Diabetes and Food Style

Fast paced life of modern world has necessitated us to give only lower priority to nutrition. This is at a time when nutrition awareness of everyone is high. Instead of taking well cooked food items, fruits and juices, people go after carbonated drinks, fast ‘junk’ food, frozen and preserved food, microwave food. People also don’t take the time to enjoy and appreciate the food they eat. Today most of us just need any food that fills the belly for sometime.

This food habits have given rise to a variety of health problems. Significantly important one among them is diabetes.Ayurvedic principles tell us food is one important element that keeps a person in a balanced state of body, mind and soul. Taking healthy food translates into healthy body. Ayurvedic view on diabetes is no different. There are times when diabetes can attack without any warning sign. Ayurvedic food style combined with certain herbal applications helps one effectively manage his or her condition of diabetes.

How it works : Sunburn

It’s a little more complicated than a simple heat-and-char process. Immediately after sun exposure, you’ll see some pink skin: that comes from dilation of the capillaries in reaction to ultraviolent B rays. “The actual burn you see later comes from series of chemical reactions,” say Dr Mehmet C. Ox. Mast cell in the skin release chemicals like histamine and serotonin, triggering more chemical production and inflammation. Whitin 12 hours, skin cells begin to die, and inflammation turn the skin a darker red. UV radiation damages your DNA, setting you up for possible skin cancer and suppressing immunity. But your skin does try to fight back. As soon as you’re exposed to UV radiation, cells called melanoctyes release melanin pigments that block UV ray- in the form of a tan that can reflect UV light. You;re heard it before, but it bears repeating. To prevent burns, use a sunscreen that blocks both UVA and UVB ray, and reapply often

Excess weight Handle Hypnosis! Is Your Brain Obese

hypnosis session

It’s through the stage of hypnosis the suggestions that are linked with extra excess weight reduction take root in to the mind from the human becoming.

Excess weight reduction hypnosis is just to become completed through the professionals. It’s simply because these wellness professionals are able of fighting using the specific actions which leadadd to attaininggetting pounds. Within the program from the body fatbody body fat reduction hypnosis session, some deserving ideas are developed in to the mind from the specific individual to ensure that mental consuming, binge consuming, compulsive consuming, along with other connectedrelated problems is going to be shun absent.nt.

Why it is possible to will require for physique excess weight reduction hypnosis?

Excess weight reduction hypnosis is very a excellent offer relevantrelevant for malesmales and ladies who’re within the denial stage that they’re in stage overweight. You will find occasions once they will notwon’t be in a position to take the reality so that they faux that every single small factorfactor is okay. Physique excess weight reduction hypnosis will therefore affliction their brains with their correct circumstance and can teach them the correct methodstechniques to resolve their problem.

Physique excess weight handle with hypnosis might nicely be the sole way you will eliminate numerous persistent extra pounds. If you areyou’re ill from the going on a diet years old years old and wish to repair your body fatbody body fat trouble completely you’ll require to examine out hypnosis. 1 health care study from 1986 examined 60 grownup womenwomen. thirty womenwomen utilized hypnosis to help using their body fatbody body fat reduction and also the other 30 went with out hypnosis. The study demonstratedconfirmed the thirty women with hypnosis misplaced an regularnormal of twelve pounds extra than their alternatives without any hypnosis.

Consider for any second you areyou’re viewing a tug of war in in between a largelarge large along with a very small five yr outdated ladylady in her own new spring gown. Who’s heading to acquire? Of plan the large can drag the small ladylady all about the area element if he want to. The largelarge large and also the minimum lady represent the two locations of the ideas. The aware and also the sub aware. I understand no 1 really needs to talk or look at regarding their minds but this is actually the treatment for your persistent body fatbody body fat difficulty and it is important that you simply understand this. Which applies to every single solitary element of the daily dwelling. As extendedprolonged because the ideas is break up and there’s a tug of war heading up with some really make a difference you’ll continuously possess a probem with this problem. When you are able align products therefore the mind is 1 specific on the problem and there’s no tug of war you’ll have exactly what you would like. Within this scenario you’ll shed these additional pounds.

To ensure that begs the query how can we align the two components in our ideasideas. That’s precisely exactly where hypnosis comes in. Whether or not or otherwise you utilize a hypnotherapist or proceed by your self having a led session on compact disccompact disk or mp3, you’re heading to begin by learning exactly what the anticipationprospects come from you. Then you will be brought right into a conditioncondition of veryvery great relaxation. Out of this relaxed conditioncondition the sub conscious could be reprogrammed with great programming. Programming that benefits you and also is within alignment using what you would like purposely. Within the situationsituation of losing pounds you will very easily result in the correct optionsoptions regarding your diet plan and exercise. There won’t be any inner conflict or turmoil.

The author with this manual needs to carry on to become anonymous. Ought to you need to make get in touch with with this particular author, make certain you depart a idea within the reactions region of the individual from the produced posts… cheers!

Brief details on Skin Diseases

Skin diseases are some of the most dangerous diseases that affect the outside image of the patient as well. They can be of many types but they have almost the same causes and especially consequences. The most serious consequences are the visible ones. People who suffer from skin diseases usually have visible marks or traces left by these problems.

Hence, the most serious problem when it comes to skin diseases is the exterior image of the patient. Among the most common skin disease, some are to be mentioned. These are candidiasis, acne, cellulitis, eczemas or even skin cancer. These diseases are considered by some specialists to be some of the most unpleasant, as they affect the image of the patient’s skin.


Since there are numerous skin diseases, there are also numerous causes that permit these affections to install. One of the most common causes for skin diseases is the incorrect or peccary skin hygiene, fact which can lead to serious consequences for the important element of the body that is skin. The lack of skin hygiene can lead to numerous diseases that affect skin, such as candidiasis or acne, which may also be considered as an affection of the skin.

Another possible cause of skin diseases is the apparitions of microbes on one’s skin. Some microbes can be really harmful for skin and most of the times their effects are very inesthetical. They can lead to eczemas herpes or even dermatitis. They can be contracted from water or from surfaces that were also touched by many other people (door handles or handrails). These microbes are very dangerous and very “effective” at the same time, as they install very fast into one’s derma. One of the effects may be the change of the natural look of the skin to a very pale look or they can even give the image of bruises.

Another element that may cause skin diseases is the toxic reaction that some perfumes or deodorants may have upon the skin. Doctors advise people who use these perfumed cosmetics with alcohol to spray or apply them only on normal, healthy skin with no other affections. Some of the perfumed beauty cosmetics are said to provoke skin cancer if applied on irritated or freshly shaved skin.

Another important cause may also be the excessive exposure in the sun. This may lead to skin burnt and may even have serious effects in time, such as skin cancer.


The symptoms in the case of skin diseases are of the most obvious. These diseases usually signal their apparition by marks left on skin and by bruises or irritations. People are advised to visit their doctors whenever they notice any of these symptoms or even for irritations of the skin.

People must be very careful when presenting these symptoms on their skin and are advised to take immediate measures, as skin diseases are easier to treat after an early diagnosis.


The most important precautions regarding skin diseases regard mostly the domain of skin hygiene. People are advised to pay special attention at their skin care. They are also advised to be careful for the water they use for their skin hygiene. The water in some swimming pools can also contain numerous candidiasis from other people and these may easily affect the ones having a sensitive skin.

Another important advice given by specialists to people is not to stay too expose their skin to excessive sunbaths. Besides its healing properties sun can also have serious negative effects upon people’s skin. The consequences can be really serious and sun may actually have very grave effects, as skin cancer for example.
These precautions are to be taken into consideration by most of the people, no matter how resistant or sensitive their type of skin may be.

People with sensitive skins are advised to take into account these precautions as they can help greatly in the prevention of numerous skin diseases such as the ones stated above.


The treatments for skin diseases are divided in two categories. The prevention treatments and the actual treatments for solving skin problems. The prevention treatments include lotions and solutions that people are advised to use in a preventive manner. For example, sun lotions with a great factor of protection against skin burns. These treatments are very effective, as they can prevent effectively the problems that sun may cause to sensitive skin.

Another type of treatment is the actual treatment for existent skin diseases. This type of treatment is usually found under the form of lotions and ointments which are also very effective for treating skin diseases.

For more grave skin diseases there are laser treatments which are considered very benefic for skin cancer in general. They are much more complicated but they are also very effective and most of the times provide the desired results. These can be also used for depigmentation problems, such as candidiasis or acne.

Related best health centers on the world:

There are many health centers specialized in skin diseases around the world, since these diseases have been spreading very fast all over the world. Skin care health centers have the necessary medical technology in order to treat people suffering from these diseases in an effective way and with no side effects of the treatments.
One of the most important health centers for skin diseases is in Perth Australia and it has the necessary technology and experience in order to treat and heal many of the existing skin diseases. Health centers as this one provide their clients with the necessary treatments and solutions for the problems that the latter ones need in order to solve their skin problems.

All in all, skin diseases are considered as some of the most grave ones, as they not only affect our organism but also our exterior image. That is why doctors advise people to be very attentive when it comes to their skin care and pay much attention at the products that they use for their skin.

A Citizen’s Amendment to RyanCare

There are approximately 18 million Americans who purchase health insurance on the so called individual market, on and off the Obamacare exchanges. There are another 14 million or so who could be buying insurance on the individual market, but choose not to buy anything. This puts the total individual market at about 10% of Americans. Half of those are, or are eligible to be, heavily subsided through Obamacare (including those huge deductibles). The other 5% are facing the full brunt of health insurance price increases under Obamacare. Of those, 3% are paying for Obamacare health insurance and getting garbage in return for their money, while the remaining 2% are uninsured. This is the magnitude of the primary problem we are supposedly trying to solve.

The 17% of Americans on Medicare are not upset at Obamacare. The approximately 23% of Americans on, or eligible to be on, Medicaid are not angry at Obamacare either (although the 1% eligible for the Medicaid expansion in states that chose not to expand it, might be angry with their Governors). Some of the 50% or so, who are getting health insurance through their employer, and used to get rather flimsy insurance in the past, may be somewhat disgruntled because the Obamacare imposition of “essential benefits” caused their share of premiums and deductibles to rise, and their ability to choose their doctors to plummet. This is the secondary problem we are supposedly trying to solve.

The American Health Care Act (AHCA) addresses neither problem and exacerbates both.

Three Pronged Care

The proposed GOP solution is “three pronged”. Prong One repeals Obamacare (whatever that means) and replaces it with more widespread, but less generous, subsidies for the individual market and reduces funding for Medicaid, while also reducing Obamacare taxes on corporations and wealthy individuals, including taxes slated to increase the longevity of the Medicare trust fund. Prong Two is a flurry of yet to be determined regulatory relief that the Secretary of Health and Human Services will be supposedly providing at his discretion. Prong Three consists of new legislation, which will require the support of at least some Democrats in the Senate, to relax both the definition of Obamacare “essential benefits” and the regulations on health insurance corporations, so cheaper insurance plans can proliferate across the land (as they did before Obamacare).

The most important thing to understand about the Three Pronged Care proposal is that although the CBO can, and did, estimate the effects of the first Prong, nobody can estimate the cumulative results of all three Prongs, because nobody knows what the second Prong is and because it will take an act of God to make the third Prong materialize. Since we are talking about health care, think of this as some sort of orthopedic, cardiac or transplant surgery. First you cut the patient open, then you remove or adjust the offending parts, and then you put in something new and hopefully better. Coming in after a previous surgeon messed things up is obviously harder, but cutting the patient open and walking away until you figure out if you want to or are able to do more, is hardly a viable option for the patient, and will likely result in a huge malpractice suit (plus a copious prison sentence) for you.

What if Prong One is as good as it gets?

Unfortunately, this is precisely what Paul Ryan and his ragtag coalition are proposing to do with Prong One, whose sole effect will be to add insult to the Obamacare injury. Once we accept the premise that the Federal government has an obligation to help people get health care, the remaining disagreements are just haggling over price. And once we dismiss highfalutin principled rhetoric, the problem with Prong One is that for most people, in absence of Prongs Two and Three, this is just a stingier version of Obamacare. The GOP argument that two imaginary birds in the bush are better than a real bird in hand flies in the face of millennia of human wisdom. On top of that, there is absolutely nothing in Prong One that even begins to address the fundamental problem in our health care system, which is the unit price of health care services. Therefore, premiums and deductibles will likely continue to rise unabated.

In all fairness though, there is a twisted argument to be made that if you cut subsidies and there is less money available, insurers will work hard to lower the price of their products to match what the “market” can bear. That may be true if the reduction in funds affected the entire market, instead of at most 10% (likely 5%) of it, and the least profitable 10% to boot. In “normal” markets, a non-participation rate of 10% percent is certainly sustainable and actually pretty good for the sellers. That said, smaller health insurance vendors currently specializing in Medicaid managed care could step into this niche and offer a commercial product through their existing underpaid networks. If you’re a physician, this prospect should set your hair on fire.

The Free Market Delusion

At some point we will need to collectively disabuse ourselves of the notion that a market in health care insurance could be created without abolishing the provision of health insurance benefits through employment. I know everybody is talking about Flo and the little lizard selling health insurance on TV as the ultimate solution to health care affordability, but that is nothing short of demagoguery. Note that practically all auto insurance is business to consumer (B2C), while health insurance is overwhelmingly business to business (B2B). I suggest you try buying a cow from a feedlot and see for yourself how much negotiating power your consumer status bestows on you in a B2B market. If you want to try a free market solution for health insurance, you would need to do more than just kick a few poor people off their subsidies. You would need to kick 150 million people off their employer health insurance plans. Good luck with that.

I have to admit that there is something compelling about the conservative vision of a portable health insurance product that people buy and carry with them wherever they go. Obviously health insurance that is intended to serve people from cradle to grave cannot be a game of Russian roulette with covered benefits, or as Mr. Ryan refers to it, “patient-centered” insurance. Equally obvious is the fact that State and Federal governments will still have to honor their obligation to help those who can’t afford to purchase insurance for a predefined set of “essential benefits” on their own. Will such semi-free health insurance market deliver the health care affordability we seek? Not likely. The deceptively simple truth is that you cannot successfully tackle the pricing failure in the health insurance market without first taking an axe to our dysfunctional health care delivery system.

The Three Prong Shuffle

Obamacare not only failed to put a dent in health care delivery prices, but arguably made things worse by actively encouraging system consolidation. Under the best case scenario, a heavily modified GOP Prong One plan (e.g. higher tax credits, lower tax cuts for the rich, more money for Medicaid), will not change the Obamacare trajectory one bit and will not provide meaningful relief to people hurt by Obamacare. All this tinkering and re-tinkering with an insignificant portion of the health insurance market is like obsessively unclogging the kitchen sink on the Titanic. The sketchy descriptions of Prong Three, the free market prong, are just too ridiculous to consider at this point, but Prong Two, the regulatory prong, has great potential. After reading the manager’s amendment to the Ryan Make America Poor Again plan, I would like to offer my own citizen’s amendment.

  • New Prong One: Swallow hard and let the AHCA die a merciful death. Extend some temporary relief to the 5% hurt by Obamacare. Give Secretary Price a chance to affect regulatory changes first. Medicare is the de-facto price setter for health care services. The Secretary can affect changes to Medicare fee schedules and payment models that will quickly ripple through the commercial sector. I would start with the RUC and hike the relative value of comprehensive primary care. I would create a monthly CPT code that can accommodate subscription based primary care (not quite what the Direct Primary Care lobby wants, but darn close). And I would engage in a long string of multi-payer initiatives to accelerate dissemination of measures to control unit prices, while leaving behind the naïve and failed attempts to cut utilization.
  • New Prong Two: This is not a purely health care prong, but it is necessary because this is the only way to fix health care in America. Get those tax cuts done, renegotiate trade agreements, fix the education system, get infrastructure projects going, get manufacturing back, drain the swamp, and create lots of opportunities. Introduce specific pieces of legislation along the way to negotiate drug prices, break health system monopolies or at least encourage independent, small and more cost-effective practices to thrive. Keep up a brisk regulatory and deregulatory program to curtail the flow of billions of health care dollars to opportunistic corporations that do not provide care or any other benefits for patients. Think creatively about connecting health insurers’ participation in State/Federal programs to affordability in the individual market (at the very least make it count in Medicaid RFPs).
  • New Prong Three: If all goes well, we can finally do away with Obamacare, which should become automatically obsolete if Prongs One and Two are executed successfully (otherwise Obamacare will be the least of our problems). If the economy catches fire and more people have good paying jobs, and health care unit prices are at the very least contained, fewer people will need subsidies or Medicaid welfare. Make a note to schedule a symbolic full repeal and replace on January 21st 2021. I am certain it will pass with strong bi-partisan support.

Will Washington DC put the horses in front of the cart for a change? Not by choice. However, the good news is that all of a sudden Prong One seems to be on life-support in the House and dead on arrival in the Senate. The excellent news is that President Trump made another promise: “We will take care of our people or I’m not signing it” (it being Prong One, whatever it ends up being, if it ends up being). The disastrous news is that no self-respecting Democrat will engage in any effort to help the President help the American people. That would be too much to ask of our elected representatives.

Health Care and Ear Wax

Ever have
an annoying problem not being able to hear, and it was due to a build up of
what’s known as ear wax? One of the most common causes related to loss of
hearing is when your ear canal produces a 
waxy substance that, unless treated and cleaned regularly, can be a
detriment to your ability to clearly hear sounds.
to Healthline,
your ear canal produces a waxy oil called cerumen,
which is more commonly known as earwax. This wax protects the ear from dust,
foreign particles, and microorganisms. It also protects ear canal skin from
irritation due to water. In normal circumstances, excess wax finds its way out
of the canal and into the ear opening naturally and then is washed away.
When your glands make more earwax than is necessary, it may
get hard and block the ear. When you clean your ears, you can accidentally push
the wax deeper, causing a blockage. Wax buildup is a common reason for
temporary hearing loss. More information can be found at this website:
as noted by the American Hearing Research Foundation, protects the skin of the
human ear canal, assists in cleaning and lubrication, and also provides some
protection against bacteria, fungi, insects and water. Earwax consists of shed
skin cells, hair, and the secretions of the ceruminous and sebaceous glands of
the outside ear canal. Major components of earwax are long chain fatty acids,
both saturated and unsaturated, alcohols, squalene, and cholesterol. Excess or
compacted cerumen can press against the eardrum or block the outside ear canal
or hearing aids, potentially causing hearing loss.
to the American Academy of Otolaryngology (AAO), cerumen or earwax is healthy
in normal amounts and serves as a self-cleaning agent with protective,
lubricating, and antibacterial properties. The absence of earwax may result in
dry, itchy ears. Self-cleaning means there is a slow and orderly movement of
earwax and dead skin cells from the eardrum to the ear opening. Old earwax is
constantly being transported, assisted by chewing and jaw motion, from the ear
canal to the ear opening where, most of the time, it dries, flakes, and falls
Earwax is not formed in the deep part of the ear canal near
the eardrum. It is only formed in the outer one-third of the ear canal. So,
when a patient has wax blockage against the eardrum, it is often because he has
been probing the ear with such things as cotton-tipped applicators, bobby pins,
or twisted napkin corners. These objects only push the wax in deeper. More info
about this topic is located at this site:
also more likely to have wax buildup if you frequently use earphones, which can
inadvertently prevent earwax from coming out of the ear canals and cause
blockages, according to Healthline. The appearance of earwax varies from light
yellow to dark brown. Darker colors do not necessarily indicate that there is a
blockage. Signs of earwax buildup include:
or partial hearing loss, which is usually temporary
which is a ringing or buzzing in the ear
feeling of fullness in the ear
earwax buildup can lead to infection. Contact your doctor if you experience the
symptoms of infection, such as:
pain in your ear
in your ear that does not subside
from your ear
hearing loss
odor coming from your ear
important to note that hearing loss, dizziness, and earaches also have many
other causes. You should see your doctor if any of these symptoms are frequent.
A full medical evaluation can help determine whether the problem is due to
excess earwax or another health issue.
To clean
the ears, wash the external ear with a cloth, but do not insert anything into
the ear canal, according to the AAO. Most cases of ear wax blockage respond to
home treatments used to soften wax. Patients can try placing a few drops of
mineral oil, baby oil, glycerin, or commercial drops in the ear. Detergent
drops such as hydrogen peroxide or carbamide peroxide (available in most
pharmacies) may also aid in the removal of wax.
or ear syringing is commonly used for cleaning and can be performed by a
physician or at home using a commercially available irrigation kit. Common
solutions used for syringing include water and saline, which should be warmed
to body temperature to prevent dizziness. Ear syringing is most effective when
water, saline, or wax dissolving drops are put in the ear canal 15 to 30
minutes before treatment. Caution is advised to avoid having your ears
irrigated if you have diabetes, a hole in the eardrum (perforation), tube in
the eardrum, skin problems such as eczema in the ear canal or a weakened immune
removal of earwax is also effective. This is most often performed by an
otolaryngologist using suction or special miniature instruments, and a
microscope to magnify the ear canal. Manual removal is preferred if your ear
canal is narrow, the eardrum has a perforation or tube, other methods have
failed, or if you have skin problems affecting the ear canal, diabetes or a
weakened immune system.
people are troubled by repeated build-up of earwax and require ear irrigation
every so often.
information about ear syringing is available at this site:
http://patient.info/health/earwax-leaflet .

to the Cleveland Clinic,
if left untreated, excessive ear wax may cause symptoms
of ear wax impaction to become worse. These symptoms might include hearing loss,
ear irritation, etc. A build-up of ear wax might also make it difficult to see
into the ear, which may result in potential problems going undiagnosed.  Do not stick anything into your ears to clean
them. Use cotton swabs only on the outside of the ear. 

candling has gained a lot of attention as a home remedy for earwax removal (and
overall well-being), but doctors strongly advise against it because hasn’t
been proved to be safe or effective. In ear candling, one end of a
cone-type device is inserted into the ear canal and the other end is set on
fire, with the idea that the fire and the cone form a vacuum and extract the

But trying this at home means a high risk of burning the ear canal and
possibly perforating or punching a hole in the eardrum, which can permanently
damage hearing, according to KidsHealth. Find more info at this site: http://kidshealth.org/en/parents/earwax.html
Ear wax
buildup can be a problem, so see your doctor if you are having hearing problems
or notice any of the symptoms noted in this article. Be careful with home
remedies, and always get medical attention if your ears have any problems.

Dark Social- What You Can’t See, Can Hurt Your Hospital

Bright social, where you can see your handiwork, and revel in the brilliance of your content in attempts to influence the choice of the healthcare consumer and patients in selecting the hospital and physicians for treatment could be falling way short.
Not entirely mind you, but with the changes  in all of the social media platforms as a result of fake news,  phoney followers, misuse of user data etc.,  Facebook, Instagram, Pinterest, Twitter, LinkedIn, Tumblr and other social media platforms as restrictive content publishing houses only represents one-third of all the activity in social media on the Internet of Things (IoT).
Where in the world is this going?

Two-thirds of internet social media activity occurs in what has been termed dark social. I am not speaking of the nefarious activities of drug dealers, gun runner’s, blackmailers, etc. using TOR or another program that allows one to search the web anonymously. I am referring to all the social media activity that can’t be traced such as email link sharing, some applications and one-on-one messaging.

For example, a healthcare consumer is looking for a new physician or hospital.   The individual researches on the IoT, speaks with work colleagues and others, reads some published content about the brilliance of the physician or the hospital and utilizes several social media platforms. 

But in this process, friends and others may send an email, might use Facebook Messenger. Google Hangouts or WhatsApp Messenger, send an SMS text with a link to a source of information or solution that would be of interest. It is the method of sharing information that makes it dark and potentially untraceable.

And what is of interest to me at least, is not the quantity of dark social traffic, but the quality of that sharing traffic that goes on unseen.
Think about this for a moment.

How important is the recommendation from someone you know about a service or solution when you receive a link to a website or shares some meaningful information? It’s one-on-one messaging as compared to the mass messaging which has some traits of personalization, but still a mass market message.

Therein lays the opportunity. Remember all the talk and activity about word-of-mouth marketing that was always the perceived key to success over the years? Well, word-of-mouth marketing hasn’t gone away, it’s just gone dark. 

So how do you reach the two-thirds of the internet that are currently not visible to you? Most marketers use some form of marketing automation providing us at least the fundamental information of  “shared.” Seeing the word “SHARED” can be the equivalent of shouting the word  “squirrel” and having the dog reaction of quickly turning around in the Disney movie Up.  Does your neck hurt yet?

But by who and where was it shared?

Was it shared externally or internally in the recipient’s organization?  Was it shared with a supportive recommendation message, or, reaching high in the chuckle factor? Important to know as dark sharing impacts and influences the healthcare consumers buyer’s journey.

Changing how we track what’s going on.

We are early in the process of discovering the hidden treasure trove of data in dark social, but there are ways to begin to understand how your information is being shared and used.

It’s all about the embedded code.

One way is to add trackable code to URLs someone may copy and paste in messages. Another way is to add trackable code to your website content for when it is copied and pasted.  When publishers participate with you short trackable code is added to any text for when it is copied and pasted into a message.

It’s early, and more ways are being developed to track the activity on dark social. But all marketers need to begin to understand and respond to the influence of dark social on their marketing and find ways to see to be able to leverage that which is unseen.

Michael is a healthcare business, marketing, communications strategist and thought-leader.  As an internationally followed healthcare strategy blogger, his blog, Healthcare Marketing Matters is read in  52 countries and listed on the 100 Top Healthcare Marketing Blogs, and Websites ranked at No. 3 on the list by Feedspot.com. Michael is a Life Fellow, American College of Healthcare Executives, and a Professional Certified Marketer, American Marketing Association. An expert in healthcare marketing strategy, digital marketing & social media, Michael is in the top 10 percent of social media experts nationwide and is considered an established influencer. For inquiries regarding strategic consulting engagements, call Michael at 815-351-0671. Opinions expressed are my own.

The Endangered American Family

How America Has Broken the Social Contracts for Our Children

Trump Administration Republicans are intent on cutting
social contracts for middle-class and lower income Americans, by undermining
funding, creating negative campaigns about publicly funded programs, and voiding
enforcement of current regulations. This article examines these primary
expenses for families; healthcare, childcare, housing, and education in the
United States, as compared to other industrialized countries.
The cost of U.S. healthcare is higher than anywhere else,
yet the benefits and access to care are at the bottom of industrialized
countries. As discussed in my 2013, book and many articles over the past
decade, this is primarily due to a system which has little cost controls and reimburses
healthcare providers on the basis of volume. The Trump Administration has
removed the tax penalty for nonexempt families who do not obtain health
insurance, which will undermine participation in the ACA insurance exchange
programs. Further, the current administration has threatened to remove the tax
credits which enable middleclass and lower middleclass Americans to obtain
insurance. According to the Kaiser Foundation, the average cost for health insurance
for a family is now $18,301 for private plans through employers. (Kaiser Foundation State Health Facts, 2018) Republican plans to
lower the cost of health insurance include; reinstating pre-existing conditions
for people with health issues, excluding maternity coverage, and absurdly low
maximum benefit levels.
The ability to afford childcare is fundamental to economic
mobility. Countries which do not produce enough children have challenges
filling jobs, supporting social programs for current beneficiaries of social
programs, like Social Security, and maintaining public services. Excluding Monaco,
which is primarily a retirement haven for the wealthy, as well as a small
French protectorate off the coast of Newfoundland, and Andorra the adorable tax haven situated in the Pyrenees, Japan still leads the pack for the lowest
birth rate. For this criterion, the U.S. is in the middle of the pack, ranking
158 out of 226 nations. (CIA Factbook-2017, 2017) Of the industrialized countries, here are top
child producers:

The most expensive childcare is in the U.K.,
which includes England, Scotland, and Wales. The U.S. has the next most expensive childcare, consuming over 25% of family household incomes. (Organisation for Economic Co-operation and Development, 2016) Currently, the U.S.
has no mandatory paid maternity or family medical leave policy. The Family
Medical Leave Act, enacted in 1993, required employers with 50 or more
employees to provide up to 12 weeks of unpaid leave for an employee or family
member engaged in the care of a family member. Employees are entitled to this
leave every 12 months. Though 66% of women work during pregnancy, there has
been no change in this mandate.

Scandinavian countries provide families with subsidized high-quality
childcare, free preschool, and a monthly stipend per child. Parents receive
anywhere from 12 to 20 weeks of paid maternity leave. These generous social
policies mean that most women are able to work and support themselves while
having children, at living wage jobs, including single mothers. Even the UK now
provides 15 hours of free childcare for all children (as of 2017). Virtually all European
nations provide some type of childcare for working families and in Western
Europe this is typically 15 to 30 hours per week. (Janta, 2010)
In the United States there are many variables to housing
costs, depending on a rural or urban location and the availability of
employment, which can support housing costs. This is why housing
indexes tend to measure housing costs in major metropolitan areas and not the sparsely
populated ones. Though housing costs for home buyers tend to be more affordable
here than in other nations, for renters, costs are out of control in many
regions of the country. That said, housing is a key issue for families so here
is a metric illustrating how the U.S. compares to other developed nations with
the most expensive listed first. This chart includes data from 2017 for 2018
cost of living values. (Numbeo.com, 2018)
Multiple of Income   Housing Affordability Ratio
However, when viewing housing
affordability and rent, a 2015 Harvard study of 11 countries revealed the U.S.
was the second most expensive for renters, after Spain. U.S. renters spend 34% of
disposable income on housing and low-income households are much more likely to
spend 50% of household income on rent (28% of U.S. renters spend >50%). The
study found that the degree of income inequality, which is by far greater in
the U.S. than these nations and the availability of housing allowances
determined the level of affordable rentals. This exhibit shows the housing subsidies
provided by European countries compared to the U.S. (Micheal
Carliner, 2016)
Percentage of the nation Receiving
Housing Allowance
Value of Annual Housing
Allowance in USD
*These values were drawn from
other sources for the 2015 year, due to the way the Harvard article expressed
the data. (Organisation for Economic
Co-operation and Development, 2016)
Though obtaining a university
education is not a goal for all residents, it is considered a measure of upward
mobility, not only for the individual but for generations of family members.
Since the U.S. has continued to under fund public universities, universities have relied
more on user’s fees, tuition increases, and private endowments to pay for
higher education. Follow this link to a Forbes article citing the Organisation for Economic Co-operation and Development, which shows U.S. tuition costs compared to the world, based on 2017
data. (Organization for Economic Development, 2018)
Education policy changes under
consideration in the Trump Administration include: eliminating PELL grants for
low-income students, cutting back on federally subsidized student loans,
eliminating loan forgiveness for those who go into public service roles like
nursing or education, and turning loan programs over to for-profit entities,
which will raise the costs for students. None of these changes would impact
children of the wealthy, whom have already been gifted the biggest tax break under
the Trump budget, since Ronald Reagan, only working-class people trying to
better themselves.
Anyone with a pulse would conclude
the U.S. is not a very easy place to raise children, with the highest rate of
mass shootings in the world (the only places that come close are war zones),
laws that allow employers to discriminate against working parents, and a
nominal social safety net. Not only are these factors impacting highly
skilled workers, where out migration has increased since George W. Bush, but
the continued efforts by the Republicans to cut social safety-net funding
jeopardizes future generations. The U.S. government doesn’t effectively track
residents who move to other countries, but maybe it should learn why natives are fleeing the country. The number of Americans who have left
the country is anywhere from two to nine million and those legions include
retirees, professionals working elsewhere, and those who don’t want to raise
their families in the U.S. If Trump wants to make America great again, why
doesn’t he look at the adverse policies making it extremely expensive to raise
children, who are after all, future tax payers. The proposed federal budget further
increases the federal deficit to give tax breaks to the super rich further
undermining the nation’s ability to meet Social Security and Medicare/Medicaid obligations.
Let’s be clear, these are the only working class social programs for Americans
and Trump, Ryan, and Mulvaney would like to get rid of them through program and
funding cuts.


Agency, U. S. (2017). CIA Factbook-2017. In C. I.
Agency, The World FactBook 2017. Retrieved March 27, 2018, from

Janta, B. (2010). Caring for Children in
Europe-How Childcare, Parental Leave, and Flexible Working Arrangements
Interact in Europe.
Rand Corporation.org. Rand Corporation-Europe.
Retrieved March 28, 2018, from

Kaiser Foundation State Health Facts. (2018, March
28). Kaiser Foundation State Health Facts. Retrieved from Henry J.
Kaiser Family Foundation.org:

Micheal Carliner, E. M. (2016, September 1). Rental
Housing-An International Comparison. Harvard University Joint Center For
Housing Studies
. Retrieved March 28, 2018, from

Numbeo.com. (2018, March 27). Property Prices
Index 2018
. Retrieved from Numbeo.com:

Organisation for Economic Co-operation and
Development. (2016). Affordable Housing Database-Key Characteristics of
Housing Allowances.
Paris: Organisation for Economic Co-operation and
Development (OECD). Retrieved March 28, 2018, from https://www.oecd.org/els/family/PH3-2-Key-characteristics-of-housing-allowances.pdf

Organization for Economic Development. (2016,
December 22). These Are The Countries Where The Parents Spend The Most On
Childcare. World Economic Forum. Retrieved March 27, 2018, from

Organization for Economic Development. (2018, March
27). Education At A Glance. Retrieved from Organization for Economic
Development: https://blogs-images.forbes.com/niallmccarthy/files/2017/09/20170912_Tuition_Fees.jpg





Pharmaceutical and Other Health Care Corporations Funnel Dark Money to Republicans to Defeat "Leftward" Democratic Candidates – Partisanship Trumps Social Responsibility

Introduction – Health Care Corporations Profess Social Responsibility

As we noted recently, large health corporations, which must deal with
patients, health professionals, and government regulators, usually
profess their social resonsibility.  For example,

Biotechnology firm Genentech, now a subsidiary of giant Swiss biotechnology and pharmaceutical company Roche, has an elaborate web page about how the company seeks to do good.  Some quotes:

we’re passionate about applying our skills, time and resources to positively impact the patients we serve, the scientific community and the places where we live and work.


We approach giving back the same way we approach discovering medicines: we start by looking for the root cause of a problem and then we explore how we can contribute to a solution.

And particularly

We believe that the best work happens when everyone has a voice.

Similarly, giant American pharmaceutical company Eli Lilly espouses these core values

Three long established core values guide Lilly in all that we do:

Integrity: We conduct our business consistent with all applicable laws and are honest in our dealings with customers, employees, shareholders, partners, suppliers, competitors and the community.

Excellence: We pursue pharmaceutical innovation, provide high quality products and strive to deliver superior business results.

Respect for People: We maintain an environment built on mutual respect, openness and individual integrity. Respect for people includes our concern for all people who touch or are touched by our company: customers, employees, shareholders, partners, suppliers and communities.

Of course, in the policy arena, large health care corporations also tend
to advocate for policies that are to their financial advantage. 
Furthermore, top executives of large corporations have been known to
donate to political candidates who favor their policy positions,
although they used to consciously spread their donations out to all parties and many candidates to
avoid any appearance of partisanship, while making themselves visible to whomever might be in power.

However, as the current US political chaos leads to more journalistic
investigation, there is increasing evidence that large health care
corporations have been secretly backing policy positions that do not
correspond to their high-minded public statements about corporate social
resonsibility, and are becoming quite political, even partisan in the
process.  They do so through the use of dark money

Pharmaceutical Companies, Other Health Care Companies – and a Tobacco Company – Join Effort to Attack Left-Wing Politicians

On November 5, 2018, Lee Fang wrote about how big corporations, including big health care corporations, enthusiastically financially supported a dark money operation that specifically targeted “progressive” or “socialist” candidates:

Republican operatives and representatives from America’s largest business groups — alarmed at a wave of upset electoral victories by Alexandria Ocasio-Cortez and other avowed democratic socialist candidates — have been plotting to stem the tide of left-wing Democrats sweeping the country.

Andrew Wynne, an official at the Republican State Leadership Committee, spoke to business lobby leaders in July, encouraging them not to ignore the latest trends within the Democratic Party. He called for Republicans’ allies to enact a unified plan to defeat progressives in this week’s midterm elections.

‘Recent elections have proven the leftward shift,’ said Wynne. ‘An anti-free market, anti-business ideology has taken over the Democratic Party, particularly this year during the primaries.’

Wynne was particularly exercised about the primary victory by Democrat Alexandia Ocasio-Cortez:

‘Alexandria Ocasio-Cortez captured the energy of these voters to win a congressional nomination in New York, defeating the incumbent who many thought could be the next Democratic speaker of the House,’ Wynne continued.

He noted that the defeated incumbent in the Ocasio-Cortez race, Rep. Joe Crowley, a moderate Democrat and former chair of the business-friendly New Democrat Coalition, ‘was someone who the business community could have a conversation with on the Democratic side.’ On the other hand, Wynne warned, Ocasio-Cortez would not be so receptive to business lobbyists.

Of course, these sentiments coming from a Republican operative are not surprising.  What was surprising was how Mr Wynne wanted to fund efforts to comabt these supposedly left-wing politicians.

Officials from the Republican State Leadership Committee, which assists Republicans in capturing power on the state level, explained during the call that they expected to raise $45 million in direct contributions and $5 million to $7 million through an allied dark money group for election campaigns this fall.

The group is organized under the IRS’s 527 rules and operates in a manner similar to Super PACs: It can raise and spend unlimited amounts from individuals and corporations. The latest disclosures suggest the group is well on track to bring in significant corporate support for electing Republican state officials.

Koch Industries, Crown Cork & Seal, Genentech Inc., ExxonMobil, NextEra Energy, Range Resources, Eli Lilly and Co., Marathon Petroleum, Reynolds American, (a tobacco company which is a subsidiary of British American Tobacco), Boeing, General Motors, and Astellas Pharma are among the companies that have already provided at least $100,000 to the committee.

Many of those companies are from industries that have long contributed to GOP causes, including resource extraction, financial services, tobacco, retail, for-profit education firms, and private health care interests.

Furthermore, the Republican State Leadership Committee has been collecting money from other dark money organizations which in turn are funded in part by health care companies:

Several of the largest donors to the Republican State Leadership Committee are themselves dark money groups. The Judicial Crisis Network, a 501(c) nonprofit that does not disclose its donors, has given $1.5 million to the group. The ABC Free Enterprise Fund, a dark money affiliate of a lobbying group that represents non-union construction companies, gave $100,000.

The U.S. Chamber of Commerce has given $1.7 million to the committee. The chamber, notably, does not disclose its donors but has been financed in the past by Goldman Sachs and Dow Chemical, among other major American and foreign companies.

We recently discussed the health care industry contributions to the US Chamber of Commerce, which came from PhRMA, Pharmaceutical Research and Manufacturers of America, the pharma trade association, and from specific companies, including contributions of at least $100K from: Aetna, Abbott Laboratories, AbbeVie, Amgen, Anthem, Celgene, Cigna, CVS, Eli Lilly, Express Scripts, Johnson & Johnson, Merck, Mylan, Procter & Gamble, and UnitedHealth.

So a lot of big health care companies, most of whom profess their devotion to the greater community and social responsibility, have been funneling considerable money as quietly as possible into an effort to thwart one particular group of politicians, that is, candidates from the leftish wing of the Democratic party.

So much for Genetech’s claim:

We believe that the best work happens when everyone has a voice.

Or for Lilly’s claim:

Respect for people includes our concern for all people who touch
or are touched by our company: customers, employees, shareholders,
partners, suppliers and communities.

Discussion and Summary

This is now the fifth time we have discussed the role of dark money in health care.

– In 2012 we discussed a case of “dark money” being used to conceal sources of support for particular health policy and political positions.

– Earlier this year,  we discussed
the case of huge pharmacy chain CVS,which proclaims its “social
responsibility,” and its policy of only making charitable contributions
to improve “health and healthcare nationwide.”  Yet CVS was donating to
America First Policies, a supposed non-profit group devoted to promoting
the partisan agenda of President Trump, including “repealing and
replacing Obamacare,” and immigration policies such as building the
“wall” and deporting  “illegal immigrants.” (Note that these CVS dark
money contributions were separate from those discussed above.)

– In September, we discussed
how the pharmaceutical trade organization, PhRMA, and some large drug
companies donated money to a dark money organization to combat a state
initiative to limit pharmaceutical prices, but also to the American
Action Network (see above) to “repeal and replace” the Affordable Care
Act (ACA, “Obamacare”) despite their previous support for and then
current neutrality on the ACA.

– In October, we discussed how many health care corporations were donating to dark money groups, predominantly groups, like the US Chamber of Commerce, devoted to distinctly right-wing causes, almost all lately related to the Republican party and in sympathy with the Donald Trump regime.

Health care corporations recent and current funding of dark money groups seems to openly conflict with the corporations’ promises of social
responsibility.  The slanting of these efforts towards one end of the
political spectrum, one party, and now the current president suggest
that these corporations may have partisan agendas.

Note that without the various ongoing investigative efforts mainly
inspired by the actions of the Trump administration, we would have
little idea that this was going on.

May such investigations continue and intensify.  Maybe the recent elections, which gave the opposition to the Republican party and Trump control of the US House of Representatives, will lead to more such investigations.

Furthermore, the increasing knowledge of these corporate actions raises a big question: cui bono? who benefits?

It is obvious why a pharmaceutical company, for example, might want to defeat legislation that would lower its prices.

It is not obvious why it would want to consistenly support actions by
one party, or by people at one end of the political spectrum, even if some such people seem “anti-business.”  After all, for years big corporations and their executives openly gave money to both US parties and their candidates, apparently in the belief that this would at least allow more visibility for the corporations’ priorities no matter who was in power.

Now, the most obvious theory is that the new practice of secret donations only in right-wing, Republican, and/or pro-Trump directions, which must be
orchestrated by top corporate management, and which are not disclosed to
employees or smaller corporate shareholders, are likely made to support
the top managers’ self interest more than the broad priorities of the corporations and their various constitutencies.

Thus not only is more investigation needed, at the very least, “public”
corporations ought to fully disclose all donations made to outside
groups with political agendas.  This should be demanded by at least the
corporations’ employees and shareholders, but also by patients, health
care professionals, and the public at large.

Meanwhile we are left with the suspicion that top health care corporate
management is increasingly merging with the current administration in
one giant corporatist entity which is not in the interests of health care, much less government by the people, of the people, and for the people.

Some Thoughts on Aging – Denial versus Acceptance versus Rejoicing

Those of you who have read some of my past articles are
aware that I wrote mostly about various aspects of primary care and our
dysfunctional healthcare delivery system overall. A few years ago I wrote a post
for KevinMD
on moving to a retirement community. Since then I became
interested in the actual process of aging and did some further posts for
KevinMD. Why do we age? Why do our various organs lose function over time when
does it start and how fast does it occur? Can we do anything about it; can we
slow it down? Why do complex chronic illnesses become more prevalent with
aging? Can we prevent those? What research is ongoing? And from there – would a
pill delay aging? What are the efforts to actually reverse aging, a search for
the Fountain of Youth? After a few years of research came “Longevity Decoded – The 7 Keys To Healthy Aging” which was
published in April, 2018 and is available on Amazon. This article and those to
follow are based on this journey of exploration.           Your comments will be most welcome.


We are all aging every day but mostly we ignore it, do not
recognize it or deny it. Then all of a sudden we look in the mirror and realize
that older age has found us. Even then each person deals with aging

There is a parody by an unknown author of Dr
Seuss’ “
The Cat in the Hat” which takes a negative perspective on aging.
Perhaps “The Cat in the Hat” says much of what many people feel and

But there are other perspectives, many much more positive.

After I told a friend about the
concept of what I was writing, he sent me the following: “About 25 years ago I
received a video about the Adirondack Park. When the park was established – in
the late 1800’s I believe – the New York state government drew a blue line
around the immense region. Individuals living inside the park were allowed to
stay, and pass their land onto heirs, but they could not sell their property to
others. Over the succeeding generations the land not passed on to heirs became
owned by the state. The video was about a gentleman in his 60’s who was one of
the last of his generation and focused on preserving what had been the
Adirondack way of life – realizing it was about to fade into history. In the
video as he talked he slowly unfolded a 6′ wooden ruler. He went on to indicate
that the 72 inches represented the average lifespan in years for many folks. He
then indicated his age on the ruler and made the point that while he hoped to live
beyond the end of the ruler he realized his time was short and he had limited
time to accomplish his goals.

dad had recently passed away – at the age of 72 – and in his tools I found a
folding ruler. After seeing the video I picked up the ruler and unfolding it
became aware I was beyond the half way point. Over the years I have often
opened and looked at the ruler. I recall at 50 feeling that time was speeding
up. For some reason now that I’m in my 60’s the passage of time bothers me less
– but I am aware of the limited amount left. I am also focusing more on what
happens when, hopefully, I go beyond the end of the ruler.

seemed to me your audience may benefit from an increased awareness of time and
what they can do to productively live their lives now with that goal of having
an enjoyable existence in the future.”

advice. Here are some other bits of personal philosophy about aging and its
impact on us as individuals.

Brown in his book The Experiment
rebels at aging through his diary that he starts at age sixty. As recounted by Gerard
Helferich in a Wall Street Journal book
, “His journal is largely a protest against decline. His
hearing is fading, along with his memory. His knees ache. His arches have
fallen. His face sags, and a patch of hair over his forehead resembles ‘a
random stand of corn that somehow got planted away from the main field.’ He has
rosacea, age spots and a hemorrhoid. Though he and his friends still hike and
ski, it’s a case of ‘ever-older men doing daring things, to prove we’re still
daring, and therefore not older.’ Mostly Ian Brown regrets not taking more
risks… he is afraid that he hasn’t lived up to his promise… A friend reminds
him that we spend the first half of our lives wishing we looked like someone
else and the second half wishing we looked like our former selves.”

Spiegelman, on the other hand, in his early 70’s when he wrote Senior Moments may be, says  Helferich, “closer to the end than Mr. Brown, [but]
he doesn’t betray dread or regret but a gentle, teasing acceptance. ‘We come
into the world alone, with a cry…we exit alone, to confront the final eternal
silence. The fun, all the pleasure and adventure, lies in between.’ [The two
books] striking dissimilarities—in content and form but especially in attitude
and voice—derive from the authors’ varying views on life more than from their
relative ages or their divergent attitudes about the end of life. Whether we
are 60 or 70, or 80 or 90, how fiercely we rage against the coming of that good
night depends above all on how we have embraced the sum of our days.”

Cat in the Hat” has a clearly negative perspective on advanced years and
certainly not all would agree. My friend with the 72-inch ruler is rather
philosophical while recognizing that time is indeed moving on.  Brown wants to deny and so does “daring”
adventures while Spiegelman is more accepting of what lies

perspective of an older person is related mostly to how he or she perceives
life and how he or she has lived their earlier years. It is with that
background of life and living that we come to terms – or not – with growing