As a health and wellness CE, I talk a lot about healthy eating and healthy living. But lately I'm starting to feel like there is a conspiracy against sick people in this country. Well, maybe "conspiracy" is too strong of a word. Let's say...discrimination. With so much focus on the benefits of a healthy lifestyle, being unhealthy has quite a stigma attached to it. And it's even crossed over into politics, turning judgment into a pundit pass-time.
What I mean by that is...Health care and the uninsured is a hot-button policy issue these days (as it should be), and opponents of universal health care, often justify their opinion, by blaming lifestyle choices for poor health.
They point to the many studies that link chronic illness to obesity and smoking. Now, I'm not going to argue that an unhealthy diet and smoking aren't contributing significantly to problems like heart disease, cancer, and diabetes. But, "contributions" are not causes. Is there anyone who believes that if we just eliminated smoking and junk food, that we would eliminate chronic illness? Unfortunately, it just doesn't work that way. The high cost of health care has little to do with lifestyle, and everything to do with unscrupulous insurance companies and drug companies.
I agree that part of a good health care plan, is preventative medicine. But all the prevention in the world is not going to stop chronic illness. No matter how hard we try, we can not prevent the major cause of chronic illness, and that is aging. Then there are those other pesky little things, like genetics and the environment. The truth is, any one of us could spend our entire life eating only healthy foods and never smoking - yet still die of lung cancer or heart disease. The point I am trying to make is, that there is a very fine line between encouraging a healthy lifestyle, and blaming people for their own medical hardships. A good example would be the discrimination of overweight people.
Weight-based discrimination is rampant today because of our culturally ingrained stereotypes of fatness and fat people. Fat people, it is assumed, are fat due to “lifestyle choices,” that being a willful overeating of “bad” foods and sedentary lifestyle. So-called obesity-related diseases are viewed to be a drain on our national economy, as they decrease work productivity and increase health care costs. And because of the conflation of fat with overconsumption, those rapacious fat people are also thought to represent a threat to the environment and the security of the nation state itself.
Another thing we have little control over, is the amount of stress in our lives. But this video shows, that stress can have the same negative effects on our heart as smoking does. That's kinda scary given the stressful times we are living in.
Not too long ago, I was asked to write a post on how stress can affect your health. It's hard to imagine that at the age of 40 we could have a heart the age of 50, and for no other reason than stress. Can you imagine the amount of stress an uninsured person must have? Just like the rich get richer...the sick get sicker. Universal health care might not be the perfect solution to this problem, but it is the only solution.
9.4 million children in America, almost 90 percent living in working households and a majority in two-parent families, are still uninsured. Millions more are underinsured. Chronic budget shortfalls, often confusing enrollment processes, and dramatic variation in eligibility and coverage from state to state prevent millions of currently eligible children from living healthy and realizing their full potential in school and life.
But what does that mean to the families of the 9.4 children living without insurance?
So tell me what you think. With all the focus on making healthy choices...Are we judging or blaming the sick for their own health problems? Do you think we should insure everyone? Even the people making poor lifestyle choices?
I think to a certain extent we do tend to blame sick people for their conditions. My uncle exercised every day, ate right, and was fit and healthy. Now he has lymphoma. He did everything "right" in his iife with regard to his health and he has cancer. While some lifestyle choices do contribute to health problems, it is foolish to always assume that a sick person somehow "brought it on" him or herself.
On top of that, even though we tend to blame the sick, we do not reward the healthy. My family is generally healthy. We try to live a healthy lifestyle. But every year our insurance premium goes up by $5 to $10 a month. And last year, when I ended up with an eye infection and had to have it treated (one prescription, two visits to a specialist), our premium went up by more than $100 a month. Just for one infection. And we rarely see the doctor beyond yearly check-ups and one extra visit when my son inevitably gets doctor-worthy sick during the winter.
Shouldn't we at least make some sort of a shift to prevention-centered healthcare? What if the system was changed to reward healthy behaviors? Perhaps we'd have fewer expensive visits to the emergency room by the uninsured if people knew they could get treated earlier for little cost. What if instead of penalizing you greatly for one eye infection you were rewarded for years of healthy living?
As far as I'm concerned, the whole system is messed up. You can say what you want about frivolous lawsuits, but insurance CEOs that "need" to make $100 million a year certainly play their part in the rising cost of healthcare.
Although an interesting idea...I'm not sure if rewards for healthy behavior could be done without discriminating against the people who aren't healthy or who can't afford to be.
Unfortunitally, many families cant afford the cost of healthy foods (or healthy living)...and that is what really needs to change. We shouldn't assume that people who are not leading healthy lives, don't wish they could be. However, I also don't think insurance companies should be able to raise your deductable because of a one time infection, or preexisting condition.
I think the bottom line isn't figuring out how to reward or punish patients for their lifestyles, but to stop insurance companies from disriminating against all but the 100% healthy.
It would help if people ate better and exercised. But it wouldn't make all illness go away - obviously - but I've heard people make comments suggesting that you won't get sick at all if you just eat right.
And it can be very difficult for people with demanding jobs to find time to exercise.
Another thing that tends to bug me - sure nutrition and exercise are the most important things people have control over that could make them healthier. But - have you ever asked doctor about it? They really don't know that much about nutrition and exercise, at least not in any real detail that people need.
Maybe its not their job to know - but then I think health insurance should include visits to nutritionists and an exercise specialist of some sort (does such a thing exist? Maybe it should!) - at least one visit a year.
I totally agree. It would be great if our health insurance included visits to nutritionist, and other specialists (even alternative health practitioners). I've always believed a "team" approach is best...but for most of us, it's just not covered.
Comments
Prevention
I think to a certain extent we do tend to blame sick people for their conditions. My uncle exercised every day, ate right, and was fit and healthy. Now he has lymphoma. He did everything "right" in his iife with regard to his health and he has cancer. While some lifestyle choices do contribute to health problems, it is foolish to always assume that a sick person somehow "brought it on" him or herself.
On top of that, even though we tend to blame the sick, we do not reward the healthy. My family is generally healthy. We try to live a healthy lifestyle. But every year our insurance premium goes up by $5 to $10 a month. And last year, when I ended up with an eye infection and had to have it treated (one prescription, two visits to a specialist), our premium went up by more than $100 a month. Just for one infection. And we rarely see the doctor beyond yearly check-ups and one extra visit when my son inevitably gets doctor-worthy sick during the winter.
Shouldn't we at least make some sort of a shift to prevention-centered healthcare? What if the system was changed to reward healthy behaviors? Perhaps we'd have fewer expensive visits to the emergency room by the uninsured if people knew they could get treated earlier for little cost. What if instead of penalizing you greatly for one eye infection you were rewarded for years of healthy living?
As far as I'm concerned, the whole system is messed up. You can say what you want about frivolous lawsuits, but insurance CEOs that "need" to make $100 million a year certainly play their part in the rising cost of healthcare.
Rewarding healthy behaviors.
Although an interesting idea...I'm not sure if rewards for healthy behavior could be done without discriminating against the people who aren't healthy or who can't afford to be.
Unfortunitally, many families cant afford the cost of healthy foods (or healthy living)...and that is what really needs to change. We shouldn't assume that people who are not leading healthy lives, don't wish they could be. However, I also don't think insurance companies should be able to raise your deductable because of a one time infection, or preexisting condition.
I think the bottom line isn't figuring out how to reward or punish patients for their lifestyles, but to stop insurance companies from disriminating against all but the 100% healthy.
Thanks for your comment. :-)
Contributing Editor Catherine Morgan
CatherineBlogs, The Political Voices of Women, Care2 Election Blog
It would help if people ate
It would help if people ate better and exercised. But it wouldn't make all illness go away - obviously - but I've heard people make comments suggesting that you won't get sick at all if you just eat right.
And it can be very difficult for people with demanding jobs to find time to exercise.
Another thing that tends to bug me - sure nutrition and exercise are the most important things people have control over that could make them healthier. But - have you ever asked doctor about it? They really don't know that much about nutrition and exercise, at least not in any real detail that people need.
Maybe its not their job to know - but then I think health insurance should include visits to nutritionists and an exercise specialist of some sort (does such a thing exist? Maybe it should!) - at least one visit a year.
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I totally agree.
I totally agree. It would be great if our health insurance included visits to nutritionist, and other specialists (even alternative health practitioners). I've always believed a "team" approach is best...but for most of us, it's just not covered.
Contributing Editor Catherine Morgan at Catherine-Morgan.com, The Political Voices of Women, Care2 Election Blog