Health Care Costs Rising

Health Care Costs Rising
The cost of providing employees with health insurance coverage continues to increase at a double-digit rate. We've read a lot about cost drivers in health care - exorbitant hospital charges, rising prescription drug costs, expenses associated with developing new technologies and treatments, an aging population and litigation. Nurturing these factors is an environment in which the demand for health care seems to be increasing.

For the most part, there is little employers can do to control what is driving health care costs out of their reach. Health benefits companies can and do negotiate discounts, and while those help, the underlying costs continue to skyrocket. The increases created by these cost drivers flow through the health benefits companies and eventually trickle down to employers in the form of higher health insurance premiums.

In this soft economy, declining revenue is putting a squeeze on company expenses. It is likely that you will experience a 15 percent to 20 percent increase in your group health insurance when a renewal form lands on your desk.

Can you raise the cost of your company's product or service as quickly as your health insurance premiums are increasing?
Probably not. However, there are steps you can take to gain some control over your health care costs.

Finding a solution

Employers can exercise some control over their costs by finding a health benefits company that provides the "best" value for their company's premium dollars. The way in which you "shop" a health plan can impact the price. I'll use an analogy. Your travel agent has a great deal for you - air, car, hotel and meals included. You tell your agent to book it.

Coincidently, your neighbors just booked that same trip for $1,000 less through their travel agent. One agent shopped for the best price, the other agent arranged the trip through his or her vendor of choice. Whether it's a family vacation, buying a car or choosing a health benefits plan, how you shop can impact your cost. Make sure your insurance agent doesn't "arrange" your health plan for you. How many providers are enough? The more participating providers a health plan has, the more you're likely to pay in premiums. If you are considering a health plan that doesn't include a few desired physicians, request that the carrier add them to its network.

Physicians participate in many different health plans and are usually willing to participate in one more. Don't get caught in the trap of paying 10 percent to 15 percent more for your health insurance premiums because one or two doctors are notparticipating in the plan. It's reasonable that an employee can find another physician out of the thousands on the plan.

The Fallout From Mental Health Stigma

The Fallout From Mental Health Stigma
What is Stigma?
Stigma is the use of stereotypes and labels when describing someone, and it is often attached to people who suffer from mental health issues. We don't fully understand how the brain works yet, but one thing we DO know is that it is an organ. Yet our society doesn't readily accept brain disorders the way we accept other organ disorders. Why is this so?

Stigma is a harsh reality for people who have mental health problems, because it prevents them from enjoying a normal and productive life. So many people today feel uncomfortable about mental health issues, despite the fact that there is growing evidence that more and more people are developing these problems. In fact, many people are so uncomfortable with the stigma that they would rather suffer in silence than get help they need.

Here are a few of the most common misconceptions about mental health problems:

    * Mentally ill people have a weak character
    * Mentally ill people are potentially dangerous.
    * People with mental illness should just "snap out of it"
    * Mentally ill people are violent


The media has only further fuelled our distorted beliefs about mental health issues. Frequently, characters on television and in the movies that have a mental illness are depicted as dangerous, unpredictable and violent.

What Are the Effects of Stigma?
If you became ill you would go to a doctor. Once you got better, you would expect to get on with life as usual.
But it's not that easy for people who suffer from mental illness. Often, they can suffer from persistent rejections and exclusions by ill-informed members of the community. Some people have been denied loans, health insurance and jobs because of their history of mental health issues. Consequently, these people lose their self confidence and may develop further anxiety or depression, on top of the issues they are already facing.

I witnessed this first hand many years ago, when my brother was diagnosed with schizophrenia. The majority of his friends deserted him; they weren't able to comprehend or cope with his altered personality and erratic behaviour. Within months he went from being a popular, vivacious and outgoing young man to a shattered, isolated loner. Over the following months, I watched my brother sink deeper into debilitating depression, which ultimately became so unbearable that he took his own life.

What Can We Do?
All of us have times when we feel depressed, anxious or angry. We might even have a series of bad days, where we think that nothing will ever go right for us and the world is against us. For a mentally ill person, these feelings do not go away.

So the answer lies in education and understanding. If you know someone who seems very emotional, down or upset, then lead by example; show compassion and understanding, and encourage them to seek help. And if you're suffering silently yourself, take comfort in the fact that you're not alone and that there is hope.

Do Your Dreams Have a Hidden Meaning?

Do Your Dreams Have a Hidden Meaning?
Dreams, what are they?

Dreams come from your subconscious mind as a means of processing and sorting information. But the truth is no one really knows what causes dreams and why some folk seem to have vivid colorful dreams and others have short uneventful ones.

Dreams mainly occur during Rapid Eye Movement (REM) sleep. REM occurs every one and a half hours during the sleep cycle. During REM the eyes move from side to side and the body is relaxed and almost incapable of movement.

Have you ever told people, "I never dream"? Well you're wrong. The fact is everybody dreams every night. You just may not be able to remember your dreams.

Don't worry too much if this is the case. Not remembering dreams doesn't mean you're abnormal or unnatural in any way. While most people do remember their dreams, the memory is fleeting and occurs mainly when the sleeper first awakens.

If you really want to be able to remember your dreams, the best way is to 'remind yourself' before falling asleep. This programs the subconscious mind - the source of your dreams - to hold on to the memory.

When you wake up, try and hold the dream in your mind until you have a chance to record it. The easiest way to do this is to have a notebook and pen or a personal voice recorder beside your bed, so you can write down the dream before it disappears and gets 'buried' by the normal thoughts and concerns of everyday life.

With a bit of practice you'll find little snippets of your dreams beginning to reveal themselves. This procedure will also work well for those who remember occasional dreams or those who want to remember every dream they have.

Books on dream interpretation abound and many people believe that dreams create a window into the subconscious mind where they can find answers to their most pressing problems and even see into the future.

This can be a dangerous practice. At best you can waste a lot of money buying books which lean towards the esoteric and lack knowledge in this area. Even sleep specialists know a large part of interpreting dreams is pure speculation.

At worst dream interpretation can be taken too seriously and people can depend too heavily on finding the (sometimes false) meaning of their dreams. This can lead to depression and even paranoia. It's best to treat dream interpretation as a bit of fun and realize that there may be many different ways to analyze dreams and their meaning.

If you are having recurring dreams or nightmares, it's best to contact a therapist experienced in this area. Don't go down the mystical route of trying to analyze yourself by means of a book.

Nightmares can be caused by stress, so work on ways to relieve this and the nightmares should ease or may even disappear by themselves.

Five Ways to Write About Your Anger

Five Ways to Write About Your Anger
Most people have mixed feelings about feeling and expressing anger. Various influences suggest everything from practicing extreme self-control, holding it all in (end result: stoicism) to showing no boundaries about sharing anger at all(end result: anarchy). Finding the middle ground is the place where you can communicate feelings and the facts of a given situation, without hurting or blaming the other party, and vice versa. When this first scenario occurs, you are creating more space for positive communication changes to occur. When communication is less than ideal, continuing to express anger in old ways will reinforce old habits., aggravating an already difficult situation.

I'm recommending the following journal exercises to assist you in finding more positive ways to express your anger, and become a better communicator. When I have shared my feelings, and the other party has been receptive, I've been surprised at how calm I became, compared to how uncomfortable, I felt prior to sharing my feelings. I also have had some situations where I either didn't receive a response or the other party remained silent. What is most important in any situation, is that I reached out and began the process.

Here is your exercise list:

ANGER SCRIBBLE:
When you have a strong reaction to a situation, start to pray and write about it. Remember to include a detailed description of your strong feelings including the facts of the situation. Remember to use as much space on a page as you can when you scribble. After filling a page, choose one scribble, and start drawing a specific shape over your scribble. Continue to scribble over the shape until you are finished. (e.g. You may feel tired or relieved. Your words may slow down or you may run out of time to write.) When you notice any of these reactions, it's time to stop writing. Wait a few minutes for everything to settle, then move to the next exercise. (Note: You may substitute any ritual here if praying isn't a good fit for you.)

UNSENT LETTERS:
This exercise is an effective way to communicate feelings and information to yourself or to someone else. You can write unsent letters, when it might otherwise be hurtful to speak directly to the other party(ies) You can also write unsent letters on any topic (positive or negative). Unsent letters also provide a great place to practice your lines. Whether you write a series of unsent letters or one letter, your feelings will become less intense. Then you can prepare to have a calm conversation with the other party. You can write as many unsent letters as you want. When you write your unsent letters, you give yourself permission to feel the intense emotions that surface around a specific event. At some point either during, immediately or after you've written your letter, you will gain clarity about your part in the situation. You will also learn to evaluate your responsibility as well as the other party's responsibility in the same situation. When you are calm again, you will be more prepared to make changes, including asking for a more specific communication change from the other party. You can continue to follow-up your unsent letters with prayers of blessing for the other party. As you continue to bless the other party, room is made for positive changes to happen in yourself and the other party. When you write an unsent letter, it demonstrates your courage and willingness, to make serious changes in a difficult situation.

WRITING A DIALOGUE:
Writing an imagined or real conversation you had with the other party, can help let out some of your anger. It's useful to put words or images to your feelings. Start your dialogue with two voices, the letter "A" (for your voice) and "B" (for the other person's voice). Be sure to allow both voices time to speak.

Don't worry about writing a perfect dialogue. Use as much detail as you can. Your descriptive skills will improve with each unsent letter that you write. For example, if I feel my anger burning like fire, then I would want to say "I'm burning up over this situation." If I am feeling a sense of resentment (something deep, quiet and very intense, that never quite goes away, then I might say, "I'm really frustrated about _______ now, can we talk about it for a few minutes?" Remember that no intense feeling is worth ignoring. It's much better to express your feelings a few at a time, than to pay the price of those same feelings causing problems for you in the future.

"I AM FEELING" STATEMENTS:
Writing sentences that begin with "I am feeling ." is a good way to verbalize all of your feelings about a difficult situation. I want to remind you that may express other feelings along with your anger. When you start your journaling, focus on your anger first, then write about your other feelings. I suggest that you write a minimum of ten feeling statements. Put the list away. Move on to the next exercise.

DRAW A PICTURE:
Draw several pictures of your anger. All types of drawing are allowed. Remember what I said about "My anger is burning." Write a visual image of your anger. I want you to use as many senses in your picture as you can. (Note: you may also use this exercise to visualize other strong feelings)

COMBINE WORDS AND PICTURES:
Now look at your list of "I am" sentences. Match as many of your picture(s) with your "I am feeling." sentences as you can. (For example: I am feeling angry about.put a picture of a fire next to the written statement. When you are finished, circle one or two combinations that best describe your current feelings. Be sure to write a summary sentence about your two choices.

Dealing With Aggression

Dealing With Aggression

Sometimes life can be very confusing. We strive to walk a spiritual path, being accepting and forgiving. We smile and send blessings unselfishly to all that cross our path. We meditate and pray, but how do we deal with negative people when their wrath is directed at us?

We are all still human, and we have feelings, and yes, egos. When aggressive, angry people confront us, it is sometimes hard to keep that ego in check. Dealing with someone who is acting out of fear and insecurity can also be very tough. How do we gently thwart an abusive aggressor and still hold true to our beliefs and spirituality? It is a hard road, but I can offer some basic suggestion, which have helped my tremendously over the years.

Let spirit guide you.
Always trust your higher self to guide you to the correct course of action. Listen to your inner voice and discern what your emotions are telling you. Separate ego thoughts of retaliation and defense from those loving, caring emotions of your soul. Remember the ego will always defend by attacking or withdrawing, so we must know and curb our ego and settle into our spiritual higher selves. When we think and act out of love, we will always pick the correct actions.

Try to See and agree with their point.
We sometimes can understand the motives behind peoples actions if we give thought to their situation. Remember there is no right or wrong, there is only different points of view and opinion. So seek to see the other side of the disagreement. If you know the abuse towards you is unwarranted, and you cannot see the truth or motivation behind the situation, just calmly listen to what they have to say. You don't have to agree with them, but do strive to know why they are acting the way they are. Listen intently to what they are saying. You can rebut with something like; "I understand that you are felling a certain way, and that I perhaps did something to provoke these feeling, but I did not intend to cause this situation. That was not my intention and I apologize. I hope that you feel better soon, and if there is something I can do to help, please let me know" Simple as that

xPain Control In Chronic Non-Cancer Patients

xPain Control In Chronic Non-Cancer Patients

Why would an article with such an esoteric title be of interest, of importance and relevancy to more than just Pain Management health care workers. Shouldn't such an article be of more importance and interest in a Professional Journal than it would be to the educated general populous. What is behind the idea of publishing it on the Internet, situated so that many more than just medical minds would come across it by happenstance.

A large percentage of the general population is thought to either listen to, watch, or read any of the many ways the News Media bombards us with what their financial backers' opinions would have us know. Therefore we must assume that this same population should, by now, understand how the median age of death, in our country as in others, has been prolonged. We attribute this increasing life expectancy, over the previous few centuries, by all of the many scientific advances, by the formation of and stabilization of standardized-religion, and by the many laws of behavior, in-acted to prevent man's destruction of his/her fellow man/woman.

For these and other reasons, the percentage of the population living over the age of 65 increases with every passing decade and century. At this point I hope that you can begin to better understand the importance of pain control in chronic non-cancer patients. Since the percentage of the population over 65 is getting larger with each passing decade, it is becoming more common place to know or to know of an individual requiring pain control for a chronic non-cancerous problem.

Breakthrough pain in cancer patients is associated with poor outcomes, a greater incidence of hospitalization, more difficult to treat pain syndromes, and, of course, the inevitable patient dissatisfaction with therapy. None of the previous characteristics are found, in general, amongst the non-cancerous patients.

Breakthrough pain in non-cancerous patients is known to be prevalent, severe, and it shares several characteristics with cancer patients, such as that it is typically rapid in onset and frequently encountered. Studies have shown that nearly three quarters of patients with non-cancer pain have significant episodes of breakthrough pain.

For the general population, is not important what the actual treatments are for pain control in chronic non-cancerous patients. What is important for everyone to understand is that a growing part of our general population will be suffering with chronic non-cancerous pain. We need to start to modify and/or drop, when appropriate, our misconceptions of individuals (young and old) that complain of chronic pain that proves to be non-cancerous in origin. We must study how individuals on narcotic therapy do when attempting to continue with accepted normal daily functions. Such functions would include work, play, and care-giving. I feel that we will be surprised how much of a normal life these individuals can live if given the chance.

Panic Attack Medication: What Is Best For Me?

If you are one of those living with panic attack symptoms, you know it can almost take over your life. Living with the fear that you will have to suffer through another period of grief, pain, and discomfort is sometimes enough to bring on a panic attack. When it comes to treating a panic attack, some medication has been known to significantly reduce the symptoms, enabling people to continue living a life that is not ruled by the fearful unknown. The following provides information about some of the most effective medications available to consumers.

Alprazolam (al-PRAZ-zo-lam)
This medication is one of the more common prescriptions for general anxiety treatment. It is a benzodiazepine, which is used to treat short term panic attack symptoms in many people every day. This medication is not meant to treat ongoing and daily forms of a panic attack, but is very useful to people who experience these symptoms periodically.

Azapirones (a-zah-PIE-ronz)
Azapirones is a drug which works on the central nervous system by relieving the many symptoms of anxiety. This drug can be found in many antidepressants and is the reason many people who normally would not take antidepressants do, because of their panic attack symptoms. It is used to calm the nervous system, putting it somewhat into sleep mode.

Benzodiazepines (ben-zo-die-AZ-a-peens)
This is a tranquil medication, used to help fight anxiety and insomnia. The drug is very potent, and a fear of becoming addicted to it is shared with both physicians and patients. For extreme cases of anxiety, this is the medication most commonly used, but it's also something that can significantly alter your mood or personality if not used properly or for longer periods of time than prescribed.

Selective Serotonin Reuptake Inhibitors (SSRIs)
These are a newer type of anti-depressant introduced into the US in the 1980s beginning with Prozac. They work differently to traditional antidepressants and they do so by increasing and assisting the brain to maintain levels of the neurotransmitter serotonin which is often found to be low in people sufferering from depression, Obsessive Compulsive Disorder (OCD) and anxiety and panic disorders.