When working from home, you might be tempted to work from the bed, couch or anyplace which may inadvertently lead to slouching or looking down at a screen, but experts say it's important to mind your back.

Working from home offers a lot of flexibility, but you shouldn't be too lenient when it comes to posture.

Dr. Andrew Lewis, Jr., owner of New Dimensions Chiropractic Center in Tallahassee, said research shows for every inch of forward-head posture, puts up to 12 pounds of pressure on your cervical spine.

"Then you multiply that for eight hours, over the course of three, four years, by the end of that there is going to be a lot of discomfort," Lewis explained.

Lewis pointed out he tells patients to always remember to keep their shoulders in alignment to their ears. Also avoid twisting, awkward positions and sitting on extreme surfaces, either too hard or too soft. In addition, he recommended taking breaks throughout your work day to stretch to give your body a chance to reset and relax.

Dr. Russell Amundson, national senior medical director for UnitedHealthcare, said while working from home, it's important to maintain a home-office setting to keep eyes level with a screen, and avoid looking down.

"There's been a shift to telecommuting," Amundson acknowledged. "Folks have surrendered, or have been removed, from more ergonomically designed workspaces with good office chairs, with good support and, of course, the appropriate height desk."

Among the tips Amundsen shares include staying active and eating a healthy diet. He advised people experiencing serious or long-term pains or back problems should talk to their doctors to explore care options, including physical therapy and nonsurgical options.

An estimated 50% of U.S. adults are affected by so-called musculoskeletal conditions, which includes bones, joints and ligaments and muscles.

Reports from the Insurance Commissioner's office and the state Attorney General reveal an analysis of what they call "the true costs of health care" in Washington. Based on the results, the Economic Opportunity Institute is asking state lawmakers to do more to address consolidation and sharply rising costs.

Health-care costs nationwide have been on the rise. The institute's senior policy associate, Sam Hatzenbeler, said the AG's report shows costs in Washington state outpace the national average. What she described as "insufficient regulation" has led to more consolidation of health-care providers and much higher prices for patients.

"We are seeing that they're able to monopolize the market and charge higher and higher prices," she said. "Patients, labor, business - we're saying, 'Enough is enough.' The bottom line is that Washington consumers are being priced out of the health care that we need."

The Institute has launched a Fair Health Prices campaign to educate consumers and prompt state lawmakers to take action. The group is calling for more affordable drug prices, regulating health-care provider mergers and addressing anti-competitive contracting strategies.

All these proposed fixes, Hatzenbeler said, would increase accountability on spending and help slow the skyrocketing costs of health care - costs the state Insurance Commissioner's report projects will go even higher.

"Annual out-of-pocket expenses for people with insurance can reach up to almost $19,000 a year," she said. "The Office of Insurance Commissioner just approved a 9% average increase for plans in 2024; that is on top on an 8% average increase that we saw in plans this year."

The Institute also said 81% of Washington residents report worrying about health-care cost increases. Large providers have said higher costs are driven by aggressive medical research and the latest treatments for illness and disease. Despite these claims, the United States has the lowest life expectancy rate among the world's developed nations.

It's estimated that one in three Kentuckians struggles to pay medical bills, and the issue continues to be a driving factor in personal bankruptcy cases. Local organizations are working to address the issue by partnering with debt-buying agencies to relieve residents' medical debt.

Reverend Kent Gilbert, pastor of Union Church in Berea, said during the pandemic, several churches teamed up with a debt consolidator to eliminate millions of dollars of medical bills. He said without boosting consumer protections, such as those enacted recently to stop surprise medical billing, the problem will worsen.

"What this really tells us is that we need to stop this debt from happening in the first place, and I think that should be our ultimate goal," Gilbert continued.

Research shows Black Americans, people living in the South and those living in states that have chosen not to expand Medicaid are more prone to carrying significant medical debt.

Kentucky Voices for Health is also tackling the issue by partnering with RIP Medical Debt, a charity that uses donations to forgive delinquent debt. For more information visit KYVoicesForHealth ."

Kelly Taulbee, director of communications and development with Kentucky Voices for Health, said while systemic changes are needed to address skyrocketing health-care costs, many Kentuckians need immediate help paying bills. She explained that through her organization's partnership with RIP Medical Debt, $1 donated helps eliminate more than $100 in medical debt. She said eligible cases are identified using consumer data from health-care providers to locate accounts that meet the criteria for debt relief.

"Donations made completely abolish that medical debt, no strings attached, no tax consequences. These portfolios are bought at a fraction of the original costs, and then once the debt is relieved, recipients are notified that their debt is gone," Taulbee said.

A 2018 consumer survey found 72% of Kentucky adults have struggled with health-care affordability. In eastern Kentucky, nearly 80% of people reported having problems and 1/3 said they'd been contacted by a debt-collection agency.

Small Business Saturday has come and gone and the North Carolina Sustainable Business Council urged people to keep "shopping local" this season.

The council said supporting homegrown businesses creates jobs and makes communities healthier. One of those businesses is the Little River Pecan Farm, with 100 pecan trees on a 10-acre section of sixth-generation land.

Crissy Neville, the farm's owner, emphasized the need to support local growers. She said shopping at local farms and agro-tourism sites preserves family businesses, but can also benefit the environment.

"Shipping is not involved, trucking is not involved," Neville pointed out. "Essentially, you know, you're buying locally, and that's the best thing that you possibly could do for lowering your carbon footprint."

Neville cited the added benefit of knowing where your food comes from. Studies estimate processed food in the U.S. travels more than 1,300 miles, and produce may travel more than 1,500 miles before reaching the table if it is not grown locally.

Rebekah Miel, owner of Miel Creative Studio in Durham, works with purpose-driven organizations to help them amplify their work. She pointed out local businesses often help their communities in ways beyond offering their products or services.

"Small businesses donate 250% more to local nonprofits and community causes," Miel explained. "That is also exemplified in our business. Our 'Design to Give' model means we give at least 5% back to local nonprofits, 1% of which is to local environmental nonprofits."

Anne Shaw, state director for the Small Business Center Network, said there is nothing "small" about the power of small companies. Their overall contribution to the workforce is enormous.

"The 1 million small businesses that exist in North Carolina, they employ 1.8 million employees," Shaw emphasized. "Which represents about 44% of North Carolina employees."

Shaw added research also shows on average, a local retailer will recirculate about 48% of their revenue back into the local economy, compared to about 14% of revenue from a national chain.


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