OPINION: Health care in the offing

Of all President Barack Obama's transformative domestic policy proposals, none is more far-reaching and less transparent than health care. What most Washington policy people mean when they talk about his health care proposal was described in the first two paragraphs of Robert Pear's meticulous article in The New York Times on April 1:

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When Doctors Opt Out

Here's something that has gotten lost in the drive to institute universal health insurance: Health insurance doesn't automatically lead to health care. And with more and more doctors dropping out of one insurance plan or another, especially government plans, there is no guarantee that you will be able to see a physician no matter what coverage you have.

Consider that the Medicare Payment Advisory Commission reported in 2008 that 28% of Medicare beneficiaries looking for a primary care physician had trouble finding one, up from 24% the year before. The reasons are clear: A 2008 survey by the Texas Medical Association, for example, found that only 38% of primary-care doctors in Texas took new Medicare patients. The statistics are similar in New York state, where I practice medicine.

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Vitamin D Deficiency Increases Inflammation

Vitamin D deficiency, already blamed for retarding immune function and cardiovascular health and increasing cancer risk, also may be tied to inflammation, a negative response of the immune system, in healthy women.

Increased concentrations of serum TNF-?, an inflammatory marker, were found in women who had insufficient vitamin D levels, according to a University of Missouri nutritional sciences researcher has found that vitamin D deficiency. This study is the first to find an inverse relationship between vitamin D levels and concentrations of TNF-? in a healthy, non-diseased population. This may explain the vitamin's role in the prevention and treatment of inflammatory diseases, including heart disease, multiple sclerosis, and rheumatoid arthritis.

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Spray for 'six times longer' sex

A spray can help men with premature ejaculation problems prolong the length of time they have sex by six times.

Men who used the treatment five minutes before having intercourse extended their love-making from half a minute to almost four minutes, trials showed.

The spray, developed at the Royal Victoria Hospital in Belfast, contains local anaesthetics that numb the penis.

A British Journal of Urology International study says it could be available in the next couple of years.

Up to 40% of men experience premature ejaculation at some time in their lives, experts estimate.


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Researchers suspect oral sex to blame for rise in tonsil cancer

The incidence of tonsil cancer has tripled in the city of Stockholm since the 1970s and doctors at the world-famous Karolinska Institute there think they know why.

Oral sex. Or perhaps French kissing. And changes in sexual behavior that took place 20 or 30 years ago, says Tina Dalianis, a professor of tumor virology at Karolinska.

Her research has directly linked the increase in tonsil cancers to the human papillomavirus (HPV). There are more than 100 different types of HPV, some of which cause cancer. One, for example, is responsible for 99.7% of all cervical cancers.

The study found that patients with HPV in their mouths are much more likely to get tonsil cancer than patients who don’t have it. In fact for patients who are HPV-positive, the rate of tonsil cancer has gone up seven times since the '70s, Dalianis says. It takes between 20 and 30 years for an HPV infection to result in cancer, so the people getting sick now were infected in the '70s and '80s.

“It’s an epidemic,” she says.


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Perchlorate found in infant formula -- CDC

Samples of powdered infant formula contain trace levels of a rocket fuel ingredient, a federal study has found.

Researchers at the Centers for Disease Control and Prevention tested infant formula for traces of perchlorate because of concerns that the chemical can damage thyroid function. Their findings were published last month in the Journal of Exposure Science and Environmental Epidemiology.

Perchlorate has been found in the drinking water of at least 35 states and the District of Columbia. The chemical can inhibit the thyroid gland's iodine uptake, interfering with fetal development.
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Doctors say kidney stones in kids are on the rise

CHICAGO – Doctors are puzzling over what seems to be an increase in the number of children with kidney stones, a condition some blame on kids' love of cheeseburgers, fries and other salty foods.

Kidney stones are usually an adult malady, one that is notorious for causing excruciating pain — pain worse than childbirth. But while the number of affected children isn't huge, kids with kidney stones have been turning up in rising numbers at hospitals around the country.

At Children's Hospital of Philadelphia, the number of children treated for kidney stones since 2005 has climbed from about 10 a year to five patients a week now, said Dr. Pasquale Casale.

Johns Hopkins Children Center in Baltimore, a referral center for children with stones, used to treat one or two youngsters a year 15 or so years ago. Now it gets calls about new cases every week, said kidney specialist Dr. Alicia Neu.


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The Dark Side of Vegetarianism

WEDNESDAY, April 1 (HealthDay News) -- Despite its proven health benefits, a vegetarian diet might in fact be masking an underlying eating disorder, new research suggests.

The study, in the April issue of the Journal of the American Dietetic Association, found that twice as many teens and nearly double the number of young adults who had been vegetarians reported having used unhealthy means to control their weight, compared with those who had never been vegetarians. Those means included using diet pills, laxatives and diuretics and inducing vomiting to control weight.

There's a dark side to vegetarianism, said Dr. David L. Katz, director of the Prevention Research Center at Yale University School of Medicine. He had no role in the research.

"Adolescent vegetarians [in the study] were more prone to disordered eating and outright eating disorders," Katz said. "This is not due to vegetarianism but the other way around: Adolescents struggling to control their diets and weight might opt for vegetarianism among other, less-healthful efforts."

Vegetarianism, or a mostly plant-based diet, can be recommended to all adolescents, Katz said. "But when adolescents opt for vegetarianism on their own, it is important to find out why because it may signal a cry for help, rather than the pursuit of health," he said.

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ADHD Drugs Don't Help Children Long Term

Stimulant drugs like Ritalin that are used to treat ADHD don't improve children's symptoms long term, according to new research published online in the Journal of the American Academy of Child and Adolescent Psychiatry. That may come as a surprise to parents, but ADHD researchers have been arguing for the past 10 years over the findings of the Multimodal Treatment Study of Children with ADHD. Called the MTA study, it is the largest study conducted to compare the benefits of medication to behavioral interventions.

This latest report from the MTA study tracked 485 children for eight years and found those still taking stimulant medication fared no better in the reduction of symptoms such as inattention and hyperactivity or in social functioning than those who hadn't. Most of the children who had taken medication for the first 14 months were no longer taking it. This, the researchers wrote, raises "questions about whether medication treatment beyond two years continues to be beneficial or needed at all." Earlier reports found that children taking stimulants alone or combined with behavioral treatment did better in the first year than children who got no special care or who got behavioral treatment alone.

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How safe is the cervical cancer jab? Five teenagers reveal their alarming stories

t has been hailed as the wonder jab that will prevent thousands of young women suffering the same terrible fate as Jade Goody. But as parents across Britain rush to have their daughters vaccinated, others are adamant that it has triggered alarming side-effects...

Amanda Steel is flicking through last year's diary, trying to pinpoint when this nightmare began. It was the summer holidays when she first noticed that Carly, her eldest daughter, was seriously out of sorts.

'Anyone who knew Carly before will tell you what a chatterbox she was. She had so much energy she drove us mad. But suddenly, she was a different girl. It was heartbreaking to watch,' says Amanda.

'I struggled to wake her in the mornings and she barely spoke all day.'

Carly Steel

Carly Steel, 13, has aching joints and suffers from blackouts. She has not attended school since September

By August, 13-year-old Carly, was barely ever awake. Consumed with exhaustion and complaining of dizziness, she was confined to the bed or the sofa, and had to grip the furniture to steady herself whenever she took a few steps.

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