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November 21, 2013 | By:  Leyla Adali
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Obamacare and How it Affects You

A little controversy is always fun, right? Today, I would like to veer away from the technicalities of complex diseases and conditions to delve into what is commonly referred to as "Obamacare"-the Affordable Health Care Act. I often hear my peers, adults, and talk show hosts become tremendously flustered over this issue, but really, what is it? The Affordable Health Care Act will be fully implemented into United States law by January of 2014. As many people know, under this legislation every man, woman and child will be obligated to have paid health care. Health care will thus be extended to several million Americans who currently do not have it. Essentially-no matter your opinion on whether this is right or wrong--Americans will be subsidizing the health care of other Americans. Young people will assist financially in covering the old, and vice versa. However, one of the intricacies of the ACA (Affordable Care Act) is the fact that a family may have to pay more with the new taxes and benefits-but they may also receive a federal subsidy based on personal factors to offset some of this additional cost. Your premiums will be determined by three factors: age, how many people in your family will be included in the plan, and where you live. Many people are concerned that young or impoverished citizens who do not have enough resources to buy healthcare will be coerced into paying money they don't have. If a person is under the legal line of poverty, about $15,800, they will qualify for Medicaid benefits. Furthermore, there is a plan known as "catastrophic" coverage, which features low premiums with the disadvantage that the plan will only cover extreme medical emergencies. While there are fines imposed for not paying coverage, some people with low household incomes may be exempt from these.
Some provisions of the ACA are as follows: a person can stay on their parents' health care plan until they are 26 years of age; a person cannot be denied healthcare because of their pre-existing medical conditions; business owners are obligated to offer healthcare for all full time employees of their establishment, provided they employ more than 50 people. Employers may be offered tax credit for extending health benefits to their workers. Furthermore, health care programs previously were allowed to impose lifetime caps, meaning that after a certain amount of money was paid for healthcare costs, the costs would no longer be covered by insurance. This is no longer legally permitted under the ACA. A person cannot be dropped from their health care plan for any reason other than fraud. Now, for those who already have health insurance under Medicare, they are allowed to keep this, but the ACA provides what some may see as an added benefit. Under the current Medicare system, there is a temporary limit on coverage for prescription drug costs. This is expected to be eliminated by the year 2020 under the provisions of the ACA.


After ranting about the intricacies of the act, I'd like to leave you with some interesting statistics, which you can take as you will. Gallup recently conducted polls attempting to gauge how Americans felt about Obamacare. (Cue my knowledge acquired from AP Statistics class!) Questions were worded differently in the different runs of polling. They are as follows: 1- "Next, we'd like to ask you about the Affordable Care Act, the law President Obama signed in 2010 that restructured the U.S. healthcare system. Do you generally approve or disapprove of the 2010 Affordable Care Act, signed into law by President Obama that restructured the U.S. healthcare system?" 2- "Next, we'd like to ask you about the 2010 healthcare law that restructured the U.S. healthcare system. Do you generally approve or disapprove of the healthcare law?" 3- "Next, we'd like to ask you about "Obamacare," the 2010 law that restructured the U.S. healthcare system. Do you generally approve or disapprove of Obamacare?" 4- "Next, we'd like to ask you about the Affordable Care Act, the 2010 law that restructured the U.S. healthcare system. Do you generally approve or disapprove of the Affordable Care Act?" In the question where just "Obamacare" was referenced, 38% of respondents said they approved. In question 3, where neither the ACA nor Obama was mentioned, 41% approved; this number held steady when both Obama and the ACA were mentioned. Interestingly enough, when the ACA was mentioned with no mention of Obama, 45% of people claimed to approve. Despite my summary, I'm aware that people still have questions, concerns, and opinions on "Obamacare"/the ACA. I would love to hear these perspectives voiced in the comments section below!!

Sources:

USA Today: http://usatoday30.usatoday.com/exp/usat-obama-aca-20/index.html

Blue Cross and Blue Shield Association North Carolina: http://www.youtube.com/watch?v=o84Xz3_BQjc#t=244

Gallup Polls: http://pollingmatters.gallup.com


February 22, 2013 | By:  Leyla Adali
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Learning About Carotenoids!

Hi everyone, I hope you'll forgive my slight detour from the topic at hand--medical problems and the medical world--for me to show you some of the really cool work I had the pleasure to research as part of my AP Biology class this year. (It's an awesome class and if you're still in high school, think about taking it!) This is a summary of a research article I had the fortune of reading a couple of months ago, and it pertains to sexual attraction in animals and how that relates to pigment.

In many species of animals, females will prefer males who have more physical ornamentation-for example, female peacocks prefer male peacocks with more elaborate and colorful feathers. It is widely debated how and why this is.

Carotenoids are pigments responsible for the production of red and yellow colors in an individual's phenotype. They are acquired through food and provide antioxidants and boost immune system. It is hypothesized that males in better condition don't need as many carotenoids, so that when they do consume them it serves to physically display their fitness in the form of richer pigmentations. To test whether females preferred males with higher carotenoid levels in their bodies, and whether more fit males were more able to procure carotenoid-­‐rich foods, the authors of this study conducted an experiment with zebra finches.

The finches were 10 fully-­‐grown brothers, some of who received a control of plain water, and others of who received water containing carotenoids, every day for 8 weeks. All the finches were fed white millet, and any other possible factors were controlled. In zebra finches, bill color is affected by carotenoids, so the researchers created a scale of color from 1-­‐9 (light orange to dark red.) The brothers were relatively similar in beak color, and those who were given carotenoid supplements ended up with much redder bills than those who were given the control.

After 6 weeks of the diets, the researchers observed how much time female zebra finches spent next to the male zebra finches from the experiment. They used this data to measure how attractive the females finches found the males, and concluded that the females preferred males with more red bills, and those with higher display rates.

After roughly another 2 weeks, the researchers collected blood samples from the finches to observe plasma carotenoid levels. Later, they injected PHA (phytohemagglutinin), a lectin which induces immune response, and is therefore an antigen, into the wing webs of the same birds. The zebra finches with the carotenoid supplements had more circulating carotenoids in their systems and had more exaggerated responses to the PHA injections. (sidenote: studies suggest that birds which have bigger responses to PHA are generally more fit.)

One can infer from this study that different levels of carotenoids can cause variation in sexual attractiveness and the ability of the immune system to function. Furthermore, there is a hypothesis that females who mate with males who have higher levels of carotenoids may be less likely to contract diseases, and more likely to receive parental support from their mates if necessary. It has even been suggested that offspring of such males could be born with advantageous traits, even though no evidence has been provided that diet-­‐related carotenoid levels are severely affected by genetic factors.

It is questionable whether obtainment of carotenoids can reflect on an individual's traits, such as energy and ability to effectively forage. However, the research on the zebra finches effectively depicts the correlation between carotenoid levels in an individual and the efficacy of their immune system.

http://www.sciencemag.org/content/300/5616/125.abstract. Carotenoid Modulation of Immune Function and Sexual Attractiveness in Zebra Finches. Blount, Jonathan D; Metcalfe, Neil B; Birkhead, Tim R; and Surai, Peter F.



February 22, 2013 | By:  Leyla Adali
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Erotomania: Can Love Really Become TOO Much?

Hi All,

In the light of Valentine's Day having just recently passed, I gave some thought to the idea of love and how it could relate to health, medicine, and this blog. While most people think love is a great thing--and it definitely is--I recently found out from a discussion with my mother that obsessive love can become a genuine clinical disorder. Take, for example, "erotomania." To talk about the meaning of the word, "eroto" as a root refers to some type of sexual desire, while "mania" indicated obsession; and that is exactly what erotomania is, not surprisingly. Erotomania is a genuine delusion that one may have that someone who is somehow more socially important than they are will or is falling in love with them. In 2002 a research group conducted a study which came to the conclusion that, of the subjects which they observed for erotomania, 11 were women while only 4 were men. There were certain characteristics associated with people afflicted with this condition; they tended to not have a steady job, or be particularly close with many other people. A very high percentage--40%, to be exact--were directly related to someone with a psychiatric issue; however, interestingly enough, less than half of them appeared to have subjected their love interest to any form of "harassment." This disorder, while it may seem somewhat grave, is apparently easily treated and helped. While it does not seem to react well to treatment with actual medicines, cognitive behavioral therapy (therapy capitalizing on the malleability of the mind and a person's ability to change perspective) seemed to affect change in patients. I thought this disorder was particularly interesting because it never occured to me that a person could have a legitimate clinical obsession with another person. Talk about crazy in love!

http://www.ncbi.nlm.nih.gov/pubmed/11788912. Erotomania Revisited: Clinical Course and Treatment. Kennedy N, McDonough M, Kelly B, Berrios GE. 2002.


Source


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