West Virginia Sen. Manchin usually takes the enamel out of Democrats’ plan for seniors’ dental treatment

Sharon Marchio misses having teeth for ingesting, talking and smiling.

For the past number of decades, just after the very last of her teeth were extracted, she’s used dentures. “My dentist calls them my floating teeth for the reason that no make any difference how considerably adhesive you use, if you consume something very hot or warm, they loosen up and it is a soreness,” reported Marchio, 73, of Clarksburg, West Virginia.

Marchio believes that losing her tooth was basically component of getting more mature. It truly is quite common in West Virginia, where by a quarter of folks 65 and more mature have no normal tooth, the optimum charge of any point out in the nation, in accordance to federal information.

Like 50 percent of Medicare enrollees nationally, Marchio has no dental insurance policy. Anxieties about the costs led her to skip frequent cleanings and examinations, important actions for preventing bacterial infections and tooth decline.

Medicare doesn’t cover most dental care, but customer advocates experienced hoped that would alter this year after Democrats took management of the White Household and Congress. President Joe Biden and progressives, led by Sen. Bernie Sanders, sought to insert the gain to a main domestic shelling out package, the Make Again Far better Act, that Democrats are in search of to move.

But those people probabilities are hunting slim simply because at the very least just one Democratic senator — Joe Manchin of, sure, West Virginia — opposes adding dental and other advantages for Medicare beneficiaries. He claims it will charge the federal govt as well considerably.

In a Senate break up evenly in between Republicans and Democrats, shedding Manchin’s vote would most likely sink the proposal, which is not likely to get any Republican votes.

Past month, the Residence handed the roughly $2 trillion offer of Democrats’ domestic priorities that consist of health and fitness actions, absolutely free preschool, reasonably priced housing packages and initiatives to fight weather alter. It extra hearing companies protection to Medicare but no dental gain. The bundle is expected to undergo revisions in the Senate, and Democratic leaders hope a vote will come about in the chamber just before the stop of the 12 months.

In West Virginia, one of the most intensely Republican states in the country, oral wellness advocates and progressives say it is really disappointing that Manchin would stand in the way of introducing dental protection for Medicare recipients — significantly given the state’s inadequate oral wellbeing history.

“It is regrettable that our senator — who I respect and agree with on a good deal of factors — is going to draw the line on this situation,” claimed Fotinos Panagakos, affiliate dean for study at the West Virginia University School of Dentistry and a member of the Santa Fe Team, a imagine tank designed up of students, business executives and former authorities officials pushing for a Medicare dental advantage. “It would be a big profit.”

West Virginia has the third-highest share of individuals 65

Read More... Read More

West Virginia Sen. Manchin Normally takes the Enamel Out of Democrats’ Program for Seniors’ Dental Care

Sharon Marchio misses owning teeth for having, speaking and smiling.

For the past couple many years, soon after the past of her tooth were being extracted, she’s used dentures. “My dentist calls them my floating teeth for the reason that no make a difference how significantly adhesive you use, if you eat a little something hot or heat, they loosen up and it is a suffering,” reported Marchio, 73, of Clarksburg, West Virginia.

Marchio believes that getting rid of her tooth was merely aspect of having older. It’s fairly popular in West Virginia, the place a quarter of individuals 65 and more mature have no all-natural teeth, the maximum rate of any point out in the place, in accordance to federal knowledge.

Like fifty percent of Medicare enrollees nationally, Marchio has no dental insurance coverage. Worries about the prices led her to skip typical cleanings and tests, important actions for stopping bacterial infections and tooth reduction.

Medicare does not protect most dental care, but purchaser advocates experienced hoped that would adjust this year soon after Democrats took handle of the White House and Congress. President Joe Biden and progressives, led by Sen. Bernie Sanders, sought to include the advantage to a major domestic paying package, the Make Back Improved Act, that Democrats are trying to get to move.

But those people prospects are searching slender mainly because at least one particular Democratic senator — Joe Manchin of, yes, West Virginia — opposes adding dental and other positive aspects for Medicare beneficiaries. He states it will value the federal authorities too a great deal.

In a Senate break up evenly in between Republicans and Democrats, getting rid of Manchin’s vote would probable sink the proposal, which is unlikely to get any Republican votes.

Previous month, the Household passed the roughly $2 trillion package deal of Democrats’ domestic priorities that include health actions, no cost preschool, cost-effective housing courses and initiatives to battle local weather modify. It added listening to services coverage to Medicare but no dental advantage. The package deal is expected to go through revisions in the Senate, and Democratic leaders hope a vote will transpire in the chamber before the stop of the year.

In West Virginia, 1 of the most seriously Republican states in the place, oral overall health advocates and progressives say it’s disappointing that Manchin would stand in the way of incorporating dental coverage for Medicare recipients — notably presented the state’s very poor oral wellbeing history.

“It is unfortunate that our senator — who I regard and agree with on a lot of matters — is going to attract the line on this issue,” claimed Fotinos Panagakos, associate dean for study at the West Virginia College College of Dentistry and a member of the Santa Fe Group, a think tank built up of scholars, field executives and previous government officials pushing for a Medicare dental profit. “It would be a huge benefit.”

West Virginia has the 3rd-optimum share of

Read More... Read More

It Normally takes a Staff: A Health practitioner With Terminal Cancer Depends on a Shut-Knit Team in Her Remaining Times

[Editor’s note: Dr. Susan Massad, who is featured in this story, died Nov. 29.]

The decisions have been intestine-wrenching. Ought to she try another round of chemotherapy, even while she scarcely tolerated the past one? Need to she continue ingesting, although it’s finding tricky? Really should she take additional painkillers, even if she ends up greatly sedated?

Dr. Susan Massad, 83, has been generating these selections with a group of close friends and family members — a “health team” she made in 2014 soon after studying her breast cancer experienced metastasized to her spine. Considering that then, medical doctors have identified most cancers in her colon and pancreas, much too.

Now, as Massad lies dying at house in New York Metropolis, the group is concentrated on how she would like to are living by means of her last weeks. It’s recognized this is a mutual problem, not hers by itself. Or, as Massad explained to me, “Health is about a lot more than the individual. It’s a thing that people today do together.”

Initially, 5 of Massad’s team users lived with her in a Greenwich Village brownstone she acquired with good friends in 1993. They are in their 60s or 70s and have recognised one a further a lengthy time. Previously this 12 months, Massad’s two daughters and 4 other close close friends joined the team when she was thinking about an additional spherical of chemotherapy.

Massad ended up indicating “no” to that alternative in September right after weighing the team’s enter and consulting with a medical professional who researches remedies on her behalf. Several weeks ago, she stopped ingesting — a final decision she also created with the group. A hospice nurse visits weekly, and an aide arrives five several hours a day.

Any person with a question or problem is totally free to raise it with the team, which fulfills now “as wanted.” The team does not exist just for Massad, spelled out Kate Henselmans, her lover, “it’s about our collective nicely-getting.” And it’s not just about crew members’ professional medical problems it is about “wellness” substantially far more broadly outlined.

Massad, a principal care physician, very first embraced the thought of a “health team” in the mid-1980s, when a college professor she realized was diagnosed with metastatic most cancers. Massad was deeply included in neighborhood organizing in New York Metropolis, and this professor was section of these circles. A self-professed loner, the professor said she preferred deeper connections to other individuals all through the very last stage of her daily life.

Massad joined with the woman’s social therapist and two of her shut close friends to present assistance. (Social remedy is a type of group remedy.) More than the subsequent three years, they assisted manage the woman’s actual physical and psychological symptoms, accompanied her to doctors’ visits and mobilized close friends to make certain she was not often by yourself.

As phrase bought out about this “let’s do this together” product, dozens of Massad’s good friends and

Read More... Read More

New CA law takes aim at long wait times for mental health care : Shots

When Greta Christina heard that Kaiser Permanente mental health clinicians were staging a protest on Oct. 13, 2019, over long wait times for therapy, she made her own sign and showed up to support them. She’s had to wait up to six weeks between therapy appointments for her depression.

Ingrid Nelson


hide caption

toggle caption

Ingrid Nelson


When Greta Christina heard that Kaiser Permanente mental health clinicians were staging a protest on Oct. 13, 2019, over long wait times for therapy, she made her own sign and showed up to support them. She’s had to wait up to six weeks between therapy appointments for her depression.

Ingrid Nelson

When Greta Christina fell into a deep depression five years ago, she called up her therapist in San Francisco — someone she’d had a great connection with when she needed therapy in the past. And she was delighted to find out that he was now “in network” with her insurance company, meaning she wouldn’t have to pay out of pocket anymore to see him.

But her excitement was short-lived. Over time, Christina’s appointments with the therapist went from every two weeks, to every four weeks, to every five or six.

“To tell somebody with serious, chronic, disabling depression that they can only see their therapist every five or six weeks is like telling somebody with a broken leg that they can only see their physical therapist every five or six weeks,” she says. “It’s not enough. It’s not even close to enough.”

KHN logo

Then, this summer, Christina was diagnosed with breast cancer. Everything related to her cancer care — her mammogram, biopsy, surgery appointments — happened promptly, like a “well-oiled machine,” she says, while her depression care stumbled along.

“It is a hot mess,” she says. “I need to be in therapy — I have cancer! And still nothing has changed.”

A new law signed by Gov. Gavin Newsom in October aims to fix this problem for Californians. Senate Bill 221, which passed the state Legislature with a nearly unanimous vote, requires health insurers across the state to reduce wait times for mental health care to no more than 10 business days. Six other states have similar laws limiting wait times, including Colorado, Maryland, and Texas.

Unequal access to behavioral health care is pervasive

Long waits for mental health treatment are a nationwide problem, with reports of patients waiting an average of five or six weeks for care in community clinics, at the VA, and in private offices from Maryland to Los Angeles County. Across California, half of residents surveyed said they have to wait too long to see a mental health provider when they need one.

At Kaiser Permanente, the state’s largest insurance company, 87% of therapists said weekly appointments were not available to patients who needed them, according to a survey by the National Union of Healthcare Workers, which represents Kaiser’s therapists — and was the main sponsor of the legislative bill.

“It just feels so unethical,”

Read More... Read More

Men’s Health Fitness Editor Andrew Tracey Takes on 24 Hero WODs in 24 Hours

Photo Credit: Callum Tracey (IG: @sportsdaymedia)

Enjoying Morning Chalk Up? Access additional exclusive interviews, analyses, and stories with an Rx membership.

Men’s Health fitness editor Andrew Tracey is about to take on a monumental task. He will complete 24 CrossFit Hero WODs in a 24-hour timeframe for the fourth year, but he will add in an ultra-marathon as an extra challenge, according to a profile originally published in Men’s Health.

The details: Tracey will start the Herculean endeavor in rural Essex at 10 a.m. local time on Saturday, November 20. He will complete all 24 Hero WODs by 9 a.m. local time on Sunday, November 21. Tracey will tick off miles between each of the CrossFit workouts to reach his ultimate goal of completing an ultra-marathon. 

  • Tracey will not simply complete these workouts in a gym. Each portion of the ultra-marathon will continue a journey between Stansted and Stratford. His Hero WODs will take place at different locations along the route. 
  • Tracey’s final workout — Murph — will take place in East London’s Olympic Park. 

Tracey will start with the 100 muscle-ups of James Prosser before taking on Nate, which includes even more muscle-ups. The schedule continues with Hidalgo, Jerry, DT, Ricky, Mead, Bert, Joseva, Oz, Burgess McLaren, Bolger, Smudge, and Jordan.

Tracey will complete nine more Hero WODs on Sunday to cap off the schedule. The list is The Chief, Heidi, Jones, Jay, Sham, Jenny, Randy, Joseph Grzelak, and Murph. 

Raising money for charity: Tracey will complete this task to raise money for Pilgrim Bandits, the organization whose motto — “Always a little further” — originally inspired this task in 2018. Those who want to support Tracey as he takes on the Hero WODs can donate directly to Pilgrim Bandits.

Pacing is critical: Tracy’s past efforts to complete 24 Hero WODs in 24 hours have always included a mix of longer workouts and shorter, intense ones. The mix would provide him with extra time every few hours to refuel and recharge. The 2021 iteration is a different beast.

  • Tracey will have to complete two or three miles between each workout to chip away at the ultra-marathon distance. If a Hero WOD takes 50 minutes, he will only have 10 minutes to get this distance in before starting the next workout. 

“Discomfort is not found within the four walls of a gym,” Tracey told Men’s Health. “That’s just a little bit of hard work… This is about putting myself in an unknown situation where I can’t stop. And this year, more than ever, will reflect that, because there’ll be real consequences to slowing down. It’s s— or bust. You either make it to the next one, or you don’t.”

The WODs and schedule: Courtesy of Men’s Health.

10am: James Prosser

11am: Nate

  • 20-minute AMRAP:
    2 muscle-ups
    4 handstand press-ups
    8 kettlebell swings

12pm: Hidalgo

  • 2-mile run
    20 cleans
    20 box jumps
    20 walking lunges
    20 box jumps
    20 cleans
    2-mile run

1pm: Jerry

  • 1-mile run
    2000-metre row
    1 mile
Read More... Read More