at single and partnered men of all ages. Hard copies can be obtained directly from Andrology Australia free of charge to Australian residents.

For more information on men’s fertile health matters please visit http://www.andrologyaustralia.org/ or http://www.monashivf.com/

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Women Cardiac Health

Women Cardiac Health

All Dear Ladies! Beware of Your Cardiac Health!

Heart attack is one of the major causes of deaths in women, after breast cancer. It has been estimated that almost one in three women will ultimately die of stroke or cardiac disease. Over weight women with high cholesterol levels are sure to get a heart attack if not given appropriate health care. The onset of menopause in women increases the risks of heart diseases, and equals that to the similar risks posed to men.

Women usually experience early symptoms of cardiovascular disease more differently than men do. Heart attack symptoms in women appear subtler. It would be advisable to consult your physician whenever you experience the following symptoms:

ü A feeling of shortness of breath, which may not be accompanied by any chest pain

ü Symptoms which are flu-like. Especially the feelings of nausea, cold sweats, and clamminess

ü Weakness, unexplained fatigue, dizziness

ü Pain in the neck, jaw, chest, shoulders, and upper back

ü General discomfort, loss of appetite, and feelings of anxiety

ü Indigestion or gas-like pain

ü Recurring chest discomfort

A woman is known for her ability to show care and concern for others. But, as a woman, it is now time to also mother your own heart. It is time for every woman to realise that heart disease is not just a ‘Man’s Disease.’ A healthy lifestyle along with regular scheduled visits to your doctor will give you the chance to live a long and happy life with your dear ones. www.healthizen.com

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The Best Exercise For Weight Loss

The best exercise for weight loss? There’s no such thing, but no surprise there, right? Someone with leg problems can’t run to lose weight, and swimming won’t work without access to a pool. There is no one-size-fits-all prescription here. You just have to work out which exercises are best for you.

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A Few Of The Best Exercises For Weight Loss

Raising your heart and breathing rate for a time at least three times a week is the general idea, and there are many ways to do that. Any activity will burn calories, though, so don’t feel you have to start heavy workouts to get some benefit. A few possibilities and ideas follow, but talk to your doctor before starting any of the more athletic activities.

- Do things you enjoy doing, which also involve moving your body. You’re more likely to persevere in your efforts if you enjoy yourself.

- Swimming can be a great weight loss exercise, because it is easy on the joints. Swimming in cool water also means your body burns calories heating itself.

- Walking is perhaps a better alternative to running or jogging. It’s easier on the body, and delivers about the same benefits for the same distance traveled. It’s also more enjoyable for many of us. Walking also can be done in large malls when the weather is bad outside.

- Climbing up and down stairs is a very aerobic exercise. It burns almost as many calories as jogging, without the problems of weather. In the right place, it can be more private too.

- Stationary bicycles are tough to use regularly because of the boredom factor. If you only allow yourself to watch your favorite television show while pedaling, however, you may feel more motivated.

- Parking the car far away from every place you visit can mean a lot of extra walking. Once you do it enough, it will become an almost unconscious habit.

- Walking the dog can be great exercise for you and the dog. It’s also a good way to meet new people.

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 - Getting a job that requires physical activity can be a way to guarantee you’ll get enough exercise. Just be sure it’s something you can handle and enjoy.

- Gardening helps a lot of people burn calories while doing something enjoyable. It also can produce the healthy foods that help with weight loss.

What’s available to you will determine what exercises you can use. You may also have some personal physical limitations. What you enjoy doing may be the most important consideration, however, because the best exercise for weight loss is the one you’ll actually do.

 

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Individual Health Insurance Reform Future Proceedings Easy To Insure Me

MARCH 26, 2010

This Week in Health Care Reform     

Health care reform legislation passed the House this week on a party-line vote. Late Sunday night, House Democrats approved the Senate health care reform package, sending the legislation to President Obama for his signature. On Tuesday, President Obama signed the underlying bill into law, yet the House has yet to finalize the package of “fixes” that will alter the final implications of the legislation.

Health Care Reform Negotiations

House Democrats Pass Health Care Reform Package: The House of Representatives approved the Senate health care reform bill Sunday night by a vote of 219 to 212. The vote marks the climactic finale to a year-long debate over health care reform. In the final vote, 34 Democrats joined all House Republicans in voting against the measure. Shortly thereafter, the House also passed a package of “fixes,” by a vote of 220-211, that was sent directly to the Senate for its approval through reconciliation. On Tuesday, President Obama signed into law the Senate health care reform bill, called the “Patient Protection and Affordable Care Act.”

Republicans Force Senate to Send the Reconciliation Bill Back to the House: Shortly after the President signed the Senate bill into law, Senators began deliberations on the reconciliation bill. Reconciliation protocol restricts Senators to 20 hours of debate on the measure, but it does not limit the number of amendments that can be filed. In an expression of opposition to the bill, Republicans filed 29 amendments to the reconciliation package.

After 10 hours of continuous debate, Republicans were successful in eliminating two provisions related to college financial aid in the non-health care portion of the bill. The Senate parliamentarian ruled early Thursday morning that those two provisions violated the chamber’s rules, sending the legislation back to the House for a new vote. As a result, on Thursday afternoon, the Senate voted on the reconciliation bill without those two provisions and sent the bill  back to the House for a vote on final passage. The House vote will likely come Thursday evening.

What Does This Health Care Reform Legislation Mean: While the health care reform bill extends insurance coverage to 32 million more Americans by 2019, the legislation has other far-reaching implications that will be phased in sooner, during a multi-year implementation period.

Several features of the new health care overhaul bill that would take effect in 2010 under the measure passed Sunday include:

* New product requirements beginning 6 months after enactment, including:
o Coverage for dependents up to age 26
o No lifetime maximum benefit limits
o And no cost sharing on preventive care for certain policyholders
* Temporary federal high risk pools;
* Tax credits for small employers; and
* Prohibition on pre-existing condition exclusions for children (beginning 6 months after enactment).

Most Americans will have until 2014 to purchase insurance or pay a penalty. Other elements of the bill that will not take effect until at least 2014 include insurance marketplaces called “exchanges”; rules requiring insurers to accept all applicants regardless of pre-existing conditions, and an expansion of state Medicaid programs.

A number of experts question whether health care reform will really drive down insurance premiums. America’s Health Insurance Plans ( AHIP), the trade group representing health insurers, outlines a series of concerns related to the legislation including a lack of provisions that address underlying health care costs, improve quality of care or ensure a stable risk pool. In addition, AHIP expressed concerns regarding new taxes on health coverage, which will likely increase premiums.

Additional Activities

Obama’s Executive Order on Abortion Funding: On Sunday afternoon, prior to the final House vote on health care reform, President Obama agreed to issue an Executive Order that would uphold the ban on federal funding for abortion . In so doing, he secured about a half-dozen votes from anti-abortion Democrats, led by Rep. Bart Stupak (D-MI), who previously opposed the legislation. On Wednesday, President Obama signed the Executive Order banning the government from spending federal money to pay for abortions through plans offered on the insurance exchanges created under the measure.

States Filing Lawsuit to Fight Provision of Health Care Reform Bill: In response to the new health care reform legislation, states across the country have filed lawsuits asking the courts to declare the law unconstitutional and to bar its enforcement. On Monday,Attorneys General in 13 states, led by Florida, filed a joint lawsuit claiming that the new health care reforms violate state government rights in the U.S. Constitution and will force massive new spending on hard-pressed state governments. Joining Florida in the suit are Alabama, Colorado, Idaho, Louisiana, Michigan, Nebraska, Pennsylvania, South Carolina, South Dakota, Texas, Utah and Washington.

At the same time, the Attorney General in Virginia filed a separate suit contending that Congress has exceeded its power in mandating that people buy health insurance. Virginia Attorney General Ken Cuccinelli argues that the new law’s requirement clashes with Virginia law that exempts citizens from federal fines imposed for not having health insurance.

Senate Voting to Extend COBRA Until May 5:  Senate Democrats plan another short-term extension of unemployment aid this week, setting up a face-off with Republicans, who are vowing to fight the extension if the $10 billion cost isn’t offset with spending cuts. The bill, currently set to expire on April 5, would extend a series of emergency programs – including funding for unemployment insurance benefits and COBRA health coverage for the jobless  – and would hold off a deep cut in reimbursement rates for doctors who serve Medicare patients. The long-term extension has already passed in both the House and Senate, but the two measures are not expected to be reconciled and sent to the President’s desk until after the Easter recess.

President Obama Heads to Iowa to Speak on Health Care: President Obama headed to Iowa on Thursday to increase support for his health care legislation. This was President Obama’sfirst trip out ofWashington since signing health care reform legislation earlier this week. He spoke at the University of Iowa, in the city where he first announced his health care proposal during the Presidential campaign.

Public Opinion

Most Americans Want Republicans to Fight Health Care Reform Bill: In a recent CBS News poll, 62 percent of Americans said they want congressional Republicans to continue challenging the bill, while 33 percent said they should not. Disapproval of the bill has remained steady, with 46 percent saying they disapprove, including 32 percent who “strongly” disapprove. A majority of Americans continue to say that they find the bill to be confusing and do not understand what it means for them or their family.

American’s Split on Health Care Reform Passage: In a recent USA Today/Gallup poll, 42 percent of Americans said they were angry or disappointed with the recent passage of health care reform legislation. When asked to reveal party affiliation, 79 percent identified themselves as Republicans.

Polling Shows Support for State Lawsuits Against Government: National polling reveals significant opposition to the individual mandate. In a newly released Rasmussen report , 53 percent of those polled oppose the new mandate requiring every American to buy or obtain health insurance. Further, 49 percent of voters are in favor of their state suing the federal government to fight the mandate. Fifty-one percent say individual states should have the right to opt out of the health care plan entirely.

Looking Ahead

After this week’s final health care reform vote, President Obama plans to travel the country in the next few months to discuss the new law. Republicans have begun their own discussions of the law, with an eye towards the November elections.

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Best vitamins for mens thinning hair

If you are a man and you are highly worried about the clear hair loss and male pattern balding taking place in your head, you can stumble on some ads that thrust vitamins as the best cures for hair loss in men. Like any other bald men, you are thinking if the one you saw today is yet another scam trying to rip-off some cash from you while you continue experiencing hair loss after using the product. you should note that not all products can help grow your hair back but some actually works when the vitamins enclosed are actually favorable for hair growth.
Innately, all vitamins are critical to your general health and wellbeing. But note that some are far more important than others. Your body naturally generates some, except for a hale a good living you want to take in what your body necessitates on a regular basis.
you must also be aware of the health of your thyroid as it is one of the chief producers of body hormones naturally.
There are a couple of things you need to remember before buying any additions and hair growth products for men in the market.

The vitamins for hair growth for men include beta-carotene, vitamin B6, biotin, inositol, and folic acid. You need to also take magnesium, sulfur, minerals, and zinc.

you will not lose interest attempting to get satisfactory amount of vitamins and minerals in your body because there are numerous vitamins’ sources, which are all a significant segment of an eating sensibly pattern.

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Losing Weight Effectively for Men’s Health

Searching for weight loss or men’s health product that is suitable for you might be hard. Everyone has a unique body and needs a particular amount of nourishment, every day activity, and perhaps even heighten from specific health products for you to achieve weight loss. What may work best for you may not work for others. Secure weight loss begins with searching the correct combination of exercise, natural supplements and food to fit the type of your body and way of life.

Rather than depending merely on health products like metabolism booster, nutritional supplements, diet products or super vitamins, try mixing your efforts in losing weight. Make use of health products besides weight loss programs. Alter your eating practice to incorporate vegetable, lots of fruits, meat particularly fish and chicken and lessen your consumption of processed foods and sugary products. In addition, supplement about thirty minutes to one hour of workout to your everyday routine. You would be surprised on how everyday commitment to workout will help you achieve your objective to lose weight.

Beside the exercise and food diet, there are also some health products for men that are proven and tested to be safe and effective. Just look for high quality products for men’s health, fitness, anti-aging, or weight loss. Products that help strengthen the joints, bones; heart and immune system are great too. Products for losing weight that comes in pre-measured boxes that can lessen the fats are also advisable for busy men. Vegetables and fruit supplements, rich in fiber products, and health drinks should be considered also.

The secret is to search for health products that will not put your body at risk while trying to lose weight. Most diet pills pledge to give you the impossible but will just put your body susceptible to health maladies than before. Also, diet pills are likely to encourage yo-yo dieting that is never good for any person’s general wellness. Search for natural substitute to diet pills and nutritional supplements and natural metabolism. These give the energy and nutrients your body requires without having the need to harm yourself.

Starting a diet because of too much fat requires you to consult the advice of your doctor. He knows what diet plan is the best for your needs. After you attained your weight goal, it is necessary that you maintain it. Try to make a weight plan before starting. Do not return to your usual eating habit after you have reached your goal. Also, do not starve yourself to attain weight loss.

Make a Weight off Plan – To lose weight is one issue but maintaining it off is a different one. Make a plan to keep your weight before you start. If possible try to prevent the mindset of returning to your usual eating practice once you have reached your objective. You don’t have to be as austere when it comes to your diet while trying to lose or maintaining weight. However, you must still have a plan on how to prevent gaining back pounds later on. You can go on with utilizing nutritional supplements and men’s health products after the weight has vanished. Also, you must maintain a daily workout routine and check your food intake. Practicing these steps will aid you in staying your dream weight with a bit effort.

Leslie Johnston, an online health consultant presents a premier name in pharmaceuticals offers popular natural skin care products, designed improve your skin’s youthful appearance.For more information log onto the website http://www.johnsonhealthcentre.com

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Using Green Tea To Lose Weight

If you are looking to lose weight, like a lot of people today are, you might want to consider some of the remedies that can be found naturally in the world today. Many times people try to use chemicals and other drugs to lose weight, but there are many other things that you could consider.

These things can include a great work out routine to start with, and natural products that you can find which will increase your metabolism. One of the things that you can do is to try to use green tea to lose weight. This might sound like something that you shouldn’t take seriously, but actually, using green tea to lose weight is something that a lot of people have had a great deal of success with, for many reasons.

How Does It Work?

First of all, using green tea to lose weight is great because you are using something that is naturally occurring instead of using something that has been processed or a chemical that has been developed in a lab to try to allow you to lose weight. The naturally occurring ingredients in green tea will boost your immune system, as well as boost your metabolism. When both your immune system and your metabolism are stronger, you will find that it is much easier for you to lose weight completely naturally.

Raising your metabolism is the best part about using green tea to lose weight. This means that you will have more energy, first of all, which is going to allow you to move more and to do more during the day. This is a great way to lose weight because when you are constantly on the go, you will find that you are dropping pounds even just by being active. Being active is one of the best ways to lose weight.

Through using green tea to lose weight, your metabolism goes up, so along with having more energy during the day, your body is actually going to be able to take the food that you eat and change it into energy before it can become fat. This is the best way to use green tea to lose weight, and it is going to benefit you because along with the increase in your metabolism.

There are many more healthy things about green tea that are going to work together to make your body healthier over all. Using green tea to lose weight is a great way to be healthy too!

Ann Marier writes informative articles on general health issues providing helpful tips and advice. Her latest articles about the benefits of green tea including green tea and CCL to fight lymphocytic leukemia

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The Top Ten Myths About Fat Burning

Ah, you chefs! You tempt us with your delicacies, engross us with your artistic mastery, and seduce our senses into submission. That’s what you hear a lot of, isn’t it? The subject of weight gain and loss seems to come up a lot whenever there’s a chef in the room. But if you really want a response or two, here’s some myths about weight loss that the general public just keeps hanging on to. Put them to rest, and maybe your diners will start a fitness program that works – and quit blaming it all on your raspberry truffles.


#1. It is possible to lose fat in one location on your body, often called “spot reduction”.


Spot reducing simply and plainly does not work. When the body burns fat, it is lost throughout every area of the body at the same time. Focusing on one area of the body for exercise may develop better muscle tone in that area, which will make that part of the body appear tighter and more fit, but it will not remove fat from that area. It is important to exercise the whole body, in a well-balanced fashion; this is the best method of reducing weight.


This myth is popularized by those late-night commercials for cream that you rub on that area – which is simply ridiculous. Turn it around logically – have you ever seen someone gain weight by suddenly getting fat arms, while their legs stayed skinny?


#2. Doing aerobic exercise is the best way to burn fat.


Of course doing aerobics, like doing any exercise, is a good way to stay fit and burn fat. But, there is no particular benefit of aerobics that is substantially better at fat-reducing than any other type of exercise. In fact, weight-training and resistance-training builds more muscle, which may help the body to burn fat more quickly, because it is more work.


#3. Weight training will make my muscles bulk up.


Ew! Women don’t want to go around looking like a muscled freak! Well, actually, normal resistance exercise tones the body and improves overall fitness. Normal weight training does not build huge, bulky muscles. The weight trainers who look like a pile of boulders are actually doing that more with steroids, anaboloids, and protein powders, plus heavy strenuous lifting which can actually damage muscles with scar tissue in the long run.


#4. There is a pill that will make you lose fat, no matter how much you exercise or what you eat.


This is such complete and utter fraud, that the FDA is constantly shutting down these companies as soon as they pop up. There is no pill that will do anything to make you loose weight at all. The “best” weight loss pills will only be effective when combined with sensible eating and healthy exercise. And, surprise! Sensible eating and healthy exercise is effective without any kind of pills at all!


And most diet pills are made with ephedrine. Ephedrine is a naturally occurring stimulant very similar to the illegal street drug methamphetamine, whose effects are not as strong and are spread out over a longer time. Ephedrine is in fact the chief ingredient used to make methamphetamine! In other words, it’s like being hopped up on speed, with about the same short-term effects – temporary decreased appetite and increased activity – and the same long-term consequences: risk of heart attack, run-down immune system, relapse to former state as soon as the drug is no longer taken, etc.


#5. After 20 minutes of exercise, your body is burning mostly fat.


The body uses both carbohydrates and fat for energy all the time; walking, jogging, sitting, sleeping. Over the course of exercise, the body will use more fat. Burning reserved fat exercises the whole purpose of why nature has mammals build up fat in the first place. But there is no specific time, whether twenty minutes or two hours, when the body starts burning only fat.


#6. Eating late at night causes you to gain more fat than eating at different times of the day.


A calorie is a calorie, regardless of the time of day. However, the sense behind this one is that eating the biggest meal of the day just before bedtime, as most Westerners do, is almost guaranteed to turn more calories into fat than the same meal eaten at the start of the day just before beginning your activities. Add to this that the average dinner for a Westerner involves huge slabs of meat and piles of starch, with perhaps some high-fat dessert and snacks. Trying to sleep with a freshly full stomach is never good for the digestive system anyway. So this one isn’t as much of a myth as the others – but then, a huge breakfast followed by eight hours of virtual inactivity at a desk isn’t exactly the cure either.


#7. Cellulite is the hardest fat to burn.


Cellulite is simply a combination of fatty tissue and fluid, closer to the upper layers of the skin. Its dimply appearance may be unsightly, but the fat in cellulite is no different from any other body fat. Reducing calories and exercising is the best method to get rid of cellulite, just like it’s the best way to get rid of any other fat.


#8. If you eat no fat, you cannot get fat.


Any fuel that the body takes in which does not get burned as energy gets stored as fat. Absolutely, positively, regardless of whether that came from a chocolate cake, a slice of ham, a bowl of rice, or a stalk of celery. That’s right: there are no “negative calorie” foods; if you consumed enough lettuce and did nothing but eat all day, you’d get fat off of lettuce! However, we’re talking about more lettuce than the average person could wolf down… but if we have the same serving of calories from two kinds of foods, the weight-gain potential from each one is the same.


#9. Genes and hormones control your fat burning ability rather than diet and exercise.


While it is true that genes have some role in determining who is fat and who is thin, there is no reason that diet and exercise cannot control your weight. To this day, there has not been a single laboratory test confirming that a person had genes such that they would continue to have a weight issue in the face of a perfect balance of diet and exercise.


#10. Liposuction is one way of permanently removing excess fat cells.


Well, yes, liposuction will remove fat cells. But fat cells can just as easily be made by the body, whenever it wants to! Which is to say, there is no fixed number of fat cells that you were born with.

Freelance writer for over eleven years.

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Health Insurance Reforms Easy To Insure Me Health Insurance Quotes

President Obama’s Health Insurance Bill

President Obama Releases New Health Care Proposal in Time for Health Summit: On Monday February 22, 2010, White House officials unveiled a new health insurance reform overhaul that builds on the Senate version passed last Christmas Eve, with some changes aimed at pleasing House Democrats who had concerns with the Senate bill. The President’s proposal does not include the public option, despite the hopes of Senate Democrats, due to White House concerns that the provision will hinder passage in the Senate. President Obama ignored requests by Republicans to scratch the Democratic plan and start over. As such, Republican leaders questioned Democratic motives and labeled the bill as a massive government takeover of America’s health care system.

Republicans Insist House Democrats Don’t Have the Votes to Pass Legislation: Minority Whip Eric Cantor (R-VA) announced on Wednesday that Democrats don’t have the necessary votes to pass the President’s proposal in the House because of three new House vacancies and lagging support among some moderate Democrats. At issue for some Democrats are weaker abortion provisions in the President’s proposal as well as the ongoing controversy over passing a bill by a simple majority, a process known as reconciliation.

Health Care Summit Preview

On Thursday, the President’s Health Care Summit began at 10:00 a.m. with opening comments from the President, followed by remarks from both Republicans and Democrats. The discussion centered on four themes: controlling health care costs, overhauling the insurance market, reducing the deficit and expanding insurance coverage. Prior to Thursday, several top Republicans and some Democrats stated that expectations were extremely low for the Summit’s success.

House Republicans arrived armed with their own version of a health care bill that encourages small businesses to join together to buy insurance, gives federal money to states to run high-risk pools for those unable to obtain private insurance and limits damages in medical malpractice lawsuits. The Republican plan would cost $61 billion and cover three million people over ten years. In contrast, President Obama contends his plan would cost $950 billion and cover 30 million people over the same time period. However, officials at the Congressional Budget Office (CBO) indicated they would not be able to officially score the President’s proposal with just a summary – that legislative language is needed.

Note: A full summary of the results from the Health Care Summit will be included in next week’s newsletter

Additional Activities

WellPoint Executives Defend Premium Increases: On Wednesday, the House Energy and Commerce Subcommittee on Oversight and Investigations held a hearing to examine the proposed health insurance premium increases by Anthem Blue Cross in California. Anthem, a WellPoint subsidiary, recently informed subscribers in California that premiums for individual insurance policies would be raised an average of 25 percent, with some rates going up as much as 39 percent. Angela Braly, president of WellPoint , said the premium increases were justified by soaring medical costs, and that pending legislation could make the problem worse, driving up costs further for young, healthy people.

“Raising our premiums was not something we wanted to do,” Ms. Braly said . “But we believe this was the most prudent choice, given the rising cost of care and the problems caused by many younger and healthier policyholders dropping or reducing their coverage during tough economic times. By law, premiums must be reasonable in relationship to benefits provided, which means they need to reflect the known and anticipated costs they will cover.”

In Sacramento , Leslie Margolin, president of Anthem Blue Cross in California, also testified before lawmakers, joined by vice president and general manager James Oatman. The focus of that hearing was also the proposed premium increase for California members in the individual market, with company executives pointing to the current economic climate and rising health care costs as reasons for the rate hikes.

U.S. House of Representatives Repeals Antitrust Exemption from Health Insurance Companies: On Wednesday, the House of Representatives voted 406-19 in favor of repealing a 65-year-old antitrust exemption from health insurance companies. Democrats said the repeal would lead to increased scrutiny of the industry. Yet, the non-partisan Congressional Budget Office said last year that repealing the exemption would not significantly reduce premiums because states already investigate health insurance companies.

In addition, industry executives pointed out that legislation could further hinder competition and the ability to share information to improve health care quality. “Health insurance is one of the most regulated industries in America at both the federal and the state levels,” said Karen Ignani, president and chief executive of America’s Health Insurance Plans (AHIP). “The real focus should be on addressing the rising cost of medical care, which is putting an unsustainable burden on families, employers and the federal budget,” she said.

Public Opinion

Polling Suggest Health Care Reform is Still Key to Economic Recovery: Recent polling on health care reform shows mixed reaction among the public over the proposed legislation. According to a recent CNN poll, 48 percent of those questioned said lawmakers should work on an entirely new bill and 25 percent felt that Congress should stop work on health care reform altogether.

According to the monthly poll from the nonpartisan Robert Wood Johnson Foundation, 75 percent of Americans still think it’s important that Obama include health care reform in addressing the nation’s economic crisis, while many still harbor doubts about the legislation.

When asked how health care legislation relates to their economic situation:

* Nearly 31 percent said they thought the Democratic bills would make their personal financial situation worse, compared with 10 percent who said it would improve their family budgets.
* Forty-two percent said the nation’s fiscal condition would suffer because of the legislation, compared with 26 percent who said it would get better.
* Americans were divided on whether the Democrats’ approach would improve overall access to health care around the country, with 35 percent saying it would and nearly that many disagreeing.

Health Insurance Coverage Varies Widely Based on Age: Coming just before the President’s Summit on Health Care Reform, a newly released Gallup Poll reinforces the wide degree of variability in health insurance coverage across U.S. population segments, especially when it comes to age. Eighty-four percent of 18-year-olds have health insurance, most likely because they are still covered under their parents’ policies. By age 22, health insurance coverage reaches its lowest point, with just 66 percent maintaining coverage. From age 22 on, the percentage of Americans with health insurance begins to climb, albeit slowly, reaching the 95 percent level at age 65 when Medicare becomes an option.

Looking Ahead

Legislators need to determine next steps for health care legislation coming out of the President’s Health Care Reform Summit. On Wednesday, Department of Health and Human Services Secretary Kathleen Sebelius invited executives from the top five insurance companies to meet at HHS to discuss their companies’ insurance premiums.

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