• Genesis Health System has launched a web page www.genesishealth.com/enroll to provide answers to some questions, including the big one, "what's in it for me?'' Guaranteed preventive services and guaranteed benefits are two answers to "What's In It For Me?", even for the bronze plans. And, check out the video at the site.
  • There is also an enrollment service line now available.  The number is (563) 421-3675 (ENRL).  If you have questions or want to invite Genesis health insurance navigators to your church, community organization, library, neighborhood block party, call for information.
  • Genesis has hired three health insurance navigators funded by grants  from the federal government. The navigators are now going through mandatory federal and state training.  Once they are licensed, they will go out into the community to assist individuals and small businesses in the enrollment process. They will provide unbiased, objective assistance to help individuals find a plan that is right for their health needs and for their financial needs. We hope the navigators will be licensed by the second week of October. We won't be able to have them licensed by Oct. 1.
  • We will be working closely with community organizations, some of which have also received grant funding to assist with enrollment.  We are planning a media event with these partners for Tuesday, Oct. 1, the first day of the enrollment period. Put it on your calendar for Tuesday at 2 p.m.
  • This is a big project with big goals.  Our No. 1 Genesis goal is to improve the health of the region by providing access to primary care physicians to individuals and families who now do not have that access. Especially for individuals with a chronic condition, a relationship with a primary care physician can help prevent serious complications of the condition requiring hospitalization.
We need your help to reach the public about enrollment and to keep the public updated about the 200 or so enrollment events we are planning by the end of the enrollment period on March 31. Call us if we can help with your media needs.

Senate Caucus on International Narcotics Control

Hearing on "Dangerous Synthetic Drugs"

Wednesday, September 25, 2013

Prepared Statement of

Co-Chairman Chuck Grassley of Iowa

Madam Chairman, it's been over two years since this caucus held its first hearing on synthetic drug abuse.  At that hearing, we heard testimony from a constituent of mine named Michael Rozga.  Mr. Rozga's son David committed suicide shortly after smoking "K2."  "K2" is synthetic marijuana that is very different from the naturally occurring plant.  David had legally purchased this synthetic drug at a local shopping mall.  He then had a very rapid and negative reaction to it.  I said then that David may have been the first person in the United States to die from using this kind of synthetic drug, but surely he wouldn't be the last.

Sadly, my concerns were validated, as the abuse of synthetic drugs continued to escalate.  From 2010 to 2011, the number of calls received by poison control centers related to synthetic marijuana increased from 2,906 to 6,959.  And similar calls about the synthetic drugs known as "bath salts" increased from 304 to 6,138.  Emergency room visits associated with these synthetic drugs rose sharply as well.

In 2012, Congress responded to this crisis.  I worked with you, Madam Chairman, as well as Senators Schumer, Klobuchar and many others, to pass the Synthetic Drug Abuse Prevention Act of 2012.  That legislation placed many of these synthetic drugs on Schedule I, making them illegal.  That was an important step to help protect our young people from the effects of these drugs.

There is some evidence that that legislation had a positive effect.  In 2012, calls to poison control centers related to synthetic marijuana dropped from 6,959 to 5,205.  Similar calls related to "bath salts" dropped from 6,138 to 2,657.

But new synthetic drugs have emerged since we passed that legislation.  Traffickers need only to alter the chemical structure of their drugs to effectively circumvent the law.  And these drugs continue to ruin lives in communities across the country.

In just the past few weeks, news reports have linked a synthetic form of ecstasy called "Molly" to the deaths of at least four young people in Boston, New York, and here in Washington.  What seems especially concerning is that authorities may not yet have a clear understanding of precisely what substances are contained in "Molly."  Regardless of its precise chemical makeup, there appears little doubt that "Molly" is a clear and present threat to the health and safety of our young people.

My home state of Iowa also continues to be affected by synthetic drugs.   On a single weekend last May, three teenagers in the Des Moines area were sent to emergency rooms after smoking synthetic marijuana.  One of them reportedly suffered cardiac arrest.

There is some good news, however.  In communities across the country, citizens are helping to sound the alarm about the dangers of synthetic drugs.

The Rozga family continues to share David's story.  They have also started a website, K2drugfacts.com, which provides a forum for folks who've survived encounters with synthetic drugs to share their stories.

A community group called "Iowans Against Synthetics" has successfully pushed to have this week declared "Synthetic Drugs Awareness Week" in Johnson County, Iowa.

The Iowa Governor's Office of Drug Control Policy has also taken steps to raise awareness about emerging drug trends such as synthetics.  Beginning this month, the office is issuing a monthly newsletter called The Connection. The newsletter will publish the latest news about new drugs in Iowa and trends among young people.

But despite these positive actions, synthetic drug manufacturers still have the ability to circumvent the law by slightly altering their chemical compounds.  A change of a molecule or two to a banned drug is sometimes enough to make a new and legal alternative.  This is a difficult problem without an easy solution.  But I look forward to hearing from the witnesses and working with you, Madam Chairman, to explore how we can continue to be effective in combatting the abuse of these dangerous synthetic drugs.

Statewide campaign reflects shared vision and ultimate goal of increased healthcare coverage

CHICAGO - The state of Illinois today unveiled "Get Covered Illinois" as the official brand name for its new health insurance marketplace, where residents will be able to find quality coverage as mandated by the Federal Affordable Care Act. The name is both a call-to-action and a description of the service this marketplace expects to provide through web, phone and personal interactions with customers beginning October 1. The brand tagline reads: "The Official Health Marketplace."

"Illinois is launching the largest, most ambitious wellness initiative in our state's history, as well as launching a culture of coverage," said Deputy Governor Cristal Thomas, who serves as one of Illinois' top healthcare officials. "This will take a massive education effort, and it starts with 'Get Covered Illinois.' We wanted a name that was very clear about what this product has to offer."

As part of Governor Pat Quinn's agenda to increase access to healthcare coverage, Get Covered Illinois is the only official website marketplace where Illinois residents can compare eight different insurance company offerings side by side; determine whether they are eligible for Medicaid under newly expanded qualifications; and apply for financial support to help bring down the cost of insurance for them or their families.

The brand and logo were developed by advertising agency Downtown Partners, Chicago, and will be part of a statewide advertising campaign that will begin on October 1 and gradually build through the fall and winter. Uninsured Illinoisans have until the end of March to purchase health insurance through Get Covered Illinois.

"Get Covered Illinois grew out of the hundreds of conversations we had with citizens around the state," said Joe Stuart, Creative Director Partner, Downtown Partners, Chicago. "They wanted a straight-forward, clear approach to promoting the health marketplace, and wanted a strong visual component to the name. We wrapped the shape of the state of Illinois with a "C" to remind people of the marketplace mission - to spread a "Culture of Coverage" in Illinois."

The orange color palette is decidedly optimistic, representing the colors of sunrise - tied to focus group feedback that October 1 felt like the "dawn" of a new day for those uninsured.

Get Covered Illinois is for any Illinois resident who had insurance, lost it and wants it again; residents who could never afford or obtain insurance before; or for those who have never attempted to get insurance but now must comply with the law.

The Get Covered Illinois website and social media channels will also launch October 1. From October 1st to March 31st, officials expect at least 300,000 people to enroll in health care coverage. Enrollment can take place on the website; on the website with the help of a trained specialist (800 number will be on website); or in person at a state community partner with trained navigators to assist (website will feature community partner locations by zip code).

As we recognize World Rabies Day on September 28, we are reminded that our furry feline friends  -- cats -- are a serious rabies risk.  While that may be surprising to some, the fact is that cats remain the top carrier of rabies among domestic animals in the United States. The number of rabid dogs has declined by 37% since 1999?according to data from the Centers for Disease Control and Prevention (CDC)?but the number of reported rabid cats has actually increased and now surpasses dogs by a ratio of over 4 to 1.

Wild animals?such as raccoons?still harbor rabies far more frequently than cats. However, a study published this year by researchers from the CDC stated that "cats pose a disproportionate risk for potential human exposures compared with wildlife...in part because people, especially children, are more likely to approach them."

It is critical to vaccinate all domestic cats for rabies and keep those vaccinations current, but any cat that roams outdoors is at a much higher risk of contracting rabies than cats kept safely indoors. Feral cats, in particular, present a major public health risk. Feral cats are outdoors all the time, and the management of feral cat colonies through Trap, Neuter, Release (TNR) programs "[does] not provide effective rabies vaccination coverage or cat population control," according to the CDC-led study. On the contrary, TNR only increases the likelihood of interaction between feral cats and rabid wildlife.

In honor of World Rabies Day and for public health, we must recognize the risks posed by domestic cats roaming outdoors and effectively protect communities by removing feral cats from the landscape.

Dr. George Fenwick

President, American Bird Conservancy

1731 Conn. Avenue

Washington, D.C. 20009

202-234-7181

Main at Locust Pharmacy Clinic and Medial Supplies, 129 West Locust Street, Davenport, is offering flu shots daily from 8:30am until 6:30pm, Monday through Friday and 8:30am until 2pm on Saturday. Walk-ins are welcome.

In addition, we also offer the Quadrivalent FluMist Nasal Spray which is a non-invasive form of the flu vaccine.

For more information you may contact the pharmacy at 563-324-1641, ext 1.

Bakery Owner Tosses the Flour but Keeps the Flavor

More than ever, people understand that our bodies just weren't designed to handle the amount of processed flour found in many of today's food.

Some people with vague, undiagnosed illnesses feel better after cutting out gluten, a protein in flour-based foods. Many Americans, including professional athletes and celebrities such as Zooey Deschanel and men's tennis leader Djovak Nokovic, say they look and perform better since dropping gluten from their diets.

"Unfortunately, a lot of people who commit to a gluten-free lifestyle believe they have to sacrifice their favorite desserts, because gluten-free treats are often loaded with sugar but low on flavor," says Kyra Bussanich, (www.kyrasbakeshop.com), author of a new, full-color recipe book, "Sweet Cravings: 50 Seductive Desserts for a Gluten-Free Lifestyle" (Ten Speed Press; Random House, Inc.)

Bussanich's gluten-free cupcakes twice bested their floury competition on "Cupcake Wars" (2011 and 2012) and were a runner-up for the show's Cupcake Champion. She shares her secrets in recipes such as Mexican Chocolate Baked Alaska, Persian Love Cakes with Cardamom Buttercream and Vanilla Chiffon Cake with Blackberry Coulis.

After suffering a life-threatening illness at 20, Bussanich recovered with the help of a new diet without gluten. She began testing gluten-free recipes while attending the prestigious Le Cordon Bleu patisserie program and later opened her popular business, Kyra's Bake Shop.

"My recipes are not good 'for being gluten-free;' they're just good, and that's why people who eat gluten visit my bakery and order gluten-free desserts," she says. "For me, being diagnosed with an autoimmune disease allowed me to turn lemons into gluten-free lemon meringue pie!"

She invites anyone who doubts that gluten-free can be delicious to try the following recipe:

Apple Crisp

6 large tart apples (Pippin or Granny Smith)
1/3 cup sugar, or 1/4 cup maple syrup
2 tablespoons tapioca starch
1 tablespoon ground cinnamon
1/2 teaspoon Chinese five-spice powder
1/2 teaspoon ground ginger
Generous pinch salt
3 tablespoons cold butter

Topping

1/2 cup sweet white rice flour
1/2 cup millet flour
1/2 cup tapioca starch
1 cup packed golden brown sugar
1 teaspoon ground cinnamon
1 teaspoon salt
1/2 teaspoon Chinese five-spice powder
1/2 teaspoon ground ginger
3/4 cup butter, room temperature
3/4 cup gluten-free oats
1/2 cup chopped pecans or walnuts (optional)

Preheat the oven to 350°F. Peel, core and slice the apples into 1/4-inch slices. Put the apple slices into a large bowl and sprinkle the sugar over the top. Add the tapioca starch, cinnamon, five-spice, ginger and salt and toss together to evenly coat the apple slices. Pour into a 9 by 13-inch baking pan, dot the top with pieces of the butter and set aside. To make the topping, combine the flours, tapioca starch, brown sugar, cinnamon, salt, five-spice and ginger in a mixing bowl. In a stand mixer with a paddle attachment, mix in the butter until it is uniformly incorporated into the flour mixture. Stir in the oats and pecans.

Crumble the oat topping evenly over the apples. Bake until the topping is golden brown and set and the apples are warm and bubbly, 55 to 60 minutes.
You can prepare everything ahead of time. Refrigerate the apple filling and keep the topping frozen until ready to assemble and bake. Don't refrigerate the unbaked topping overnight since the millet flour will interact with the butter and taste and smell cheesy when it's baked.

About Kyra Bussanich

Kyra Bussanich is a two-time winner of The Food Network's hit show, "Cupcake Wars." She graduated with honors from Le Cordon Bleu and opened her award-winning bakery, Kyra's Bake Shop, which features gourmet, gluten-free sweets. She has branched beyond desserts to other gluten-free goods in order to help those with celiac and other autoimmune diseases enjoy quality treats.

DAVENPORT, Iowa -- Sept. 17, 2013 - More than 200 golfers contributed to the quality of health care in the region by participating in the annual Genesis Pro-Am Challenge golf event.

Corporate sponsors and a full field of 212 golfers helped raise $109,760 toward Genesis nursing scholarship programs.  Scholarships for current and future nurses help Genesis meet the health needs of the region.

"Each dollar of proceeds from this event helps nurses complete bachelor or master's degrees,'' explained Missy Gowey, executive director, Genesis Health Services Foundation.  "The advanced training of Genesis nurses helps us provide the best patient outcomes, and safest outcomes possible.

"It is our patients who benefit from having highly educated, skilled nurses at their bedsides.''

Highlighting the field were LPGA professionals Beth Bader, Elaine Crosby and Gail Graham.

Lujack Lexus of the Quad Cities and Quad-City Bank and Trust were major sponsors of this year's event.

To learn how individual and corporate gifts to the Genesis Health Services Foundation impact health care in the region, call (563) 421-6865 or visit www.genesishealth.com/give.

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Highlights Support for Advanced Health Care Technology

WASHINGTON, Sept. 17, 2013 - Agriculture Secretary Tom Vilsack today kicked off National Health IT week by highlighting the U.S. Department of Agriculture's (USDA) partnership with the Department of Health and Human Services (HHS) Office of the National Coordinator for Health IT (ONC) to expand funding for advanced health care technology in rural America.

"Digital technology holds tremendous promise for the future of health care, and we must ensure that rural Americans have access to the latest in health technology," Vilsack said. "USDA has worked hard to expand digital tools and infrastructure for rural health providers, and as a result more communities are well-positioned to provide cutting edge health care."

USDA is partnering with HHS and the Department of Veterans Affairs to leverage funds to support advanced health care technology in rural hospitals. This partnership is an extension of a successful pilot launched in Illinois, Iowa, Kansas, Mississippi and Texas to identify rural critical access hospitals in persistent poverty areas in need of advanced health care technology.

Rural Development programs provide funding for rural health IT infrastructure and expand local access to high quality health care services for rural Americans nationwide. These Rural Development programs include the Community Facilities loan and grant program, the Distance Learning and Telemedicine Grant program and the Rural Economic Development loan and grant program.

In conjunction with Health IT Week, Secretary Vilsack announced funding today for the following recipients to make technological upgrades and improve access to quality health care in rural areas. USDA funding is contingent upon the recipient meeting the terms of the loan or grant agreement.

Kansas

  • Ellinwood District Hospital - $237,000 Community Facilities loan. Funds will be used to install a boiler system to improve the dependability and efficiency of the hospital's heating and cooling system.

Illinois

  • Pinckneyville Community Hospital District - $22,999,000 Community Facilities loan. Funds will be used to construct a replacement critical access hospital building.
  • Community Memorial Hospital Association - $8,000,000 Community Facilities loan. Funds will be used to renovate the hospital in Staunton, Ill. The project will improve emergency services, centralize outpatient testing and services and improve patient registration.

Iowa

  • Access Energy Cooperative - $300,000 Rural Economic Development grant and $495,000 Rural Economic Development loan. Funds will be used to create a revolving loan fund that will provide a pass-through loan for the Henry County Health Center to purchase equipment for the surgical and outpatient departments. The project will create three jobs and help retain 300 existing jobs.

Texas

  • Mitchell County Hospital District - $28,800 Community Facilities grant. Funds will be used to purchase a nurse call system. The system will be used to improve patient care for Mitchell County residents.
  • Kinney County - $40,600 Community Facilities grant. Funds will be used to purchase an ambulance.

President Obama's plan for rural America has brought about historic investment and resulted in stronger rural communities. Under the President's leadership, these investments in housing, community facilities, businesses and infrastructure have empowered rural America to continue leading the way - strengthening America's economy, small towns and rural communities.

USDA, through its Rural Development mission area, has a portfolio of programs designed to improve the economic stability of rural communities, businesses, residents, farmers and ranchers and improve the quality of life in rural America. USDA has made a concerted effort to deliver results for the American people, even as the Department implements sequestration - the across-the-board budget reductions mandated under terms of the Budget Control Act. USDA has already undertaken historic efforts since 2009 to save more than $828 million in taxpayer funds through targeted, common-sense budget reductions.

For more information about the objective of this initiative and the partnership between Secretaries Vilsack and Sebelius, please follow this link describing the Iowa pilot, which was the first of five pilot projects that took place across five states: http://www.healthit.gov/buzz-blog/local-implementation-support/creative-solutions-expand-iowas-rural-health-funding/

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USDA is an equal opportunity provider and employer. To file a complaint of discrimination, write: USDA, Office of the Assistant Secretary for Civil Rights, Office of Adjudication, 1400 Independence Ave., SW, Washington, DC 20250-9410 or call (866) 632-9992 (Toll-free Customer Service), (800) 877-8339 (Local or Federal relay), (866) 377-8642 (Relay voice users)


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Study Shows Simple Lifestyle Changes Can Trigger Improvements at the Cellular Level

Dr. James L. Hardeman has seen firsthand the consequences of unhealthy habits during his 30 years as a practicing physician, and he says they're just not worth it.

"There are very clear, biological reasons why we are compelled to eat sugary, fatty foods; but if there was ever a case of 'too much of a good thing,' it's a sedentary lifestyle coupled with delicious, readily available food," says Dr. Hardeman, author of "Appears Younger than Stated Age," (www.jameslhardeman.com), a pragmatic guide to looking younger.

As we evolved, sugar, salt and fat were rare yet necessary commodities, and that's why we enjoy them so much, he says. But there are devastating consequences associated with too much rest, sugar and fat - including heart disease, obesity, diabetes and sleep apnea, he says.

"The 'easy life' isn't so easy in the long term," he says.

Multiple studies indicate the multidimensional nature of healthy habits, including one recently published by the Lund University Diabetes Centre in Sweden. The study tracked significant improvements in men who changed their lifestyle from inactive to active, and the results were impressive.

Waist circumference and blood pressure drastically improved after six months. But the study also showed that health also improved at the microscopic level, such as the functioning of genes and how they express proteins. Other studies indicate that gene improvement can occur after just one workout.

"Our bodies want to be healthy, and it's just a matter of getting and staying motivated," says Dr. Hardeman, who offers tips:

• Don't fall into the "I don't have time" trap. Time is arguably the most precious commodity any individual has - and that means life span. Don't have time to chop veggies before dinner or work out after work? Then make time! You will almost certainly live longer by following a healthier lifestyle. Need more incentive than a vague sense of health? How about avoiding the lifestyle restrictions imposed by diabetes, or the medical interventions necessitated by a heart attack?

• Keep in mind the intake/output principle. Miracle diets don't exist. While some people can burn calories more easily than others, it ultimately comes down to what you put into your body and what you do with that energy. If you want to lose or maintain weight, think of a 360-calorie muffin as a loan you have to pay back with 35 to 40 minutes worth of jogging, or a 55-minute walk.

• Keep doing fun things! Remember what it was like to be a little kid? Back then, simply running around during a game of tag was a blast! It's never too late to turn exercise into play. Try snowboarding, dancing at a club, hiking a beautiful landscape or taking a bicycle ride with the family.

• Find the motivator that works for you. Many people find a partner helps them stay motivated to exercise. If you're not inclined to walk in the morning, but you don't want to let down your walking partner, then you're more likely to walk anyway. Same goes for a dog that needs to be walked. However, the most dependable person to keep you motivated is you. If your routine is getting a dull, mix it up with an mp3 player. Whether it's Metallica, Manilow or Mozart, you can program a personal adrenalin soundtrack to keep yourself fully amped.

About Dr. James L. Hardeman

Dr. James L. Hardeman has been a physician for 30 years. Triple board certified in Internal Medicine, Pulmonary Diseases, and Critical Care Medicine, Dr. Hardeman works both in a hospital and at his own busy office practice. After graduating Summa Cum Laude from the University of California at Irvine, he attended Baylor College of Medicine where he graduated with honors. Postgraduate training in Internal Medicine and Pulmonary/Critical Care Medicine took place at USC and UCI.

PEORIA, Ill. (Sept. 16, 2013) ? October is Liver Awareness Month, and the American Red Cross reminds eligible donors that organ transplant patients often rely on donated blood products. Liver transplant patients may need 30 or more transfusions during the surgery.

Recently, a liver transplant patient at a hospital served by the Red Cross was treated with more than 75 units of red blood cells, platelets and plasma.

Liver transplants are the second most common transplant, with more than 6,000 performed every year in the U.S. ? and more than 16,000 Americans are currently waiting for a liver transplant, according to the American Liver Foundation.

Ways to protect your liver from disease

There are a variety of ways to help protect your liver from disease. The American Liver Foundation offers these simple tips:

- Maintain a healthy diet low in fatty foods.

- Limit alcohol intake.

- Do not smoke.

- Manage medications appropriately.

- Limit contact with toxins.

- Exercise regularly.

For more information, visit liverfoundation.org.

Please visit redcrossblood.org or call 1-800-RED CROSS to make an appointment to donate blood or platelets to help patients like these and many others.

Upcoming blood donation opportunities:

Carroll County

Oct. 14 from 12-5 p.m. at Savanna Moose Lodge, 125 Main St. in Savanna, Ill.

Henry County

Oct. 7 from 10 a.m. to 2 p.m. at Black Hawk College-East, 26230 Black Hawk Road in Galva, Ill.

Oct. 9 from 2-6 p.m. at First Christian Church, 105 Dwight St. in Kewanee, Ill.

Oct. 14 from 2:30-6 p.m. at Hooppole Community Center, 1404 Washington St. in Hooppole, Ill.

Mercer County

Oct. 3 from 1-6:30 p.m. at Calvary Lutheran Church, 121 N. Meridian St. in New Windsor, Ill.

Oct. 15 from 11:30 a.m. to 5:30 p.m. at VFW Hall, 106 SW Third Ave. in Aledo, Ill.

Whiteside County

Oct. 2 from 2-6 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Oct. 3 from 9:45 a.m. to 4 p.m. at CGH Medical Center, 100 E. LeFevre Road in Sterling, Ill.

Oct. 8 from 1-6 p.m. at Robert Fulton Community Center, 912 Fourth St. in Fulton, Ill.

Oct. 9 from 10 a.m. to 2 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Oct. 14 from 11:30 a.m. to 5:30 p.m. at Prophetstown-Lyndon-Tampico CUSD 3, 79 Grove St. in Prophetstown, Ill.

Oct. 15 from 10 a.m. to 3 p.m. at Morrison Institute of Technology, 701 Portland in Morrison, Ill.

The need is constant. The gratification is instant. Give blood.®

How to donate blood

Simply call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org to make an appointment or for more information. All blood types are needed to ensure a reliable supply for patients. A blood donor card or driver's license or two other forms of identification are required at check-in. Individuals who are 17 years of age (16 with parental consent in some states), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements.

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. The Red Cross is supported in part through generous financial donations from the United Way. For more information, please visit redcross.org or visit us on Twitter at @RedCross.

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