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Robert E. Herron, Ph.D.

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Transcendental Meditation: An Innovative Way to Help Reduce Medicare and Medicaid Expenses

Posted: 07/13/2012 2:30 pm

Medicare and Medicare are unsustainable due to rising medical expenses. Why is this happening? As management expert W. Edwards Deming explained: "Every system is perfectly designed to achieve the results it gets." Then, is our medical system "perfectly designed" to produce the high and rising health care expenditures, variable quality, too many medical errors, and negative medication side effects? How can we change the system to increase efficiency and decrease costs when the legislative branch of the federal government is gridlocked and almost nonfunctional?

Chronic Stress Pushes Health Care Costs Higher

Because chronic stress is a leading driver of high medical expenses, if Medicare and Medicaid started covering the most effective stress-reduction method, the Transcendental Meditation (TM) technique, it may be possible to greatly reduce skyrocketing health care expenditures and rescue these programs without cutting benefits or our raising taxes.

More than 240 articles have been published in peer-reviewed scientific journals showing that the TM technique improves mental and physical health. Many of these studies were randomized clinical trials and meta-analyses. Several randomized clinical trials were funded by the National Institutes of Health to examine the impact of TM on cardiovascular health.

TM Practice: The Biggest Bang for the Buck

The largest and quickest reductions in medical costs could be achieved by providing the TM program to consistent high-cost people. The chart below shows a 28 percent reduction in doctors' bills over five years from baseline for persistent high-cost people who practiced the TM technique.

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Consistent High-Cost People

A small fraction of people incur the majority of health care costs. The highest spending 10 percent in the general population incurred 60 percent to 70 percent of total medical expenditures annually. In the Medicare population, the highest spending 5 percent incurred 43 percent of total Medicare costs, and the highest spending 25 percent of seniors accounted for 85 percent of total expenses. Medicaid is similar. Many of these highest-spending people have elevated medical bills over many years.

Consistent high-cost people typically have poor health with five or more chronic conditions, which are affected by excessive stress. Chronic stress can weaken the immune system, which can increase vulnerability to most diseases. Stress also degrades other physiological systems. This ongoing damage can cause, aggravate, or contribute to a wide range of physical and mental disorders. Prolonged stress also contributes to the unhealthy lifestyles that cause most chronic conditions, which account for approximately 80 percent of national medical expenditures. Obviously, stress reduction could help reduce high medical costs.

I conducted the study that was published in the American Journal of Health Promotion (2011; 26(1): 56-60). The results indicated that people with consistently high doctors' bills experienced a 28 percent cumulative decrease in physician fees after an average of five years of TM practice. After the first year of meditation, the TM group's physicians' bills declined 11 percent.

In 2009, the highest-spending 5 percent of the population averaged $16,336 or more per person in medical expenses annually. The tuition for starting the life-long TM program is $1,500. If the TM technique were taught to these people and their health care expenses decreased by 11 percent in the first year, then the payback period for TM would be less than one year. Since numerous studies show that the medical expenses of almost all TM practitioners continue to decline for over five years, the savings to Medicare and Medicaid would persist for many years and generate a substantial return on investment.

The distinctive stress-reducing and health-enhancing properties of TM practice have major policy implications. When considering the above study in the context of all the published research on the benefits of TM practice for mental and physical health, it is clear that if the TM program was provided to consistent high-cost people, then it would be possible to leverage great reductions in health care expenditures and thus help save Medicare and Medicaid without the government's cutting benefits, raising taxes, or borrowing money. Just add a TM benefit.

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Medicare and Medicare are unsustainable due to rising medical expenses. Why is this happening? As management expert W. Edwards Deming explained: "Every system is perfectly designed to achieve the resu...
Medicare and Medicare are unsustainable due to rising medical expenses. Why is this happening? As management expert W. Edwards Deming explained: "Every system is perfectly designed to achieve the resu...
 
 
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01:57 PM on 07/29/2012
Apparently, I am reading this 2 weeks later - but the information is valuable nonetheless!
11:11 PM on 07/19/2012
This is VERY important research. I certainly hope that the Healthcare field and Insurance Companies, etc., wake up to the possibilities offered by this important technology. Thank you, Robert, for being persistent in bringing your work to the attention of all of us !! Sincerely, Jonathan Schwamm
10:13 AM on 07/25/2012
TM is non-profit so the organization pays no taxes. It receives large contributions from donors
so that it can afford hotels and properties in various places.

The late maharishi lived in a palace in Holland!
10:21 AM on 07/25/2012
the Primordial Sound Meditation price is $325 or close to that. I have heard great things about it.

Natural Stress Relief is the discounted version of TM.
11:50 PM on 07/18/2012
the retail price of TM is $1500?
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Shaas
08:15 PM on 07/20/2012
Even if that would be true, compare it to the decreased pain, sickness, unhappiness, and, of course, the saved money on the level of the individual and the society!
11:49 PM on 07/18/2012
how many hotels does the TM Corporation own?
10:23 AM on 07/25/2012
TM is non-profit so is not required to pay taxes, plus there are large donations to pay for
several hotels.
09:58 PM on 07/17/2012
I know someone who had a serious heart condition who started TM. After a few weeks he went to his cardiologist. His Doctor was amazed at the improvements in his condition and told him "whatever you have been doing, KEEP DOING IT". That person was too embarrassed to tell his Dr. he was doing TM. Maybe the most important thing to do is educate the public about the valuable health benefits that accumulate automatically for those who practice TM regularly. And public education should help remove all the confusing ideas about TM that are common in the media. The scientific research helps, but the real proof of TM comes with direct experience. "The proof of the pudding is in the eating". I certainly have noticed health benefits myself (including better digestion and sleep, and the elimination of frequent colds and headaches). I highly recommend TM. And yes, the government should make it widely available because it will eliminate a lot of government's problems including budgets.
03:06 PM on 07/16/2012
This is a solution worthy of serious consideration. TM is hands down the best health support tool I've ever experienced...
05:14 PM on 07/15/2012
With all the well-documented research cited in this article on how Transcendental Meditation reduces health care costs, the government should really pay the cost for anyone who wants to learn TM. The government spends huge amounts of money treating disease, and paying the cost of sick people. They would save huge sums of money by paying to teach people TM, preventing disease, and all the associated costs.
01:09 PM on 07/15/2012
This research is so clear and compelling. It would seem that this approach would make a very big difference in Medicare and Medicaid costs if implemented widely.
11:54 PM on 07/14/2012
Rest is the natural way our body heals..deep rest gained during TM gives the nervous system the ability to throw off deep rooted stresses. It sounds to simple but it works;)
11:06 PM on 07/14/2012
It's really clear to me that the best way to reduce costs is to prevent illness. Stress is one cause of illness, so this is a good idea.
08:51 PM on 07/14/2012
Anyone who has ever transcended thought knows how natural and essential an experience it is. It is a very important ingredient for health! Of course the experience should be offered to everyone, but especially those who suffer from ill health. TM has been around for a very long time and has proven its effectiveness. If the government is truly dedicated to the principle :"An ounce of prevention is worth a pound of cure", then TM should be offered. If some other program can be scientifically proven to be more effect than TM, then use it.
05:30 PM on 07/14/2012
High medical costs decrease 28 percent after 5 years of Transcendental Meditation practice http://www.eurekalert.org/pub_releases/2011-09/rm-hmc091111.php
12:00 AM on 07/25/2012
how much does the average meditator contribute to TM over the years?
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Saijanai
Micro bio? We don't need no stinkin' micro bio...
10:28 AM on 07/27/2012
Very little. What you should be asking is how much does the average extremely fanatical/obsessive TMer contribute over the years, and the answer is obviously "more than their fair share."

By now you should realize that your question is meaningless.
10:20 PM on 08/15/2012
I know quite a few people who practice TM and I know almost no one who has ever contributed anything more than their initial course fee. That is on the basis of 40 years of observing the TM movement.
01:24 PM on 07/14/2012
Even if we've had great health most of our lives, as we get older unexpected things can happen.When you think of the cost of health care today, let alone the mental and emotional turmoil that medical emergencies cause, doesn't it make sense to do everything we can to stay healthy?

A lot of people have benefited greatly from TM. And it's something that can be done anywhere, anytime, with lifelong support. My parents both learned TM in their 60's and even though they had some medical situations as they got older, they recovered more quickly than expected. But most importantly they were happier. Both attributed this to their practice of TM.
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Jeanne Ball
Teacher of meditation, David Lynch Foundation
10:23 AM on 07/14/2012
I've know many folks who come off their medications after starting the TM technique. Prevention should be a big part of our national health care reform.
10:17 AM on 07/14/2012
Reducing health care costs without medicine appeals to me. I certainly intend to explore this idea more. Thanks for sharing.
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Saijanai
Micro bio? We don't need no stinkin' micro bio...
04:21 PM on 07/14/2012
Never assume that just because you feel a little better, whether from doing TM or something else, that you can arbitrarily stop taking prescribed medication without first consulting your doctor.

While it is true that a great many illnesses are caused by or exacerbated by stress, the fact that you are feeling better doesn't mean you aren't still ill.

Also, certain kinds of medicine, especially those taken for mental/emotional problems, can cause *serious* side effects if you stop taking them abruptly. Just because you're doing an effective stress management technique doesn't mean that you might not find yourself trying to commit suicide or kill someone (I'm not joking here -this is what happened to the Columbine kids and I saw it happen with a close family member a few years back) if you go cold turkey off of certain meds.
12:04 AM on 07/25/2012
i agree. meditation helps a little but does not solve all problems. i read that there was a
murder @ Maharishi University!