Open enrollment for health coverage through the Iowa Health Insurance Marketplace has just begun and will run through February 15, 2015.  During these next three months, you will have the opportunity to renew your current coverage, enroll in a different plan, or purchase insurance for the first time.  I wanted to provide you with some information as you begin exploring your options.

Here are a few key things to remember:

  • If you are currently enrolled in coverage through the Marketplace, you do not have to sign up again and will be automatically re-enrolled.  However, I encourage you to take a look at the plans available to see if you can get a better deal or a plan that better fits your health care needs.

  • If you do not currently have coverage, you must apply by December 15 in order to get coverage beginning January 1.  If you apply past the 15th of the month, your coverage begins the first day of the second following month.

  • You may qualify for a special enrollment period outside of open enrollment in the following circumstances:

    • You change your job

    • Your income changes

    • You turn 26 and leave your parents plan

    • You move your residence

    • You have a baby or adopt a child

    • You get married or divorced.

  • There are several ways to apply for coverage on the exchange.  These include :

    • Over the phone by calling the Marketplace Call Center at 1-800-318-2596.
    • Online at HealthCare.gov or CuidadoDeSalud.gov

    • In-person. Find people in your community trained and certified to help you enroll at Localhelp.HealthCare.gov

    • Paper application. You can get a paper application by calling the Marketplace Call Center of downloading a copy from HealthCare.gov.

Updates to the HealthCare.gov website now allow you to shop for and compare plans before submitting an application and have streamlined the application process.  Further, the website has been improved to allow for many more users than are expected in order to avoid the frustrating wait times that some experienced during last year's enrollment process.  I will continue to monitor the operation of the site to ensure that all Iowans who want to purchase or change their insurance are able to do so.

As always, please feel free to contact my office if you need any assistance as you consider your options and apply for health care coverage.

Sincerely,

Dave Loebsack
Iowa's Second District

November 2014 (Davenport, IA) Gilda's Club invites women with breast cancer and their caregivers to a national patient education program. This thoughtful and comprehensive empowerment program streamlines information for women diagnosed with breast cancer to emphasize options and tools for decision-making around breast reconstruction.

This free workshop will have information on breast reconstruction after a breast cancer diagnosis. Come learn about:

  • Breast reconstruction and non-reconstruction options

  • How to make a decision that is right for you

  • Medical factors that can influence your decision

  • How to prepare for and what to expect after surgery

Our featured speaker is Dr. Stephen Bayne, Board Certified Plastic Surgeon. Dr. Bayne is a board certified plastic and reconstructive surgeon who was born and raised in the Midwest. Dr. Bayne has a Bachelor of Arts degree from Augustana College graduating in June 1984, he attended University of Illinois, College of Dentistry graduating in June 1986 with a Bachelor of Science degree in Dentistry. He atteneded Rush Medical College and completed his medical training in June 1990 with a doctorate in medicine. Dr. Bayne completed seven years of surgical residency: in 1990 to 1995 he attended Akron City Hospital for General surgery and in June 1995 to 1997 he completed his Plastic Surgery training from Summa Health Systems, Akron Ohio. He served as Chief Resident in General Surgery as well as in Plastic Surgery. Dr. Bayne is Board Certified by The American Society of Plastic Surgery.

This workshop is free of charge and dinner is provided.

November 20th at 6:00 pm at Gilda's Club 1234 East River Drive, Davenport, IA

Please call Gilda's Club to register at (563) 326-7504

Frankly Speaking About Cancer: Coping with the Cost of Care

Muscatine, Iowa (November 2014) - Gilda's Club and Susan G. Komen are partnering to offer Frankly Speaking About Cancer: Coping with the Cost of Care. This free educational workshop is designed for people living with cancer and their loved ones. Participants will gain practical advice on how to navigate the numerous and complex challenges of managing the cost of cancer care. Our featured speaker will be Ruth Laabs-Wilcox, LMSW This workshop will take place on Tuesday November 18th at 6:00 PM at 1st Presbyterian Church 401 Iowa Avenue
(Gathering Room 2nd Floor.)

Advanced registration is preferred as dinner is included. For more details and registration call Gilda's Club at (877) 926-7504

Healing Lotus Acupuncture, the Quad Cities' only evidenced based acupuncture clinic, uses a drug - free integrative approach to effectively treat peripheral neuropathy.

Moline, IL., November 12, 2014  -  Healing Lotus Acupuncture announced the release of an exclusive report, The Patient's Guide to Overcoming Neuropathy:  An Integrative Approach.  This free 23 page report reveals why you have neuropathy, what your doctor isn't telling you, why your conventional treatment isn't working, and what you can do to improve your quality of life.

If you're like most peripheral neuropathy sufferers, your doctor probably gave you a drug to take, and then shoved you out the door.  Do you really want to take an unnecessary drug for the rest of your life?  These drugs only suppress the symptoms; they don't treat the root of the problem.

Our new Peripheral Nerve Rejuvenation™ (PNR™) Program integrates Eastern medicine with Functional medicine to provide the most effective treatment for peripheral neuropathy.  The PNR™ program includes one of the most thorough evaluations to determine if you are an eligible candidate for the PNR™ program.  If you do qualify for our unique program, we will address the root cause of your neuropathy through 5 evidence based therapeutic strategies, which have yielded a high rate of clinical success, and significantly improved the quality of life for many patients.

To learn more about this innovative program you can download the free report at:  www.HealingLotus.co/neuropathy or you can contact Scott Stewart at: (309) 764-4753 or healinglotustcm@gmail.com.

 

 

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Salt is Good for You, Calcium Supplements are Bad, and the Lab Test Everyone Should Get
4 Tips for Getting Seriously Healthy from One of the 'Best Doctors in America'*

There's a reason - well, several - why so many diseases are increasing in frequency in the United States, making some that were almost unheard of 100 years ago commonplace today, says Robert Thompson, M.D., an OB/GYN and integrative medicine specialist deemed by his peers to be in the top 5 percent of U.S. physicians.

"The United States is now 46th in men's mortality and the absolute worst country in the industrialized world for first-day infant mortality," says Thompson, author of "The Calcium Lie II: What Your Doctor Still Doesn't Know," (calciumliebook.com), a new book that details the roles minerals play in overall health and how to identify and correct deficiencies and imbalances.

"Based on the current rate of autism diagnoses, there will be no 'normal' male babies born in the U.S. by 2030," he says. "The current rate of diabetes suggests 95 percent of our adult population will be diabetic by 2030. The number of children with life-threatening allergies has increased more than 1,000 percent since 1995."

A perfect storm of corporate power, profits and public misinformation has succeeded in overwhelming the basic biochemical and physiological tenets of good health, says Thompson, who published his first book, "The Calcium Lie: What Your Doctor Doesn't Know Could Kill You," in 2008.

"Mineral deficiencies are responsible for a host of health problems, which are incorrectly treated by drugs," Thompson says. "We're told by the government and the medical community that we should be ingesting certain amounts of vitamin and mineral supplements to prevent disease, like osteoporosis, when in reality, the recommendations lead to other very serious health problems."

Thompson offers these suggestions for Americans to take charge of their health:

•  Get a hair tissue mineral analysis (HTMA) to determine your mineral status.
This may be the most important health test that exists, Thompson says. Only when you and your doctor know for sure your mineral status and important ratios can you adapt your diet, minerals and supplements to work toward proper balance.

Thompson recommends using Trace Elements, Inc. clinical lab in Addison, Texas, because it adheres to the highest standards. The lab accepts only samples submitted by health-care providers, including physicians, nutritionists, and others, so you need to find one who does HTMA and uses that lab. (Individuals who can't find a provider can call the lab for help in locating one; HTMA is prohibited in New York state.)

•  Do not take calcium supplements unless tests indicate a deficiency. We've all been told that we must ingest lots of calcium to ensure strong bones. In fact, calcium is just one of at least 12 minerals in our bones, all of which must be present in the right balance for good bone health. Calcium has been added to so much of our food, it's unlikely most of us are deficient. And yet, people are told to take calcium supplements. Excess calcium can cause kidney and gallstones, arterial plaque, bone spurs, calcium deposits in tissues other than bone, and brain cell dysfunction, brain shrinkage and dementia. Instead of calcium, Thompson instructs all his patients and readers to take a minimum of 3 grams of trace minerals derived from sea salt every day.

•  Salt - sodium - is necessary for digestion, nutrient absorption, cell function and metabolism.
Limiting salt intake is not only the wrong advice for 90 percent of the people at risk for high blood pressure, it also contributes to the lack of minerals in our bodies. Many of us are actually deficient in sodium.

Salt is a mineral, and unrefined sea salt and rock salt is the best source of sodium and ionic minerals. If you are sodium deficient, add harvested pure sea salt liberally to your foods. It is important to use pure sea salt, and not the common table salt, as processing has stripped common table salt of its mineral value.

•  Use only vitamin supplements made from 100 percent organic whole foods that have been vine-ripened.
Almost all of us need supplements because contemporary food supplies lack adequate amounts of vitamins and minerals, thanks to soil depletion. Most store-bought vitamins include just one component of the many complex molecular elements contained in the naturally occurring vitamin source. You need all of the nutrient components to get the full benefits.

The best natural sources of readily available vitamins include raw seeds, stabilized rice bran powder, vine-ripened fresh fruit and berries (vitamin C).

*Robert Thompson, M.D., was added to the peer-reviewed directory, "Best Doctors in America," in 1996.

About Robert Thompson, M.D.

Dr. Robert Thompson is a board-certified obstetrician and gynecologist, and a nutrition specialist who helps patients get long-term relief from chronic disease, including obesity, diabetes, hypothyroidism and adrenal fatigue. His newest book, "The Calcium Lie II," is available for free at calciumliebook.com. Dr. Thompson received his medical training at the University of Kentucky and has been a leader in medical advances for more than 30 years.

Looking Beyond Premiums & Secretary Burwell Response

Earlier this summer, the I AM (Still) ESSENTIAL coalition sent a letter to HHS Secretary Burwell alerting her of various access-to-care issues patients have experienced during their first year of enrollment in qualified health plans. Signed by 333 patient organizations, the letter outlined key areas of concern including limited benefits (particularly related to prescription medications and provider networks), high cost-sharing, and lack of transparency and uniformity. In her response received last week, the Secretary addresses some of the issues that we raised.

As we look forward to year two, we are eager to review the 2015 qualified health plans when the open enrollment period begins on November 15th. The I AM (Still) ESSENTIAL coalition and the patients we represent, especially those living with chronic health conditions, are anxiously awaiting plan details. We will be examining plans closely this year, beyond simply focusing on premiums, to ensure that the 2015 plans are better for patients than those in 2014.

Below is a list of questions that we will be asking as we review the plans. Finding answers to these questions will be the best way to determine if the concerns that we detailed in our letter to Secretary Burwell have been addressed.

1.       Have prescription drug formularies narrowed or expanded?

  • Plans must include the greater of at least one drug per class or the number of drugs in each class as contained the state's benchmark. In 2014, some plans exceeded the benchmark requirements while others simply met the minimum drug coverage requirement. Some plans did not include combination therapies.

2.       Have medications approved over the past two years been added to the formularies?

3.       Have deductibles decreased or increased, including separate prescription drug deductibles?

  • Some plan deductibles were as high as the maximum patient out of pocket costs, which means that the plan would only begin to pay for costs after the beneficiary has spent $6,300 for an individual.
  • According to a RWJF study, exchange plans had an average combined medical and prescription deductible of $2,763 in 2014. Among the plans with a separate prescription drug deductible, the average was $933.

4.       Are plans utilizing co-insurance instead of co-pays, and if so, at what percentage?

  • An Avalere study found that 59 percent of Silver plans on exchanges across the nation use coinsurance for consumer cost-sharing on the specialty tier.
  • The analysis also found that 23 percent of plans have coinsurance rates of 30 percent or more on the highest formulary tier.

5.       Are plans utilizing discriminatory practices by placing certain classes of drugs all on high tiers and does this include generics?

  • The ACA prohibits issuers from using "benefit designs that have the effect of discouraging the enrollment in such plan by individuals with significant health needs". In 2014, some plans placed all drugs, including generics, in a certain class on the highest cost-sharing tier.

6.       Are patients able to access complete drug formularies and provider networks easily?

  • In 2014, users of plan websites found it difficult to locate complete lists of drugs that the plan covered or a directory of medical providers in each plan's network.
  • For 2015, CMS is requiring plans to list one single web address with complete plan formularies and provider directories without a consumer having to log on.

7.       Are patient cost-sharing and utilization management policies clearly defined? Is utilization management being more widely used?

  • In 2014, consumers found it difficult to determine how much they had to pay for their medications. CMS will be requiring plans in 2015 to include tiering information.
  • The use of co-insurance makes it even more difficult for patients to determine their out of pocket costs.  An analysis by Avalere of exchange plans found that plans on the exchange were more likely to use utilization management techniques than employer plans.
  • CMS has said they will be reviewing plans "that are outliers based on an unusually large number of drugs subject to prior authorization and/or step therapy requirements in a particular category and class."

Angela Ostrom

Chief Operating Officer

Epilepsy Foundation

301/918-3766

aostrom@efa.org

 

Carl Schmid

Deputy Executive Director

The AIDS Institute

202/669-8267

cschmid@theaidsinstitute.org

 

Andrew Sperling

Director of Federal Legislative Advocacy

National Alliance on Mental Illness

703/244-7893

Andrew@nami.org

Can Trauma Spur Creativity?
After His Devastating Loss, a Man Finds Healing
Through Writing

Can an emotional trauma flip a switch in the creative brain? Does profound loss offer a new perspective from which to peer into one's soul?

For LeRoy Flemming, author of the "Timelightenment" series (www.timelightenment.biz/) and volume one of "Soulsplitting," the answer is a resounding yes! And, there's psychological research supporting this idea.

In role-playing, veterans who've endured trauma resulting in PTSD "were better able to represent the boundary between reality and the role-playing, to immerse themselves in the scene, to enact identifiable characters consistent with their setting, and produce complex and interactive scenes that told a coherent story," compared to non-PTSD vets, according to researchers Robert Miller and David Johnson.

The non-PTSD group created more stereotyped, and unimaginative scenes, despite a higher education level and greater role-playing experience, the two wrote.

"I was never diagnosed with PTSD, but I know profound emotional trauma can trip all kinds of coping mechanisms in the brain and soul, including creativity," Flemming says. "When I suddenly lost my mother, it was a profound, life-altering shock. She was fine when I saw her last - Dec. 25, 1999 and she died on Jan. 1. That's what started me writing."

His mother was, by far, the most stabilizing and inspiring person in his life, he says, and losing her rocked him to his core. Rather than seeming abstract, the larger questions in life became the most important, and that's when he knew he had to write.

"I didn't have much of a background in writing," he says. "But since her passing, I've been in close contact with a part of my soul that has spawned several books, all of which have helped me heal."

The creativity caused by pain is a cycle, "because the creative process has significantly healed me," he says. "I'm not surprised that creativity increases within those who've suffered; it makes sense."

How does a grieving individual make something good out of a heart-wrenching loss? Flemming offers perspective.

•  Don't force it. One of the last things a grieving person needs is an assignment they don't want. Grief is a process that entails a host of negative emotions: denial, confusion, anger and more. Prescribing creative therapy to oneself or another before one is ready for it can backfire.

•  Let it flow naturally. We are all unique individuals and, though we know in the backs of our minds that we'll someday face the loss of a loved one, we can't predict how we'll handle it.

"Grieving and creativity actually share some traits," Flemming says. "Both are processes, and both prompt individuals to express feelings in their own terms. When creativity can be used in conjunction with the grieving process, the catharsis can be profound."

•  You have many options. When a person is desperate for an outlet, he or she will often gravitate toward what he knows. A onetime aspiring painter, for instance, may return to that familiar and comforting form of self-expression.

"But the mind can be unpredictable; it may be that gardening is the process that is most therapeutic for a grieving person, even though she never pulled a weed or planted a seed in her life," Flemming says. "In other words, be open to where your intuition guides you. As most grieving people understand, life doesn't always work out as planned. Be open to helpful new possibilities."

About LeRoy Flemming

Leroy Flemming is a graduate of Alabama State University, a Historically Black College and University (HBCU) in Montgomery, Ala. He always wanted to show people that with spiritual guidance you can make things happen. Through his determination and inspiration from his Creator, he completed his five-part series of novels, "Timelightenment," (www.timelightenment.biz/), in hopes of demonstrating to the children of this world that they can dream big, and accomplish those dreams. Though inspired by many people, his biggest influence comes from his mother, who said shortly before she passed away, "Son, I may give out, but I never give up!" Flemming recently completed volume one of his new series, "Soulsplitting."

November 10, 2014

TRICARE and Military OneSource are co-hosting a webinar to educate TRICARE beneficiaries about the resources available to them to quit using tobacco products. The webinar, scheduled from Noon - 1:00pm EST, will take place on Thursday, Nov. 20, also known as the Great American Smoke Out. To sign up, go to https://www2.gotomeeting.com/register/296946266.

Read more at: www.tricare.mil/CoveredServices/BenefitUpdates/Archives/11_10_14_GASOWebinar.aspx.

For people with atrial fibrillation (Afib), the fear of having a stroke is very real. Afib raises a person's risk for stroke five times, according to the National Stroke Association. It's a scary statistic, especially as Afib prevalence continues to rise. Understanding the connection between Afib and stroke can help patients better manage their condition and recognize other factors that could put them at even greater risk.

"A stroke prevention strategy of some kind is required for anyone with Afib, no matter how many symptoms you have or how many risk factors you have," said J. David Burkhardt, MD, electrophysiologist at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin.

Afib occurs when the heart's upper chambers (atria), which push blood to the lower chambers (ventricles), beat irregularly. "Instead of the blood being pushed forward by the heart pumping, it's just swirling around in the heart and can clot easily," said Marcie Berger, MD, FACC, a cardiac electrophysiologist at Froedtert Memorial Lutheran Hospital and the Medical College of Wisconsin in Milwaukee. Clots can travel and cut off blood flow to the brain, causing a stroke.

Besides an irregular heartbeat, a person with Afib "can have additional risk factors making a stroke even more likely," said Dr. Berger.

Most doctors use a tool known as the CHADS2 score to evaluate patients' stroke risk based on the following criteria:

  • Congestive heart failure. Heart failure occurs when blood isn't being pumped efficiently to the rest of the body, resulting in fluid retention and congestion. If the heart isn't pumping at full capacity, the risk of clotting increases. "Diminished heart function is a risk factor for Afib itself as well as stroke, and it's more common in older patients," said Dr. Burkhardt.
  • High blood pressure. When the force of blood against the arteries is too high, it can cause damage to the arteries over time. "It becomes a double whammy, where you have high blood pressure as well as atrial fibrillation increasing your stroke risk," said Ralph L. Sacco, MD, professor and chairman of neurology at the Miller School of Medicine at the University of Miami.
  • Age: 75 or older. The median age among people with Afib is 67 years old in men and 75 years old in women, according to the U.S. Centers for Disease Control and Prevention. "In older adults, a new Afib diagnosis is usually due to age-related changes in the electrical system of the heart," said Dr. Berger. Changes in the heart and blood vessels are common with age, and reduced circulation increases the risk of blood clots forming.
  • Diabetes. People with diabetes are nearly four times more likely to have a stroke, according to the National Stroke Association. People with uncontrolled diabetes are more prone to have high cholesterol, and plaque build-up in the arteries can block blood flow to the brain.
  • Stroke or transient ischemic attack. Someone who's had a stroke is many times more likely to have another than someone who's never had one. According to the American Heart Association, a person who's had one or more TIAs, or "mini-strokes," is 10 times more likely to suffer a stroke.

The American Academy of Neurology recently issued an updated guideline recommending oral anticoagulants, or blood thinners, to prevent stroke in Afib patients. Guideline lead author Antonio Culebras, MD, of SUNY Upstate Medical University in Syracuse, NY, noted, however, that "doctors will need to consider the individual patient's situation in making a decision whether or not to use anticoagulants, and which one to use, as the risks and benefits can vary for each person."

Some stroke risk factors, such as age and family history, can't be controlled. But, "if we can address those controllable factors earlier in the disease process, hopefully we can work to reverse this growing trend," said J. Brian DeVille, MD, FACC, FHRS, medical director of electrophysiology at Baylor Health Care System in Dallas.

Many of the same lifestyle changes that help manage Afib can also reduce stroke risk, such as maintaining a healthy weight, exercising, and quitting smoking. The key is coming up with a prevention plan that a patient can commit to for the long run.

As Burkhardt points out, "once you're diagnosed with Afib, stroke prevention is a consideration forever."

Last Updated: 03/11/2014
Clinton, IA - Clinton and the Clinton County Sherriff's Office, will be coordinating the American Medicine Chest Challenge in Clinton, Camanche and DeWitt.
The event will take place on November 8, 2014 in communities across the country. This initiative will challenge residents to take the Five-Step American Medicine Chest Challenge:
· Take inventory of your prescription and over-the-counter medicine.
· Secure your medicine chest.
· Dispose of your unused, unwanted, and expired medicine in your home or at an American Medicine Chest
Challenge Disposal site.
· Take your medicine(s) exactly as prescribed.
· Talk to your children about the dangers of prescription drug abuse.
To help combat this growing threat to our nation's children, we are hosting the American Medicine Chest Challenge (AMCC) on November 8, 2014. Residents can find a local collection site on www.americanmedicinechestchallenge.com or dispose of their medicine at home, following the guidelines on the site.
The most recent National Survey on Drug Use and Health shows prescription medicines to be the most abused drugs by Americans, other than marijuana and found that 70% of people who abuse prescription pain relievers say they got them from friends or relatives. A recent study on drug use by teens by the Partnership for a Drug Free America (PDFA) found that one in 9 children are abusing prescription pain relievers to get high.
"This Challenge will raise awareness about the dangers of abusing prescription drugs and reduce the availability of potent drugs that lead kids down a path to addiction,'' explained American Medicine Chest Challenge Chief Executive Officer Angelo M. Valente.
"With the American Medicine Chest Challenge we are calling on residents to see their medicine cabinets through new eyes -- as an access point for potential misuse and abuse of over-the-counter and prescription medicine by young people," explained Valente.
The American Medicine Chest Challenge has gained the national support of PhRMA, The Partnership at DrugFree.Org, the Generic Pharmaceutical Association and the American College of Emergency Physicians.
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