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Hawaii residents feel effects of widening drug coverage gap - H...

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LLJD

Kalaheo, HI

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#21
Aug 10, 2009
 

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realmerv wrote:
Does anyone know whether Medicare beneficiaries had any prescription drug coverage prior to President Bush coming up with the prescription drug program that has this doughnut hole in it?
If there was no prescription drug coverage, I wonder how the Medicare beneficiaries were paying for their drugs? Were they doing without drugs if they didn't have the financial resources to buy their own drugs?
I work in healthcare, and one of the most unfortunate thing that i saw happening was the people who didn't have medical coverage (especially the elderly) just didn't take their medications. It was coming to a point where some would have to make decisions about paying the rent vs medications; paying for food vs. medications. Some patients would ration their medications for example, they would take half the pill one day and take the other half on another day. There are no easy answers on how to fix this but you can't simply tell an elderly person to go get a job.....i can see a young abled body (who plays the system) being told this but an elderly person?. There are a lot of sad situations such as these....i see it all the time.

I've also seen hard working people that have retired, with just medicare; very sick but afraid to go to the hospital because they can't afford it and when they finally make it to the hospital....they are dying.

Here we talk about laziness, obesity etc. but there are other situations that people forget and need to be aware of. It is painful when you really see actual cases. I just hope people are aware of this, or perhaps nobody cares?
Oahu Portagee

Honolulu, HI

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#22
Aug 10, 2009
 

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LLJD wrote:
<quoted text>
I work in healthcare, and one of the most unfortunate thing that i saw happening was the people who didn't have medical coverage (especially the elderly) just didn't take their medications. It was coming to a point where some would have to make decisions about paying the rent vs medications; paying for food vs. medications. Some patients would ration their medications for example, they would take half the pill one day and take the other half on another day. There are no easy answers on how to fix this but you can't simply tell an elderly person to go get a job.....i can see a young abled body (who plays the system) being told this but an elderly person?. There are a lot of sad situations such as these....i see it all the time.
I've also seen hard working people that have retired, with just medicare; very sick but afraid to go to the hospital because they can't afford it and when they finally make it to the hospital....they are dying.
Here we talk about laziness, obesity etc. but there are other situations that people forget and need to be aware of. It is painful when you really see actual cases. I just hope people are aware of this, or perhaps nobody cares?
You make some excellent points, and what you said is all true; however, what we must realize is that, overall, healthcare it isn't THAT BAD in the U.S. What I mean by this is that, in the U.S., if I had no money, and I walked into ANY emergency room complaining of chest pains, they WILL treat me. If you go to many other countries, and if you walk into a clinic or emergency room, and you ain't got money, they ain't even gonna touch you.

My friend lives in a rural area of the Philippines. I asked him, what will happen if you're a insulin-dependent diabetic in the Philippines, but you don't have any money for insulin and no family to help you pay for medicine. His answer was:

"You will die in a few days. Simple as that."

This would never happen in the U.S. You go to a clinic, and you need insulin, and you ain't got money, you will still get your insulin. Nobody is gonna let you die simply because you can't pay for insulin. So we got it really good in the U.S. In other places, you will just die. No if's, ands, or buts.
Grinchie

Hayward, CA

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#23
Aug 10, 2009
 

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Oahu Portagee wrote:
<quoted text>
For the most part, if you avoid processed foods, you will avoid most of the stuff you talk about - trans fats and huge amounts of omega-6 fatty acids. In addition, you will avoid high-fructose corn syrup, excessive sodium, and highly-refined carbohydrates.
fruits and vegetables, whole grains, legumes, and fresh water should be the main constituents of the human diet.
However, look at what the typical Hawaii resident consumes: Spam, white rice, Aloha Maid drinks, Mac salad, vienna sausage, shoyu, corned beef, May's hamburgers, manapua, fried noodles, etc. All part of a crappy diet
You are absolutely right, Nice post.
Grinchie

Hayward, CA

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#24
Aug 10, 2009
 

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Oahu Portagee wrote:
What many people don't realize is that many of the medications that people take for high cholesterol, diabetes, and high blood pressure can be reduced (or totally eliminated) if one follows a sound eating pattern and a regular exercise program.
In the Waianae Diet Program, Dr. Shintani showed that many medications for chronic conditions can be reduced (or even eliminated) in just 3 weeks. Unfortunately, many people rather swallow a pill to control their conditions, so they can continue eating all the nasty "foods" that local people can't live without - canned processed meats like Spam and Vienna Sausage.
Just watch when a store has a big sale on canned meats such as Spam. The amount of people that rush to the store is, literally, astounding. They bring their entire ohana (including infants), and each person buys the per person limit. Many often come back later in the day (again with their entire family), and buys the per person limit again. Only in Hawaii does one witness something like this. A person from the mainland simply cannot understand the frenzy that a Spam sale can cause.
It's called marketing/propaganda/brand loyalty. The European diet killed more in the South Pacific than any diseases or wars. Then, they destroyed local agricultural systems in favor of Cash Crops, so they could spenf more money on white flour, spam in a can, whiskey and cigarettes.

When one thinks that the Pacific Islanders survived for thousands of years in isolation, and then immediately fell victim to the poor nutrition of the European diet, the reality of the importance of food becomes clear.

For the most part, we really don't know what some of the pacific islanders were eating at all, since their system has been replaced with modern agricultural systems, and the old farmers die out.

We only get fragments of the knowledge they had of Food and medicinal plants. This I believe is the greatest loss to humanity, as it disconnects man from the earth on so many levels.

We see the results today, with so many angry people, frustrated because their lives suck, more willing to club a peacock than learn to take pleasure in its beauty.
Grinchie

Hayward, CA

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#25
Aug 10, 2009
 

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Oahu Portagee wrote:
<quoted text>
You make some excellent points, and what you said is all true; however, what we must realize is that, overall, healthcare it isn't THAT BAD in the U.S. What I mean by this is that, in the U.S., if I had no money, and I walked into ANY emergency room complaining of chest pains, they WILL treat me. If you go to many other countries, and if you walk into a clinic or emergency room, and you ain't got money, they ain't even gonna touch you.
My friend lives in a rural area of the Philippines. I asked him, what will happen if you're a insulin-dependent diabetic in the Philippines, but you don't have any money for insulin and no family to help you pay for medicine. His answer was:
"You will die in a few days. Simple as that."
This would never happen in the U.S. You go to a clinic, and you need insulin, and you ain't got money, you will still get your insulin. Nobody is gonna let you die simply because you can't pay for insulin. So we got it really good in the U.S. In other places, you will just die. No if's, ands, or buts.
Diet may not cure you of Type 1 diabetes, but you can use it along with exercise to slow it down, and nearly stop it.

There are certain herbs that will help diabetics maintain an adequate level of control along with diet and exercise. Cutting back on the Food Pollutants is important, such as HFCS, "Natural Fruit Flavors", which are extracted with solvents, and contain trace amount of solvents as well, and "Spices" which actually is such a broad term that it contains raw chemicals of a synthetic nature.

Many pregnant women commonly become Diabetic during their term, and then spontaneously recover after child birth. If this is so common, then how did the people of antiquity handle it? They didn't even know how to test blood sugar until recently, so one has to open their eyes and look past the fear and see what is reality. What may be a normal blood sugar for one, may be too low for others. We are not machines.
bjreed

Arlington, TX

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#26
Aug 10, 2009
 

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Oahu Portagee wrote:
<quoted text>
For the most part, if you avoid processed foods, you will avoid most of the stuff you talk about - trans fats and huge amounts of omega-6 fatty acids. In addition, you will avoid high-fructose corn syrup, excessive sodium, and highly-refined carbohydrates.
fruits and vegetables, whole grains, legumes, and fresh water should be the main constituents of the human diet.
However, look at what the typical Hawaii resident consumes: Spam, white rice, Aloha Maid drinks, Mac salad, vienna sausage, shoyu, corned beef, May's hamburgers, manapua, fried noodles, etc. All part of a crappy diet
I totally agree. It requires a cultural change, but if you can eat little processed foods, but many fresh fruits and vegetables, your health problems should even out a bit. It will not happen overnight, but it WILL happen. I was forced into such a diet because of illness, and now, I do not even want to look at fatty foods. If I have chicken fried steak at a restaurant, I only eat a quarter of it and freeze the rest. Same with all side dishes; I eat about half and take home the rest for another meal. After a while, you find that you have absolutely no desire for a heavy meal. In fact, it would make you sick.

Since: Jul 09

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#27
Aug 10, 2009
 

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Oahu Portagee wrote:
All seven of the above posts FAIL to address the TRUE cause of all of this. A LACK OF PERSONAL RESPONSIBILITY FOR ONE'S HEALTH. All of you bring up politics - blaming Bush, democrats, talking about socialized medicine, Obama, etc.
The reason we have a health care crisis in America is simple: TOO MANY OBESE PEOPLE!! Nearly 70% of our population is overweight or obese!! THINK ABOUT THAT - 7 out of 10 people are too fat!! People want good health, yet they still want to eat like hogs. Youth obesity is already a huge problem, with kids as young as 10 years of age being diagnosed with type II diabetes and high cholesterol.
I don't care what we do on the political front. Even if we develop the greatest health care system in the world, Americans will still continue to be fat, to suffer from poor health, and to die prematurely. Stop eating those Costco hot dogs, get off the damn computer, the PlayStation, and the PSP.
Eat an apple and go for a damn walk for Christ's sake!
I agree.
"The free man owns himself. He can damage himself with either eating or drinking; he can ruin himself with gambling. If he does he is certainly a damn fool, and he might possibly be a damned soul; but if he may not, he is not a free man any more than a dog." -- C. K. Chesterton
Oahu Portagee

Honolulu, HI

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#28
Aug 10, 2009
 

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Grinchie wrote:
<quoted text>
Diet may not cure you of Type 1 diabetes, but you can use it along with exercise to slow it down, and nearly stop it.
There are certain herbs that will help diabetics maintain an adequate level of control along with diet and exercise. Cutting back on the Food Pollutants is important, such as HFCS, "Natural Fruit Flavors", which are extracted with solvents, and contain trace amount of solvents as well, and "Spices" which actually is such a broad term that it contains raw chemicals of a synthetic nature.
Many pregnant women commonly become Diabetic during their term, and then spontaneously recover after child birth. If this is so common, then how did the people of antiquity handle it? They didn't even know how to test blood sugar until recently, so one has to open their eyes and look past the fear and see what is reality. What may be a normal blood sugar for one, may be too low for others. We are not machines.
Very true. Yes, type I diabetes cannot be managed by diet alone. Through a sound nutritional approach, Dr. Shintani (and others) reduced the amount of insulin (or eliminated the need for insulin) in Type II diabetics.

Yes, there are certain herbs that may help to control blood sugar. I've heard that bitter melon is one of them. Before specific lab tests to detect high blood sugar were available, people used to taste urine. If the urine was sweet, then they knew that blood sugar was really high. There should not be much sugar in the urine if one is healthy.

Getting back to this article. I think people (including physicians) put the the cart before the horse when it comes to preventing/treating chronic disease. Most insurance carriers WILL NOT pay a dietitian for nutrition counseling, but they will gladly pay for a diabetes educator to show you how to test your blood sugar using your glucose monitor, and to show you how to inject insulin.

Whenever I see a young couple, who has young children, and one of them (or both of them) are suffering from diabetes, obesity, high blood pressure, heart disease, gout, etc., I become very saddened. I look at the young children, and I think to myself, "Your daddy will probably be dead before you become a teenager." And I think to myself, "Her daddy will not be around to walk her down the aisle and to see her children. I personally know several couples who are in this situation, and it really saddens me. They are great parents, and they love their children so much, and their children love them so much. However, they are unable to play at the park with their children, and they are unable to run with them, and, the saddest thing of all, their children are also on their way to obesity.
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Oahu Portagee

Honolulu, HI

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#29
Aug 10, 2009
 
freedom man wrote:
<quoted text>
I agree.
"The free man owns himself. He can damage himself with either eating or drinking; he can ruin himself with gambling. If he does he is certainly a damn fool, and he might possibly be a damned soul; but if he may not, he is not a free man any more than a dog." -- C. K. Chesterton
Awesome quote!
Oahu Portagee

Honolulu, HI

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#30
Aug 10, 2009
 

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bjreed wrote:
<quoted text>
I totally agree. It requires a cultural change, but if you can eat little processed foods, but many fresh fruits and vegetables, your health problems should even out a bit. It will not happen overnight, but it WILL happen. I was forced into such a diet because of illness, and now, I do not even want to look at fatty foods. If I have chicken fried steak at a restaurant, I only eat a quarter of it and freeze the rest. Same with all side dishes; I eat about half and take home the rest for another meal. After a while, you find that you have absolutely no desire for a heavy meal. In fact, it would make you sick.
I give you a lot of credit - congratulations!

Trust me, as a kid, I ate more junk food than almost anyone I know. This was a typical day for me:

Breakfast - Fruit Loops or Frosted Flakes

Recess snack - potato chips and soda
Lunch - School Lunch

After School snack - Fried noodles and soda from the manapua truck

Dinner: Spam and rice with kim chee, Medow Gold Guava Nectar

Night time snack: Ice cream, Oreo cookies, or pie.

Terrible, terrible, terrible way of eating.
Laie Born

Dallas, TX

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#31
Aug 10, 2009
 

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Oahu Portagee wrote:
<quoted text>
... look at what the typical Hawaii resident consumes: Spam, white rice, Aloha Maid drinks, Mac salad, vienna sausage, shoyu, corned beef, May's hamburgers, manapua, fried noodles, etc. All part of a crappy diet
Maybe if you one portagee -- but the stuff you mention isn't the "typical Hawaii resident diet".
Laie Born

Dallas, TX

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#32
Aug 10, 2009
 
Oahu Portagee wrote:
<quoted text>
.... as a kid, I ate more junk food than almost anyone I know. This was a typical day for me:
Breakfast - Fruit Loops or Frosted Flakes
Recess snack - potato chips and soda
Lunch - School Lunch
After School snack - Fried noodles and soda from the manapua truck
Dinner: Spam and rice with kim chee, Medow Gold Guava Nectar
Night time snack: Ice cream, Oreo cookies, or pie.
Terrible, terrible, terrible way of eating.
Didn't your parents buy milk, fruit and at least a few veggies besides kim chee? Except for the soda and chips this isn't such a bad day's diet, unless you never got excercize.
Laie Born

Dallas, TX

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#33
Aug 10, 2009
 
Grinchie wrote:
<quoted text>
... I've been to Japan, England, France, and Germany, along with having friends in Canada, and they are quite content with their Universal Health Care.
Just take a look at the average population of those countries walking down the streets. Instead of seeing a bunch of morbidly obese, wheezing, red faced and ill specimens of human beings like you see in America, you see that the majority of people in those countries can Walk down the street without losing a gallon of fluid, sitting down very 150 feet, or dropping dead from a coronary.
......
Better strike Germany from that list. They might have universal health coverage, but they have just as many porkers as the US does. Many countries arrange their cities so that people can walk and ride bikes without getting run over by cars. Kids can bike to school -- what a concept! I think outdoor exercize has as much to do with good health as diet. Europeans absorb major amounts of fat, sweets and processed meat.
Laie Born

Dallas, TX

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#34
Aug 10, 2009
 
Regarding the subject of health care legislation and drug coverage.

1) I'm concerned about insurance companies making all the decisions about who gets covered for what. It's too easy for them to look at their profits rather than what's good for patients.

2) I'm concerned about billions being taken away from Medicare in order to finance a "new" health care system. Those of us who worked and put money into the system all our lives deserve the same or better benefits than our parents received. As it is now, our benefits may be greatly reduced.

3) The issue is so overwhelming and badly described in the media that most people throw up their hands and don't get involved. I'm hoping we'll start hearing from leaders who can simplify it and give us direction. Otherwise we'll get distracted with fighting and finding somebody to blame, and end up with something decided behind closed doors.
ahgung

Irvine, CA

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#35
Aug 10, 2009
 
LLJD wrote:
<quoted text>
"socialized" medicine means different things to different people, meaning the definition is different depending on what party you belong, and what socioeconomic class you belong to. You should define the "health proposal" that your talking about, and site your sources. Medicare is a form of socialized medicine which is important to elderly and the disabled or handicapped. I would find it hard to believe that you would think the elderly and the disabled don't deserve any healthcare. But I don't know...you didn't define your stance.
Your statement regarding, when reaching a certain amount you are capped off.....we already have that type of insurance which is in the form of managed care....If you want extensive converage you you have to switch to a different plan; and some drug coverage have caps.....once you reach it, you pay out of pocket.
Healthcare reform is a big topic that need to be discussed in an intellegent manner, which also deserves a forum that would involve people in healthcare.
Whether or not you are a democrat or a republican or whatever party, the main point is that it is being addressed. The democrats had the courage to bring up the topics and suggestions........the republicans were too busy criticizing any healthcare reform but offered no solutions or suggestions, but I did notice that some supports were very vocal about healthcare being a privilige not a right.
Blaming "democraps" ---a party i guess you made up, or blaming anybody for that matter is not the answer. Healthcare reform topics has been continously debated for decades......blaming will not get one anywhere which seems to be going lately. Topics such as healthcare will never be solved in this lifetime, but is an ongoing issue in this continuum with call life.
Would appreciate other comments from healthcare providers and goverment workers.
A rare cogent reply to the misinformed 'normal babble'. Mahalo Kakou!
Oahu Portagee

Honolulu, HI

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#36
Aug 11, 2009
 
Laie Born wrote:
<quoted text>
Maybe if you one portagee -- but the stuff you mention isn't the "typical Hawaii resident diet".
Spam, Vienna Sausage, shoyu, and mac salad not typical foods in Hawaii?????? Are you kidding me?? Are you sure you were born in Laie?? Maybe you were born there, left when you were 1 month old and never returned.

Did you know that, per capita, Hawaii is the largest consumer of Spam in the WORLD?!?!??? Go to ANY restaurant in Hawaii, and what do you find sitting on the table or at the counter?? Shoyu.
Lady Ninja

Honolulu, HI

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#37
Aug 11, 2009
 
Got Humana? I got Humana this year when HMSA continued to raise the premiums for 65C plan. Humana PPO for Medicare receipients is FREE here in Hawaii. There is no first $270 out of pocket expenses for drugs. From day 1...

Second, Humana's Right Source drug company, will even ship your daily medications to you and most times, if available in generic, not charge you a co-pay.

Office visits to your PPO is $5.00, to your specialist who participates is $20.00. Sure there are pros and cons with any insurance program but I appreciate Humana for making it possible for me to maintain a great lifestyle with certain limitations.

They also provide dental insurance for Medicare too, with limited dental care but every little bit helps right? b
Grinchie

Hayward, CA

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#38
Aug 11, 2009
 

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Laie Born wrote:
<quoted text>
Maybe if you one portagee -- but the stuff you mention isn't the "typical Hawaii resident diet".
It isn't? You are the only one that seems to think that this isn't the typical fare served all over the state in Plate lunches and even in fast food joints.

Well, it is. I'm sure that there are many people that do not eat this way, but when I drive by these establishments, there is ususally a line or a crowd of people inside. It's habit, the food tastes good, but there is little perception of the power of food for most people.
Grinchie

Hayward, CA

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#39
Aug 11, 2009
 

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Laie Born wrote:
<quoted text>
Better strike Germany from that list. They might have universal health coverage, but they have just as many porkers as the US does. Many countries arrange their cities so that people can walk and ride bikes without getting run over by cars. Kids can bike to school -- what a concept! I think outdoor exercize has as much to do with good health as diet. Europeans absorb major amounts of fat, sweets and processed meat.
It's true that the older generation is still tied to massive amount of Pork and sausages, but the youger generation is moving away from that diet, and it shows. The young are generally fit in germany, except for the occasional stereotypical Augustus Gloop.

In Merica, 6 out of 10 jueveniles are overweight.
Laie Born

Dallas, TX

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#40
Aug 11, 2009
 

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Oahu Portagee wrote:
<quoted text>
Spam, Vienna Sausage, shoyu, and mac salad not typical foods in Hawaii?????? Are you kidding me?? Are you sure you were born in Laie?? Maybe you were born there, left when you were 1 month old and never returned.
Did you know that, per capita, Hawaii is the largest consumer of Spam in the WORLD?!?!??? Go to ANY restaurant in Hawaii, and what do you find sitting on the table or at the counter?? Shoyu.
Hey, come on, I AM portagee, and I still eat all the stuff you mentioned, as do my kids. But it isn't our typical "diet". We eat fruit, veggies, grain cereals and bread, fish, salad, eggs and low fat stuff too. We know what's healthy and what isn't and we try to eat the good along with the sketchy. Guava nectar is healthy. Kim chee is healthy, rice and noodles can be, and shoyu has its place. A lot of local favorites are good if you cook them right. It isn't like we're cooking L&L style every day!

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