NEW YORK - Wearable phones and computers are on loads of shopping lists as the holiday season approaches, but scientists are warning that research indicates they present likely health risks - especially from cell-phone radiation.
Dr. David Gultekin, a research physicist at New York's Memorial Sloan-Kettering Cancer Center, showed that cell-phone radiation creates hot spots in cows' brains - a troublesome finding. Dr. Hugh Taylor, chair of the Department of Obstetrics, Gynecology, and Reproductive Sciences at Yale School of Medicine, exposed pregnant mice to close-up cell-phone signals and observed the offspring behaving like children with attention deficit disorder.
"I think all these radiation-emitting technologies deserve a proper evaluation that includes not only exposure to adults but what happens to the fetus, the most vulnerable stage of life," Taylor said.
Many scientists question the accuracy of industry-funded research. They say money for government and foundation-funded research is scarce, and that when they report on the evidence of risk, the mainstream media - like those lab mice - have a short attention span.
Dr. Martin Blank, retired associate professor of physiology and cellular biophysics at Columbia University and a DNA expert, said research like that which found the DNA of mice altered by cell-phone exposure is more than enough to prompt action.
"When you get a situation where a problem arises, you invoke what's known as the precautionary principle," he said. "You take a certain amount of precaution as a result of a risk that has been identified."
Gultekin said wearable gadgets are brought to the marketplace with little concern for safety.
"When they're designing and developing a new product and introducing it, very rarely the health aspects of it is mentioned, or not mentioned at all," he said.
Advocates recommend keeping cell phones and other devices away from sensitive body parts and especially caution pregnant women against holding cell phones near their abdomens or in handbags carried near their bodies.
Just as the lies about the health threats from cigarettes were eventually exposed by someone from inside the tobacco industry, Dr. Joel Moskowitz, director of the Center for Family and Community Health at the University of California-Berkeley School of Public Health, said he hopes the same will happen regarding the risks of electromagnetic fields.
"I've been waiting for a whistle-blower for the last five years since I've been involved in this issue, but haven't had any forthcoming, unfortunately," he said. "But if you know of any whistle-blowers and they want to send me documents, I can assure that they will be protected."
An educational forum for the public will bring together many of the leading experts on electromagnetic fields on Friday at the New York Open Center in New York City. More information is online at electromagnetichealth.org.
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A recent report examined how some rural Tennessee hospitals have managed to stay afloat despite financial challenges.
The report includes interviews from staff at five different rural hospitals, which range in size from 25 to 125 beds.
Judy Roitman, executive director of the Tennessee Health Care Campaign, said some of the hospitals are drowning in uncompensated care. She explained as part of their research, they did an interview with a CEO from a rural hospital in Kentucky who expressed the importance of Medicaid expansion.
"Kentucky has expanded its Medicaid program and Tennessee has not," Roitman pointed out. "He said that's the key to our stability is actually having the funds coming in to treat these patients. And the CEOs and others in Tennessee hospitals said it would make a huge difference to have that federal funding."
Roitman added the federal government is offering Tennessee a nine-to-one match. If Tennessee were to expand Medicaid, at least 330,000 people would gain access to coverage.
Roitman pointed out the report suggested further steps hospitals could take, including examining how they are reimbursed for services provided. She noted private insurance plans tend to provide the highest reimbursement rates, and said more funding is needed to support TennCare, which does not cover enough of the cost.
"TennCare is all managed by managed-care organizations," Roitman explained. "They negotiate with every hospital about how they're going to reimburse and the big hospitals have some leverage to demand better payment and the smaller hospitals are just, they're just not getting paid."
Roitman added the report credited strong community engagement and effective hospital leadership as key factors in staff retention. Robust management and maintaining an engaged workforce significantly affect a hospital's viability, according to the report.
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Medicare and Medicaid are key sources of health coverage for many Americans and some people qualify for assistance under both programs. With lagging enrollment for the unique plans, outreach efforts are underway.
According to KFF Health News, only about three in 10 people who qualify for Dual-Eligible Special Needs Plans were enrolled in 2021. Experts said the option is designed for people who need additional help because of disabilities, certain health conditions or their age.
Dr. Gina Williams, associate medical director for UnitedHealthcare, said the plans try to take a dynamic approach to serving those eligible.
"Everything from managing your wellness to managing your behavioral health needs and then everyday needs," Williams outlined. "It's kind of a more comprehensive package for people who need a little bit more support."
Everyday needs include meal benefits and bathroom safety devices. The National Council on Aging said D-SNPs aim to provide a more streamlined coordination of care because there is assistance in arranging the services. Wisconsin's enrollment numbers are similar to the national rate, at 28%.
Christine Huberty, lead benefit specialist and northern region supervising attorney for the Greater Wisconsin Agency on Aging Resources, said a tricky component of the plans is navigating provider network restrictions. A rural resident might have to travel farther to see a doctor covered under the plan and she cautioned it warrants careful research when enrolling.
"I would say first and foremost, look at the provider network restrictions," Huberty advised. "Look at what's available in your area."
Meanwhile, Williams noted the push to get more eligible people to sign up coincides with more awareness around preventive care in a post-pandemic world.
"Everybody's kind of going into a phase where they're not only thinking about acute illness, but they're thinking about overall care," Williams observed. "What was the impact of the pandemic from a psychological standpoint? Do you need more support and then you also need more coordination of benefits?"
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In Mississippi and across the country, Community Health Centers are getting a funding increase, thanks to Congress passing a bipartisan spending package.
Community Health Centers in Mississippi serve patients without regard to their insurance status or ability to pay. More than 20 locations in the state provide medical care to more than more than 380,000 people.
Joe Dunn, senior vice president of public policy and advocacy for the National Association of Community Health Centers, said roughly one in 11 Americans gets their care from this type of clinic.
"Community Health Centers are the largest primary care network in the nation, providing care for 31 million Americans," Dunn pointed out. "This network is critically important, because they provide primary care, behavioral health, dental; just an array of services that are so critically needed."
Dunn emphasized more can be done. Research shows more than 100 million Americans need better access to primary care. Community Health Centers in Mississippi also support more than 4,000 jobs and about $678 million dollars in economic activity in the communities where they're located.
Dunn noted the increased funding from Congress will help the clinics provide more comprehensive care and reach more underserved patients, especially in rural communities, which ends up saving the state money.
"By incentivizing people to go get primary care, you alleviate more downstream costs," Dunn emphasized. "There's fewer hospitalizations and complications from chronic conditions, based on preventive screening and care at the outset."
The Congressional Budget Office reports the increase in funding for Community Health Centers just through the end of this year will reduce federal spending on public health insurance programs by more than $700 million.
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