No matter your personal feelings about the outcome of the election, one thing is sure to be true: health care as we know it is changing. Actually, there has been a slow, but steady change in premiums, deductibles, covered benefits and out-of-pocket expenses over the past decade with the net effect that patients are shouldering more and more of the financial responsibility. On the other hand, care seems to be less personal, with less provider continuity and less time allocated for patient appointments and follow-up. This has led many government officials, providers, and patients to call for reform. Unfortunately, there appears to be little consensus on how to fix the problems and more concerning is the question as to whether our current system can even be fixed?
One thing that seems to be clear is that most of the illnesses Americans are struggling with are those related at least partially to lifestyle and thus potentially preventable. By modifying our habits and keeping an eye towards prevention, we can significantly decrease our risk of the most expensive and debilitating illnesses. Recently, the CDC named “heart disease, stroke, cancer, type 2 diabetes, obesity, and arthritis as the most common, costly, and preventable of all health problems”. For example, according to the American Diabetes Association, diabetes is the 7th leading cause of death in the US, affecting over 30 million adults and a growing number of children. These figures relate to what is known as Type 2 diabetes, a largely preventable condition that also significantly impacts the risk of cardiovascular disease. Another nearly 100 million Americans have pre-diabetes. Medication to control diabetes can exceed $250 per month and combined with the costs of regular doctors visits, and related medication for blood pressure and cholesterol, it may be possible to spend $5000 per year to manage this one condition.
On the other hand, what would happen if this money were spent on improving individual general health and wellness; efforts to improve diet, manage weight, and decrease stress. In doing so, we can decrease our risk for all the aforementioned conditions named by the CDC and therefore improve overall health and quality of life, maybe even avoiding medications altogether.
This is a laudable goal and not an easy one to achieve. It requires us to shift our focus from a reactive, treatment-focused approach to health care to a proactive, preventive approach where the patient takes responsibility for her own health, utilizing the medical system for support and guidance along the way. It is important to acknowledge that even with our best efforts, not all disease can be prevented, but by taking an active role in partnering with providers to improve health as much as possible, significant progress can be made. By addressing symptoms early, being informed about family medical history and disease risks, screening for blood pressure, glucose, weight, and nutritional deficiencies, and following recommendations for cancer screening, you can significantly impact your risk for chronic disease in the face of the changing health care landscape.
2017 is the year of the fire rooster, a sign of dawn and awakening, of triumph and success, only achievable through hard work and patience. We at Ilumina are committed to prevention and proactive care, happy to help guide you to improve your general health and address specific concerns through our naturopathic and Chinese medicine services with diet, exercise, and supplement advice, acupuncture, massage, and meditation. Together, we can work to make 2017 your healthiest year yet.