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	<title>Talk Nation &#187; Sustainability</title>
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		<title>Health Care Matters</title>
		<link>http://talknation.org/2009/07/20/health-care-matters/</link>
		<comments>http://talknation.org/2009/07/20/health-care-matters/#comments</comments>
		<pubDate>Mon, 20 Jul 2009 20:39:03 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Politics]]></category>
		<category><![CDATA[Sustainability]]></category>

		<guid isPermaLink="false">http://talknation.org/?p=381</guid>
		<description><![CDATA[This is worth a read because it is written by a Canadian but mostly because is debunks all the rightwing myths about universal health care using a system that many consider to have some flaws, yet it is still far superior to what we have and far less costly while providing all citizens access to [...]]]></description>
			<content:encoded><![CDATA[<p>This is worth a read because it is written by a Canadian but mostly because is debunks all the rightwing myths about universal health care using a system that many consider to have some flaws, yet it is still far superior to what we have and far less costly while providing all citizens access to health care.  One of my neighbors who lives here part time is Canadian and a business owner and says flatly that he could never function under the US health insurance (note: not health care, insurance is not primarily about health care, it is about profits to insurance companies) system.  But with universal health care accessible to and affordable for all Canadians he is not hamstrung by high health care costs for his employees, he can compete on more equal footing with bigger competitors where he is competing on product and service not expenses, and he has access to a far larger pool of potential employees because employees don&#8217;t have to shop for jobs based on insurance, especially potential employees with families.</p>
<p>This needs wider reading and I highly recommend reading the entire article over at the Denver Post website.</p>
<p><a href="http://www.denverpost.com/recommended/ci_12523427">From today&#8217;s Denver Post:<br />
</a></p>
<blockquote><p>As America comes to grips with the reality that changes are desperately needed within its health care infrastructure, it might prove useful to first debunk some myths about the Canadian system.</p>
<p>Myth: Taxes in Canada are extremely high, mostly because of national health care.</p>
<p>In actuality, taxes are nearly equal on both sides of the border. Overall, Canada&#8217;s taxes are slightly higher than those in the U.S. However, Canadians are afforded many benefits for their tax dollars, even beyond health care (e.g., tax credits, family allowance, cheaper higher education), so the end result is a wash. At the end of the day, the average after-tax income of Canadian workers is equal to about 82 percent of their gross pay. In the U.S., that average is 81.9 percent.</p>
<p>Myth: Canada&#8217;s health care system is a cumbersome bureaucracy.</p>
<p>The U.S. has the most bureaucratic health care system in the world. More than 31 percent of every dollar spent on health care in the U.S. goes to paperwork, overhead, CEO salaries, profits, etc. The provincial single-payer system in Canada operates with just a 1 percent overhead. Think about it. It is not necessary to spend a huge amount of money to decide who gets care and who doesn&#8217;t when everybody is covered.</p>
<p>Myth: The Canadian system is significantly more expensive than that of the U.S.Ten percent of Canada&#8217;s GDP is spent on health care for 100 percent of the population. The U.S. spends 17 percent of its GDP but 15 percent of its population has no coverage whatsoever and millions of others have inadequate coverage. In essence, the U.S. system is considerably more expensive than Canada&#8217;s. Part of the reason for this is uninsured and underinsured people in the U.S. still get sick and eventually seek care. People who cannot afford care wait until advanced stages of an illness to see a doctor and then do so through emergency rooms, which cost considerably more than primary care services.</p>
<p>What the American taxpayer may not realize is that such care costs about $45 billion per year, and someone has to pay it. This is why insurance premiums increase every year for insured patients while co-pays and deductibles also rise rapidly.</p>
<p>Myth: Canada&#8217;s government decides who gets health care and when they get it.While HMOs and other private medical insurers in the U.S. do indeed make such decisions, the only people in Canada to do so are physicians. In Canada, the government has absolutely no say in who gets care or how they get it. Medical decisions are left entirely up to doctors, as they should be.</p>
<p>There are no requirements for pre-authorization whatsoever. If your family doctor says you need an MRI, you get one. In the U.S., if an insurance administrator says you are not getting an MRI, you don&#8217;t get one no matter what your doctor thinks — unless, of course, you have the money to cover the cost. </p></blockquote>
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		<title>Biofuel’s drug problem</title>
		<link>http://talknation.org/2009/06/08/biofuel%e2%80%99s-drug-problem/</link>
		<comments>http://talknation.org/2009/06/08/biofuel%e2%80%99s-drug-problem/#comments</comments>
		<pubDate>Mon, 08 Jun 2009 21:28:50 +0000</pubDate>
		<dc:creator>Tom</dc:creator>
				<category><![CDATA[Alternative Energy]]></category>
		<category><![CDATA[Environment]]></category>
		<category><![CDATA[Sustainability]]></category>

		<guid isPermaLink="false">http://talknation.org/?p=372</guid>
		<description><![CDATA[By Stan Cox
Prairie Writers Circle
The Food and Drug Administration found recently that samples of a feed by-product from dozens of corn-ethanol plants were contaminated with antibiotics. With that news, producing vehicle fuel from grain is looking not only like a wasteful and inefficient process, but also like a danger to human health. 
Growing corn is [...]]]></description>
			<content:encoded><![CDATA[<p>By Stan Cox</p>
<p>Prairie Writers Circle</p>
<p>The Food and Drug Administration <a href="http://content.usatoday.net/dist/custom/gci/InsidePage.aspx?cId=ozarksnow&#038;sParam=30487227.story">found</a> recently that samples of a feed by-product from dozens of corn-ethanol plants were contaminated with antibiotics. With that news, producing vehicle fuel from grain is looking not only like a wasteful and inefficient process, but also like a danger to human health. </p>
<p>Growing corn is a leading cause of soil erosion as well as water depletion and pollution. Corn ethanol plants further stress our water supplies by consuming four gallons of water for every gallon of fuel produced. </p>
<p>Now to the list of ethanol’s environmental insults we can add pharmaceutical pollution.</p>
<p>There’s nothing inherently wrong with getting help from biological processes to meet industrial needs. But when colossal volumes of product and enormous profits are at stake, as they are in the alternative-fuel industry, biological methods can backfire disastrously.</p>
<p>To survive economically, ethanol plants depend on sales of distillers grains, solid material left over from corn fermentation. Distillers grains are a nutritious, high-protein livestock feed. But they can be laced with multiple antibiotics, the FDA and University of Minnesota scientists have found. </p>
<p>Addition of antibiotics is one of several methods ethanol manufacturers use to control bacterial contamination. Bacteria interfere with the work of yeast cultures that convert sugars to ethanol. Antibiotics can increase ethanol output by 1 to 5 percent, according to Ethanol Producer magazine.</p>
<p>That sounds small, but that extra efficiency could boost profits by many millions of dollars as national production is scaled up from its current 9 billion gallons per year. </p>
<p>The discovery of antibiotics in distillers grains has raised concern that ethanol plants could breed and disperse drug-resistant bacteria, and that those bugs could share their genes with bacterial species that cause human diseases. Sampling by <a href="http://content.usatoday.net/dist/custom/gci/InsidePage.aspx?cId=ozarksnow&#038;sParam=30487227.story">university</a> and <a href="http://www.ethanol-producer.com/article.jsp?article_id=1810&#038;q=&#038;page=all">industry</a> researchers has turned up antibiotic-resistant bacteria in the processing streams of ethanol plants. </p>
<p>This case of pharmaceutical contamination comes on top of a half-century of over-prescribing antibiotics for medical and veterinary use, along with routine feeding of the drugs to healthy livestock to promote growth. Nature’s predictable response: bacterial populations that can no longer be killed by drugs that were once used to treat them. Now, of 90,000 Americans who die of bacterial infections each year, more than 60,000 are killed by such drug-resistant types, according to the Centers for Disease Control (<a href="http://www.fda.gov/ohrms/dockets/DOCKETS/04s0233/04s-0233-c000005-03-IDSA-vol1.pdf">pdf</a>).</p>
<p>The ethanol industry says that one widely used drug, virginiamycin, doesn’t show up in meat produced with distillers grains, so we need not worry about the food supply (<a href="http://www.lactrol.com/pdf/Distillers-Grains-Quarterly-4th-Qtr-2007.pdf">pdf</a>). But such assurances take the narrowest possible view of the threat.</p>
<p>Johns Hopkins University researchers argued in 2008 that public health officials have also taken a narrow approach to antibiotic resistance, thinking clinically “rather than ecologically in terms of reservoirs of resistance genes that may flow across the microbial ecosystem.” Use of the drugs in agriculture is more widespread than in medicine, and, they contend, creates excellent conditions for the spread of resistant organisms. </p>
<p>In fact, it’s already happening, with germs borne <a href="http://arjournals.annualreviews.org/doi/abs/10.1146/annurev.publhealth.29.020907.090904">via manure</a>, air, groundwater, soil, flies and irrigation water.</p>
<p>The Johns Hopkins review concluded that overuse of antibiotics in agriculture “has compromised the efficacy of most antimicrobials used in the United States and throughout the world.” </p>
<p>Distillers grains are set to move beyond the feedlot, having been tested as fertilizer on farms, lawns and gardens, and as feed in fish and shrimp farming. The pet food industry also is starting to use distillers grains, and we don’t know what evolutionary mischief might start going on in the feces of dogs, which harbor an especially rich range of bacterial species. </p>
<p>Meanwhile, methods being developed to manufacture new biofuels also depend on biological processes. If and when fuels from algae or cellulose are taken to the billions-of-gallons scale, vast new quantities of antibiotics could be deployed.</p>
<p>Ethanol can be manufactured without using antibiotics — just ask the liquor distillers — so all such drugs should be banned from biofuel production.</p>
<p>In fact, ethanol’s drug problem is just the latest of many reasons to impose a moratorium on production of fuels from grains.  If industry cannot supply sufficient quantities of alternative fuels without risking an even deeper medical crisis, it might just be another sign that our thirst for vehicle fuel has outgrown all ecological limits. </p>
<p><img src="/wp-images/cox_stan_x8.jpg" alt="Stan Cox"  width = "100" height = "142"/></p>
<p>Stan Cox is lead scientist for the Land Institute in Salina, Kan., and author of &#8220;Sick Planet: Corporate Food and Medicine.&#8221; He wrote this comment for the institute&#8217;s Prairie Writers Circle. Write to him at t.stan@cox.net.</p>
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