Monday, July 30, 2012

ID Theft, How do you recover?

Well, to continue the piece on ID theft. Another part of the woman's day article is entitled: If your identity is stolen, follow these five steps:
1. Put a fraud alert on your credit reports. You only have to contact one credit bureau (equifax.com, experian.com or transunion.com). They, in turn, will alert the other two.
2. Get copies of your credit reports. Once you place a fraud alert, you're entitled to a free copy of your credit report from each credit bureau Check each report for unauthorized charges.
3. Notify your bank, creditors and utility companies about any affected accounts. Speak to someone in the security or fraud department; follow up in writing.
4. Call 877-IDTHEFT or visit FTC.gov to alert the Federal Trade Commission.
5. File a police report. It will be helpful if creditors want proof of a crime.

The article also mentions turning off your friends ability to share your information on social networking sites. This can be difficult for some as networking is how some make their living and build their companies. I will tell you that it is very easy to place the fraud alert on your credit report. Thankfully, my bank has a great fraud department and they gave me tips on who, what and how this may have happened to me. I have taken steps to help, but this still does not mean I am completely safe. My only hope by posting about this topic is that the information helps someone and that this in turn makes it tougher on those who choose to be thieves!

ID Theft, scary invasion of privacy!

Well I was hacked and my identity compromised in my personal life, so I am going to share part of an article I read in woman's day magazine. The part is entitled 5 signs of Identity Theft.

1. Your mail goes missing. If you stop receiving bills, bank statements or other mail, it could mean that an ID thief has changed the address on those accounts.
2. You're denied a credit card, a loan or a mortgage, even though you have an excellent credit history. Someone may have racked up charges in your name that were never paid, destroying your credit rating.
3. You receive bills for goods or services you didn't buy. The unexpected bills are a red flag that your credit card information was most likely stolen.
4. You're bombarded with calls from collection agencies about unpaid charges you never made.
5. After you file your taxes, you're notified by the IRS that someone has already filed under your name and social security number. Now she has your tax refund.

I had number 3 happen this past week. Thankfully, I was on top of things and had been checking my credit card to verify charges, etc while paying bills. Otherwise, I may not have caught this and the charge may have gone through. It appears that the thief may have obtained my information from my Barnes and Nobles account. I notified both my bank and BN. ID theft is scary stuff. My bank immediately cancelled/closed my account. But, it still does not change the fact that the theif has my personal information! Today I placed a fraud notice with with credit bureau's so my credit rating hopefully will not be impacted.

Monday, July 16, 2012

Health promotion topics


After exploring some health promotion topics in the 'The Community Guide' (a resource compendium of more than 200 interventions that have been reviewed by the Task Force on Community Preventive Serviceshttp://www.thecommunityguide.org/index.html):
  • Identify two topics that interest you regarding health promotion in your community
  • Explain why these topics are of particular significance to you

The first topic which interests me is asthma, specifically in children. I am very concerned with the signs and symptoms of this illness being recognized.  The s/s can change as a child ages, or possibly not develop until they are older. Typically, when you think of asthma you think tightness of chest, and wheezing. However, a chronic persistent cough, complaint of frequent headaches, dark circles under the eyes, GERD, loss of appetite, and fatigue are other s/s that should be looked for and addressed in any child. Once a diagnosis has been made and the child is put on medications, it needs to be stressed/instilled that just because the child is feeling better does not mean they can stop their medications. My son has asthma, eczema, and allergies. He was diagnosed with allergies and eczema prior to his first birthday. But, at this young age he was also having reflux problems. It was through my persistence and after switching pediatricians, that he was finally diagnosed with asthma at the age of three. No child should be vomiting (projectile) every day, every meal, when upset, when playing and continue to show little growth or weight gain. Another sign for my son was that his coughing, etc. became worse at night. My son has been on Advair for several years, along with allergy medications like Claritin he is able to do very well and at the age of 7 he now has his blue belt in Jiu Jitsu, plus he can focus better in school. 

Reference:
WebMD, (Jan. 2011). Asthma Guide. Retrieved from http://www.webmd.com/asthma/guide/nocturnal-asthma-nighttime-asthmahttp://www.webmd.com/asthma/guide/nocturnal-asthma-nighttime-asthma


The second topic which interests me is oral health. In our community the water is not fluoridated.  When I was a child I took immaculate care of my teeth, however I still was called the cavity queen by my family, due to having so many cavities. My brother has never really taken great care of his teeth, however he has never had a cavity in his entire life. This was more likely due to his eating cheese every night before going to bed. My parents always taught us to take good care of our teeth. This was in part because my father's parents lost their teeth at an early age. His mother lost her teeth in her twenties.  If you have cavities, or generally do not take care of your teeth the bacteria inside your mouth can lead to not only gingivitis, but systemic diseases. Someone with an immunocompromised system is at a greater risk of morbidity. (NIDRC, 2010). Having cavities can allow the bacteria to get into your bloodstream. (Mayo, 2010). I have always been obsessed with good teeth. Ever since I was young it turned into a competition between me and my brother. Now, I am happy to say that I have not had a single cavity since I was a teenager. That was more than 20 years ago. My husband and my children have never had cavities. I also, do not have plaque buildup when I go for my exams every six months. I have always believed that a healthy smile indicates how you feel. I believe that it is important for children to be taught about good oral health while they are young so, they develop good habits and not wait until they have cavities or worse. 

References:
Centers for Disease Control and Prevention (CDC), (2011, Jan.) Division of Oral Health. Oral Health Resources. Retrieved from http://www.cdc.gov/OralHealth/index.htmhttp://www.cdc.gov/OralHealth/index.htm
Mayo Clinic Staff, (2010, Nov.). Adult Health. Oral health: A window to your overall health. Retrieved from http://www.mayoclinic.com/health/dental/DE00001http://www.mayoclinic.com/health/dental/DE00001
National Institute of Dental and Craniofacial Research, (NIDCR),(2010, Mar.). Oral Health in America: A Report of the Surgeon General (Executive Summary). Retrieved from http://www.nidcr.nih.gov/nidcr2.nih.gov/Templates/CommonPage.aspx?NRMODE=Published&NRNODEGUID={7A6ABF55-F4F9-4FF9-9FC4-3BF6A423CD4F}&NRORIGINALURL=%2fDataStatistics%2fSurgeonGeneral%2fReport%2fExecutiveSummary.htm&NRCACHEHINT=Guest#partThreehttp://www.nidcr.nih.gov/nidcr2.nih.gov/Templates/CommonPage.aspx?NRMODE=Published&NRNODEGUID=%7b7A6ABF55-F4F9-4FF9-9FC4-3BF6A423CD4F%7d&NRORIGINALURL=%2fDataStatistics%2fSurgeonGeneral%2fReport%2fExecutiveSummary.htm&NRCACHEHINT=Guest%23partThree

Patient Protection and Affordable Care Act


The Patient Protection and Affordable Care Act makes many changes not just inside the health
care industry, but within all industries. The PPACA seemingly takes the steps necessary to assure not
only the uninsured, but the underinsured will have some sort of health care coverage. The health care
reform law requires that all Americans have health insurance, which means employers will need to
prepare for a new wave of young employees needing insurance coverage.  With health care costs rising
and salary increases remaining small, employers may need to get creative when it comes to
compensation and benefits in 2011 to ensure they communicate their value effectively and motivate
and engage employees. For example, cost-conscious employers may offer more benefits to attract and
retain talent, such as flexible work options, including adjustable work schedules or telecommuting.
Vacation buy and sell programs, where employees can purchase or sell back extra vacation days to their
employer, are another low cost creative option likely to gain appeal. (Marzulli, 2011).
                With all the changes coming about due to the new Patient Protection and Affordable Care Act  
there are many employers having to search for creative and new ways to cut costs. One of the creative
ways employers seem to be turning to are wellness incentive type programs which include but are not
limited to the following: education, preventive care, fitness and nutrition.  (Loehrke, 2011). The
employers who have developed wellness programs have  recently been asking their employee's to
voluntarily provide a health risk assessment. Does this mean that your employer is delving into your
personal affairs? Not necessarily. Employers cannot require medical information unless they reasonably
believe that the employee cannot or will not be able to perform an essential function of their job due to
a medical condition, or if the employee may pose a threat to themselves or others due to that condition.
(Loehrke, 2011).Thus, many employers are still trying to find ways to decrease health care costs. 
                Decreasing health care costs is a goal of employer's even for their employee's who take care of
aging loved ones. It's no surprise that employees who care for older relatives may cost employers more
in terms of reduced productivity and higher absenteeism. But a recent study by the Met-Life Mature
Market Institute now finds that family caregivers tend to have higher health care costs as well. The study
estimates that U.S. employers pay 8 percent more per year in health care costs for employees without
those responsibilities. This could potentially cost U.S. employers $13.4 billion per year, according to the
report.  Among the chronic conditions more prevalent in caregivers than noncaregivers: depression,
costing one particular company an estimated $6,380 in increased medical expenses; hypertension
combined with coronary artery disease, costing $30,073; and diabetes costing $14,979. (Baker, 2010).
                Within some companies it looks like employee's are being receptive to the creative ideas their
employers are having. Is this because employee's are realizing that these programs could save them
money in the long run? "Only 31 percent of employees who had negative feelings about the way their
medical benefits were handled felt good about their health care plans" (Wells, 2010). "Claims auditors
estimated that an average 3 percent to 8 percent of enrolled employees' dependents would be
ineligible. Assuming a $1,900 average annual cost per dependent, savings can be substantial.  Plans with
3 percent ineligibility per 10,000 dependents would save $570,000; those with 8 percent ineligibility
might net a return of about $1.5 million" (Wells, 2010). "A recent analysis by Hewitt Associates reports
average premium increases for 2009-2010 at 6 and 6.9 percent, respectively, and projects an 8.8
percent average premium increase for 2011" (Loehrke, 2011).
                 Bear in mind that the new health care reform act protects many individuals who would soon be
uninsured, and/or, underinsured, some due to ineligibility.  Many of these previously ineligible
individuals are adult children who will now remain covered until age 26. (Tyler, 2010). The previous
savings employer's have by not covering these individuals may now be a potential cost increase and
 possibly  force some employers to increase premiums for health care coverage of  their employees'  and
dependents.  "A recent analysis by Hewitt Associates reports average premium increases for 2009-2010
at 6 and 6.9 percent, respectively, and projects an 8.8 percent average premium increase for 2011"
(Loehrke, 2011). Who will be impacted by the provision requiring employers to make coverage available
for all children until they turn 26? Beginning in 2014, even an adult child who has access to coverage
 through his or her employer will be eligible for coverage through a parent's plan. This impact may be
substantial with a projected increase of up to 4 percent of total plan costs. This impact should be
minimal for plans which are employee only. (Tyler, 2010).  The financial incentive to change to employee
only coverage appears strong, many employers are not at this time saying they expect to make the
change to employee only coverage. This financial incentive is strong especially since coverage
generally costs employers much more than the $2,000 per employee penalty as addressed within the
health care reform act. (Tyler, 2010). Employers are simply looking at the difference in cost of insuring
an employee compared to the cost of the penalty.  This means that business leaders look at benefits
from a cost standpoint. If the burden is more in providing coverage then they will more than likely drop
the benefit of dependent coverage for their employees. (Tyler, 2010). This would mean dependents, and
in some cases spouses would be amongst the millions of uninsured. Employers are finding additional
changes for their previously uninsured employees as regulated within the new PPACA law.
                Many employers have found themselves in a quandry and in need of guidance from the
government on how to interpret the Patient Protection and Affordable Care Act which was signed into
law in March 2010. One of the pieces of this reform act employers seem to be looking for is how to
define full-time employee status. The employers are asking for specifics on how to measure the 30-hour
workweek requirement for a full-time status. (Sammer, 2011).  This change in the law means, employees
who did not meet full-time status before and were ineligible for health care coverage may now meet the
requirement. So, what does this mean to you and your employer? What this means is if you were
previously considered part-time you could possibly now by law be deemed full-time and eligible to
receive the benefits of a full-time employee. What it means for your employer is they would now be
required to provide the same health care benefits, as they do to all full-time employees. "Growth in the
average total health benefit cost per employee in the United States picked up steam in 2010, rising 6.9
percent to $9,562" (Miller, 2011). There is a provision within the Patient Protection and Affordable Care
Act for employers with health plans in existence when the law was signed to be "grandfathered". This
provision has several regulations not released until June 17, 2010 by the Obama administration. (Miller,
2011). According to the regulations, a sponsor that wants to keep a plan grandfathered cannot cut or
significantly reduce benefits, raise co-insurance charges, raise co-payment charges by more than $5,
adjusted annually for inflation, raise deductibles significantly, reduce employer contributions by more
than 5 percentage points, or change insurance companies. (Tyler, 2010). These grandfathered plans still
could not exclude coverage of pre-existing conditions or set annual or lifetime coverage limits, but they
can avoid the reform law's requirements for additional reporting on employees' W-2 tax forms. (Tyler,
2010). Many employers' view the additional W-2 reporting requirements in the top provisions impacting
costs.  
                We have already started to see changes come about from the PPACA. Beginning in June of 2010
we started seeing  Medicare beneficiaries who reach the Part D "donut hole" get a $250 rebate, and a
change toward those with pre-existing conditions being offered insurance until 2014. (Lankford, 2010).
In September 2010 the provisions for covering dependent children up to age 26 were revealed. We also
saw the new regulation requiring insurers to cover certain preventive services and prevention of
imposing lifetime limits on the dollar value of coverage. They also can no longer rescind coverage except
 for fraud, or exclude pre-existing conditions on children. So far for the 2011 year Medicare recipients
will now get free preventive services and a 50% discount on brand-name drugs purchased in the Part D
donut hole. We also saw reimbursements for over-the-counter drugs in tax-favored medical accounts
become disallowed.  The projection for 2013 is for Flexible spending account contributions to be limited
to $2,500 per year. However, the threshold for deducting medical expenses on a tax return rises from
7.5% to 10% of adjusted gross income, those age 65 and older are exempt through 2016. In 2014
according to the new law we will see all U.S. citizens and legal residents being required to have health
insurance. There will be penalties of $95 or 1% of income, rising to $695 or 2.5% of income in 2016. We
will also see people younger than 65 who earn up to 133% of the poverty level become eligible for
 Medicaid, and a tax credit for those singles earning $44,000 or less and $80,000 or less for families buy
coverage.  In 2018 health plans will be hit with a 40% tax on the portion of coverage worth more than
$10,200 for individuals or $27,500 for families. (Lankford, 2010).
                Another change began at the start of 2011. Individuals who earn more than $85,000 or
$170,000 if married filing jointly will have to pay a high-income surcharge for Part D premiums. 
(Lankford, 2010). The law does appropriate $5 billion for a high-risk pool, in effect from June 2010 until
2014 to help people otherwise locked out of the insurance system to buy subsidized policies. The new
pool's policies must cap annual out-of-pocket spending at $5,950 for individual coverage or $11,900 for
families (not including premiums). (Lankford, 2010).
                Despite the positive changes for U.S. citizens there is a great deal of negativity regarding the
PPACA as it is currently written. "Dan Wolterman, president and CEO of Memorial Hermann Health
System in Houston, says it's because the law is flawed and needs revisions. However, he does say that
the PPACA offers a platform to begin a necessary realignment of the stakeholders in the provision of
quality healthcare. However, he's concerned, as are many other senior healthcare executives who
participated in a survey by Health Leaders magazine. They feel that the law as written pays
disproportionate attention to access. In other words, insuring the uninsured. " (Betbeze, 2010). Mr.
Wolterman states, "The pay or play provisions on both the employer and individual are set much too
low. Incentives are strong to opt out. I don't believe in the intermediate term that the number of
uninsured will go down. In fact, we run a very good chance that they will go up as employers opt out.
Penalties were set artificially low intentionally." (Betbeze, 2010).  In the Health Leaders survey many
respondents express concern that the access problem can't be fixed without massive change in the
delivery system, addressing such concerns as fee-for-service financial incentives that have been left in
place during the transition period.  Wolterman goes on in saying "The federal government is cutting
their reimbursement and disproportionate share funding. If you improve your quality, your
reimbursement per unit of service will go down and your bottom line will go down as well."(Betbeze,
2010).  When asked about the law's provision of an independent payment advisory board under the
executive branch, Wolterman says, "If you read the fine print in the law, this is not an impartial group,
it's not accountable to Congress, and it fundamentally changes how Medicare rates and budgets have
been done. Although they can override the board's decision, they would have to substitute other cuts to
take the place of anything they override. Not a lot of people in our industry understand that
implication." (Betbeze, 2010).
                In years past larger hospitals or health systems (those with more than 500 beds) were
somewhat insulated from economic adversity, times have changed and capital budgets are reflecting it.
By definition, a capital expenditure is an outlay of cash to acquire or upgrade a business asset that
includes purchasing or constructing a new building or wing, or upgrading an existing one and it also
encompasses clinical or technological equipment purchases. Generally, the motivation for these actions
is to promote growth; however, growth may be on the back burner as healthcare leaders strive to fulfill
government mandates. So, it is not surprising that many facilities/providers are using most of their
capital budgets to add electronic medical record equipment.  Providers that fail to adopt certified EMR
systems or can't demonstrate meaningful use by 2015 will find their Medicare reimbursements decline
by 1%, then by 2% in 2016, 3% in 2017, 4% in 2018, and so on up to 95% depending on future
adjustments. Through an incentive that is part of the American Recovery and Reinvestment Act,
providers can receive up to $44,000 in Medicare incentive payments beginning in 2011 for implementing
these systems.  Ultimately when providers look at the dollars that could potentially be left on the table,
it is a compelling reason to focus on getting EMR systems.  (Minisch-Pourshadi, 2011).  The prospective
 ease of access to patient records through EMR is purported to aid providers in seeing more patients, at
a faster rate, and in a shorter amount of time.  EMR is slated to eventually eliminate or at least decrease
the use of emergency departments by those who do not have a regular doctor. Studies have shown that
those residing in the poorest communities had a 21% higher rate of hospitalization in 2008 than those
residing in all other communities. Community income level had the least impact on the hospitalization
rate of patients 65 years and older, with the poorest communities experiencing similar rates compared
to all other communities.(Cantlupe, 2011). Between 1997 and 2008, the number of hospital discharges
grew by 15%; however growth varied widely by expected primary payer. For example, Medicaid
discharges increased at twice that rate (up 30%), followed closely by uninsured discharges (up 27%). The
number of discharges billed to Medicare grew by 18%. Despite the double-digit growth of discharges by
those payers, growth in the number of discharges billed to private insurance and other payers remained
relatively stable (up 5% and 4% respectively). (Cantlupe, 2011).  Will the new reform law be able to
 come to full fruition with the ever increasing rate of hospitalizations, and need for care?
                There is a question of whether there will be enough providers to take care of everyone. Younger
physicians are wanting a life outside of their practice with fewer hours there is the pressing need for
more primary care. In the years ahead, there is the looming reality of millions of uninsured entering the
health care system, never mind the crunch of the aging baby boomers eventually needing not only
medical help, but also government assistance. Physicians are facing the reality of a 23% Medicare pay
cut that was scheduled to take effect December 1, but which was subsequently delayed by Congress. 
Nearly 13% of 516 responses to a recent survey done by American Academy of Family Physicians said
they would consider no longer seeing patients if Congress failed to override the mandatory pay cuts.
This demonstrates a serious threat to Americans' access to healthcare. This will make many patients,
children, their parents, and their grandparents face the all too real prospect of losing their doctors. The
 cuts by Medicare could force doctors out of business. If that happens, all patients in the community
would lose access to needed healthcare regardless of the type of insurance coverage.  So, in essence it
would be like Medicare patients were uninsured or underinsured. But, we have to face the stark reality
that our physicians are also a business. They cannot continue to run that business if 30% of their
customers were going to reduce their payments by 25% or more. (Commins, 2011).
                "Although health care providers debate their individual and personal obligations to provide
uncompensated care, the system itself finessed the problem for a long time by shifting the costs of care
from the uninsured to the insured. This unofficial but practical approach to indigent care was ethically
tolerable as long as the reimbursement system for paying patients was so open ended that the cost of
treating the uninsured could easily be passed on to paying patients. "(Sultz, 2011).

                                                                  References
Baker, B., (2010, July). Caregivers Incur Higher Health Costs For Selves, Workforce Management, 89(7),                 pp. 8.
Betbeze, P., (2010, Dec.). Reform Without Results, Health Leaders, 13(12), pp. 28-32.
Cantlupe, J., (2011, Mar.). The Quest For Quality, As healthcare reform sharpens the focus on quality     outcomes, the ability to achieve and demonstrate success becomes increasingly important,      Health Leaders, 14(3), pp. 14-26.
Commins, J., (2011, Jan.). The Demands on and by Physicians, Health Leaders, 14(1), pp. 12-13.
Lankford, K., (2010, Jun.). Health Reform, Phase1: What You Will See When, Kiplinger's Personal Finance,             64(6), pp. 20-21.
Loehrke, K., (2011, Apr.). The Legalities of Employee Wellness, Talent Management magazine, 7(4), April             2011, pp.32-34.
Marzulli, T., (2011, Jan.).  Making Benefits Work in 2011, Talent Management Magazine,  7(1), pp. 28-31.
Miller, S., (2011, Jan.). Per-Employee Health Costs Jump 6.9 Percent, HR Magazine, 56(1), pp.14.
Minisch-Pourshadi, K., (2011, Mar.). Caution Leads to Capital Budget Cuts, Delays, Health Leaders, 14(3),               pp. 30-34.
Sammer, J., (2011, Jan.). Navigating Health Care Reform's Unclear Mandates, HR Magazine,56(1), pp.14.
Sultz, H. A., & Young, K. M. (2011). Health care USA: understanding its organization and delivery (7th     ed.). (pp. 26-27,227-229, 259,395-396)Sudbury, Mass: Jones and Bartlett Publ..
Tyler, K., (2010, Sept.). Health Care Reform Now: FIRST Things First, HR Magazine, 55(9), pp. 40-54.
Wells, S.J., (2010, Jul.). Overseeing Audits of Your Health Plans, HR magazine, 55(7), pp. 34-39.

How does research affect health care? discussion


Post your thoughts on the following:
  • How has research affected Health Care Policy?
  • Please provide specific examples.
  • What research would be helpful in moving a policy initiative forward?
  • Is there research you have encountered in practice or your readings, in this course or in other courses, from which a policy initiative should be developed?
Much of the research into health care costs has focused on the financing of health care, and as a result most of its importance is better understood. There is little disagreement today with the propositions that providers respond to financial incentives, that open-ended payment of hospitals and physicians is inflationary, or that payment by third parties helps to increase health care costs.  One of the most dramatic outcomes of health policy research has been the development of DRG's and their adoption as the basis for Medicare hospital fees in the 1983 social security legislation. "The health reform legislation recently discussed by Congress would develop an infrastructure for the ongoing generation and dissemination of information on the comparative effectiveness of different health care treatments." (Docteur, 2010).  The Rand Corporation does innovative studies of health insurance, health care reform, women's health, as well as, other related topics.  They are a nonprofit company who does research and studies for the public as well as private entities.  They help to determine if things like payback, or incentives are appropriate.  Research that would be helpful in moving policy forward are things like understanding dangerous consumptions of things like alcohol, food addictions and other eating disorders. It would seem that eating disorders of all kinds are on the rise. The mental aspect of why people are obese is an area I would like to see more research on. We hear about what obesity does. We are now seeing a change by the FDA on lap band surgery to include those who are overweight, and have a problem, like sleep apnea instead of those who are morbidly obese. Has enough research been done to warrant the necessity of invasive surgery, albeit less invasive than gastric bypass?

References:
Docteur, E.,Berenson, R.,  (2010, Feb.). How will Comparative Effectiveness Research Affect the Quality                of Health Care? Retrieved from    http://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdfhttp://www.rwjf.org/files/research/20100218qscomparativeeffectiveness.pdf
Rand Corporation, (2011, Apr.). Health and Health Care. Retrieved from                http://www.rand.org/topics/health-and-health-care.htmlhttp://www.rand.org/topics/health-and-health-care.html




Discussion 2:
As your final posting, identify at least two challenges facing the U.S. health care system that cause you the greatest concern. Discuss how you will impact these concerns through your professional activities.

The biggest challenges facing national health care is 1-improvement in health care quality and safety, 2-making health care cost effective, and 3-having an number of skilled professionals to deliver care.

1. The biggest challenge really is health wellness promotion. This would fall under the improvement in health care quality and safety.  

2. Patients should be listened to and their feelings about their care should be valued. A patient is the only one who has been with themselves all the time and should be considered an expert on themselves. To many times health care providers dismiss the patient.

3. A shortage of nurses has always been a challenge for many places, however now we have the potential with the new healthcare reform law to also have shortages of primary care doctors, as well as, other providers in health.
There are so many challenges facing our health care, you could potentially list and discuss a great deal more.

References:
Nursing Online Education database, (NOEdb), (2011). 5 Little-Known Giant Health Care Issues             Facing the United States.  Retrieved from http://noedb.org/library/features/5-little-      known-giant-health-care-issues-facing-the-united-states



Children's Media Use and Sleep Problems discussion


Visit the Henry J. Kaiser Family Foundation website at: http://www.kff.org/.

Browse one of the topics. You will find a wealth of information. Select one or two articles that interest you and share a brief summary of your findings with your group. Do not duplicate topics!

Post your selected topics so group members are aware of what you have selected.

Topics include: Health Reform, Medicaid/CHIP, Medicare, Costs/Insurance, Uninsured/Coverage, State Policy, Prescription Drugs, HIV/AIDS, U.S. Global Health Policy, Minority Health, Women’s Health Policy, and Media and Health.

Attach a copy of the article to your posting or include a link to the article in your posting. You are expected to read and respond to the postings of other members in your group.

My topic is Children's Media Use and Sleep Problems. The link to my article is http://www.kff.org/entmedia/upload/7674.pdf
However, I will also be attaching a copy of the article for this post.
Well the article is just as we all would have expected it. Watching too much TV, playing too much with video games, etc will and can interfere with normal sleep patterns. Isn't this exactly what doctors and researchers have been telling us adults that have sleep problems, for years now? Parents why are we allowing our children to watch TV, or be on their cell phones in bed? This article even talks about kids taking their cell phones to bed with them to text! I was at my son's Jiu Jitsu dojo last night. I heard the owners' wife telling someone how her son has a cell phone and she just got him an upgrade. She was talking about an 8 year old boy! Am I wrong in thinking there is something innately wrong with an 8 year old having a cell phone? The truly sad thing is that I know of other children his age who have cell phones, and obviously he has friends with phones because his kept ringing. It must have rang at least 6 or 7 times in that one hour.  But, at this vulnerable age parents wonder when they over indulge their children why the kids don't behave, or act whiny when things don't go their way! OR, is this just me and my backward way of thinking? Children now are doing things and behaving in manners that I did not until I was older. Is 8 or 9 years old the new 12 or 13? But, when you try to explain to parents why their children may not be sleeping, or are having attention problems in school does what you say even get through? Why are we allowing our children to have all this technology? Is it because we have grown so accustomed to it ourselves that we now think nothing of even our youngest children having all the techno gear too? How young is too young to have a cell phone, ipod, etc.?