With millions of people newly covered by health insurance, and 11,000 more becoming eligible for Medicare every day, more people will be visiting doctors and hospitals.

And while that's a positive, patient advocate Ruth Fenner Barash warns that the U.S. health care system is not always the benevolent safety net many people believe it to be. It can be abusive, incompetent, callous toward patients - and worse.

"Patients and their loved ones cannot blindly turn themselves over to this massive, technology-based system and trust that it will care - or take care of them," says Barash, who shares lessons learned from extensive health-care experiences in a new book, "For Better or Worse: Lurching from Crisis to Crisis in America's Medical Morass," (http://forbetterorworsebook.com/).

Her cautionary tale traces the long medical journey her husband, Philip, endured with her as his advocate. She discovered mismanagement and excess, useless interventions and a sometimes complete disregard for pain - even when there was no hope of healing.

"I learned a great deal from our experience, and with so many people now gaining access to health care, I want others to benefit from what I've learned," she says. "You can navigate the system; you just have to know how."

Barash offers these suggestions for patients and their loved ones, whether it's a trip to the doctor for a checkup or a diagnosis of a catastrophic illness.

• Avoid the emergency room - for your own sake. Emergency rooms were developed with the idea that few people would use them - most people would see their physician. But as health care costs rose, they became a primary care facility for those without insurance or the money to pay for services out of pocket. "Patients and their families were not expected to spend a long time in the E.R. - presumably, they would be seen quickly and either admitted to the hospital or treated and released - so they're not designed for comfort," Barash says. "They've become very crowded, especially in cities, and patients might wait for hours sitting in hard plastic chairs in the waiting room. For someone who's sick or injured, this can be torture."
Sick people usually are not isolated, so waiting rooms also teem with germs, she notes.

• Be skeptical - question everything. Too often, we take the first thing we're told as gospel, Barash says. "If you have the luxury of time, take some of that time to think things through, to research and get second opinions," she says. Research your physician's connections. When you're referred to a specialist, ask why that particular person. If you live in an area with a large academic community, ask around about the physicians and health-care providers with the best reputations. Who has the most experience in a particular niche? Who's doing the most promising research? How many times have you performed this procedure and what is your success rate?

• Ask what it costs - no matter who's paying. Our health-care system is absurd in the number of useless consultations, diagnostic procedures and interventions it foists on patients, Barash says. Whether our hospital bills are fully covered by Medicare, Medicaid or private insurance, or we're paying a portion ourselves, we must all include cost in our discussions with health-care providers. "Part of the blame for having the most expensive health-care system in the world goes to us, the individuals, who don't question purchases or shop for prices as we would for groceries, clothing, or furniture," Barash says.  "If a test or consultation is ordered, understand why. Is it really necessary? You can say no!"

Finally, Barash says, we all must come to terms with the fact that death is a given.

"My husband's problem, and the problem many of us may be doomed to face, is the seemingly endless getting there - a dying we don't want."

About Ruth Fenner Barash

Ruth Fenner Barash studied philosophy at City College of New York and did graduate work at the University of Chicago. In 1958, she met and married Philip Barash, a private practice attorney. She went on to work in public relations and real estate, served education and civic organizations at the executive level, and taught art in various media. Her long marriage was a "harmonious adventure" despite the couple's treacherous journey through the health-care system. Her husband died in 2012.

Most people today know antioxidants to be an effective method of fighting age, but few are aware of the biological process underlying for most skin damage - and what directly addresses the problem, says skin-care expert Ron Cummings.

"The word that has been on the minds of dermatologists and other skin-care researchers for many years is glycation, which is what happens on the cellular level to age our skin," says Cummings, founder and CEO of AminoGenesis Skin Care, (www.aminogenesis.com).

Glycation - damage to proteins caused by sugar molecules - has long been a focus of study in people with diabetes, because it results in severe complications, such as blindness and nerve damage. People with uncontrolled diabetes have excess blood sugar, so they experience a higher rate of systemic glycation, he says.

"Antioxidants fight inflammation caused by free radicals, which are largely created from external, environmental factors such as excessive sunlight or cigarette smoke. Glycation, though, damages from the inside out."

Using antioxidants and topical moisturizers are a good start to keeping the effects of aging at bay, but they only go so far, Cummings says. Even more important is reversing the damage to skin caused by glycation, which became possible only recently.

Cummings shares three points anyone interested in skin care should know about glycation:

• Glycation is the skin's No.1 aging factor. Sugar molecules in our body bombard our cells like a ferocious hail storm, bonding with fats and proteins. The proteins then become misshapen and excrete exotoxins that disrupt cellular metabolism. Collagen, which makes skin look smooth and plump, is a protein that's particularly vulnerable to glycation. The damage manifests as wrinkles, lines, discoloration and edema. Rather than attacking a cell from the outside, like a free radical, glycation occurs from within.

• Anti-glycation topical solutions have been clinically shown to be effective. Old lotions, from your favorite moisturizer to Grandma's secret facial solution to the new DIY recipe you found online act as a barrier to moisture evaporation. But their effect is temporary, and they don't prevent or reverse damage. New anti-glycation formulas, however, directly address aging by releasing the sugar molecule's bond with protein, allowing the cell to return to its natural shape and state.

"Just as antioxidants have revolutionized anti-aging efforts around the world, anti-glycation will be understood to be exponentially more effective," Cummings says.

About Ron Cummings

Ron Cummings is the founder and CEO of AminoGenesis Skin Care, which utilizes amino acids as the key ingredients to its age- and damage-reversing products. The formula for the solution features 17 plant-purified amino acids, which are necessary for healthy and radiant skin. The company's formulas include anti-glycation properties, which are very rare in today's skin-care products. Cummings donated one of his products, a protective agent, to support military forces in Afghanistan and received a hearty letter of gratitude from the Marines of Special Operations Company Bravo, which described the product's excellent performance, as well as a flag that was flown "in the face of the enemy, over Forward Operating Base Robinson in Sangin, Afghanistan."

January 6, 2014 - Davenport, Iowa Mandala Integrative Medicine, 2206 - 52nd Street, Suite A Davenport, Iowa 52807 563-355-7411

Mandala Integrative Medicine opens in Davenport and is accepting new patients, offers a fresh look at how families choose treatment and consultation for overall health wellbeing.

Medical providers on staff include : Sayed A. Shah, M.D., Tammy Conner, Occupational Therapist, Dawn Strauss-Berta, Doctor of Chiropractic, and Becky Holdorf, Reiki Master.

Dr. Shah is accepting new patients looking for a family doctor. Dr. Shah prefers being a guide for his patients and providing a road map that will help them improve their quality of life and lifestyle. He will provide patients with both standard methods of care and alternative approaches to medicine. He provides alternative methods to addressing different symptoms of Autism. His focus on treating autism relies on improving nutrition and environment.

Other services and treatments at Mandala Integrative Medicine include : ADHD, Autism, Chiropractic Care, Detox Infrared, General Medicine, Hypnosis, Life Coaching, Lymphatic Drainage, Meditation, Occupational Therapy, Pain Management, Reiki, Stress Reduction, Weight Management.

Visit the clinic website at www.mimqc.com