Diabetes Patients Forced To Budget For An Increase In Insulin Prices.
Insulin prices have skyrocketed in the USA in the last 5 years. Mandi Patterson, a mother of two sons, named Pierce and Martin, is sadly critically subject to Type 1 Diabetes. Their life span is heavily dependent upon the availability of insulin. To add more to her miseries, the decrease was also tested positive in her husband, Roc aged 47. Miss Patterson, claims that around $1000 each month of her family’s disposable income is destined to be spent on medication, specifically insulin.
It is clear the medication they so desperately depend on, comes at a hefty price. Around $300 to $400 spent on each member of the family alone. Such amount could have been up to around $5000 if only Miss Patterson’s employers at Costco had not provided her with an extensive health insurance program.
Patterson says, “whole financial position of her family could be jeopardized if the family is subject to a car accident or any miss-step away”.
Type 1 diabetes is a stage where a person’s pancreas stops producing insulin and requires several dosages a day. According to a study conducted by the Health Care Cost Institute, the cost of insulin has vastly increased. The cost of insulin per person in 2012 was $2841 which reached $5705 in 2016. Up-well health, a company situated in Salt Lake City, having business operations of home delivering medication for chronic disease, surveyed in 2018. The findings of the survey stated that people have skipped taking their insulin dosages due to the rise in cost.
Cathy Paessun, director of the Central Ohio Diabetes Association states that the “price of insulin continues to go up and has doubled in the last 4 years. The fact that anger the most is there is no change in the creation process of the product itself.”
Due to such rise and escalation in the prices of insulin, members of Congress, of both parties have been subject to scrutiny drawn upon them. It is essential for people with Type 1 and Type 2 diabetes, where their body does not produce insulin, availability of medication is imminent.
Reports from the National Diabetes Statistics department of the year 2017 show that out of 30.3million residents in the U.S, Type 2 diabetes is tested positive in 95%. Healthier diet and exercise, maintained by Type 2 patients can help them in tackling the disease rather than a dependency of insulin as compared to Type 1 counterpart.
Anthony Meyer, a patient of Type 1 diabetes of 29-year-old says “As extreme as it sounds, if I go without insulin I will die.” Weekly he as to pay $540 for a single vile of insulin and that is after insurance. Meyer says that he has to carefully plan out and budget his monthly expenditures so that he could cover the cost of his medication. Myers had to live with his father until the age of 29, so he could continue his medication.
1921, an orthopedic surgeon named Frederic Banting and a medical student from the University of Toronto named Charles Bset discovered Insulin. They later sold the insulin formula to a university for a single dollar. As the university couldn’t produce the patent in large quantities due to a lack of financial strength, they teamed up with various pharmaceutical companies from the USA and abroad.
As of this day, there is three dominant insulin manufactures Eli Lilly, Novo Nor-disk, and Sarnoff. These manufacturers make the drug, they negotiate and set prices with the pharmacy. Later health insurance companies, hire managers to prescribe drugs for the beneficiaries.
Manufacturers claim that the majority of the people, who consume their drugs don’t pay the list price. In the year 2009, the list price of Eli Lilly’s most commonly popular insulin was $99.65, which as of now amount to $275. Greg Kueterman, a spokesman of Eli Lilly acclaims the last time the company implemented a rise in the price of its insulin product was in May 2017.
“In the vast majority of cases, people pay far less than list price at the pharmacy,” he wrote. According to the data collected on pharmaceutical public income records, it is to be noted that since 2012 the net price of Sarnoff’s Insulin’s has declined by 25%.
However, the average cost for patients on all avenues of private health insurance and Medicare facilities have gone up by 60%. Patients having high deductible insurance plans are subject to paying more out of their pockets.
In addition to sky rocketing insulin prices, many people with Diabetes also have issues paying for health and life insurance. Says Carl Babels of Diabetes 365 “many people within the diabetes community may not be able to afford the best type of insurance policies for their families, due to worrying about the continuing increased cost of insulin. Life insurance with Diabetes is generally more expensive to begin with. Many people may not be able to afford the right amount of coverage they need, due to the out of pocket expenses for their medications.”
The initial focus should be on what the patient is paying out of their pockets against the list price of the product.
Officials from Novo Nor-disk claim that “a majority of the patients are more inclined towards paying the list price of their products rather than the insurance subsidies bills. With high deductible insurance policies and restrictive contractual agreements, insulin does have generally become affordable”.
The lawmakers from Ohio are looking into making insulin more affordable for the general public. A bill specifically targeting insulin pricing was presented by Senator Dr. Beth Liston, a Dublin Democrat.
The Insulin Affordability Act, which enforces that all health plan restricts insulin price at $100 with a steady 30 days’ supply. insulin is to be restricted at a pricing of $100 with a 30 days supply. Ohio Attorney General shall be asked to give recommendations and pricing strategies subject to House Bill 357 imposed. Both of these bills have been referred to the Ohio House Health Committee. The call for a transparent pricing policy on Insulin products is adamant.
Patterson’s sister in law Meghan Carter died in 2014 to the reason of rationing in her medical treatment. She was diagnosed with Type 1 diabetics in 2011, a severe condition is known as acidosis. Her blood sugar got too high leading to the body’s blood becomes acidic. Patterson says “at that point she was starting to ration off and on”.
In the year 2018, Carter lost her job and with that her health insurance. She was forced to pay around $900 for vials of insulin that lasted max about a week. Unexpectedly on Christmas eve, Carter suddenly started vomiting, a commonly known symptom found in diabetic Acidosis patients. When her roommates returned home, they assumed Carter was fast asleep. The next morning, they were hit with the tragic news of Carter’s death when they found her on the same couch last time, they saw her. Carter died to an atrocious death; her gifts were still left unpacked under her Christmas tree.
Patterson says when Carter’s family came to clean up the apartment they came across an empty vile of insulin and another that was barely even used leading to believe that she was rationing it for long term perspective.
From that day onward, Patterson took an oath to herself that she will do whatever in her power to fix this problem before someone else lose their life.
Battling Anxiety? Here Are Some Expert-Approved Tips To Overcome It
Describing anxiety is extremely difficult as everyone may suffer from it in a different way. It is normal for us to feel anxious from time to time, but when anxiety starts to affect our daily life, then we must deal with it as soon as possible. Unfortunately, women are twice as likely as men to suffer from an anxiety disorder. There are several ways to deal with it, but keep in mind that what worked for others may not work for you. We gathered some tips from the experts on how to overcome anxiety.
Exercising seems exhausting and people think it requires a high level of dedication to have any effect. However, for people suffering from anxiety or depression, exercising has been proven to reduce their symptoms. All it takes to have an effect is 2.5 hours of regular exercising per week or 1.5 hours of high-intensity workouts per week. You don’t need to hit the gym, all you need to do is go jogging, take a walk, dance, or do any other physical activity you like for 30 mins 3-5 times a week.
When someone has an anxiety disorder, the problem can be genetic, and they will need medications to overcome it. However, you should consult with your doctor as some drugs may have undesirable side effects on your body. Some of the medications used to reduce anxiety include beta-blockers, selective serotonin reuptake inhibitors, benzodiazepines, monoamine oxidase inhibitors, and tricyclic antidepressants.
After legalizing marijuana in several states, many people started discovering its benefits for physical and mental health. The preliminary studies conducted on CBD, a compound in weed, have shown promising results for its effect on reducing anxiety symptoms. If you are not into smoking weed, you can buy pure CBD oil or some edible CBD products which have the same effect. The CBD compound doesn’t give the high effect as that effect comes from the THC compound in weed. However, make sure that you purchase CBD products from a reputable company or store to get high-quality products.
There are several types of therapy that can help reduce or control anxiety and the sessions can be done in a group or individually. Cognitive-behavioural therapy (CBT) aims to identify and understand the behavioural and thinking patterns of an individual and change them gradually to reduce their anxiety. Acceptance and commitment therapy (ACT) focuses on overcoming anxiety by deploying strategies such as mindfulness and acceptance.
Sometimes all we need to reduce anxiety is to have a good night’s sleep. Sleeping is one of the coping strategies used to battle anxiety. You may try relaxation techniques such as yoga, deep breathing, belly breathing, massage, and meditation to get rid of anxious thoughts. Other types of coping strategies include having a healthy diet, having emotional support from trusted people, setting achievable goals, and many more.
Anxiety can turn someone’s life into hell if it isn’t controlled. Trying these tips may help to prevent negative thoughts and relieve anxiety considerably. However, if you tried one way and it didn’t work with you, don’t give up as there are several other methods that may have a positive effect on you.
Health benefits of drinking enough water
About 60% of our bodies are made of water. But, still, you-re required to drink enough water every day. Why? Because water is responsible for several functions including, regulating your body temperature, preventing dehydration, facilitates the excretion of wastes from your body, and enables your brain function.
Of course, there are more health benefits of water to your life. But before that:
How much water should you take per day?
Water is an essential element of your life. In fact, almost every function of your body needs or uses water, from your muscles and joints movements to the brain and tissue cushioning. So, you’re either losing water while breathing, through urine, perspiration, or through general body movements.
Therefore, if you need your body to function well, you must ensure you replenish the amount of water loses or used. According to the Centers for Disease Control and Prevention (CDC), men should take up to 3.7 litres (125 ounces). In comparison, women should consume about 2.7 litres (91 ounces). But of course, you can take more or less than the indicated amounts depending on different factors.
What determines the amount of water you take?
The amount of water and other fluids you take per day significantly depend on:
Exercise– when you participate in specific activities, you’ll have to drink a lot of water. For instance, during exercising, your body removes wastes through sweats. And to cover or replace the amount of water lost. So, it’s essential to take more water before, during, and after exercising or workout.
Whether or environment– humid or hot environment would make you sweat and in the process lose water. Also, there is a high chance of dehydration at high altitudes. So it would help if you consumed a lot of water during the hot conditions or summer.
Your overall health– studies have confirmed that your body loses a lot of fluid or water while you’re sick. For instance, vomiting and diarrhea increase your chances of water loss or if you have conditions like urinary tract stones and bladder infections, among others.
Pregnancy and breastfeeding– Suppose you are asking why water requirement increases during pregnancy or when lactating. In that case, here is what you need to know: during pregnancy, the water in your body is used to create of produce amniotic fluid.
Again, physical pregnancy changes or symptoms like vomiting and nausea increase the demand for more water. Also, you experience higher glomerular filtration and blood volume while you lose more water through respiration and sweating. All these demands that you stay hydrated, which calls for you to take more water or foods containing water.
On the other hand, breast milk contains 90% of water. Meaning while you breastfeed your little one, you lose a lot of water. So, you should take more water to replace the ones lost through the milk.
Importance of drinking enough water
Regulate body temperature
Your body loses a lot of water through urination and sweat, especially during hot weather or when you engage in physical activities. Such factors would cause your body temperature to rise. However, drinking more water ensures you manage your temperature while preventing dehydration.
Maximize your physical performances
Studies have confirmed that dehydration can reduce your level of exercise, lowering your physiological and sport capabilities like strength/power and endurance. And you’ll probably take less time exercising as compared to when you take more water.
Treats and prevents headaches
Headache is a common sign of dehydration. And since taking adequate water has been proved to reduce dehydration, it thus means that you chance of experiencing migraines and frequent headaches if you consume more water.
Aids digestion process
First, water helps in forming mucus and saliva, which help break down and digest different foods. Also, they help moisten food, thus reduce the friction for easy swallowing.
Experts have also confirmed that drinking more water helps get the food out of your body. In other words, it facilitates the excretion of waste in the form of feces and urine. Even better, water ensures a clean mouth and can also prevent and reduce tooth decay.
Promote weight loss
Drinking more water would increase satiety and boost your metabolic rate, thus increasing the number of calories in your body. This would, in turn, help you lose weight.
Also enough water:
- Helps prevent constipation
- Transport different nutrients throughout your body
- It helps fight off diseases like kidney stones, urinary tract infection, and hypertension
So, what can you do to take more water?
Tips to help you drink more water
Since your body is entirely dependent on water, you should:
- Have reusable water bottles so that you can refill them whenever you feel thirsty
- You can as well serve water during every meal
- Consider choosing water over other drinks like soda
- Serve or eat more foods: fruits and vegetables that contain more water like watermelon, cabbage, and lettuce, among others.
Water is a significant factor in your health. It would help if you had it for your physical performance, brain function and reduce dehydration, fever, and headaches. Also, you need water to facilitate your digestion, relieve constipation, and help flush out wastes, among other crucial benefits.
The Importance of LMFT Supervisors in Our Society
The job of an LMFT supervisor or licensed marriage and family therapist is to provide care for interpersonal and relational problems within marriages, families, and couples. Therefore, therapists play an essential role in our society to help their clients to realize and understand the reason for the bad mental state and provide a way to change their problem-creating habits and attitudes. There can occur several issues within the families and couples such as addiction, infidelity, and many other problems, and an LMFT supervisor works with people who are having problems in their relationships. If you want to become an LMFT supervisor and serve people in your society, you should attend an LMFT supervisor training from a well-established institution.
Licensed marriage and family therapists are essential parts of our society as they assist to deal with relationship problems of family members and couples. Most LMFTs are private practitioners and try to understand the emotions and experiences that cause problems for their clients through communicating regularly.
An LMFT supervisor can deal with individuals or multiple related parties, however, the supervisor always takes a one-on-one basis communication method whether they are working with groups in the same room or talking to an individual about his family or couple-related issues. In order to provide recommendations, the LMFT supervisor always focuses on couple or family dynamics, even if he or she is guiding an individual. In the case of family issues such as addiction or abuse, the LMFT supervisor tries to work in association with social workers.
Cognitive Behavioral Therapy:
LMFT supervisors often focus on providing cognitive-behavioral supervision to their clients. This goal-oriented approach helps the clients to understand how their actions are being affected by their thoughts, beliefs, and feelings. Therefore, the supervisors work for the recognition of destructive patterns and guides to change them.
Cognitive-behavioral supervisors understand the theoretical orientation and try to offer techniques for the betterment of the clients. This supervision approach involves the observation of the behaviors and cognitions of the clients. This type of supervisor also gives homework to their clients.
The Abilities of an LMFT Supervisor:
An LMFT supervisor needs to have several abilities in order to treat his or her clients and to bring positive changes in their lives.
- i) Empathize: An LMFT supervisor should be able to understand the feelings of his or her clients.
- ii) Communicate: Communication is essential to convey the messages effectively and to know the causes that harm the client’s mental condition.
iii) Listen: An LMFT supervisor should let his or her clients say about their problems and listen properly to recognize the issues.
- iv) Analyze: In order to understand the real cause, the supervisors need to analyze the issues and the environment from where the client belongs to.
- v) Build Trust: Building trust is the most essential thing because the clients can rely on a supervisor if they trust the supervisor.
- vi) Problem Solve: Above all, an LMFT supervisor needs to have problem-solving abilities in order to bring changes and to guide the behaviors of the clients.