Changes in health insurance raise many questions for consumers. Iowa State University Extension and Outreach is offering a FREE online two-hour unbiased, research-based educational workshop for consumers on December 10 from 6 - 8 PM. The Smart Choice Health Insurance Education program will equip consumers with tools they need to make the best possible decision when choosing health insurance plans for themselves and their families. Register for this free online class at http://tinyurl.com/pvmceb7. For more information, contact Phyllis Zalenski, Human Science Family Finance Specialist, at 319-465-3224 or zalenski@iastate.edu

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PEORIA, Ill. (Nov. 19, 2014) - The first nationwide partnership and "Fuel Your Community" campaign between the American Red Cross and energy provider Suburban Propane in October helped collect thousands of lifesaving blood and platelet donations for patients at approximately 2,600 hospitals and transfusions centers served by the Red Cross.

Hundreds of Suburban Propane employees rolled up their sleeves to give blood and volunteer at 64 Red Cross blood drives across the country the October campaign, resulting in more than 1,500 blood donations at those drives, and nearly 600 first-time donors. With each blood donation potentially helping up to three people, as many as 4,500 lives could be impacted.

"Our employees are proud to support the American Red Cross and the hospitals and patients it serves," said Chief Operating Officer Mark Wienberg of Suburban Propane. "This is the sixth time Suburban Propane has partnered with the Red Cross to raise awareness about the constant need for blood and platelet donations, and is our largest and most successful effort to date. We look forward to continuing to support the Red Cross and its humanitarian mission with our national sponsorship."

Through the "Fuel Your Community" campaign, Suburban Propane also sponsored an advertising campaign to raise greater awareness for the constant need for blood and platelet donations, and donated a $5,000 Visa gift card for one lucky presenting blood donor to win.

"Partnering with civic-minded organizations, like Suburban Propane, is at the heart of our humanitarian and volunteer supported organization," said Donna M. Morrissey, director of national partnerships, Red Cross Blood Services. "With Suburban Propane's support, overall the Red Cross collected more than 460,000 blood donations at over 19,000 blood drives in October, helping to meet the need of about 15,000 blood donations every day for patients."

"It's the blood products already on the shelves that help to save lives in an emergency," said Shelly Heiden, community CEO, Red Cross Heart of America Blood Services Region. "Suburban Propane's support helps ensure that blood is available for cancer patients, those fighting blood diseases, trauma victims and others here in the Heart of America Region as well as patients throughout the country."

To learn more about blood donation or find a blood donation opportunity, download the Blood Donor App, visit redcrossblood.org or call 1-800-RED CROSS (1-800-733-2767). Eligible donors with all blood types - especially O negative, A negative and B negative - are needed to maintain an adequate supply for patients.

 

About the American Red Cross

The American Red Cross shelters, feeds and provides emotional support to victims of disasters; supplies about 40 percent of the nation's blood; teaches skills that save lives; provides international humanitarian aid; and supports military members and their families. The Red Cross is a not-for-profit organization that depends on volunteers and the generosity of the American public to perform its mission. For more information, please visit redcross.org or visit us on Twitter at @RedCross.

About Suburban Propane

Suburban Propane Partners, L.P. (NYSE:SPH) is a nationwide distributor of propane, fuel oil and related products and services, as well as a marketer of natural gas and electricity. Headquartered in Whippany, New Jersey, Suburban serves the energy needs of more than 1.2 million residential, commercial, industrial and agricultural customers through approximately 710 locations in 41 states.

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Over time, the presence of too much glucose in your cells can injure the walls of the tiny blood vessels called capillaries that deliver blood to your nerves, especially in the legs. This can cause tingling, numbness, burning, or pain.

Poorly controlled blood glucose can even cause you to lose all sense of feeling in the affected limbs - and a loss of feeling in your feet makes you more vulnerable to injury and infection. Let's say you get a blister or small cut on your foot that you don't feel: Because you don't know it's there, you may miss the symptoms of an infection in the wound. It's imperative for you to check your feet regularly to avoid this and be meticulous in your foot care, because untreated infections can result in gangrene (the death of tissue) and may lead to the amputation of the affected limb or toes.

Diabetes can also make it more difficult for your body to fight infections in general. Various skin conditions are linked to diabetes, and even the most minor cuts or sores can turn serious fast. Any bumps, cuts, or scrapes should be cleaned and treated with an antibiotic cream and monitored carefully.

Nerve Damage: What to Watch For

If you notice any of these symptoms associated with nerve damage or infection, see your doctor:

  • Inflammation and tenderness anywhere on your body
  • Red, itchy rash surrounded by small blisters or scales
  • Cuts, sores, or blisters on your feet that are slow to heal and are not as painful as you would expect (due to a loss of sensation)
  • Numbness, tingling, or burning sensations in your hands or feet, including your fingers and toes
  • Sharp pain that gets worse at night
  • Muscle weakness that makes walking difficult
  • Bladder infections and problems with bladder control
  • Bloating, stomach pain, constipation, nausea, vomiting, or diarrhea
  • Erectile dysfunction in men and vaginal dryness in women

Remember: If you keep your blood-glucose levels on target, you can help prevent or delay nerve damage. If you already have nerve damage, this will help prevent or delay further damage. You should also speak to your doctor about other treatments that can help.

Next step: Protecting Your Kidneys

November 2014 (Muscatine, IA) Gilda's Club, Susan G. Komen Quad Cities, Flickinger Learning Center, and the Diversity Service Center Muscatine are partnering to put on a free of charge breast cancer awareness luncheon in Spanish. A $50 gas card will be raffled off. It will take place Saturday November 22nd at 12:30 p.m. at Flickinger Learning Center 413 Mulberry Avenue, Muscatine, IA. Please call the Diversity Service Center Muscatine at 563-264-8883 to register.

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

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