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Prescription Medication Overuse.

Americans spend about $300 billion a year on legal drugs. Not millions but billions a year. Pharmaceutical companies probably love these numbers. I am wondering how much people are spending on illegal drugs in this country. Most likely it would easily support the economy of a small country or California State budget deficit which is now over $25 billion.

What is surprising that majority of the revenue does not come from research or scientific data but from advertising campaigns. Many patients come to see Medical Doctor and already know what kind of drug they want for their particular health problem. Why do we need Doctors then? Watch TV advertising of the particular drug and take it till you drop dead or may be fixing the health problem. Well pharmaceutical companies need Medical Doctors for one simple reason so they can prescribe medications to the masses. Only small percentage of general practitioners actually treats the body as a whole.

One of the studies from New England Journal of Medicine provides facts that doctors and hospitals spend a lot of money to treat patients who have Medicare. There is no correlation on how much or little they spend on a particular patient. The study has found that in areas with higher per-capita medical spending, patients were more likely to receive “riskier” (and presumably higher-priced) drugs.

Another study from the same journal found that low Medicare reimbursement for certain drugs change the doctor’s mind about prescribing those drugs. What is interesting when reimbursement rates were higher, doctors were more likely to prescribe – and they were doing inappropriately or unnecessary.

It is a known fact that pharmaceutical companies make billions every year on selling drugs to a public. As population of the world is increasing so is the revenues of these companies will increase in the coming years. These companies spend more on advertising than on research for finding more effective drugs. Health care costs and medication side effects skyrocket as we become a nation of pill-poppers. Certainly not how Thomas Edison envisioned it – “The doctor of the future will give no medicine….” Do not be shy to ask your Primary Care Physician intelligent questions about your treatment options and the kind medications he or she will prescribe to you.

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Dear Friends:

Doctors of chiropractic now make up over 60,000 licensed professionals in all fifty states, and care for millions of Americans every year. Almost a quarter of Iowans receivequality chiropractic care every year. As you know, chiropractic care is low-cost, drugfree, noninvasive, and has been shown to have a positive impact on patients’ health. I believe steps should be taken to acknowledge the important care chiropractors provide, and knock down unreasonable barriers of access and discriminatory insurance coverage that stand between so many patients and the care they need.

I have a plan to support doctors of chiropractic. First, I support expanding the range of chiropractic services covered by Medicare. Medicare currently provides reimbursement only for chiropractic adjustments, even though doctors of chiropractic are trained and licensed in all fifty states to provide a range of other Medicare-covered services. I support reimbursement reform that will reward and reimburse those who deliver high quality care and whose patients achieve good health outcomes, without restrictions against chiropractors or other health care professionals licensed to provide such care. Second, I recognize that neither the Department of Veterans Affairs nor the Department of Defense has achieved full integration of the services of doctors of chiropractic into their health systems despite direction from Congress. I support careful examination into the policy and practical barriers that restrict access to such services in order to remedy this problem. Third, I support commissioning doctors of chiropractic as officers in the Uniformed Corps of the U.S. Public Health Service. The U.S. Public Health Service Commissioned Corps is comprised of approximately 6,000 public health professionals dedicated to delivering the nation’s public health promotion and disease prevention programs and advancing public health science. Given the critical role that doctors of chiropractic serve in each of these functions, I believe that we should commission chiropractors as officers in the Uniformed Corps. Finally, under the universal health care plan I have proposed, Americans will have access to a public insurance plan that will include comprehensive coverage, including all essential health care benefits. Benefits that are evidence-based or meet the current accepted standard of care would be eligible for coverage, and as such many, if not all, chiropractic services provided by doctors of chiropractic would be included in the public benefit package. My health plan also prioritizes preventive care, and chiropractors play a significant role in this effort. As we shift our health care delivery system towards a culture of wellness and disease prevention, I believe that chiropractors must play an integral role in expanding access to preventive care and strengthening our public health system. I look forward to discussing these important issues with you over the course of the next several months.

Sincerely,

Barack Obama