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Alison Rose Levy

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Do You Have the Right to Choose Your Health Care?

Posted: 01/18/09 01:04 PM ET

I'm all for lowering health care costs by taking more responsibility for my health. As a health journalist and coach, I'm a champion of supporting people to improve their diet, upgrade their exercise, and manage stress.

But a little question: if we're responsible, shouldn't we also have the freedom to choose our health care? And shouldn't we let the government know which of its policies don't support our health?

I am a walking, talking health research project, figuring out what works for me and guiding others to do the same. (For more, sign up for the Health Outlook at www.health-journalist.com) Organic plant-based diet--check! Regular weekly exercise (cardio, dance, yoga, strength building, relaxation)--check! However, as a Queen of Self-Care myself, I feel that we have to differentiate between:

• Self-care you and I can do
• Conventional and non-conventional health assessments and diagnostics to prevent illness that we need to hire others to do
• Conventional and non-conventional health treatments that treat both existing conditions and "soon coming" conditions
• Government and economic policies in key arenas that impact our health

For example, a recent study found that nano silver effective in treating hospital derived MRSA, Avian flu, and other infections no other treatments can control. Good news!

However, prompted by a so-called "citizens' group," the EPA now wants to outlaw that very silver, calling it a pesticide. Unfortunately, this policy change opens the door to its being outlawed for human use. Bad news!

Kills bugs? Yes. Poisonous to humans -- no! Like silver, any low-cost, effective treatment may have well-funded competitors who'd prefer we use their pricier, ineffective offerings. With lobbyists strategically operative even as "citizens' groups," my daily exercise program won't help me maintain access to a product that keeps me and my loved ones safe should we enter an infection-ridden hospital environment.

So I say: If we're taking responsibility for our health, shouldn't we also have the right to choose our health care?

Let's face it, one reason so many people "give up" on that diet or exercise program is that on some level they know that an array of forces stand between them and health. Such as:

• Managed care insurance providers and Medicaid providers positioned between you and your doctor to try to cut costs
• FDA regulators who determine which treatments and products are available for use. (Unfortunately, they base their policy decisions on costly research methods, originally developed to assure the safety of toxic chemicals - and they misapply that methodology to non-toxic treatments and foods.)
• CDC regulators who mandate interventions based on the greater public good without any examination of which individuals should be excluded from broad mandates based on genetics or pre-existing health conditions
• National Institute of Health policies that favor pharmaceutical-company funded research, and stymy research into integrative treatments
• Agricultural and environmental policies that regulate the quality of available foods, as well as air, water, and land quality, all of which impact health
• State regulations, restricting your access to preventive health tests or treatments
• The pharmaceutical and food industries, and their PR firms with their battery of messages purveying products. Reaching deep into your psyche to program ailments--an instance of the "nocebo" effect, the flip side of the "placebo effect," ads use the recently demonstrated power of belief and suggestion to condition health outcomes.
• Conventional medicine which all too often acts as a barrier to low risk treatments and tests, demonstrated successful by outcome based findings.

So when we talk about prevention, let's not forget that many factors impact health -- and we can't address them all one-by-one as individuals. We need collective action on public policy, on the environment, and on guarantors for health choice.

I'm delighted that the new government wants to promote wellness, and encourage our new leaders to look at all of these policies.

And as we citizens take responsibility -- as I feel we must -- then it makes sense to request what comes with responsibility:

• The freedom to choose our preferred kind of health care. This could be easily implemented via providing catastrophic coverage insurance, along with flexible health spending accounts.
• A broader vision of how all governmental policies impact health and create a favorable or unfavorable health environment for each of us.

We need to look at it all, and not just whether I'm doing my thirty minutes per day of cardio. Encourage the Obama administration to research integrative health treatments by writing in to preserve funding from misguided NIH cuts, here.

 

Follow Alison Rose Levy on Twitter: www.twitter.com/AlisonRoseLevy

I'm all for lowering health care costs by taking more responsibility for my health. As a health journalist and coach, I'm a champion of supporting people to improve their diet, upgrade their exercise,...
I'm all for lowering health care costs by taking more responsibility for my health. As a health journalist and coach, I'm a champion of supporting people to improve their diet, upgrade their exercise,...
 
 
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06:04 PM on 01/28/2009
Alison, you’re right: People often give up, because they know that many barriers stand between them and health. One is conventional medicine, which often rejects “low risk treatments and tests, demonstrated successful by outcome based findings.”

One element of conventional medicine that acts as a barrier -- but is rarely mentioned -- is PHYSICIANS who are more comfortable using toxic (pharmaceutical and surgical) treatments, even when confronted with “patient proof” of gentler, less expensive (though NON-pharmaceutical) treatments that work. (They call these treatments “anecdotal.”)

I experienced this when, through a physician friend, I found a treatment that healed my husband’s non-healing suture line, eight months after brain tumor surgery. It was a silver-ion-based cloth dressing, which worked like a charm. (My husband’s doctors had performed EIGHT surgeries, in vain attempts to accomplish what this treatment accomplished overnight.)

His doctors were NOT AT ALL INTERESTED in learning about this treatment – even AFTER witnessing its efficacy.

Shocked, I set out to find (and write about) similar, lifesaving treatments doctors call “anecdotal” -- which also have lots of “patient proof.” I found several such treatments, whose only “sin” was not having undergone costly (“gold standard”) double-blind, randomized clinical trials.

Please read my six-part “‘Anecdotal’ Treatment Series” on HonestMedicine.com. I found that, no matter how impressive and lifesaving a treatment is, many doctors reject it as being “anecdotal.”

Julia Schopick
http://www.HonestMedicine.com
03:12 PM on 01/21/2009
Fantastic article.

We each have an obligation to safeguard our rights; it is also our responsibility to be self-educated about the issues that are presented for public concern. Sadly, we cannot currently trust the institutions we've created to represent the public interest. Whether it is the EPA, the FDA, or "special citizen groups", our socio and political systems have simply been hijacked by narrow, special interest.

We have to be the public that serves the public's highest interests.

http://www.silvermedicine.org/nano-silver.html
04:58 PM on 01/19/2009
Beautiful piece. Thanks for talking about freedom of choice in health care in such a measured, articulate, and well-informed manner.

I would urge one bit of caution in your choice of words. "Freedom of choice" in health care is a phrase that was long ago co-opted by partisan lobbyists for the insurance industry, fighting vehemently against a single-payer health care system. They constructed a straw man based on the argument that "you don't want government to choose your doctor for you", and knocked it down by pretending that only with private insurance can one really choose freely. Of course, this is the exact opposite of the truth, as anyone enrolled in an insurance plan who has ever been denied care can attest, while medicare recipients can go pretty much anywhere and see almost anyone at any time. (Medicare is, essentially, a single-payer system for senior citizens.)

So when you use the phrase "free to choose your health care", be careful to distinguish it from the mendacious use of the phrase by the health insurance industry. Freedom of choice of health care is important, and closely aligned with (but still orthogonal to), health insurance reimbursement strategies.

In the interest of disclosure, I am a working (primary care) physician in private practice, and I support a single-payer healthcare system. I also belong to the advocacy group PNHP (Physicians for a National Health Plan), whose website is at

http://www.pnhp.org/
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Bill Couzens is the Founder of Less Cancer
06:24 PM on 01/18/2009
Great work Alison will post to the Less Cancer Cause page on Facebook

Thanks
Bill Couzens, Founder Less Cancer
03:35 PM on 01/18/2009
Thanks for getting the word out on this; clearly Americans value Health Freedom, as evidenced by recent voting at www.change.org where Health Freedom was voted #7 of all issues facing Americans today; not only do we need NIH funding, we need new quality natural health products and services researched and integrated into mainstream health care.
It is unconscionable that in this day and age, with these high quality- and safe- natural health products and services, we are needing to even have this discussion. In the meantime, illness costs are bankrupting the nation, when including natural health would drastically lower our costs, keep us healthier - and more productive- and with greatly enhanced quality of life.
Please join us at www.change.org -we do need to stand up for our health- and our freedom
02:30 PM on 01/18/2009
I agree that there should be freedom to choose alternative health models. But I am for single-payer health care. As a person who needs to lose weight, I recognize my responsibility in this area. But having lived without insurance, and now having Medicare due to disability, let me say that the bottom line in healthcare is what happens when you get sick. Will your insurance pay for your treatment? Will your premiums go up?

One of those expensive and perhaps unnecessary tests saved my life, when a chest x-ray showed nodules on my lung (a diagnostic sign of valley fever) the doctors wanted a CT scan for a better look. Without insurance (and with some insurers) the x-ray would have been sufficient. But the scan picked up a large tumor - cancerous, as it turned out - on my kidney.

Health maintenance matters. But unless you can get the care you need when you are sick, insurance is worthless. I urge support for HR 676.
06:16 PM on 01/19/2009
I strongly second this motion. I agree and ask everyone to push his or her representatives to support HR 676.