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Sylvester Stallone Shuns Viagra

Los Angeles, Aug 26 – Hollywood action star Sylvester Stallone has revealed that he would never use Viagra because he is happy with his wife Jennifer Flavin.

The 64-year-old ‘Expendables’ star insists that men don’t need to use pills to boost their sex life if they have an attractive lover, reports imdb.com.

‘It’s all about your partner, let’s face it,’ he said.

Former model Flavin is Stallone’s third wife and they have three daughters.

The actor believes he was natural when it came to wooing women.

‘I’m a good flirt. I do flirt well. Not that I’m a great Casanova but I think women love clever banter.’

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Health Department records show that Bayard Street mainstay New Bo Ky was closed after racking up 50 points during an inspection last Friday. Violations include food stored at improper temperatures, live roaches, and “food worker prepares food or handles utensil when ill with a disease transmissible by food, or have exposed infected cut or burn on hand.” The restaurant was still shuttered when we walked by this afternoon, and a call to its Grand Street outpost went unanswered. Two other Chinese restaurants were closed by the DOH on Friday (Golden House in Queens and Sweet Spring on Catherine Street). Earlier in the week, a restaurant at 96 East Broadway was closed with 66 points; Chang Wang at 38A Allen Street was closed with 63 points; and Gao Xin Seafood Restaurant at 31 Division Street was shuttered after racking up an impressive 120 points (that number went down to 21 points during a follow-up inspection on Friday). Inspection results below.

NEW BO KY RESTAURANT
1) Hot food item not held at or above 140º F.
2) Food worker prepares food or handles utensil when ill with a disease transmissible by food, or have exposed infected cut or burn on hand.
3) Live roaches present in facility's food and/or non-food areas.
4) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.

GOLDEN HOUSE CHINESE RESTAURANT
1) Evidence of mice or live mice present in facility's food and/or non-food areas.
2) Live roaches present in facility's food and/or non-food areas.
3) Hand washing facility not provided in or near food preparation area and toilet room. Hot and cold running water at adequate pressure to enable cleanliness of employees not provided at facility. Soap and an acceptable hand-drying device not provided.
4) Sanitized equipment or utensil, including in-use food dispensing utensil, improperly used or stored.
5) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
6) Pesticide use not in accordance with label or applicable laws. Prohibited chemical used/stored. Open bait station used.
7) Plumbing not properly installed or maintained; anti-siphonage or backflow prevention device not provided where required; equipment or floor not properly drained; sewage disposal system in disrepair or not functioning properly.

SWEET SPRING RESTAURANT
1) Hot food item not held at or above 140º F.
2) Food worker does not wash hands thoroughly after using the toilet, coughing, sneezing, smoking, eating, preparing raw foods or otherwise contaminating hands.
3) Raw, cooked or prepared food is adulterated, contaminated, cross-contaminated, or not discarded in accordance with HACCP plan.
4) Evidence of mice or live mice present in facility's food and/or non-food areas.
5) Filth flies or food/refuse/sewage-associated (FRSA) flies present in facility’s food and/or non-food areas. Filth flies include house flies, little house flies, blow flies, bottle flies and flesh flies. Food/refuse/sewage-associated flies include fruit flies, drain flies and Phorid flies.
6) Tobacco use, eating, or drinking from open container in food preparation, food storage or dishwashing area observed.
7) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
8) Food contact surface not properly maintained.
9) Non-food contact surface improperly constructed. Unacceptable material used. Non-food contact surface or equipment improperly maintained and/or not properly sealed, raised, spaced or movable to allow accessibility for cleaning on all sides, above and underneath the unit.

GAO XIN SEAFOOD RESTAURANT
1) Shellfish not from approved source, improperly tagged/labeled; tags not retained for 90 days.
2) Canned food product observed swollen, leaking or rusted, and not segregated from other consumable food items .
3) Evidence of rats or live rats present in facility's food and/or non-food areas.
4) Evidence of mice or live mice present in facility's food and/or non-food areas.
5) Live roaches present in facility's food and/or non-food areas.
6) Filth flies or food/refuse/sewage-associated (FRSA) flies present in facility’s food and/or non-food areas. Filth flies include house flies, little house flies, blow flies, bottle flies and flesh flies. Food/refuse/sewage-associated flies include fruit flies, drain flies and Phorid flies.
7) Hand washing facility not provided in or near food preparation area and toilet room. Hot and cold running water at adequate pressure to enable cleanliness of employees not provided at facility. Soap and an acceptable hand-drying device not provided.
8) No facilities available to wash, rinse and sanitize utensils and/or equipment.
9) Food not protected from potential source of contamination during storage, preparation, transportation, display or service.
10) Sanitized equipment or utensil, including in-use food dispensing utensil, improperly used or stored.
11) Wiping cloths soiled or not stored in sanitizing solution.
12) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
13) Pesticide use not in accordance with label or applicable laws. Prohibited chemical used/stored. Open bait station used.
14) Canned food product observed dented and not segregated from other consumable food items.
15) Plumbing not properly installed or maintained; anti-siphonage or backflow prevention device not provided where required; equipment or floor not properly drained; sewage disposal system in disrepair or not functioning properly.
16) Other general violation.

LIU, WEN YING
1) Hot food item not held at or above 140º F.
2) Cold food item held above 41º F (smoked fish and reduced oxygen packaged foods above 38 ºF) except during necessary preparation.
3) Food not cooled by an approved method whereby the internal product temperature is reduced from 140º F to 70º F or less within 2 hours, and from 70º F to 41º F or less within 4 additional hours.
4) Evidence of mice or live mice present in facility's food and/or non-food areas.
5) Live roaches present in facility's food and/or non-food areas.
6) Food not protected from potential source of contamination during storage, preparation, transportation, display or service.
7) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
8) Non-food contact surface improperly constructed. Unacceptable material used. Non-food contact surface or equipment improperly maintained and/or not properly sealed, raised, spaced or movable to allow accessibility for cleaning on all sides, above and underneath the unit.

CHANG WANG RESTAURANT
1) Hot food item not held at or above 140º F.
2) Cold food item held above 41º F (smoked fish and reduced oxygen packaged foods above 38 ºF) except during necessary preparation.
3) Evidence of mice or live mice present in facility's food and/or non-food areas.
4) Live roaches present in facility's food and/or non-food areas.
5) Filth flies or food/refuse/sewage-associated (FRSA) flies present in facility’s food and/or non-food areas. Filth flies include house flies, little house flies, blow flies, bottle flies and flesh flies. Food/refuse/sewage-associated flies include fruit flies, drain flies and Phorid flies.
6) Sanitized equipment or utensil, including in-use food dispensing utensil, improperly used or stored.
7) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
8) Plumbing not properly installed or maintained; anti-siphonage or backflow prevention device not provided where required; equipment or floor not properly drained; sewage disposal system in disrepair or not functioning properly.
9) Other general violation.

BANGKOK EXPRESS NO. 1
1) Raw, cooked or prepared food is adulterated, contaminated, cross-contaminated, or not discarded in accordance with HACCP plan.
2) Live roaches present in facility's food and/or non-food areas.
3) Filth flies or food/refuse/sewage-associated (FRSA) flies present in facility’s food and/or non-food areas. Filth flies include house flies, little house flies, blow flies, bottle flies and flesh flies. Food/refuse/sewage-associated flies include fruit flies, drain flies and Phorid flies.
4) Facility not vermin proof. Harborage or conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.
5) Pesticide use not in accordance with label or applicable laws. Prohibited chemical used/stored. Open bait station used.
6) Non-food contact surface improperly constructed. Unacceptable material used. Non-food contact surface or equipment improperly maintained and/or not properly sealed, raised, spaced or movable to allow accessibility for cleaning on all sides, above and underneath the unit.

Chronic depression affects every part of daily life, including sex. It curbs sex drive, yet sex can boost your mood and is important for relationships. And some depression drugs can curb your libido.

Breaking this cycle can be hard.

How to get out of this funk? There's no one-size-fits-all approach. But there are some tried-and-true ways to successfully treat depression without ruining your sex life.

What’s most important, experts say, is to never stop depression treatment out of fear that your relationships and sex live will suffer. That’s because depression itself can hurt relationships and may cause loved ones to take these problems personally.

“In depression, the chemical soup often isn’t right,” says Russell Stambaugh, PhD, a sex therapist in Ann Arbor, Mich., and a spokesman for the American Association of Sexuality Educators, Counselors, and Therapists. “The brain is important for sexuality because of the chemistry, but it’s also important for ideas. It helps how you experience pleasure and how you define it.”

Treat the Depression First

Whatever is happening with your sex life, it's important to treat depression first. Address any sexual side effects later.

Depression is the top cause of disability in the U.S. for people aged 15-44 — the most sexually active years for most people. Men and women struggle equally with sexual problems during depression.

People with chronic depression can experience a loss of desire, take longer to orgasm, and simply find sex less enjoyable.

“The whole process of sexual arousal starts with the ability to anticipate pleasure, which is lost with depression,” says Frederick K. Goodwin, MD, who serves on the scientific council for the National Alliance for Research on Schizophrenia and Depression. “People who are depressed are locked in the moment of their suffering.”

Drugs that treat depression, Goodwin says, “can release sexual function from the grips of depression.” Still, many antidepressants can affect sex drive.

“Medications can change sexual function,” says J. Michael Bostwick, MD, a psychiatry professor at the Mayo Clinic in Rochester, Minn. “But it’s a mistake for patients or physicians to immediately assume a difference in sexual function is bad. It’s different, and then you have to figure out if it’s bad or good. In fact, once the depression is treated, they may have a different view about sex altogether.”

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Health Care: WH Awaits Insurance Rules

• “Health and Human Services Secretary Kathleen Sebelius could find herself pitted between top Democrats on Capitol Hill and state insurance commissioners over a key section of the health care overhaul,” Politico reports. “Sebelius is waiting for the National Association of Insurance Commissioners to suggest rules surrounding how much insurance companies must spend on medical costs versus administrative expenses or profits. The report, expected in weeks, isn't likely to be as strict on insurers as top Democrats have hoped.”

• “The Obama administration is rewriting new rules on medical privacy after an outpouring of criticism from consumer groups and members of Congress who say the rules do not adequately protect the rights of patients,” the New York Times reports. “The rules specify when doctors, hospitals and insurers must tell patients about the improper use or disclosure of information in their medical records. Such breaches appear to have become more frequent, with the growing use of health information technology, social media and the Internet.”

• “A key member of Congress plans to send a letter to federal regulators” today “seeking a detailed explanation of what they knew about the activities of an Iowa egg producer at the center of a salmonella outbreak and massive egg recall,” the Washington Post reports. “Rep. Rosa DeLauro (D-Conn.) plans to ask the Food and Drug Administration and Agriculture Department about Austin 'Jack' DeCoster, who owns Wright County Egg.”

• “Insurance agents and brokers, afraid of being rendered irrelevant in the post-health reform world of simplified insurance shopping, are fighting for their very survival,” The Hill reports. “The agents want lawmakers' and regulators' support in getting the Obama administration to recognize their role in the federal insurance Web portal, which lets consumers compare coverage options online.”

Spring and summer offer Southwestern AHEC many opportunities to provide health information to the community.  Local health and faith-based organizations take advantage of the good weather to invite area residents to learn about the services available through their own and partner agencies.  Many of the health fairs include screenings as well as health and social services information.

Southwestern AHEC participates in many such events, offering information related to our programs on childhood, adolescent and adult immunization; oral (dental) health; and health careers.  This year, staff have already attended fairs at Prayer Tabernacle Church of Love, Southwest Community Health Center, the Church of God and the Cathedral of Praise, all in Bridgeport.  We also participated in a fair at Abdul-Majid Karim Hasan Islamic Center in Hamden, assisted by 4 college students involved in our health careers programs.  We will be participating in the annual health fair of the Hispanic Advisory Council of Greater Stamford in September.

Community health events are an excellent channel for Southwestern AHEC to conduct outreach into the community, as well as to showcase the breadth and success of our various programs.

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Bacon's Rebellion covers public policy issues in Virginia with an emphasis on taxes, infrastructure, land use, transportation, energy and the environment.

We request, though we don't require, readers to use their real names when they comment. For those unwilling to reveal their real name, we ask that they use a consistent pseudonym so others can more easily track who is saying what.

We have managed, so far, to avoid posting elaborate rules for participating in this blog. We simply urge contributors and commenters to maintain a collegial atmosphere. Direct all the fire and fury you want at another person's argument, but do not engage in ad hominem attacks. The publisher reserves the right to delete any comments that violate this basic rule.

Glossary

Many words used in the discussion of human settlement patterns often have vague or confusing meanings. EMR uses these words with precise definitions, as can be found in this Glossary.

Editorial Guidelines

Bacon's Rebellion strives to provide the highest quality news and commentary. We make our editorial policies available to the public. You can read them here. We invite our readers to hold us accountable. Don't hesitate to point out violations or inconsistencies to the publisher here.

Gratuitous Promotion

Jim Bacon writes another blog, “Boomergeddon,” which tracks the age wave, entitlements, deficit spending and rising national debt that will drive the federal government into default and totally mess with your retirement. It's lots of fun!

Read it here.

  • Seniors Mobile Health Monitor

    Fujitsu and local govt offices in Hokaido will give special ’simple’ phone to Sr. citizens as life support service via monitor of GPS and pedometer data http://bit.ly/cgDHM1

    Machine Translation:

    Fujitsu and the town office of Shiraoi. watch the elderly person of living alone with the phone
    Fujitsu and Hokkaido and the Shiraoi town office announced that they jointly constructed a contact central system in the region as life support service for the senior citizen who used universal cellular phone “ phone” of Fujitsu on August 19, and began operating on August 23.

    In this service, it turns over ..60.. lazing about ..the allocation of the where to make contact of “Anther”, “..seeming.. ”, and “Coming moxa cautery” in three buttons.. and the phone is distributed to the senior citizen of living alone. It consulted the support volunteer in the region only by pushing the button, and it informed the 119.

    Moreover, the data of the pedometer built into carry is notified to the contact center by the automatic operation once a day. The watch functions such as grasps of the location information such as GPS sensors when abnormality of no movement from the specific location etc. is detected and taking the safety confirmation are offered.

    Fujitsu and Fujitsu Research Institute propose it to the Shiraoi-cho, and as for this service, the Shiraoi-cho will expand the object of this system besides the senior citizen in the future, and examine the local populace’s convenience improvement and use for the local revitalization etc. by constructed what.

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    Kate Pickert:
    .
    By some important measures, the American medical system provides better and more advanced care for patients than systems in the countries also included in this report: France, Britain, Canada and Germany.
    .
    Which “important measures?” In which countries, specifically?
    .
    We know (from you) all about the breast cancer statistics being worse for Britain –which has a completely different health care system than France, Canada and Germany, by the way– but what else are you speaking of?
    .
    Ezra Klein's November, 2009 piece in WaPo showed data demonstrating the vast discrepancy between what Americans pay vs what these other countries pay for the same unit of health care ( link to the WaPo price comparison column, one of the very few ) . In it, US physician visit fees range up to $151 vs Germany's $22, US CT imaging scans range up to $1800 vs Germany's $319, and US drug prices (such as for Lipitor) range from as high as $334 vs Germany's $48.
    .
    When you ask “Should Wealth Determine Health,” shouldn't you really be asking “Should US consumers pay more than Germans for health care?”
    .
    Are you making the claim that Germans somehow get “worse and less advanced care for patients” than Americans? In what way? Are their CT scans “worse and less advanced?” How about Germans' brand-name cholesterol drug Lipitor, Kate Pickert? Is that less advanced, somehow, too?
    .
    And are you making the claim that these countries have worse health outcomes than Americans receive overall?
    .
    Please link to the source of your information, Kate Pickert, so that we may evaluate these claims against the actual data.
    .
    Also, you write:
    .
    Those most likely to cut back on routine medical care, according to the report, are the working poor, the unemployed, and young adults.
    .
    This is the unlevel playing field the newly enacted health reform law is meant to address. The law will expand coverage to some 30 million more Americans and those will coverage will see their out of pocket expenses for preventive care reduced to $0.
    .
    First, that the law was meant to address this aspect of health care, instead of fixing the US health care system so that we pay half the price –what France or Germany pay– and still get First World health care –what the citizens of France and Germany receive– is an amazing statement on your part. Isn't the “unlevel playing field” really between the citizens of the rest of the First World, and the US tax-payer, who's getting soaked by a system that eats up twice as much money as France, Germany, etc? Are the insurance needs of “young adults” really what this legislation was meant to address?
    .
    Second, is “$0″ preventative care, e.g. colonoscopies, influenza vaccinations, quit-smoking counseling, really what “the working poor, the unemployed, and young adults” are desperate for?
    .
    As the New York Times also reports:

    “About 70 percent of hospitals report fewer patient visits and elective procedures as family budgets remain tight and patients continue to delay or forgo care,” the association said in June.

    Aren't these folks desperate for actual treatment, the kind that they will probably pay the enormous co-pays, co-insurance and deductibles built into the lowest-tier “bronze plan” –junk insurance– offered to them in the proposed Exchanges?
    .
    You aren't suggesting that actual medical care for those who require it is being subsidized, are you, Kate Pickert? You are aware that the subsidies are for health insurance premiums, most likely for “bronze plan” insurance which carry high deductibles for medical care, aren't you?
    .
    Look, if a citizen of Germany needs an MRI on their knee, they're going to get one. If one of the “30 million more Americans” for whom the law will “expand coverage” requires an MRI, they will probably be required to pay a high deductible or co-insurance –sometimes hundreds or thousands of dollars– in order to receive that care. That means they probably will not get the treatment that injury requires. How is this a remedy for an “unlevel playing field?”
    .
    At the very least, will you stop putting the question of health care systems as an either/or between Britain –with a completely socialized medicine system– and America?
    .
    Why do you keep choosing the British as the counter-factual, Kate Pickert? Why don't you select Germany for your comparisons?
    .
    As the Times report states:

    Among Americans responding to the survey, they said, 26.5 percent reported reducing their use of routine medical care since the start of the global economic crisis in 2007.
    .
    This proportion dwarfs the comparable numbers for other countries: 5.3 percent in Canada, 7.6 percent in Britain, 10.3 percent in Germany and 12 percent in France.
    .
    “Even in countries with universal coverage, individuals pay some medical care costs out of pocket,” the researchers noted.
    .
    Cutbacks were generally correlated with the size of out-of-pocket costs, the researchers found. The proportion of people reporting reductions in routine care was smaller in Britain and Canada, where the co-payments are lower, than in France and Germany, where somewhat larger co-payments are required.

    So that means the German system is more like the US system, doesn't it? Higher individual co-pays mean a higher drop-off in “Discretionary health care,” i.e. avoiding what isn't absolutely necessary to continue living and working.
    .
    And yet, the Germans don't have anywhere close to the over a quarter drop off in individuals seeking health care that we are experiencing. Why wouldn't you focus on the differences between the privately based German system and ours? What are they doing right that we're either doing wrong, or not doing at all?
    .
    Why continue to frame the debate in terms of the GOP and conservative think tanks (more market fundamentalism), vs the Obama Administration and “center-left” think tanks (subsidies and coverage regulations for the system we have), vs “Socialized medicine, like they have in Britain,” Kate Pickert?
    .
    I'm not saying that you're literally cheerleading for the Administration, but you're doing exactly what they do: framing the debate solely between their ideas and the GOP's. Doesn't this diminish the scope and quality of the discussion? Aren't you essentially ignoring the rest of the evidence that's out there?
    .
    Aren't you missing the real story, Kate Pickert?

    Value-based purchasing programs will be developed for Medicare payments to home health care agencies, surgical centers, and clinics with skilled nurses (SNFs).

    Under the physician fee schedule listed in the Medicare program, there will be a value-based payment modifier. Payments will be set based on the quality of care provided as compared to the costs of care. Hospitals with high rates will be penalized with payment adjustments.

    Title III, Subtitle A, Part II: How Health Care Quality Will Be Improved

    HHS will establish a "national strategy for quality improvement." The strategy addresses health care services and health outcomes of American patients. Limitations on effectiveness data will be taken into consideration. One strategy is for the President of the United States to have an inter-agency convention on health care quality.

    Under Sec. 3013, every three years HHS must review the national strategy for improving health care, find gaps where no quality standards exist, improve existing quality measures, and either update or expand the federal health care program as needed. Grants, government agreements, and contracts will be awarded in order to meet these goals. Multi-stakeholder groups will be a part of the process.

    According to Sec. 3015, the federal government will award grants for public reporting of the health care system's performance information and a way to collect consistent data from the health care delivery information systems. This information will be published on the internet.

    Title III, Subtitle A, Part III: New Patient Care Models

    Money is available beginning fiscal year 2010 to create a "Center for Medicare and Medicaid Innovation." The goal of this center is to experiment with new payment methods and ways of delivering health services to people on Medicare and Medicaid while attempting to improve the quality of care that these individuals receive.

    Sec. 3022 provides for a shared savings program. It will promote accountability for various patient populations, coordinate Medicare parts A and B, and encourages high levels of quality and efficiency.

    There will be a new program to integrate care for an episode requiring hospitalization. The program involves bundling payments so that the health care services will be better coordinated, more efficient, and the quality of care received will improve.

    According to Sec. 3024, there will be a demonstration program for payment and services involving doctor and nurse teams who conduct home visits. The goal is to reduce expenses and improve health outcomes.

    A program to reduce the number of hospital readmissions will be established under Sec. 3025. This will become effective on October 1, 2012. Hospitals with high readmissions rates will have to reduce them through patient safety organizations.

    Funding will be provided to entities which provide high-risk Medicare patients with improved care. Certain Gainsharing Demonstration Projects will be extended through fiscal year 2011.

    Source:

    Thomas.gov, the Library of Congress: "Bill Summary and Status, 111th Congress (2009-2010), H.R. 3590 CRS Summary"

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    With Dan's permission, I am breaking in with hot[or not] news:

    The copters just flew over my house and are visually scouring the one road out of our peninsula where the Pres is staying. They are ensuring his departure later will be uneventful, one suposes. I live across the street from the Bay point development, which consists of many single family homes, several condos, two golf courses, and a large Merriot resort.

    Yesterday, my long-time "friend", Miss Snarky Doucher[say dooSHAY], and I were held up by the Pres's, motorcade of twenty-one vehicles. We saw them, along with a few Obama fans and a few non-fans, pass by . It was surprising how lightly and casually our population has taken to the Pres's presence among us. Ho hum, Saturday as usual.

    Today you will probably read that the Pres. swam in the Gulf of Mexico yesterday. That will not be factual. According to our local paper he swam in part of St. Andrews Bay. The Gulf beaches had double red flags raised meaning no swimming. When that is the case it is usually because rip currents are probable. In fact our paper reported one tourist drowned (some of the tourists who come here ignore the flags even though they are placed the length of our beaches and their meaning is described all over the place for those with eyes to see). The police were busy all day telling folks to get out of the water along the beaches.

    That is all. Out.

    Insurance policies, pensions, collective investment schemes are all different ways in which every human being tries to safeguard himself and his family. The concept of insurance is definitely very helpful and has helped many people to safeguard their different financial interests. The basic working of any type of insurance is the same. The individual who wants up purchase a policy gets in touch with an insurance company. Based upon the object that is to be insured, and the income of the person, the company rolls out a policy. The policy provides the insured object coverage and in cases of specified incidences such as accidents, legal proceedings or deaths, the insured person can receive a compensation from the company.

    In the words of law, an insurance policy is basically a legal contract between the company and the person who has been insured. A clause in such a contract that is often inserted by insurance companies in health insurance policies is that of health insurance deductibles.

    Health Insurance Deductible: Definition

    A health insurance deductible can be simply defined as an amount that is to be paid by the insured person before the insurance company provides its coverage and compensation. The term deductible is not restricted just to the health insurance polices. It is valid for almost any policy apart from the life insurance policy.

    Health Insurance Deductible: How it Works?

    The working of the deductible payment works fairly well. Such a payment is also often known as copayment. When a person incurs an expenditure due to health related problems, he has to pay a specified amount from his own pocket. After this amount is paid, the coverage of the insurance policy becomes operational. The insurance companies have basically introduced this provision into their policies, due to the fact that insured persons claim compensation for very small amounts. A simple visit to the emergency room is often claimed in the compensation. In such case, the amount that is spent is exceptionally low and making a compensation of such an amount is almost pointless. Hence, when a health insurance deductible is in operation, the amount that is spent gets paid by the deductible itself and the insured person does not have to claim an amount.

    Let us have an example of the health insurance deductible. Suppose that a policy has a deductible of $500, then the policy holder has to pay $500 before the policy becomes operational. If the policy holder incurs an expenditure of $6000, then he or she has to first pay $500, and then apply for a claim of $5,500. However, if the person insures only $30, as an expenditure, then there is no need to claim any amount. There are also some insurance companies that provide policies in which the deductible is repaid. If we take the same example, then the total $5,500 and $500 are reimbursed. However, if the person has an expenditure of $30, then no compensation is provided.

    The amount of annual premium sometimes depends upon the amount of deductible. The general rule of thumb is the that health insurance high deductible, means a lower amount of compensation or a refund of the deductible and vice-versa.

    To know more about health insurance, read:

    • Low Cost Health Insurance
    • Affordable Health Insurance

    In some cases, the insurance company includes the amount of deductible within the premium itself and the total amount of small and insignificant claims is paid in bulk to the insured at the end of the fiscal year. If you are planning on availing a family health insurance policy then a health insurance deductible is bound to be mandatory.

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    Cure Acne With A Natural Health Remedy

    If you have acne, you might feel like there is nothing else you wouldn’t rather have in place of it. And with the acne scarring that comes afterward, it is no wonder that so many people find themselves desperately jumping from one product to another.

    The best news that any acne sufferer can hear is that acne is curable with time and dedication; and that with the right product, acne treatment can meet all your acne removal needs.

    Natural health remedies are usually the best way to go. All you have to do is to know your skin type. This is to help prevent you from buying products that will not help you in any way.

    And another crucial thing to remember is that there is only one way to treat acne permanently–and that is to be proactive!

    With natural health remedies, you will be able to remove your acne through natural treatment. And with the limited side effects that natural health remedies cause, you will be pleased to know that you will not break out in any allergies.

    Natural health remedies are there to give you the best of nature with their natural ingredients that will work to feed and nourish your skin while, at the same time, provide you with the painless treatment you need.

    Having acne can erode an acne sufferer’s confidence; and with the help of natural health remedies, that sufferer can regain her confidence as well as her beautiful skin.

    The natural health remedies for acne that you need to purchase are face wash and facial scrub; cleanser; toner and day and night cream. And in order for these natural health remedies to work, you need to use them.

    Make a daily routine so that you can give your skin the best treatment available.

    Natural health remedies will help to remedy your acne and you can be happy again, just as long as you make that commitment to your skin and yourself.

    The health insurance industry in Vietnam has seen significant increases recently. During the period between the 4th quarter in 2009 and June 2010, 5.5 million new customers were generated. In total over 50.2 million people in Vietnam now have some form of health insurance.

    The significant growth in the insurance market in Vietnam comes at a time when healthcare insurance providers launch new insurance products across the sector to take advantage of the growing demand for health insurance in the expanding economy. Health insurance coverage in Vietnam has become a main objective for the Vietnamese government, with international insurance companies taking full advantage of the growing market.

    The findings released in Hanoi in August 2010 on health insurance policies in Vietnam indicated that 8.27 million workers in Vietnam purchased healthcare insurance, with more than 15 million low income Vietnamese, 10.8 million students and pupils, 2.3 million voluntary people, 7.5 million children under six years old, and 6.3 million state budget beneficiaries also coming under some form of coverage. However, even with this acceleration in business, the mission remains to increase the access to health insurance to the less advantaged people in Vietnam; universal health insurance still remains a key focus for the government.

    It was reported that in the first half of 2010, over VND 8.5 billion (US$ 44 million) from health insurance funds was spent on medical treatment for both residents and non-resident patients; a figure which indicates the potential for expanding healthcare cover in Vietnam.

    According to the Association of Vietnamese Insurers, the general insurance market increased by 10.2% in 2009 compared to 2008, equating to 4.26 million new general insurance policies. The combined healthcare insurance and life insurance market totaled 11.86 trillion dong (US$ 575 million) – an increase of 14% year-on-year, reflecting a significant growth in income generated from premiums. The figures for the year ending 2010 are expected to display a further strengthening of the insurance market in Vietnam.

    The Government of Vietnam introduced ‘The Law of Health Insurance’ in October 2009, to develop health insurance across the country, with the aim of benefiting all people in the country, and expanding the access to Vietnamese health insurance. However, the provision of healthcare facilities remains weak, with an overload of patients; the main issue affecting ‘The Law of Health Insurance’ is the monetary contributions that need to be made by policy holders, with the lower income Vietnamese struggling to meet the financial cost of seeking medical treatment.

    Vietnam has a population exceeding 89 million people, with an expanding and prosperous economy. This is providing lucrative opportunities in the Vietnamese insurance market with the potential for further growth expected in the short/mid-term. During the 2008-2009 economic downturn, international insurance companies struggled for growth in their respective market segments. Prudential was the leading insurance provider in 2009 – generating 4.73 trillion dong (US$ 246 million), while Manulife, in the same period generated 1.26 trillion (US$62 million) from new policy premiums.

    The forecast is for further growth in the Vietnamese insurance market with a number of established insurance companies entering the market in Vietnam. These companies recognize the opportunities in this expanding business sector in one of the faster growing and robust South-east Asian economies. With growth in the middle-class expected over the next decade and higher disposable income levels, the demand for better quality healthcare services will drive the provision for improvements hospitals and health insurance in Vietnam. In summary, the full potential for the insurance market in Vietnam still has significant room to develop, with competition between insurance providers fighting to gain market share.

    Insurance Companies Mentioned:

    Prudential Vietnam

    Prudential Vietnam is one the leading insurance providers in Vietnam, offering services to

    millions of Vietnamese people via the network of over 155 customer service centers, branch offices and general agency and business partner offices nationwide. Prudential Vietnam now takes the lead in the life market with over 40% market share in terms of premium income.

    Manulife in Vietnam

    Manulife Vietnam was the first 100 per cent foreign-owned life insurance company in Vietnam, being its operation in September 1999 as a joint-venture called Chinfon-Manulife Insurance Company (CMIC). Manulife in Vietnam has grown rapidly to become a world class company providing a competitive array of financial protection products and services to Vietnamese customers. Since commencing operations, Manulife has helped more than 300,000 middle to upper-income Vietnamese plan right for their life.

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    Barack Obama’s ambitious health care plan is fairly simple and straightforward. His plan seeks to dramatically and swiftly increase the number of people that have health insurance. He insists that this plan will save the typical American family approximately $2500 in annual costs. Since the average Ohio health insurance premium is less than most other states, savings to Ohio residents may average less than $2500.

    The Obama plan is designed to give the federal government more control over health care decisions and dollars, a major difference from the current decentralized system of employer-based insurance and state-based insurance regulation. Here in Ohio, health insurers have been effectively held in check by the Ohio Department of Insurance. This, however, is not the case in many other states.

    The Obama Plan

    Many parts of the Obama plan resemble initiatives from the Clinton health plan of 1994 and the Kerry Health plan of 2004.
    Essentially, Obama’s health care plan is divided into three sections:

    1. Modernizing the US health care system to lower costs and improve quality
    2. Promoting prevention and strengthening public health
    3. Quality, portable and affordable health coverage for every person

    The “Savings”

    The $2500 in savings will come from health care reform, using some of the following initiatives:

    *Making health insurance universal, which may reduce spending on uncompensated care.
    *Improving management and prevention of chronic conditions.
    *Increasing insurance industry competition and reducing underwriting costs and profits.
    *Providing reinsurance for catastrophic coverage, which will reduce insurance premiums.

    Shifting Cost Burden

    While all of these ideas are feasible, the underlying theme seems to be simply shifting some of the cost burden from the private sector to the government. And of course, much more control of our health dollars and decisions would come from Washington D.C and not Anthem or UnitedHealthCare.

    The Obama plan will actually compete directly with Ohio private health insurance companies in a “National Health Insurance Exchange.” The federal government (not health insurance carriers) would determine the quality of health benefits that Americans would receive. And these new rules would apply to both the new national health plan and all participating private health plans.

    Preventative Coverage Would Be Emphasized

    Obama’s health care plan will encourage “healthy lifestyles” with specific emphasis on wellness. Employer wellness programs will be increased, and cafeterias and vending machines in the workplace may see healthier food.

    School-based health screening programs may increase along with increased support for physical education.

    For Ohio individuals and families, the Obama plan would require preventative services on many federally-supported health programs such as Medicare, Medicaid and SCHIP. One benefit may be possible discounts to on health insurance premiums for enrollment in wellness and prevention programs.

    Currently, some Ohio individual health insurance policies offer a similar discount, such as Anthem’s Lumenos Health Incentive Account (HIA).

    Ohio Group Health Insurance

    Employer-based health insurance would radically change under the Obama plan. Here in Ohio, both small and large employers are able to choose among many different health plans for their employees. The Obama plan would force employers to offer a specific level of health benefits to their employees or pay a tax to finance a national health program. Currently, the amount of provided health benefits and the size of the tax have not been specifically discussed.

    Perhaps the best and most economical health insurance plan for Ohio residents would be a concept already in place…HSAs (Health Savings Accounts). Thus, instead of imposing a top-down change on the health care system, it would seem to be prudent to transfer direct control of health care dollars to individuals and families. This would allow Americans to choose their own health plans and benefits, while making health insurance companies compete directly for consumer’s dollars by providing a real value to patients.

    All of this could be accomplished by specific tax and regulatory changes designed to utilize the power of free-market competition. Health care spending could be reduced, preventative treatment could be emphasized and portability could be promoted. Reforming the tax treatment of health insurance and aiding employers that help their employees buy health insurance would help quite a bit.

    For now, Ohio health insurance rates are remarkably low compared to many other states. There are many reputable health insurance companies that offer a wide array of policies, including Health Savings Accounts. That shouldn’t change much for the next two years. In 2011, things might change…hopefully, for the better.

    For additional information on Ohio health insurance plans, or an instant Ohio health insurance quote, please visit http://www.ohioquotes.com

    Business owners say they offer health care benefits to attract employees and retain workers. But providing health care to employees is the second highest cost for business owners behind payroll and many owners fear costs will only increase, according to a non-scientific survey taken by the Shoals Chamber of Commerce of 33 small local businesses.

    “Small groups are too expensive for the coverage you get. There are a lot of benefits that companies like Blue Cross don't even offer unless you have 50 or more people,” Lorinda Snoddy, who runs a medical massage practice in Florence, wrote in her survey response.

    “One example is massage therapy benefits. I have checked into coverage, but it was too expensive. Most of us have insurance through our spouse.”

    Small businesses with 20 or fewer employees pay 18 percent more for health insurance than larger corporations for the same coverage, according to a 2009 report from the president's counsel of economic advisers.

    The high costs mean some businesses simply cannot afford health care for their employees.

    “Without market competition as it currently exists, small businesses can't squeeze health care benefits into their limited budgets,” said Elba Barnes, executive director of Westminster Interfaith Caring Place. “The result is that while we can hire the unemployed who have no income or benefits, we are vulnerable to losing them when they are recruited by larger employers who offer health care coverage as a benefit and/or higher wages.”

    Small businesses locally and across the nation are adapting in many ways to heath care costs that in some cases inflate by 11 percent each year. For some, medical insurance costs doubled in the past decade.

    Most who responded to the chamber survey agreed health care costs hit small businesses especially hard.

    “Group coverage premiums continue to increase with reductions in benefits,” Randall Davis, of Tennessee Valley Animal Clinic in Tuscumbia, wrote in his survey response. “No options to shop for different coverage because only a few companies are allowed to offer coverage in state.”

    In January, most Blue Cross Blue Shield plans will eliminate out-of-pocket maximums for hospital visits. Instead of capping off hospital bills at between $1,500 for individuals or $6,750 for families, hospital visits and procedures could balloon into crippling amounts for employees.

    “There will still be a calendar year out-of-pocket maximum, but these two hospital co-pays (in-network inpatient hospital co-pay and in-network outpatient hospital co-pay) will not apply to this maximum; therefore, employees utilizing hospital services may experience more out-of-pocket costs,” Koko Mackin, vice president of Blue Cross and Blue Shield of Alabama, stated in an e-mail response.

    Opinions about the federal health care overhaul differed among those surveyed from the Chamber of Commerce.

    “Although it is too early to say, our initial thought is that anytime the government expands coverage to an additional 30 million individuals that otherwise could not afford health insurance or were excluded from coverage by an existing health insurer, it will increase our business overhead, and ultimately, those costs will impact the fees we must charge clients (thus, an inflationary impact to the economy),” stated Martin Abroms, owner of Abroms & Associates.

    The Patient Protection and Affordable Care Act (PPACA) passed in March, but its effect on small businesses won't be felt for several years. Part of the reform package includes requiring states to establish “exchanges” — marketplaces for health coverage run by government or nonprofit organizations that give common rules for insurance prices and offer health plan choices.

    Small Business Health Options Program (SHOP) exchanges will start in 2014 whereby businesses with fewer than 100 employees can obtain coverage for their employees. By 2017, businesses with more than 100 employees will be able to purchase health care coverage through exchanges, according to an analysis from the Kaiser Family Foundation, a nonprofit California think tank that focuses on health care issues.

    By 2014, adults without health coverage will be fined $95 or 1 percent of income. Those penalties increase in 2016 to $695 per uninsured adult or 2.5 percent of income.

    “From what I understand, a small business may come out better to dump the policies on the government and pay the fine,” wrote Tom Magazzu, editor of the Courier Journal. “I would be hesitant to do that simply because of all the unknowns regarding government-run health care.”

    The Congressional Budget Office estimated in November that premiums for small groups would decrease by 1 to 4 percent under the

    exchanges.

    The U.S. Small Business Administration, a governmental agency, has embraced the regulatory reform. The U.S. Chamber of Commerce soundly rejected the reform.

    Blue Cross Blue Shield of Alabama, the state's primary health care insurer, estimates health care costs will only increase with the federal reform.

    “We are concerned that the coverage mandates and insurance reforms for 2010 and 2011 imposed by the federal health care reform laws will increase the cost of coverage for our small group customers,” Mackin stated in an e-mail.

    The government reform hasn't been welcomed with open arms locally.

    “I would expect it to only make matters worse. Just look what the fed has done with the postal service, Social Security, Fanny Mae and Freddie Mac,” wrote Rick Sharp, founder and president of Integrated Corporate Solutions that specializes in developing efficiencies for businesses.

    The business community still has more than three years before the regulations take effect specifically for small businesses.

    Trevor Stokes can be reached at 256-740-5728 or trevor.stokes@TimesDaily.com.

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