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Autism therapy billing WSJ investigation showing everything that is wrong in America's healthcare system- greed, questionable billing one out of network child getting billed over $900,000. This WSJ report says only needed is a high school diploma to start a autism therapy center and easier than setting up a child care center. Therapy costing $20 an hour billed to insurance companies at $89 an hour. Until health care abuses are checked and criminal penalties imposed for abuses in healthcare to clean up the entire system,  this only goes to show thatany universal healthcare system would be loaded up with such costs making it too costly for the government to implement. This also includes the way people take care of themselves, their nutrition, their eating habits, their lifestyles, if these are not healthy, this has to be transformed before any universal healthcare system can take place as it would be loaded up with costs that should be taken care of by prevention, by healthy lifestyles, nutrition. Doing this creates a healthy people, and there can be no happiness without health and healthy nutrition, healthy lifestyles, healthy living. It is also the first job of government to create a healthy environment, to encourage and promote the literacy that enables positive health outcomes, enables cost effective delivery of health services. ...

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Even in a state that has the lowest diabetes rate in the US at 8.1% there are huge disparities in health and living. USA Today offers a look at these two Colorado's one of affluent Colorado residents who have access to trails, have the knowledge and resources for healthier lifestyles and the other around them who lack access to healthy food, and lack knowledge and education about healthy lifestyles, and face financial and other stress that aggravates their health conditions. 

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This WSJ report on Elon Musk of Tesla shows him neglecting a healthy lifestyle and not paying enough attention to needed sleep and nutrition. Since taking over Twitter the 51 year old Musk is working even longer hours from 80 hours to 120 hours a week, says this WSJ report. This type of hectic lifestyle is not productive in the quality of work and comes with a personal cost to health. Musk's acquisition of Twitter acts as a serious distraction from running electric car maker Tesla.

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Diet has a major role for a healthy Mind when it is embedded in a routine that included sleep, exercise and healthy lifestyle. Fruits, vegetables and millets play a role in this.

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Linda McMahon, the Education Secretary and RFK Jr. the Health Secretary team up to fight the misplaced approaches to children's health and mental health. Typical is separation of health and mental health to treat them separately. The authors say there ia reason as early as the 2nd century the Roman poet Juvenal has commended "a sound mind in a sound body," that in so many languages and cultures has found a precious place since, in Latin "mens sana in corpore sano." We ignore this at our own and the Nation's peril, when in every culture this is so clearly grasped and cultivated. Healthy nutrition including the kinds of natural foods such as fruits, vegetables and ancient grains and getting fast foods and chemicals out of our food, and healthy exercise, participation in sports are a better way to approach mental health, and for the backward looking side of tech a no cell phones in schools rule. Screen and social media addiction, indoor lifestyles, and food with harmful ingredients are the true source of our children's mental health problems and should be treated as the culprits, say McMahon and RFK Jr.  ...

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Mr. Alter's "His Very Best," shows Jimmy Carter much more than a one term president, a president who brought compassion, decency and transparency to the presidency. Here a critical care physician describes Jimmy Carter's decision for "hospice" care and what it means to spend the last months not just a few days in the company of family at home. Carter had foresight to put solar panels on the White House, and started initiatives in housing and health, and maintained an active healthy lifestyle that is a role model for all Americans.

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The term "lazy girl job" is a misnomer because it refers to work life balance choices made by women who prefer to do remote work, avoid micro manager bosses, and pay attention to health and exercise, lifestyle choices. Being able to take a walk midday and take a bike ride in the evening at 5.00 pm with work cut off times is a preference for many young people. It follows the trend of quiet quitting where lifestyle choices and health take precedence over existing flawed ways of work that ignore family, health and exercise needs. The pandemic has created a new awareness about what is important in life and a new set of priorities. Young people are following their heart.

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A look at the need for serious attention to personal health, including the risks of obesity and poor health habits that are second biggest risk factor for deaths from coronavirus. Boris Johnson, Britain's prime minister has taken up new health habits, exercize and changed lifestyle, after going through a life changing experience. 

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Astonishing distortion of a concept that is basically about better designing cities to reflect lessons learned from the pandemic and the importance of quality of life, worklife balance, healthy lifestyles. It involves bicycling to work popular in countries such as Netherlands and other parts of Europe. Utrecht in the Netherlands is a model city for this concept of working closer to where one lives and being able access sports, exercize activities, and community social meeting places within short distances. Because this is in line with climate change action where it is important to reduce huge carbon footprint of transportation and use of fossil fuels to get to and from work, and also promotes healthy lifestyles, community living, it is an idea that makes sense.

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The campaign in German schools "Smart ohne phone" or "Smart without a phone"  for school children in 2025. One student at Dalton High School in Alsdorf, North Rhine Westphalia, Klara Ptak, is cited in this report by  Oliver Pieper in DW.com. Klara 17 years old says- "A total of 51 phones were seized — that's a fairly significant number considering we have 700 students. And you can really see a difference, especially in the younger kids. They used to stand around in a circle staring at their screens, and now they are playing football, badminton, or board games together. It's a dramatic shift." A survey by the Körber Foundation, and pollster Forsa, says that parents of children ages 12 to 18 complain that their children's time spent on social media is out of control and is their leading source of stress. The German National Academy of Sciences Leopoldina is for banning phones upto tenth grade, it wants to keep children under 13 away from the internet for social media completely. It is interesting to note that the younger student are fine with it and adapted quickly seeing the benefits. This shows that a new generation of student can be trained for a different lifestyle. Today in the Washington Post Linda McMahon and RFK Jr. team up on an article saying just this that time spent on screens lifestyles along with nutrition and food fail school children badly, reminding people about the saying in Latin since the 2nd Century by poet Juvenal -"a healthy mind in a healthy body." ( Latin -"mens sana in corpore sano").   ...

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How Integrative Medicine, changes in lifestyle and diet, yoga and exercize, meditation, no smoking habits, can add up to changes in the nation's health that work more effectively than new drugs to prevent or delay the onset and progression of chronic diseases like diabetes, asthma, heart disease and of obesity, etc that consume 75% of the costs in the $2.1 trillion spent on medical care in the USA. Shockingly 95% of these costs are incurred after the onset of the disease, proving that prevention is simply not an important part of the equation.

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Tyler Cowen, Professor of Economics at George Mason University, points out some basic truths about health care as it is practiced today in the USA, and healthcare spending as it stands today. He questions whether starting out with extra spending plans to provide coverage to all will help solve the basic problems facing American health care. Too many tests and diagnostic procedures used by doctors is not aproblem that will be solved by spending more money to cover everyone. And government taking on more spending to cover all will not address all the other major shortcomings of the American way of practicing medicine, like prescribing a battery of tests, that tend to drive up costs, to just mention one of the problems. And it will not address any of the shortcomings in the way Americans take care of their health, diet, exercize and healthy lifestyles. THese are critical to get good health outcomes for the people, and which combined with careful spending of dollars where it will provide the greatest benefit, is the only way the health care solutions can be found....

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U.S. healthcare spending of about $3 trillion comes with poor results. The cost per person is about three times that of countries such as France, Britain, yet the results show U.S. doing extremely poorly. The author points out that less spending on healthcare and more on social services in areas such as education, nutrition, housing and other services would improve the outcomes and results. It is this missing factor that is helping other countries in Europe, Japan and China achieve better outcomes and returns per dollar spent.  Social spending can affect such things as nutrition, exercize levels, lifestyles, housing and result in dramatic improvements in obesity levels for instance, or inflammation levels in the population that play a role in many diseases. The idea is prevention. This is not happening because higher health dollar spending has lobbies to support it. Social spending also is a dollar expense that shows up immediately whereas results are spread out into the future as a longer term benefit with healthier populations that need to consume less healthcare and treatment. Elizabeth Bradley, president of Vassar College is an expert on this subject. She says social services spending gives more bang for buck  in health outcomes.  The point is relevant also for countries in South Asia and Africa that have taken some on some aspects of the U.S. health system resulting in health care spending that does not deliver the most for the dollar spent, and ignores the critical role of prevention.  The solution lies in moving these health care dollars out of the health care spending and into education for health outcomes, lifestyles, exercize habits education, and into social services that enable prevention and better health. ...

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British prime minister Boris Johnson says he is cutting down on carbohydrates, chocolate and late night cheese, and urges Britain to take up healthy diets. In a video posted on Twitter he says he is "doing everything I can to lose weight, and to feel fitter and healthier. I've been eating less carbs, avoiding chocolate, no more late night cheese."

As a result of the new lifestyle and eating habits which includes taking early morning runs, he says he feels a lot more energetic and healthier, "I feel full of beans" as he calls it using the British expression, and he "thoroughly, thoroughly recommends it."

Allegra Stratton, the prime minister's press secretary says she has lost more than a stone by filling half of her plate with vegetables.

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The public and the NHS pay a lot for childhood obesity. Starmer is doing something about it. He plans to put junk food television ads past 9 pm, ban high sugar and salt, high fat food online ads. Ban on high cafeeine energy drinks. And giving councils power to prevent fast food outlets opening near schools.

The plan includes checkups at workplaces for adults.

Starmer said-

There’s diet, there’s healthy lifestyle, we are going to have to get into that space. I know some prevention measures will be controversial but I’m prepared to be bold, even in the face of loud opposition. Some of our changes won’t be universally popular, we know that, but I will do the right thing for our NHS, our economy and our children.”

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One of the lessons of the pandemic is to take society back to basic priorities such as wellness, wellbeing, lifestyles that promote wellness, eating right and exercizing. During the last three decades obesity has emerged as a problem in the U.S. and Europe and in all parts of the world. It is simply harder to fight the virus carrying on so much extra weight. Much needs to be done in school with education on food in children's books and in classrooms.

Eating more fruits and vegetables, ancient and healthy grains is a must do for all. To do this the supply chain of locally produced healthy foods has to function well , and more acreage has to be devoted to get the supplies we need.

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What does a 5 day Joe Biden trip with landmark decisions on Asia Economic Corridor to Europe, discussions with G20 leaders at the New Delhi G20 Summit, and a new strategic partnership agreement with Vietnam signed by Biden in Hanoi, say about the president's sharp mind and healthy lifestyle at age 80 years? Biden was born November 20, 1942. He also shook hands with over 500 graduates at the graduation ceremony of the Air Force Academy. Katie Rogers who was with the president during his visit to New Delhi and Hanoi says this says a lot about the president's energy and stamina. In New Delhi he held informal discussions with 30 world leaders in a Summit that lays out a new path for future generations of the world's leading 20 countries and for Africa, Asia, Latin America, as well as Europe and the US.

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The Mission LIFE launched by pm Modi in Gujarat in 2021 has achieved significant results-

"Under Mission Life our efforts are spread across many domains such as: Making local bodies environment-friendly, saving water, saving energy, reducing waste, and e-waste, adopting healthy lifestyles, adoption of natural farming, promotion of millets." 

"These efforts will save over 22 billion units of energy, save nine trillion litres of water, reduce waste by 375 million tons, recycle almost one million tons of e-waste, and generate around 170 million dollars of additional cost saving by 2030," he said.

"Further, it will help us reduce the wastage of 15 billion tons of food," Mr. Modi said, noting that the global primary crop production in 2020, according to the Food and Agriculture Organization, was about nine billion tons.

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The startling truth about health "reforms," - they won't control spending, and without that the whole system of health care will rapidly become unaffordable and unsustainable. Obama's Council of Economic Advisors points out in new report that since 1975 annual health spending per person, adjusted for inflation has grown 2.1 percentage points faster than overall economic growth per person. At this rate health spending which was 5% of the GDP in 1960, and is 18% of GDP today, would grow to 40% of GDP in 2040. Medicare and Medicaid would increase from 6% of GDP now to 15% in 2040, or equal to three fourths of federal spending. Employer paid insurance premiums for families which grew 85% in inflation adjusted terms from 1996 to $11,941 in 2006, would increase to $25,200 by 2025 and $45,000 in 2040. This would force employers to reduce take home pay. Samuelson says the uncontrolled health spending is singlehandedly determining national priorities, reducing discretionary income, raising taxes, widening budget deficits and squeezing other government programs, while it is producing large amount of waste in medical spending. See the link to Prof. Tyler Cowen of George Mason University in NYT, 6/14/ 2009, who cites the habit of doctors to write many expensive tests as one of the prime culprits in the wasteful spending. And in the process it delivers higher cost for lower overall quality of health for the American people. This at a time when many European countries provide live examples of doing it in a better way- lower cost, better health. The serious problem with the Obama health reforms says Samuelson is that it talks about restraining spending but may end up increasing spending. Its talk about controlling spending he says is good intentions, but based more on hopeful thinking, public realtions and risks becoming cosmetic reform. Because to really control spending will require coming to grips with its fundamental cause- hospitals and doctors are paid mostly on a fee-for-service basis and reimbursed by insurance, private or governmental. Such a system encourages doctors and hospitals to provide more services, expensive tests, favors heavy use of expensive medical technologies to increase profits, and for patients to expect them. Samuelson puts his finger on the root of the problem - there is no incentive and every disincentive for all the players in this game , doctors, hospitals and patients to seek reform of this system. For doctors and hospitals the hope would be that this cosmetic "reform" would leave the system basically unchanged, and patients to continue with a lifestyle and expectations that do not not acknowledge the fact that a lot of healthcare does not come from spending but from preventative care, education, good eating and exercize habits, and healthy lifestyles. And the uninsured are no exception, they would simply start consuming the expensive care for lower quality of overall health like everyone else. With this kind of situation confronting us, the views of Samuelson, and Professor Tyler Cowen of George Mason University, as welll as a growing chorus of informed public opinion on this subject, is that insuring the uninsured is a good idea, but doing it within the bounds of the present system, can only increase the costs. And too much is at risk, to rely on what Samuelson calls a scattershot of measures to control costs made up by Congress such as "evidence -based guidelines," "electronic record-keeping," "bundled payments to hospitals, to give the illusion of progress that won't make a serious difference. A sweeping restructuring of health care is needed, that would overhaul "fee-for-service" payment and reduce the fragmentation of care. It will also need what has not even be touched on adequately in the debate. This is the massive need for education in the schools about nutrition, eating, exercize, healthy lifestyles. It would also require opinion leaders in each field from sports and other fields to lead by example and with constant public presence, the media, and companies to form a partnership with private institutions to change existing eating habits and lifestyles that encourage obesity, smoking, fast food eating habits, large portions in restaurants....

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The Glasgow COP26 summit could be the beginning of a new era for mankind as the city that started the industrial revolution in Britain takes the world on a turn into a new era of ecologically conscious living. This BBC report looks at changes we should be experiencing in 2022 to 2030. Electric cars that take the place of current automobiles, increasing use of construction materials other than cement and concrete, use of solar and wind energy. From a mental health standpoint lifestyles built around walking and cycling, more forested areas and green spaces in and around cities, cleaner air, quieter cities, food choices and agricultural choices made around health and better ecology. Personal investments, corporate investments and pensions of $139 trillion invested in a way that cuts carbon emissions. Governments and private citizens enabling transparency and regulation, weekly monitoring on matters relating to emissions in one's own neighborhoods and local region.  ...

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The VW emissions scandal lingers on five years after the rigging of of millions of diesel vehicles to cheat emissions tests. Now former CEO Martin Winterkorn is ordered to face trial on charges of defrauding customers. It is interesting to note how it all started was a grandiose ambition set by Winterkorn according to this report in the WSJ, to make VW the largest auto company in the world ahead of Toyota and General Motors and push sales of diesel vehicles in the U.S. with "clean diesel vehicles." At this time of pandemic it is appropriate to note that the world has changed since 1946 when the wages of top managers were 2 times that of a Caterpillar company worker, and reached level of 400 times a worker for some executives of companies before the pandemic.  Even in supposedly egalitarian countries where worker representatives are on boards such as Germany, the wages had pushed way upwards to about 170 times the salary of the average worker at VW in 2015 when the emissions crisis erupted. This VW episode shows that the grandiose ambitions of executives were another part of the problem before the pandemic. Today the VW disaster has led to a completely opposite result. Diesel is not taking over the U.S. it is now the now the no go in Germany, as diesel vehicles are being phased out. Instead Germany's auto industry is now making large investments in the electric car industry. Significantly chancellor Merkel and the CDU no longer see the automobile industry in Germany as having some kind of special status and the shift to electric is being made with the planned loss of jobs and a restructuring to replace lost jobs with other jobs over 10 years. And the SPD has called for a legal ratio of the average ratio of a company's top managers  in relation to a workers wage at the same company. The pandemic has put things in perspective on a number of fronts, from wage relationships, health, healthcare and wellbeing, healthy lifestyles, mental health, making clear that health and a commonsense idea of fairness, good infrastructure, and sensible wage relations all go together in this world that the creator made. ...

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Is aging linear or non linear happening in spurts as life's events, a trauma, adversity, immunity levels covid infection or other infection take place in people's lives. Research leans to molecular changes that are linear for a white and then shift to nonlinear and in a spurt change the outcome of one's health. Living well involves being aware of such spurts and counteracting them with improved lifestyle behaviours in food, exercise, sleep and recreation.

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How we age is up to us. You are able to do the plank at 70 because you are doing it at age 50. Dr. Norman Lazarus is a professor at Kings College, London, and is 84 years. It is all up to us, what we eat, how we get our exercize and aur work life balance. Dr. Norman Lazarus says about ageing that our appoach to it is totally inadequate and that ageing has not much to do with genetics. If one eats healthy food and exercizes well then many of the diseases we hear about at older age are just lifestyle diseases that one does not have to worry about, even if one gets one of the diseases the recovery will be faster. He says eat well, move a lot and also enjoy yourself. Enjoy yourself to keep cheerful which stimulates the brain. He is the author of "The Lazarus Strategy: How to Age Well and Wisely."  In Lazarus view the last 25 years can be miserable or without disease depending on what we do. Diseases of ageing are not inevitable he says, its rubbish he says and it makes him cry, it is just that it takes 25 years for all that neglect of exercize and not eating healthy to reach a critical point. It is also not that some people are better than others. Lazarus found himself at age 50 putting on weight till he made the decision one day at lunch with his wife.  A a non competitive long distance cyclist Lazarus has done studies which show cyclists over 70 years having the immunity and fat level of 20 year olds. Nothing is written, we have to write it ourselves. ...

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Isaacson tells the story of Musk and paying $44 billion for Twitter, how all these birds have to go. Of Musk seeing the words "psychological safety" at Twitter and being take aback. Mental wellbeing, worklife balance were not his thing, says Isaacson. A failed acquisition, conversion and renaming of Paypal, led Musk to Twitter as a way to create a site that does all things including payments and social media. Contrast Musk with Carlos Tavares, CEO of European EV automaker Stellantis who makes worklife balance part of his way of running the company, and one sees a shocking contrast in a war of ideas of what is the most productive and what makes productive employees.