Show Notes for September 23, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

• Health Reform and Prevention
• Athletes and Performance
• And Finally, a Story about the Affordable Care Act and Chiropractic Inclusion

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #324, recorded September 23, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Health Reform and Prevention, Athletes and Performance, And Finally, a Story about the Affordable Care Act and Chiropractic Inclusion.


Health Reform and Prevention

An article published in the September 20th edition of the NY Times, looked at how Prevention will be incorporated into the new Accountable Care Act Health Reform legislation.

Prevention has never been the cornerstone of American medicine. In this country, we tend to go to the doctor only when something is wrong, a habit long bemoaned by researchers and medical groups.

The federal government aims to change that, and soon. Starting this year, insurers will be required under the Affordable Care Act to completely cover such services as annual physicals, childhood vaccinations and dozens of screening tests for everything from high blood pressure to abdominal aortic aneurysms.

Just last month, the Department of Health and Human Services released additional guidelines specifying fully covered preventive services for women. Mammograms, cervical cancer screening and other services already had been mandated; the new recommendations expand that list to include screenings for human papillomavirus (which causes cervical cancer) and domestic abuse, and reimbursement and counseling for contraceptives. These services are to be fully covered by most insurance plans beginning in August 2012.

Despite these new regulations, there’s still a lot of ambiguity — and not just among consumers — about what qualifies as preventive care and what insurers are obligated to pay for. “I’ve seen so much confusion among patients and doctors alike trying to figure out what’s paid for and what isn’t,” said Dr. John Santa, director of the Consumer Reports Health Ratings Center and a primary care doctor.

The federal government is still defining the preventive care guidelines. At the moment, at what age tests should be given, and how often, is often left to physicians to decide in individual cases.

For the full article and potential pitfalls, surf to our Show Notes for links –




Athletes and Performance

A recent study n the journal Medicine and Science in Sports and Exercise, investigated whether it was possible to reduce the time taken to complete a 4,000-m cycling time trial by misleading participants into believing they were racing against a previous trial, when in fact the power output was 2% greater.

The study had the cyclists race against an avatar, a figure of a cyclist on a computer screen in front them. Each rider was shown two avatars. One was himself, moving along a virtual course at the rate he was actually pedaling the stationary bicycle. The other figure was moving at the pace of the cyclist’s own best effort — or so the cyclists were told.

In fact, the second avatar was programmed to ride faster than the cyclist ever had — using 2 percent more power, which translates into a 1 percent increase in speed.

Nine trained male cyclists each completed four, 4,000-m time trials. The first trial was a habituation and the data from the second trial was used to form a baseline (BL). During trials three and four, participants raced against an avatar which they were informed represented their baseline  performance. However whilst one of these trials was an accurate (ACC) representation of baseline , the power output in the other trial was set at 102% of baseline and formed the deception condition (DEC). Oxygen uptake and respiratory exchange ratio were measured continuously and used to determine aerobic and anaerobic contributions to power output.

The study concluded that the provision of surreptitiously augmented feedback derived from a previous performance reduces time taken for cyclists to accomplish a time trial of known duration. This suggests that cyclists operate with a metabolic reserve even during maximal time trials and that this reserve can be accessed following deception.

Surf to our Show Notes for Links –



Affordable Care Act and Chiropractic Inclusion

The Patient Protection and Affordable Care Act (ACA) requires that everyone in the United States have health insurance beginning in 2014.

Health insurance may be purchased through state-based health insurance exchanges designed to provide enrollees with a selection of health insurance plans from which to choose, many of whom will be eligible for Federal subsidies.

Plans for individuals and small businesses, both in the exchange and outside of the exchange, will include essential health benefits (EHB), which fall under 10 general categories including emergency services, behavioral health treatment, and preventive services and chronic disease management.

The exchanges will have to determine whether health plans developed by insurers are qualified health plans, covering the EHB and meeting other Affordable Care Act requirements.

The Department of Health and Human Services (HHS) requested that the Institute of Medicine recommend the criteria and methods for determining and regularly updating the EHB package. The IOM will release a final report with recommendations on these processes in the early fall of 2011.

The public had an opportunity to submit comments online or to present their opinions at public workshops held in Washington, DC (January 13-14, 2011), and in Costa Mesa, CA (March 2, 2011). The workshops brought together experts from federal and state governments, employers, insurers, healthcare providers, consumers, and healthcare researchers.

Speakers discussed topics such as the need to balance the generosity of EHB with affordability of insurance products, in consideration of how insurers design benefits, and incorporating evidence into benefit priority decisions, among other issues. This document summarizes the workshops.

COT’s HealthBeat recommends staying in touch with your State and National organizations to see updates for inclusion of Chiropractic Services into the above mentioned benefits –



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Finally, I leave you with the following quote:

“A man who wants to lead the orchestra must turn his back on the crowd.”
– Max Lucado

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


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