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Alison Rose Levy

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Resolving to Care: Integrative Health Care Reform

Posted: 12/31/08 04:16 PM ET

As a twisted Christmas present to Americans who care about health, the Wall Street Journal recently published an article knocking integrative physicians, Deepak Chopra, MD, and Andrew Weil, MD.

Why? Why would the Wall Street Journal bother to devote space to this jibe? (For the doctors' reply to this attack, see Chopra's HuffPost blog here: http://www.huffingtonpost.com/deepak-chopra/leave-the-sinking-ship-an_b_154538.html

For the simple reason that if these two famous doctors (and the legions of integrative physicians and practitioners who follow them) have their way, the coming health care reform under the Obama administration will improve quality and lower costs by accessing a wide range of integrative health care modalities.

Why is that a problem? Because when integrative methods are adopted for wellness maintenance, for disease prevention, and/or for treatment of chronic diseases and anti-aging, it will signal one thing:

An end to the long gravy train ride for pharmaceutical companies, insurance companies, and conventional practices based more on the profit motive than on caring.

"Between 1998 and 2006, pharmaceutical companies and other manufacturers of health-care products spent over a billion dollars on lobbying, more than anybody else... Insurance companies, including health insurers, ranked second." This insight into the behind the scene forces in the health care debate comes from Obama's choice to lead health care reform, former Senate Majority Leader Tom Daschle, writing in his recent book, "Critical: What We Can Do About the Health Care Crises.

Keep Daschle's assessment in mind that when you hear the media deriding integrative health. The same folks paying big bucks to lobby Congress are also big media buyers (of those commercials for pills that fix your every problem.) This shrinks the likelihood that media reportage on health (in the Wall Street Journal or elsewhere) will be objective, well-researched, open-minded, or in the public interest.

Meanwhile, the integrative health community is organizing to strategize how best to incorporate their offerings to improve American health care delivery and results. In just the last week, I attended a think tank and later interviewed key participants in the coming integrative health reform.

James S. Gordon, MD, Director of the Center for Mind-Body Medicine hosted twenty-five participants (ranging from top Congressional health policy advisors, to high ranking military health policy personnel, to integrative practitioners, to parents of special needs children) to dialogue and build consensus.

The group unanimously supported a single payer insurance model so long as prevention, self-care, and a wellness orientation are covered and integral.

Gordon, who served as Chairman of the White House Commission of Complementary and Alternative Health Care Policy, spent two years touring the country to solicit the needs and offerings in this field. Having worked extensively with a wide range of sizeable populations in dire need, including the traumatized survivors of Kosovo, Gordon strongly supports self-care but has found that incentives adopted to induce compliance are ineffective.

"Nothing you can use to coerce or bribe people to follow a program will make a difference. On the other hand, when you help people to see the connection between what they are doing and how they feel, the vast majority will do what's necessary. Self care begins with caring--and that's where any health system worth its name must begin."

The Samueli Institute, which explores the science of healing through research and other initiatives, hosted a meeting of 25 leading physicians, researchers, and scientists. (An additional 150 participated by phone.) This group assessed and offered input to a proposal to create a wellness office in the Executive branch to act as a driver for the inclusion of prevention and integrative health treatments.

Participants agreed that self-care (including nutrition, exercise, stress management, and a wide range of emotional and social supports) should be offered in health care, education, workplace, medical education, and other venues.

Wayne Jonas, MD, Samueli's CEO told the group that with its emphasis on training and education, innovation, and knowledge transfer, integrative health care aligns well with other key initiatives of the next administration.

Howard Federoff, MD, PhD, Executive Vice President of the Georgetown University Medical Center, called attention to a crucial need for a preventive approach to health care and disease management. "There's been an artificial distinction between wellness and disease, but in reality they exist in a continuum. The earlier we can intervene in every major class of human disease, the better off we will be."

"Those planning health care need to better understand the human organism in health and disease," counseled Gregory Fricchione, MD, Director of the Benson Institute for Mind-Body Medicine at Harvard Medical School.

"Let's not let caring become an afterthought. As a society, how can we continue to permit individuals to fall through the cracks and go without security and solace? This leads downstream to health problems of all kinds. We can't afford it."

Take action to include integrative health care in health reform at: www.citizens.org For regular reports on integrative health reform, go to: www.health-journalist.com

 

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

As a twisted Christmas present to Americans who care about health, the Wall Street Journal recently published an article knocking integrative physicians, Deepak Chopra, MD, and Andrew Weil, MD. Why?...
As a twisted Christmas present to Americans who care about health, the Wall Street Journal recently published an article knocking integrative physicians, Deepak Chopra, MD, and Andrew Weil, MD. Why?...
 
 
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01:10 PM on 01/10/2009
Alison: Thanks for your wonderful work on behalf of Integrative Healthcare Reform.
Hopefully, as you write, “the coming healthcare reform under the Obama administration will improve quality and lower costs by accessing a wide range of integrative healthcare modalities.” And hopefully, integrative healthcare will signal “an end to the long gravy train ride for pharmaceutical companies, insurance companies, and conventional practices based more on the profit motive than on caring.”
I believe Tom Daschle really understands this, and -- if lots of us tell him we do, too -- we will get what integrative physician/author Ron Hoffman calls “Intelligent Medicine.”
In his book, Daschle writes about Big Pharma’s and Big Industry’s duplicity – for instance, about (a) invented conditions like “restless leg syndrome”; (b) how new technology sometimes detects suspicious, NON-cancerous lumps, “leading to unnecessary biopsies”; and (c) how doctors often “order tests, perform procedures, and prescribe drugs because they have a financial stake in doing so.” He cites the work of Shannon Brownlee, Marcia Angell and John Abramson – vocal critics, all.
I recently discovered another hopeful sign: Daschle supported BOTH Health Freedom AND Alternative Medicine, when he introduced the Access to Medical Treatment Act in the mid-1990s! (Read his pro-alternative-medicine stand: http://bulk.resource.org/gpo.gov/record/1997/1997_S03208.pdf )
Let’s work together to tell Mr. Daschle that Integrative Healthcare will stem the overspending AND provide affordable, efficient healthcare for all!
Julia Schopick
http://www.HonestMedicine.com
HUFFPOST SUPER USER
quindy
If repubs don't drive you crazy you are not normal
08:24 AM on 01/02/2009
I have lived in Switzerland and Germany and in both countries you can use alternative medicine and your insurance will pay for it. My son's asthma was controlled with homeopathic remedies administered by a regular doctor who was also trained in homeopathy. If these treatments were not useful no Swiss or German insurance would ever pay for it. They know a lot about money. Obviously somebody decided that they are worth paying for. In Germany they also have medical providers called 'Heilpraktiker' which are trained in alternative treatments and are fully covered by insurance.
01:20 PM on 01/01/2009
Thanks for this good article. Everyone who truly cares about preventive medicine and quality treatment for all Americans (regardless of financial ststus) knows that only single payer will allow us to cover everyone and control costs going forward (see HR 676). But we must speak up! HHS secretary-designate, Tom Daschle, has called for community forums so that the Obama team will have grassroots support for reform. But what kind of reform? We've had enough of dancing with the insurers--one step forward, two steps back. If we want to include integrative health care options and exclude high-profit HMOs and big pharma, we must make our voices heard. Do not expect your neighbor to do it. Organize a community discussion at your local health foods store, or in your kitchen. Go to www.change.gov to get details. Make certain that "single payer" and "access to integrative care" are among the talking points. For some reason, the Daschle discussion guide does not include those items. Hmmm ...I wonder why?
02:24 AM on 01/01/2009
"An end to the long gravy train ride for pharmaceutical companies, insurance companies, and conventional practices based more on the profit motive than on caring."

We can only hope. There is no chance of effective health care reform without eliminating private, for-profit health insurance companies. Period.
05:25 PM on 12/31/2008
The fact that the Wall St. Journal chose to attack Andy Weil and Deepak Chopra is simply evidence that their ideas are threatening to the economic edifice on which our "disease-care" system is based. When will we realize that drug companies are the worst kind of "drug pushers" (with certain exceptions)?

The various natural therapies that Weil and Chopra advocate are much more popular through Europe and Asia than in the USA, and ironically, despite ALL of the money that we spend on "health care," most of Europe and Asia has much better mortality and morbidity rates than the USA.

The defensive posture of American medicine is typical of so many addicts: denial and a demand for more drugs.