Friday, August 28, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
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THE SCOPE OF THE PROBLEM: Over 45% of our nation's population had a chronic condition, and two thirds of people on Medicare have two or more conditions. The cost of these chronic diseases medically account for 75% of the $1 trillion spent on health care annually. Chronic diseases caused 7/10 premature deaths, most of which could be preventable. Why do some people succeed and why do others struggle to manage a long-term condition?
Our unhealthy modern lifestyles local physical activity,stress, little rest, and eating habits that include high sugar, low fiber, fast foods, and processed foods all lead us to chronic illness.
These are extraordinary times in healthcare. The costs of these chronic health conditions are enormous. These conditions include; diabetes, asthma, heart disease, depression, stroke, chronic colitis, inflammatory bowel disease, emphysema, arthritis, and of course obesity. Many of these chronic conditions have a group of symptoms that a patient may complain of.
Symptoms have to have a cause, and-- if we're going to help the patient gets better, we must find these causes. Treating only symptoms are unsuccessful in the long run in restoring real health. Only by finding the real causes and correcting them can we stop the underlying diseases.
Chronic illnesses are progressive. More and more drugs are usually added to try to help the patient. Despite this, they get worse, and often the new medicines create new side effects and new diseases that they have to deal with.
The body is deficient and needs something it doesn't have, as vitamin C and vitamin D. It also has toxins that can be low-grade, pesticides, chemicals in the body, a medical load, or a chronic infection. The body is reacting to something that it should not have.
You will never get better unless you correct the deficiency. Remove the toxic load, and handle the allergic reaction. Too many medications given for your symptom, often added to the toxic load.
There is often some overlap in the underlying causes of these chronic conditions. Many diseases, as rheumatoid arthritis, fibromyalgia, chronic fatigue syndrome, and Gulf War illnesses, all present with similar chronic signs and symptoms.
Systemic chronic infections of bacteria, viruses, fungi, all overwhelm the immune system. This suppressed immune system and endocrine dysfunction may be the link between chronic illnesses.
Chronic illnesses evolve over time they may require multiple toxic exposures of infections to cause their illnesses. Often the immune system can check chronic infections and hold them at bay. If these infections can avoid immune surveillance, and can penetrate and hide in tissues and organs of the body, they can cause many complex signs and symptoms, and result in widespread pain and immune dysfunction.
Chronic infections occur as cofactors in illnesses as: HIV, AIDS, skin diseases and immune deficiency disorders, and autoimmune diseases. When Michael plasmas and other bacteria escaped from cellular compartments, they cause autoimmune symptoms.
Certain bacteria and viruses play an important role in diseases as AIDS and immune deficiency disorders. These bacteria and viruses may not be causing illness on their own, but serve as important factors in the disease process. They also increase the patient's morbidity, sickness and complications associated with the patient's disease.
Systemic chronic infections caused by bacteria (Myco plasma, chlamydia, borellia, brucellosis), and viruses Cytomegalic virus, ebola, epstein barr virus,) can virtually invade every human tissue and comprise your immune system. This gives an opportunity for infections by other bacteria viruses, and fungi and to multiply. They can then directly damage and destroy your nerve cells.
Over half of autoimmune diseases are associated with chlamydial and mycoplasmal infections. Treatment with antibiotics and anti-virals can suppress these chronic bacterial and viral infections. Chronic bacterial and viral infections are commonly associated with rheumatic disease, and many patients respond well with antibiotics. Recovery is slow often taking over a year. During that time there is no alternative or effective treatments other than alleviation of pain.
When mycoplasmals to leave their cells in synovial cells or nerve cells, they stimulate an autoimmune response. As they leave the invaded cells, they carry some of your whole cell membrane on their surface. This can trigger the immune system to respond to your antigen present on the foreign microorganism. Some of the microorganisms display surface antigens that attach to your whole cell surface antigens and stimulate an autoimmune response.
No one wants to have a chronic illness, but most of us will develop one or more during our lives. Ongoing conditions, injuries, and long-term illnesses are the most common causes for chronic pain. Other causes that result in severe chronic pain include: damage to the nervous and vascular systems: cancer, degenerative diseases, osteoarthritis, osteoporosis, fibromyalgia, rheumatoid arthritis, and multiple sclerosis.
Chronic pain is experienced by cancer patients because of tumor that infiltrates and compresses organs or bones, and by radiation and chemotherapy treatments that cause tissue swelling.
Chronic pain can also be caused by ongoing conditions as ear infections, carpal tunnel syndrome, migraine headaches, and peripheral neuropathy.
Initial acute injuries as sprains and muscle strains and overused injuries result in: backaches, Achilles tendonitis, carpal tunnel syndrome, and heel pain and can become chronic.
Neurogenic pain can be caused by damage to the central nervous system or spinal cord or the peripheral nervous system. Damage to the central nervous system can cause “central pain syndrome”. Patients who have had spinal cord injuries, brain injuries, or strokes, or multiple sclerosis patients have steady, burning, aching, or cutting pain with brief bursts of sharp pain. This may be seen years after damage to the central nervous system has occurred..
Chronic pain can also be psychogenic. Emotional and mental disorders can increase or prolonged pain. Headaches muscle pain, stomach and back pain, are typical examples.
A healthy life exists when you have soundness of body and mind. To live with a chronic illness, you must work to overcome the physical and emotional problems caused by the disease. Your goal must be to achieve the greatest possible physical capabilities and the greatest pleasure from your life.
When you have an acute problem, it is easily diagnosed, lasts a short time, and responds to the doctor's specific treatment. You can expect a cure and a return to be coming healthy with a great degree of certainty.
Chronic illnesses are different. They began slowly and proceed slowly. They have multiple causes that vary over time including: heredity, lifestyle factors, exposure to environmental factors, and physiological factors. It may be difficult to predict the long-term effects.
Chronic illnesses lead to a loss of physical strength. Fatigue is often the culprit, preventing normal activities. This speeds the physical deconditioning, and often creates a sense of helplessness and anxiety.
If you believe nothing can be done, you guarantee that nothing will be done. This perpetuates and reinforces your helplessness. While our medical system can certainly handle acute conditions like the flu or earaches, they find managing chronic disease is more of a challenge. You must take control of your illness, rather than let the illness take control of you. I n short, self-management is your most effective tool.
You must decide what you want to do, and how you are going to do it. Learn new sets of skills, and practice them until they have been mastered. You must have confidence in successfully doing something you want to do. It's not just learning the skills, but incorporating them into your daily life. At first, things will be clumsy and slow, and you will return to your old ways. You must continue to try to master new and often sometimes difficult tasks. This takes practice and you must constantly evaluate the results you get.
Many questions will float in your head. How can I face a life of pain? Can I make the changes my doctor wants? Will I be a burden and dependent on my family? Will I be incapacitated? How is this going to impact my family? Will I ever do the things that I enjoy? Will I have enough money to handle all this? Will I be left alone and isolated? How could this happen to me? Is this my entire fault? Where is my God? Can I live through this?
What you think determines what happens to you and how you will handle your health conditions. Think of your illness as a path that goes up and down, like the stock market. You must incorporate many strategies, and negotiate the obstacles you confront. Your goal is to deal with the illness, continue your normal life, and obtain skills to deal with your emotions.
You must learn to manage your limitations and find meaning in them. You'll find a new sense of self that's acceptable to you in spite of your illness, and you must develop a philosophy of life. See the illness as only one aspect of your life. Unify this illness with your healthy identity. Rely on people and things that have always been your source of strength to help you make constructive changes. Your goal must be to achieve the highest level of wellness that's possible, while you're living this life threatening illness.
Strike a balance of responsibility, and make your doctor a partner in your care. You must see the choices you’re your care, and look to your doctor for information and advice on which treatments would work best for you.
Life is tough, but you must be tougher!
Your thoughts and comments are always appreciated.
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Tuesday, August 25, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
Visit for more detailed information on healing.


We hear a lot from the media about the proposed great health care reform. Yet, who speaks for your doctor? Despite playing a critical role in this health reform, his thoughts are not considered.

Why are not the doctors at the negotiation table? They can offer practical constructive solutions for the health care reform and certainly have insight into why our health care system is so non-functioning.

Certainly, doctors are as concerned with increased government intervention as you are. They also are aware of what a greater expanded role of the federal government will mean for our healthcare: they certainly know firsthand how broken our medical system is.


Certainly not! The American Medical Association has only 15 % of all doctors as members. Most of the membership consists of hospital-based doctors from large medical centers. They join so they can dictate policy for their hospitals.

The AMA has pledged to work with the white house committees and leadership to build support for the white house health plan. They seek funding the new coverage for the uninsured by cutting payments to doctors and hospitals in Medicare and Medicaid. All of this is certainly not the view of your doctor.

Over 17 state medical associations and three specialty organizations recently broke away from the AMA. Many state hospital associations balk at the $155 billion across-the-board Medicare cuts planned. None of this will change the delivery of healthcare services. Over half of the American hospitals will be operating at a deficit or close to it when these cuts are implemented.

Mayo Clinic, upheld by Pres. Obama as a model for reform, also had unkind words to say about the House bill. “It misses the opportunity to help create higher-quality, more affordable health care for patients. In fact the opposite will be true, since the proposals are not patient focused or results orientated. The losers will be the citizens of the United States”.


Doctors seek repeal of the sustainable growth rate, or SGR, (a formula that Congress created mandating automatic cuts in physician payments if entitlement spending rises to steeply.) Because of this, next year the cuts to doctor payments will increase 22%.

Doctors despise the SGR, since Medicare prices are already 30% lower than those of private insurers. Congress threatens to pay even less for the medical goods and services it wants to buy.

The SGR is a political attempt to control health spending. Certainly is a. preview of expansion under Ocala’s care package.


As deeper cuts in Medicare occur, many doctors may stop treating Medicare patients. Some doctors will compensate by shifting their costs onto their other private patients or they must make up in volume what they lose on margin and Medicare.


Congress must wring out new savings by underpaying doctors and hospitals, and it will be easy because Congress controls the bulk of US health dollars.

Especially hard hit will be the specialists who provide expensive treatment that the White House decided is wasteful and not necessary. Gradually our specialists will be converted into civil servants, as they are in Britain and Canada. All of medicine will function like Medicare does today, but far worse.


The Medicare and Social Security trustees reported recently that healthcare costs are driving out long-term entitlements. With many families taking less pay these days, household budgets are being strained, and health insurance is not affordable.

State and local governments are also feeling the pinch. Money that was earmarked for investment in areas as education and overall economic growth now must go for health care.

Healthcare costs can be reduced over time without impairing the quality of care or outcome. In some areas the volume of healthcare services are skyrocketing.

This higher spending does not appear to have better health outcomes then in areas with less spending. More intensive tests and procedures and additional days in the hospital, and procedures do not promote health.

Some academic medical centers are receiving twice as much Medicare money in the last six months of patients’ lives, with no better medical outcomes.


Pres. Obama feels that health care costs could be reduced 30% or about $700 billion a year without compromising the quality of care. Certainly major efficiency improvements in healthcare are possible, but they don’t add up to one-third of all money spent.

The government wants to obtain more health information technology and measure effects. They push for more research on what works and what doesn't work, eliminating recommended treatments that don't improve health.

Lets provide people with prevention and wellness information so they can stay healthy. Change the financial incentives for doctors so that they are not penalized for delivering high quality care at lower costs. Steps have been taken to provide resources for electronic medical records, patient centered health research, and some prevention and wellness interventions.

Medicare changes are paying hospitals less when they don't get patient treatment right the first time. This can reduce the number of patients who need to endure readmission to hospitals.


We all talk about how rationing of medical services will be alarming, but rationing of services already exists today. The insurance industry has contributed to this health care crisis by cherry picking only healthy people to insure.

A single-payer program will ultimately lead to health care rationing of services, especially for the elderly, who are the sickest and most vulnerable. Rationing for patients, will result in fewer treatment options for them, and increased difficulty for them to see a doctor.


Today there are only a couple of healthcare insurance providers. Insurance, by having multiple insurance providers, results in free enterprise and maximum efficiency.

Insurance companies are responsible for the high cost of healthcare. They set the premiums, they do the reimbursements, and they squeeze everyone by their schemes. All of this is the name of profit, not health care.

When you have a different premium price for people with pre-existing illnesses you deny insurance to those who need it the most. Instead of making people wait, elective procedures would just be denied altogether to people who don't have insurance. That's the American way of rationing.


Make the insurance companies accountable to insure all patients who have a pre-existing illness. Have one premium level for all insurance participants. Cover the cost of insurance for those who can't afford it through a fund. (It could be funded by taxing activities that increase the risk of illnesses as tobacco and alcohol.)

Many doctors today already are not accepting Medicaid because of dwindling payments, tremendous paperwork, and delays in payment, long waits, and impersonal attention. It will be nice for everyone to have insurance; the problem will be that many will not have doctors.

Medicare already out sources to private health insurers, and this will be a big boon for them. Volume will go up, profit margins will rise, as government-sponsored cost-effectiveness research demonstrates that expensive medical treatments are not proven effective.

This will be another win-win game for the government and health insurers. It's all about numbers. Shipped to preventive health care, and a healthy will be happy and is sick will be shoved aside.


The proposal by Congress that participation in a public plan be mandatory has caused a revolt among all physicians who accept Medicare. Insurance options must coexist with any reform agenda, offering a range of proposals on how to make the health care system efficient and more equitable.

As many options as possible should keep open. Primary care societies and large hospital centers favor a one-payer system. They say if a person wants CONCIERGE care he should buy it.

What really is wrong with a two-tiered system? Provide a basic coverage for those who can't contribute, and get a premium plan for those who can pay. We can all get Water, but if you want bottled water, you have to pay out of your own pocket. Or better yet, give us the Premier health coverage Senators Kennedy and Byrd and the rest of congress are getting. (They certainly are not visited by end of life panels.)

Cover treatments for everything clinically significant, and if you want anything else, feel free to buy it.


Give patients incentives to seek preventative medicine especially in the management of their health lifestyles such as diabetes and hypertension. Initiate a torrid campaign to prevent fitness nutrition and disease prevention

Stop the massive legal defense testing and redundant tests. Eliminate the need for malpractice insurance that causes massive defensive medical testing.

Have a national licensure for nurses and doctors to decrease the cost of multi-state practices. Eliminate the variations in insurance laws that occur state-by-state and unify the method of determining eligibility for health care insurance.


If doctors are not included in the discussion of health care, you will find great resistance. Our bright innovative students will no longer want to spend 14 years for medical education after college-- if they are to be treated as civil servants, told what to prescribe, how long they can talk with a patient, and be forced to use cookbook medicine.

Our medical care will greatly suffer with this 1100 page health plan. Ask your doctor what he thinks, and he will give you an earful. A bad plan can’t be packaged beautifully and sold as a great plan.

Lets go back to the drawing board, reset our thinking, take some time and come up with a plan that makes sense and we can all agree on.

And lets hear from our doctors on what they think is needed. Do you want your health plan run as our postal service is run? They are 10 billion in the red and lost over 2.5 billion this quarter. Let people who know health care give us the answers, not our congressional lawyers.

What do you think? Visit for more commentary on controversial medical issues.

Monday, August 24, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
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National public health authorities are preparing for the influenza season to be more complex than usual. The regular vaccine has always had three different influenza viruses in it. We're going to see these three this fall, along with another vaccine, H1NI, in another vaccine.

Dr. Chan, director of the World Health Organization (WHO), declared this new influenza H1NI virus a pandemic on June 11, 2009. She labeled it a pandemic alert level VI, which is the maximum level. Lets remember that pandemic means global and worldwide, it does not mean an epidemic.

There is no similarity between this 2009 H1Ni virus and all the other swine flu viruses that have been circulating undetected for a long time. It has a low genetic diversity, and this virus is different from the ones we normally have seen from swine flu viruses.


Once you are exposed to a virus, your immune system is ready to fight it off once it turns up again. Vaccines are supposed to increase your immune protective troops.

Very few of us have ever encountered this virus. Nor have we been exposed to it. Because of this lack of immunity, a booster dose is proposed, meaning 2 vaccinations one week apart).


People who have chronic illnesses, as the elderly are at higher risk of the dangers and complications of a viral infection. This new virus is also striking younger people including pregnant people. Because of this it is recommended that pregnant women, children younger than six months, and all people would have chronic illnesses or immune problems should get this vaccination—says the ACIP (government Advisory Committee on Immunization Practices).


This seasonal flu vaccine manufacture was started in April, before the H1 virus was even discovered. After being infected with the swine flu virus, and the H1 virus, 17 Britons died out of 7500 confirmed cases. (2.2 out of 1000 cases),

The vaccine will not kick in for at least a month since you'll be required to have a booster shot as well.

Being a new vaccine, we don't know about his safety. Every year the seasonal flu shot as new strains given to you. The usual side effects of some low-grade fever, aches and pains, and soreness at the injection site may be seen.


Thimerosal is the preservative used in vaccines. It is a form of mercury that can be toxic to pregnant women and young children. Because thimerosal is made of ethyl mercury, it is different from the methyl mercury found in fish. Being used in trace amounts, we are assured by the "committee" that it will not pose a problem.

The mercury used in vaccines has significant neurotoxins, which play a major role in all neurological disorders. It is also important to remember that both of these metals accumulate in the brain and spinal cord. This makes them much more dangerous than rapidly excreted toxins.


Adding certain substances can significantly increase the potency of vaccines. These are called adjuvants and are widely used in children's vaccines. They are the reason why measles, mumps, rubella, and diphtheria vaccines work. Adjuvants are not used in flu vaccines in the United States for fear of causing concerns about the safety of the vaccine. Canada and Europe use adjuvants all the time. It allows them to boost the vaccines potency, lower the cost of vaccinations, and provide more doses.


We are just now (rather late in the game). determining how much to give and whether the vaccine is really safe. It is recommended that 2 vaccinations be given one week apart. The FDA expects to have 50 million doses available by mid October. More will be available weekly, with a total of 200 million doses by the end of the year.


We have developed a herd-like immunity mind set. It conveys the belief that a highly immunized population is more likely to resist penetration by serious pathogens. The magnitude of the issue is reflected by the estimated 5,000 families with autistic children seeking damages from a federal program to compensate for alleged harm caused by vaccines.

Big drug companies are controlling what laws and policies are made to guarantee their profits. It is going to be made a law that everyone is vaccinated involuntarily. The top healthcare experts in the field have all been ignored on this subject.

Some of you readers may remember the fiasco of the swine flu campaign of 1976 , causing numerous deaths and permanent disabilities. The vaccine program was stopped in its tracks after three weeks of injury. This vaccination campaign may be a repeat performance.

No manufacturer will be held liable for the harm caused by this untested vaccine. Its safety has not yet been determined. No one knows how many doses will be needed, but two vaccinations are scheduled per person.

Are you concerned about the 100 MILLION doses of LIVE-VIRUS vaccine that BIG PHARMA plan to give our elderly who are already on a banana peeling with lack of immunity? Vaccinations will give everyone inoculated, a "case" of a new "swine flu".

I guess it makes economic sense for the 6 drug companies making the vaccine, but does it make sense for you to receive the vaccination?

Your comments are always appreciated. Visit for more discussion of controversial medical subjects.

Sources: Science July 10, 2009 / World news, July 15, 2009/

National Academy of Sciences 2.8.2009/ USA 8.24.09

Sunday, August 23, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
Visit for more detailed information on healing.


We all have cancer cells in our bodies. They are like snowflakes, and only cause a problem when they become snowballs. You have cancer cells occur between 6 to 10 times in your lifetime. When a doctor tells you there are no more cancer cells in your body after his treatment, it just means that tests are unable to detect the cancer cells because they have not reached a detectable size of a snowball. If you have a strong immune system, your cancer cells will be destroyed and prevented from multiplying and forming snowballs.


Everyone with cancer has multiple nutritional deficiencies often caused by lifestyle, genetics, food, and the environment. To overcome this, change your diet and add supplements to spark up your immune system. A good way to battle cancer is to starve the cancer cells by not feeding them foods that cancer needs to multiply.

Cancer cells are tumor-genic and independent of their local environment because they acquire genetic and epigenetic changes. Local normal cells may permit and even nourish the growth of transformed cells. These tumor-genic cancer cells secrete signals that change the surrounding tissues. (Source: Cell 135, 437,2008)

Raw vegetables and beans sprouts, provide live enzymes and reach your cells within 15 minutes. They nourish and enhance the growth of healthy cells. All enzymes are destroyed at temperatures over 104°. Supplements of antioxidants, vitamins, minerals, and omega-3, help your body's killer cells to destroy cancer cells.

Cancer cells can only live in an acid environment. A meat diet is very acidic, and contains antibiotics, growth hormones, and parasites---which are all harmful especially if you have cancer. Meat protein is difficult to digest, and needs a lot of digestive enzymes. Undigested meat in your bowel becomes putrefied and produces more toxins. If you don’t eat meat, more enzymes can be freed to attack the protein walls of cancer cells and allow the body’s killer cells to destroy the cancer.

A better choice is a diet of fresh vegetables and juice, whole grains, seeds and nuts, along with a small amount of fruit to help your body become alkaline.

Avoid caffeine products like coffee tea and chocolate. Green tea is a better choice since it has cancer fighting properties.

Drink filtered or purified water to avoid heavy metals and toxins present in tap water. Do not drink distilled water since it is acidic.

Cancer cells can't live in an oxygenated environment. Exercise, deep breathing, and oxygen therapy are means to destroy cancer cells.


What are the environmental toxins causing cancer in your family? Check your surroundings. If cancer has hit a number of your family members, don't assume its genetics. It could still be environmental toxins that cause cancer. If everyone grew up in the same house, ate the same foods, were exposed to similar things, use the same products, and breath the same air, it may well be genetic.

You can help your body remove an overload of toxins ingested through diet or the environment by natural body cleansing.

Dry cleaners use perchlorethylene, also called perc. This highly hazardous air pollutant has been linked to cancer and neurological damage. It is used in tens of thousands cleaning operations nationwide. The EPA has given the dry cleaning industry 15 years to replace their old machines that cause this problem.

Cell phones, cell towers, high-energy electrical wires, have all been implicated in cancer risks. WHO has recently placed tanning booths on the high-risk cancer list.


The aim of chemotherapy is to poison the rapidly growing cancer cells. Unfortunately they also destroy rapidly growing healthy cells found in your bone marrow, bowel, liver, kidney, heart and lungs.

Radiation destroys cancer cells, by burning and scarring them. They also, however, damage healthy cells tissues and organs.

Both chemotherapy and radiation will shrink the cancer size. When the body builds up too many toxins from the treatment, the immune system is compromised. Both treatments can cause cancer cells to mutate and become resistant and difficult to destroy. Surgery often causes cancer cells to spread to other sites.

VISIT for more discussion of controversial medical subject. Your comments are always appreciated.

Saturday, August 22, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
Visit for more detailed information on healing.


A health bill can be pushed through the Senate without Republicans--60 votes would be needed. Liberals say they will oppose any legislation that doesn't have a strong public insurance option.

The Senate might use a seldom-used rule called re-conciliation where it can pass anything with 50 votes. The Senate would need 60 votes to break a potential Republican filibuster. In theory they have the 60 votes to stop a filibuster. That is if every democrat went along, but they can only count on a maximum 58 votes since Senators Ted Kennedy and Robert Byrd are in such bad healthy, they probably can't make it to the Senate floor on a given day.

President Obama reassures liberal activists that he isn't buckling in and is going to get healthcare reform done, one way or another.

He has not made any effort to engage bipartisan talks. This has resulted in substantial disagreements and the Republicans are accused of trying to block a healthcare overhaul from the very beginning.


Mr. Obama feels a public option is very important. This plan would be available for individuals and small businesses on a healthcare exchange. There are conflicting signals whether a public plan can compete with private insurance plans.

A comprimise is being offered where the doctors and hospitals would be paid higher reimbursements if they coordinated their care through clinics. They would get a lump sum payment for a given patient's care.

That way everyone involved in the patient's care, from the emergency room doctor to the orthopedist to the physical therapist and family physician would have to work together and divide up the money allowed. Who will decide what doctor gets what? ACORN?

Wellness programs would be targeted to people most in need: as diabetics, smokers, or the obese. There would be no public insurance plan to compete with private insurers. It would not even be proposed as an alternative idea for nonprofit health insurance cooperatives.


With the AARP currently selling health insurance, it appears to have a conflict of interest, with the proposed policy changes in the private insurance market for Medicare beneficiaries and older people. The AARP membership, a 40 million strong American organization of people over 50, is asking why its leaders are supporting a government-sponsored health option.

Many members, between 50 and 64, joined for the benefits in discount car rentals and cruises.

However, those over 65 have Medicare now and are furious. Since July 1, over 60,000 of these members have resigned over this healthcare issue.

This has put the AARP in a tight spot trying to balance its positions between the two groups, those under 65 and those over 65.


President Obama says that the AARP backing is “an irrefutable seal of approval and the AARP is onboard because they know it is a good idea for our seniors. The AARP would not be endorsing a bill if it was undermining Medicare, okay?”

The AARP is backing off now, saying: they “back reform in general, but it is inaccurate to say that they have endorsed any of the major healthcare reform bills currently under consideration in Congress”.

AARP leaders believe the health system's high cost and large number of uninsured demand an overhaul. The young AARP members resonate with that, but it is a tough sell to those over 65 who ever you already have guaranteed health care through Medicare.


With an election year coming up, a decision has to be made whether democrats want to build or really want an issue to fight the Republicans. With an election coming up in 14 months, this may not be the time to call for a vote.

Both sides want issues to take back to their constituents. The Democrats must quell the present anger over health reform, if they want to avoid the risk of losing seats and their majority.

Some Democrats want to push the reset button and look at this with fresh sets of eyes.

It seems the elderly see what is going on in an attempt to limit their access to health care. They know it will cost them more, and they oppose this bill.

This bill ignores tort reform by both the media and the White House. Everyone seems to refuse to challenge the trial lawyers, and consequently there will be no tort reform in this bill.

For a bill to be passed, it must be simple and clear. When you hear it, you must understand it, and should be able to explain it to others. Retired workers receive a public pension to help them through old age. It is called Medicare. We the taxpayers fund this bill for people over 65. People who have no money and can,t support themselves deserve help until they get them back on their feet.

The present health care plan is not clear, and has a secret language that no one understands, such as: single-payer, public option, insurance marketplace exchange etc. Since no one understands this stuff, and no one knows what the words mean, they say to themselves: “I may not understand this but my honest government sure does, and I know they're going to treat me with kindness and respect. But since I can't understand what they're talking about, they must be trying to confuse me, and so I will not support such a plan.

Why not send the vote to congress as it is? When the bill is defeated, the Democrats can say it was entirely the fault of Republicans.

I guess we can’t keep politics out of this serious health reform debate.

Your comments are always appreciated. Visit for more discussion of controversial medical issues.

Wednesday, August 19, 2009


As a medical physician for over 50 years, I strive to give you the best medical information on controversial medical subjects and let you, the reader, come to your own conclusions. I have no ties to any organization, pharmaceutical, or lobby group. As an practicing medical acupuncturist since 1982, I find western medicine and medical acupuncture are very complimentary that results in astounding healing in pain management, addictions to cigarettes and food, and a host of other maladies. Let me know how we are doing. Your constructive comments are always appreciated. Click the RSS post button on the upper right hand corner if you would like to receive by email our future medical blogs.
Visit for more detailed information on healing.


We all agree that health care costs are skyrocketing today. With most families taking less pay home these days, and household budgets being strained, health insurance is becoming less supportable.

The president emphasized the importance of limiting service to health care that really works. Comparative effectiveness will be the way to decide whether each treatment provides enough of an improvement to justify its cost.


The only way our government can control health costs is by using their great purchasing power to get concessions on drugs, doctors, fees, hospital services, and administrative costs. They can't allow private insurance companies to pick which patients they will insure to keep their overheads low. We see that health care is not promoted by more intensive tests and procedures and additional days in the hospital.

Most Medicare money is spent in the last six months of patients lives, with no better medical outcomes. Hospitals will be paid less when they don't get patient treatment right the first time. This will prevent re-admissions to hospitals.

President Obama feels that health care costs can be reduced by about $700 billion a year or 30% by regulating care without really compromising the quality of care. We all know that health care could be made more efficient. By getting more health information and better technology, the government feels they can tell what will work and what doesn't work, and recommend treatments that do some good. Treatments that don't improve health will be not available.


Tort reform is essential for any solution to health reform. If doctors are forced to limit medical tests and treatments, our trial of trial lawyers will have a feast. A failure to test for a medical problem is tantamount to malpractice. We will find patients being bounced around from doctor to doctor to dilute any medical liability

Doctors order as many medical tests as possible to reduce their chances of medical liability in case of a legal problem. The prosecuting attorney notes that any failure in obtaining a test that might have saved a patient from a medical problem is malpractice.

By changing the financial incentives for doctors, so that they are penalized for delivering high quality care at lower costs, can result in great savings. This may be impossible without changing the legal medical tort system with its high malpractice elements.


The AMA delegates endorsed Obama's health plan and it has created quite a stir among physicians. The AMA said they would support the repeal of the sustainable growth rate or SG are, which was a formula that Congress created to cut physicians payments if spending rose excessively. Next year the medic or cuts are scheduled to drop 22% to doctors.

Medicare now pays 30% less than private insurers. By cutting their payments even less, many doctors may stop treating Medicare patients. This will shift the costs onto their private patients to make up was lost in volume.


The White House has gained interest groups and health industry, to support his health-care changes. If all these organizations want to have any input in negotiating solutions, they certainly now can't politically voice any negative opinions.

Initially by getting on board early, the AMA (who only have 15% of physicians as members), the AARP, the Hospital Association, and the drug industry, all became owners of this healthcare process and must continue to defend and support it as reform moves forward. They must not publicly criticize the process, if they want to stay at the negotiation bargaining table.

Hospitals initially criticized the program, but when they were assured that there would be increased insurance expansion that would guarantee more patients to a their bills they gave a second look to the program

Over 17 state medical associations and over three specialty organizations are breaking away from the AMA because of their stand on this healthcare bill. Many state are balking at the hundred and 55 billion-dollar across-the-board medical cuts that are planned. This will result in the lower half of the American hospitals to either continue at a deficit or close their doors.

Even the Mayo Clinic ,which Pres. Obama upheld as a model for reform, said: "the plan misses the opportunity to create higher quality more affordable health care for patients. Since the proposals are not patient focused or result orientated, the losers will be the citizens of the United States."


Preventive strategies are behavioral strategies. They certainly cost very little and do save money by keeping people healthy. But if you're preventive strategy is medical, it consists of screening, finding medical conditions early, finding that patients who have abnormal EKGs, early prostate cancer markers, high cholesterol, etc., then you merely generate more medical costs.

Testing people who have no symptoms is certainly a moneymaker. This all leads to more tests as a stress test, cardiac catheterization, even cardiac bypass surgery, all because you chose cheap and painless tests.

Over 2 1/2 million of us will die each year, and half of these deaths could be prevented if we lead healthier lives. Healthcare cannot make a difference. Our big problem is self-control. No one pushes you to overeat, to smoke, or lead the life of a couch potato.

It's great to have prevention, but it can't equate it with saving money. Once you have high cholesterol, you suddenly are not feeling well, knowing you have developed a risk factor that could lead to a disease. Banning things that people want, will not work, as we found out during Prohibition and the war on drugs. We are the only ones that can promote healthier choices and manage our bad behavior. Even our president has not quit smoking, and this is a very great concern.


President Obama has the best team of communication professionals that could be put together. There are levelheaded and great campaign consultants. But they did not give much thought about the details of healthcare legislative reform policy making. If the public isn't buying the health plan it doesn't matter what the government is selling. You can't change that policy by good communication.

The healthcare policy plan was outsourced and developed by the congressional wing. Now Pres. Obama has taken it back trying to sell something that wasn't his in the first place.


No other president ever asked American citizens to report on their fellow citizens for the White House for "fishy" e-mails regarding his policies. By monitoring American citizen speech opposing health policies, including casual speech, e-mail sending, has resulted in outrage. What action will be taken against you if you are reported for fishy speech?


Support for the full healthcare reform is diminishing rapidly. Americans are not in a spending mood. They don't on the same people running their healthcare has run the post office Iraqi war, and the Afghanistan war.

The uninsured have always received excellent emergency room services gratis for medical crises. Doctors and hospitals also write off most of the bills they charge, or don't charge for their services.

If the government is in charge of the health care system, they morally have the right to tell you how to live, what joys you should have an eating, what blood tests and treatments you should have, and how you should end your life. The recent pointing of fingers by Town hall leaders did nothing to bring the country behind and unify them: the coming Obama speeches will do no better.

Every group has its lobbyists, and makes contributions to your congressman. They all want a share of your money, and to continue to take 16% of every dollar you own. Over $2 trillion annually is spent on doctors, hospitals, pharmacies, drug companies, malpractice insurance, hospice, and many other centers. There is certainly a lot of cost cutting that can be done.

Despite all the wonderful things happening in medicine and its advances, most of us want our doctors to be present at our bedside, to do a decent physical examination, and pay attention and listen to your complaints.

We must ask ourselves if there is really anything more valuable to us than our own health and longevity and that of our loved ones. Are you prepared to ration that?

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