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Access Issues Persist For Indians, Rural Americans, Immigrants
Several reports today focus on inadequate health care for certain population groups within the United States.
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Colorado Medicaid Cuts Some Services For Developmentally Disabled
"Cuts to Medicaid benefits for hundreds of developmentally disabled people in Colorado take effect today, a move that will be devastating, caretakers and advocates say," The Gazette reports. "Annual payments for services such as transportation and work programs are being cut by at least half for about 700 Coloradans with developmental disabilities ... Others will lose a lesser percentage, but some stand to gain financial assistance, said Timothy Hall, deputy executive director for veterans and disability services for the Colorado Department of Human Services."
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Explaining Oral/Body Inflammatory Connection
Is your head where your heart is? It may be now. A strong connection between periodontal disease and cardiovascular disease (CVD) has been suggested in recent clinical studies. As many as 75 percent of adults in the United States have been affected by periodontal disease and an estimated 80.7 million adults (1 out of every 3) have been a victim of CVD in 2006 according to the American Heart Association. From the 80.7 million adults in the United States, 38.2 million are less than 60 years of age, which is almost 50 percent. According to Marvin J. Slepian, MD, and Neil R. Gottehrer, DDS, who is lead a discussion titled "Oral Body Inflammation Connection" during the 57th Annual Meeting of the Academy of General Dentistry (AGD), these findings strengthen their belief that oral infections contribute to CVD morbidity and connection of chronic infections and CVD. The AGD"s Annual Meeting is take place in Baltimore, MD, July 8-12, 2009.
Diagnostics

Troubled Mental Health Trust Symptomatic Of Failings Nationwide, UK

A damning report from the Care Quality Commission has found multiple failings in inpatient care for patients at West London Mental Health Trust, ranging from sub-standard buildings, overcrowding, lack of staff and insufficient staff training, to failure to implement changes that could help prevent suicides on wards. In some areas, there were long delays in considering changes to help reduce suicide risk, and on one inpatient unit, bed occupancy was regularly running at over 110 per cent, resulting in patients sleeping on sofas due to lack of beds. The report is hot on the heels of the Mental Health Act Commission"s final report into inpatient care (1), which found basic inadequacies in staffing, training, ward conditions and patient safety across the country. In response to today"s report, Paul Farmer, Chief Executive of Mind, said: "The failures at West London Mental Health Trust are not isolated incidents, but are symptomatic of failings across the country in the way that mental health inpatients are treated. "Patients sleeping on sofas due to bed shortages is completely unacceptable, and would never be tolerated on wards in general hospitals. The very minimum conditions for inpatient hospital care should start with a bed for the night, inside buildings that are fit for purpose, with enough trained staff to provide decent levels of care. "Most alarming was the Trust"s response to suicide on wards. Delays, bureaucracy and failure to learn from past mistakes are putting patients" lives at risk. There can be no excuse for these serious failings. "Although there are some excellent inpatient wards, in many areas poor practice has become entrenched, and conditions that should be considered unacceptable have become the norm. As the government launches New Horizons this week, its consultation on the future of mental health care, we hope that bringing conditions on inpatient wards into the 21st century will be a top priority." (1) On Sunday 19 July 2009, the new Care Quality Commission published the final biennial report of the Mental Health Act Commission into conditions on mental health inpatient wards in England and Wales: Coercion and consent: monitoring the Mental Health Act 2007-2009 MIND


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