The Salina Journal from Salina, Kansas on October 23, 1996 · Page 6
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The Salina Journal from Salina, Kansas · Page 6

Salina, Kansas
Issue Date:
Wednesday, October 23, 1996
Page 6
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AC WEDNESDAY. OCTOBER 23, 1996 HEALTH THE SALINA JOURNAL T HEALTH CARE Insured or not, millions have problems receiving care Money worries keep some with insurance from seeking treatment By LEE BOWMAN Scripps Howard News Service WASHINGTON — With or without health insurance, nearly 50 million American adults had problems either getting or paying for health care last year, according to a new study released Tuesday. Researchers found that the nation's health system so riddled with serious holes that some sick people put off needed care or get no care at all. "It's very clear that the problems of the uninsured and underinsured have not gone away and there's no sign that they will get other than worse in the next few years," said Drew Altman, president of the Kaiser Family Foundation and one of the authors of the two-year study, along with researchers from the University of Chicago and Harvard University. The study was published in today's Journal of the American Medical Association. The survey of nearly 4,000 American adults taken in mid-1995 found that among the uninsured, some 53 percent had some problem getting or paying for health care in the past year. But even among adults who had insurance, 18 percent also faced such problems, due largely to high de- ductib.les and co-pays. For instance, of the insured adults who said they didn't get needed medical care, 25 percent said it was because they couldn't afford it. Another 8 percent reported that a doctor or nurse told them they didn't need care; 4 percent said they couldn't get an appointment. Among the uninsured who were unable to get care they felt they need- ed, a quarter said it was because they lacked an insurance card, but more than half said it was because they couldn't afford to pay for a trip to the doctor or hospital. Karen Donelan of Harvard's School of Public Health, the lead researcher for the project, said most of the uninsured cited embarrassment or the belief that they would be turned away because of outstanding bills as common reasons for not seeking care. Although two-thirds of American doctors still claim to provide some free care to people who can't afford to pay, Harvard health policy professor,, Robert Blendon said that "it's worth noting that more of the uninsured report they were referred to a collection-. agency than reported getting medical.., care for free or at a reduced charge.",, Donelan said uninsured people in poor health were most likely (75 percent in this category) to have diffi-, culty getting care and 67 percent said, they had problems paying for care. |U "This directly contradicts the con-:: ventional wisdom that truly sick peo- pie can always get care when they need it," she said. ,, T DIABETES Implant dispenses insulin Pump beneath skin helps some avoid injections during day By The Associated Press BALTIMORE — A hockey-puck- size insulin pump inserted under the skin can help some diabetics avoid several-times-a-day injections, keep their weight down and control their blood sugar better, researchers say. To use the device, which is inserted in the abdomen, patients give themselves a blood test to determine how much insulin is needed, then hold a small transmitter over the pump to tell it how much to deliver. The pump then dispenses a steady trickle of insulin rather than an all-at-once dose. The manufacturer of the pump, MiniMed Inc. of Sylmar, Calif., said it expects to receive Food and Drug Administration approval in late 1997. MiniMed helped pay for the study, which was led by Dr. Christopher Saudek, chief of the Johns Hopkins Hospital diabetes center, and published in Wednesday's issue of the Journal of the American Medical Association. Researchers studied 105 men with Type H diabetes at Veterans Affairs hospitals across the coun- _try. Half used the pump several times a day for a year; the other half gave themselves injections three times a day. The incidence of insulin reactions, or hypoglycemia, was 68 percent lower among pump patients. Hypoglycemia, or low-blood sugar, occurs in diabetics when they receive too much insulin. It can cause panic and even coma. Dr. William Duckworth of the Omaha VA Medical Center, co-author of the study, said the pump works better because it releases insulin slowly, without causing the swings in blood sugar that an injection can cause. Also, patients who received injections gained an average of .8 pounds, while pump patients lost an average of more than 2 pounds. The researchers said that could be because the insulin reaches the liver more directly via the pump. Some scientists suspect that once injected into the bloodstream, some insulin is used by the body to store fat, and that contributes to weigh gain. The pump is expected to cost about $15,000 installed and must be refilled every six to 12 weeks at a doctor's office. Saudek serves on MiniMed's advisory board but has no financial stake in the company, said MiniMed president and chief executive Terry Gregg. Type II diabetes, the most common form, affects about 10 percent of the general population. MCCUNTOCK FOR SHERIFF A VOTE FOR MCCUNTOCK ISA VOTE FOR CHANGE AND NEW LEADERSHIP IN SALINE COUNTY LAW ENFORCEMENT if As Sheriff I Pledge To Make a Positive Difference ir Be Sensitive to The Law Enforcement Needs of Saline County if Treat Others the Way I Want To Be Treated if Take Charge, Be Decisive and Do The Right Thing if Seek Higher Standards of Professionalism VOTE MCCUNTOCK ON NOVEMBER 5 McCHatock Taaaetr Prices Good Thru Oct. 27 or NfSMf OAK UTILITY CABINET 18"x24 Ready to finish. OUC 000 Unfinished OAK Cabinet TRUCKLOAD SALE! OAK VANITIES UNFINISHED 18x16..J 24X18....50 00 30x18.... 63°° 36X18....70 00 Vanities with Drawers 24x18....57°° 30x 18 ....70 00 36x18....83°° 48x18....98°° OAK Laundry Wall Cabinet 57°° 54x24 W i DIAGONAL CORNER OAK WALL CADINET ^ FIVE BIG SALE DAYS! 10' KITCHEN CABINETS Straight run cabinets only. cYc Oak ilBMUil with LAZY SUSAN OAK 30" SINK DASE 70°° DELIV AVAILABLE ALL CABINETS COMPLETELY ASSEMBLED! >> ASSISTED "" KITCHEN • DESIGNS! Just bring your wall dimensions & appliance sizes & locations. OAK CORNER DASE 92°° with LAZY SDSAN 13300 WALL CABINETS 12x30 21x30 30x30 30x15 30x18 18x30 46 oo 00 15x30 —-°° 24x30 33x30 48 33x15 34°° 36x30 41 °° 27 00 36x18 36x15 5400 3400 BASE CABINETS 12" wide 32°° 18" wide 42°° 24" wide 51°° 30" wide 69°° 15" wide 37°° 21 "wide 4700 27" wide 62°° 36" wide 80°° Dial 1-800-221-0331 for Your Sutherlands Charge Card! 827-8774 2450 S. Nin Salina, KS MON - SAT 7:30-9 SUNDAY 9-5 It Is our goal to have every Item In stock. 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