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Posts with tag Medicare

Tumors destroyed by precise robotic radiation system

The CyberKnife -- a powerful new weapon in the war on cancer -- involves no cutting, like the name implies. This robotic system instead uses hundreds of focused radiation beams to destroy a tumor. A robotic arm moves around the patient and an image-guided system tracks the targeted tumor. CyberKnife delivers small blasts of radiation from up to 200 angles and keeps the tumor in its sights at all times. CyberKnife treatments are completed in one to five days which is just one of the benefits of this therapy compared to traditional radiation therapy.

With traditional radiation, patients often endure treatment for five to eight weeks. And healthy tissue can be destroyed every time the patient shifts or breathes. The CyberKnife attacks the cancerous tumor only -- even while the patient breathes. CyberKnife therapy, available in only 50 hospitals in the United States, requires no mold to position patients, can treat anywhere in the body, and can help patients who no longer respond to traditional treatments.

CyberKnife is covered by insurance and approved by Medicare.

Uninsured: the hard wind batters the brittle tree

Health care coverage for working Americans is like a brittle tree in a hard wind -- and the larger limbs are beginning to snap. Between the years 2000 to 2005, 6.8 million more people became uninsured according to the latest report from the U.S. Census Bureau's Housing and Household Economic Statistics Division. Current data estimates 46.6 million people are without health insurance coverage. As employer-based health insurance continues to fade, government programs are taking up the slack -- up to a point. But given the lack of funding, there is only so much that can be offered.

In a statement issued by the Center for American Progress, "These problems did not just happen: they resulted from flawed economic and health policies which force Americans to work more for less. When it returns after Labor Day, this Congress should act to mitigate these problems by passing a straightforward minimum wage increase and extend health funding for programs like the State Children's Health Insurance Program. Moreover, policy makers should recognize the need for major change, such as providing affordable health care to all Americans and taking action to address growing income inequality."

Some are calling for a government-based universal health care system that guarantees health care coverage for all Americans. Others are suggesting a mix of private and public health care coverage. What ever the solution, there certainly needs to be one.

We can start with a shift in perspective and change in expectation. If you are working full-time for a company, presumably your efforts are helping that company make a profit. Health insurance coverage should not be viewed as a luxury benefit, nor should the largest burden of health insurance premiums be shouldered by the employee whose earnings just meet living expenses. Yet, this is happening every day in this country. The hard wind continues to batter the brittle tree.

Personally, I am not sold on a government-run, government-backed universal health plan simply because I have covered too many horror stories about rationed care in other industrialized countries. It seems a combination of programs might be the solution but the government and our elected officials certainly need to be held accountable for implementing programs that insure all Americans.

American Public Health Association Georges Benjamin is quoted by United Press International as saying, ""This is the worst news we've had all year. Our nation is not secure if we're not healthy."

Too many ignoring colorectal cancer screenings

Screenings for colorectal cancer offer more than a chance for early treatment -- they offer the chance to avoid cancer completely. The disease usually starts with growths called polyps that can take a decade to turn cancerous. If polyps are found and removed, cancer can be avoided altogether. Yet many are avoiding the screening. And polyps that go undetected can turn to a cancer that can lurk silently in anyone -- especially during middle age and beyond. And black Americans are especially at risk.

Almost 42 million Americans over the age of 50 are not getting checked for colorectal cancer -- the nation's No. 2 cancer killer. Perhaps it's the financial burden that comes with the life-saving procedure. Now in five states, a government-funded program is offering free testing for the poor. But still, many will fall through the cracks in many states. And while Medicare pays for screenings, this federal program is for people 65 and older -- a long wait for someone at age 50 who needs the test but does not have insurance.

Perhaps it's the part of the body under study that steers people away. Perhaps it's the manner in which the test is performed -- a long, flexible tube is used to visually inspect the colon -- that turns heads in the wrong direction. While the financial burden is a valid deterrent, other worries or fears should be put to rest. The test is not all that bad, says one doctor who had a colonoscopy himself. The worst part of the whole experience may be the liquid mixture that is consumed prior to the test that cleans out the system -- minor discomfort really in the scope of the alternative. Cancer.

Colonocopies are recommended just once every 10 years. And nearly 60 percent of deaths from colorectal cancer can be prevented if each person over the age of 50 finds some way to make this screening happen. And if not this screening, there are other options -- like a fecal test that is done annually but is more more affordable and can be quite effective too. So consider your options. And make a choice.

Aggressive treatment for end-stage cancer gives false hope

At the same Atlanta meeting of the American Society of Clinical Oncology where the breast cancer drug Tykerb was touted as perhaps the next wonder drug, findings were also released concerning chemotherapy and end-stage cancer. It seems that many patients in the last weeks and days of their lives are receiving chemotherapy -- when it is clear that there is no hope for survival. Perhaps patients don't want to give up and so they choose to fight to the very end. I think I would be hard-pressed to throw in the towel if a doctor thought I might benefit from continued treatment. Miracles do happen.

Doctors may be part of the problem, though, according to researchers. Patients don't want to give up -- and neither do doctors. But cancer specialists report that overly aggressive treatment gives false hope and puts people though unnecessary suffering and costly ordeals when hospice would be a more effective route. The purpose of hospice -- to help people die with dignity and in comfort -- is ineffective, however, when it's not used to its full potential. A large review of Medicare records showed in 1999 that nearly 12 percent of cancer patients died after receiving chemotherapy in the last two weeks of life. This was up from 1993 -- 10 percent -- and is probably higher today. These individuals could have been peacefully preparing for death and instead were suffering through the trials of harsh treatment.

The solution -- that must be implemented by doctors -- is a willingness to accept that there is a time to stop followed by an honest conversation with the patient whose cancer has spread widely and is incurable.

Another study presented at this Atlanta meeting revealed that some patients are not being offered newer treatments that might truly save their lives. New lung cancer treatments have extended survival from 20 percent at one year to 50 percent, for example. Yet only 11 percent of doctors in one Wisconsin study would refer such patients for treatment.

It would be nice to know for sure that one life is about to end, regardless of treatment, and to know that another might be saved because of treatment. And maybe one day -- when treating cancer is an exact science -- this will be a reality.

Fighting bladder cancer by finding it early

Studies presented at the American Urilogical Association expand the role of the NMP22 Bladder Chek Test. It improves bladder cancer detection to 99 percent, aiding the earlier detection of cancer and is reported to indicate the likelihood of life threatening bladder malignancy. It is recommended for use in screening high risk populations for bladder cancer to save lives and reduce expense. It is also four times more effective than the conventional laboratory urine test in detecting recurrent bladder cancer.

Continue reading Fighting bladder cancer by finding it early

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