Posts Tagged ‘Care’

deadline on health care bills

Monday, August 30th, 2010

deadline on health care bills

The Legislature has until the end of the month to pass or reject several key health bills, making this week a turning point for some reforms related to the new federal health law.

Among the measures heading for a final floor vote are bills that would regulate health insurance rates and set up an “exchange” through which consumers would buy insurance under the federal law.

The legislative session is set to end Aug. 31, so lawmakers must act on the pending legislation, or the bills will die.

“I’ve not seen a year with such a combination of significant health care legislation that could be potentially passed and signed,” said Anthony Wright, executive director of Health Access California, a statewide consumer and labor advocacy coalition.

Several of the bills are generating controversy. A bill that would set up California’s health insurance exchange, the virtual marketplace of health insurance options required in 2014 under the federal law, passed the Assembly on Friday. The bill, authored by Sen. Elaine Alquist, D-Santa Clara, is scheduled to go back to the Senate and be voted on with a companion bill.

Insurers are against both bills, as are several Republican lawmakers, without amendments that would limit taxation on insurers and require more legislative oversight. They argue that the bills set up a new bureaucracy with broad powers to tax them and create disadvantages for smaller health plans in the exchange.

“Our concern is that (the bill) sets up very broad authority and powers,” said Charles Bacchi, executive vice president of the California Association of Health Plans. “We believe if they make wrong decisions, it could result in fewer choices for consumers.”

Health insurers are also fiercely opposed to several bills that propose various forms of rate regulation, an issue that gained traction earlier in the year after Anthem Blue Cross proposed a 39 percent rate increase on 800,000 individual California policyholders.
Power over rate increases

The rate-hike proposals include a bill by Sen. Mark Leno, D-San Francisco, that would require insurers to justify rate increases, and one by Assemblyman Dave Jones, D-Sacramento, that would give state regulators the power to approve or deny rate hikes.

Gov. Arnold Schwarzenegger has proposed a separate plan that would require health care insurers to hire actuaries to review their proposed premium increases.

Bacchi, referring to the Jones bill, said rate regulation diverts attention from the need to curb medical costs. “Health care costs are going up enough,” he said, “without having to create overly burdensome and expensive new government bureaucracies to handle this.”

The California Medical Association and the California Hospital Association join the insurers in their opposition, arguing that if the insurers are squeezed, they’re likely to turn around and squeeze doctors and hospitals through lower reimbursement rates.

“We think the solution to the problem has already been approved as part of federal health care reform: mandating that plans meet a minimum medical loss ratio,” said Andrew LaMar, spokesman for the physicians group, referring to the requirement that insurers spend at least 80 percent of their revenue on patient care.
Coverage of vaccinations

Separately, the medical association is backing a bill that would require insurers to pay the full cost of acquiring and administering vaccinations, a potential mandate the health insurers oppose.

The California Hospital Association, which represents the state’s hospitals, is supporting a bill that would extend deadlines for some hospitals to seismically retrofit their buildings and is opposing a bill that would require hospitals to disclose the cost and quality of procedures.

But the main focus is on bills that would direct the state on how to manage the new health law.

“The 800-pound gorilla staring us all in the face is health care reform legislation, but there’s still so much unknown because regulations haven’t been drafted on the federal level,” said Jan Emerson, spokeswoman for the hospital group. “We’re on the precipice of some major changes to our health care system, but how that plays out on the state level is not yet fully understood.”
Countdown on health care bills

Here are some of the key health care bills that the Legislature must act upon before the session ends Aug. 31:

Assembly Bill 2578: Authored by Assemblyman Dave Jones, D-Sacramento, it would require approval from state regulators for increases in health coverage premiums.

Senate Bill 1163: This bill by Sen. Mark Leno, D-San Francisco, would require insurers to justify denials and premium increases.

Senate Bill 900 and Assembly Bill 1602: These companion bills authored by Sen. Elaine Alquist, D-Santa Clara, and Assembly Speaker John Pérez, D-Los Angeles, would establish the health insurance “exchange” required under federal law.

<a rel=”nofollow” onclick=”javascript:_gaq.push(['_trackPageview', '/outgoing/article_exit_link']);” href=”http://www.easytoinsureme.com/health-insurance-quotes.html”> online health insurance quotes</a>
<a rel=”nofollow” onclick=”javascript:_gaq.push(['_trackPageview', '/outgoing/article_exit_link']);” href=”http://www.easytoinsureme.com/health-insurance-quote.html”>real Health insurance quote</a>

Tags: , , ,
Posted in Dentist | No Comments »

Fact Sheets Home Health Care

Tuesday, August 24th, 2010

Fact Sheets Home Health Care

Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of services and can often delay the need for long-term nursing home care.

More specifically, home health care may include occupational and physical therapy, speech therapy, and even skilled nursing. It may involve helping the elderly with activities of daily living such as bathing, dressing, and eating. Or it may include assistance with cooking, cleaning, other housekeeping jobs, and monitoring one’s daily regimen of prescription and over-the-counter medications.

At this point, it is important to understand the difference between home health care and home care services. Although they sound the same (and home health care may include some home care services), home health care is more medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors recover from an illness or injury. That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides. Most work for home health agencies, hospitals, or public health departments that are licensed by the state.

How Do I Make Sure That Home Health Care Is Quality Care?
As with any important purchase, it is always a good idea to talk with friends, neighbors, and your local area agency on aging to learn more about the home health care agencies in your community.
In looking for a home health care agency, the following 20 questions can be used to help guide your search:

How long has the agency been serving this community? Does the agency have any printed brochures describing the services it offers and how much they cost? If so, get one. Is the agency an approved Medicare provider? Is the quality of care certified by a national accrediting body such as the Joint Commission for the Accreditation of Healthcare Organizations? Does the agency have a current license to practice (if required in the state where you live)? Does the agency offer seniors a “Patients’ Bill of Rights” that describes the rights and responsibilities of both the agency and the senior being cared for? Does the agency write a plan of care for the patient (with input from the patient, his or her doctor and family), and update the plan as necessary? Does the care plan outline the patient’s course of treatment, describing the specific tasks to be performed by each caregiver? How closely do supervisors oversee care to ensure quality? Will agency caregivers keep family members informed about the kind of care their loved one is getting? Are agency staff members available around the clock, seven days a week, if necessary? Does the agency have a nursing supervisor available to provide on-call assistance 24 hours a day? How does the agency ensure patient confidentiality? How are agency caregivers hired and trained? What is the procedure for resolving problems when they occur, and who can I call with questions or complaints? How does the agency handle billing? Is there a sliding fee schedule based on ability to pay, and is financial assistance available to pay for services? Will the agency provide a list of references for its caregivers? Who does the agency call if the home health care worker cannot come when scheduled? What type of employee screening is done?

When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This should include an interview with the home health caregiver to make sure that he or she is qualified for the job. You should request references. Also, prepare for the interview by making a list if any special needs the senior might have. For example, you would want to note whether the elderly patient needs help getting into or out of a wheelchair. Clearly, if this is the case, the home health caregiver must be able to provide that assistance. The screening process will go easier if you have a better idea of what you are looking for first.

Another thing to remember is that it always helps to look ahead, anticipate changing needs, and have a backup plan for special situations. Since every employee occasionally needs time off (or a vacation), it is unrealistic to assume that one home health care worker will always be around to provide care. Seniors or family members who hire home health workers directly may want to consider interviewing a second part-time or on-call person who can be available when the primary caregiver cannot be. Calling an agency for temporary respite care also may help to solve this problem (see the Respite Care fact sheet for more information about these services).

In any event, whether you arrange for home health care through an agency or hire an independent home health care aide on an individual basis, it helps to spend some time preparing for the person who will be doing the work. Ideally, you could spend a day with him or her, before the job formally begins, to discuss what will be involved in the daily routine. If nothing else, tell the home health care provider (both verbally and in writing) the following things that he or she should know about the senior:

Illnesses/injuries, and signs of an emergency medical situation Likes and dislikes Medications, and how and when they should be taken Need for dentures, eyeglasses, canes, walkers, etc. Possible behavior problems and how best to deal with them Problems getting around (in or out of a wheelchair, for example, or trouble walking) Special diets or nutritional needs Therapeutic exercises.

In addition, you should give the home health care provider more information about:

Clothing the senior may need (if/when it gets too hot or too cold) How you can be contacted (and who else should be contacted in an emergency) How to find and use medical supplies and medications When to lock up the apartment/house and where to find the keys Where to find food, cooking utensils, and serving items Where to find cleaning supplies Where to find light bulbs and flash lights, and where the fuse box is located (in case of a power failure) Where to find the washer, dryer, and other household appliances (as well as instructions for how to use them).

A WORD OF CAUTION . . .
Although most states require that home health care agencies perform criminal background checks on their workers and carefully screen job applicants for these positions, the actual regulations will vary depending on where you live. Therefore, before contacting a home health care agency, you may want to call your local area agency on aging or department of public health to learn what laws apply in your state.

HOW CAN I PAY FOR HOME HEALTH CARE?
The cost of home health care varies across states and within states. In addition, costs will fluctuate depending on the type of health care professional required. Home care services can be paid for directly by the patient and his or her family members, or through a variety of public and private sources. Sources for home health care funding include Medicare, Medicaid, the Older Americans Act, the Veterans’ Administration, and private insurance.

Medicare is the largest single payer of home care services. The Medicare program will pay for home health care if all of the following conditions are met:

The patient must be homebound and under a doctor’s care; The patient must need skilled nursing care, or occupational, physical, or speech therapy, on at least an intermittent basis (that is, regularly but not continuously) The services provided must be under a doctor’s supervision and performed as part of a home health care plan written specifically for that patient The patient must be eligible for the Medicare program and the services ordered must be “medically reasonable and necessary” The home health care agency providing the services must be certified by the Medicare program.

To get help with your Medicare questions, call 1-800-MEDICARE (1-800-633-4227, TTY/TDD: 1-877-486-2048 for the speech and hearing impaired) or look on the Internet at http://www.medicare.gov.

WHERE CAN I LEARN MORE ABOUT HOME HEALTH CARE?
There are several national organizations that can provide additional consumer information about home health care services. These include the following:

The National Association for Home Care, which can be reached at 202-547-7424 or by visiting its website at www.nahc.org. The postal address is: 228 7th St., SE; Washington, DC 20003. The Visiting Nurse Associations of America, which can be reached at 617-737-3200 or by visiting its website at http://www.vnaa.org. The postal addresses are: 99 Summer St., Suite 1700; Boston, MA 02110.

To find out more about home health care programs where you live, you will want to contact your local aging information and assistance provider or area agency on aging (AAA). The Eldercare Locator, a public service of the Administration on Aging (at 1-800-677-1116 or http://www.eldercare.gov  can help connect you to these agencies.

Case Study

WHEN IS HOME HEALTH CARE APPROPRIATE?
Because it is not always clear to the average person when an ailing senior needs home health care and when he or she needs nursing home care, it is usually best to consult a medical professional for advice. The following case study describes one situation in which home health care proved to be the right choice.
Francis is 84 years old and recently had a stroke. She was hospitalized briefly and then discharged to continue recovering at home. To enable her to return home, her doctor called a home health care agency, and the agency gave Francis a complete home health care plan for six weeks. Since the doctor ordered the home care for Francis, Medicare paid for it.

For the first week after Francis went home, a nurse visited her every day. The nurse met with Francis’s family to discuss her special dietary needs and to arrange for exercise therapy to help Francis regain her strength. Once that was done, the nurse visited Francis twice a week to check on how well she was recovering. The home health care agency also sent a homemaker, a personal care attendant, and a physical therapist to visit Francis several times during the week. The homemaker would do the shopping and cook light meals. The personal care attendant would help Francis bathe, get dressed, and walk. The physical therapist would keep Francis moving and see to it that she got some exercise to aid in her recovery.

 

 

 

 

 

 

 

 

 

Paloma Home Health Agency Inc. provides quality service to the elderly, sick, and disabled
Let us meet your everyday needsWe can be reached at 972-346-2013 or http://www.palomahomehealth.com

Tags: , , , ,
Posted in Dentist | No Comments »

Health Care Reform March 15 2010

Thursday, August 12th, 2010

Health Care Reform March 15 2010

Week of March 15, 2010

The White House last week continued to rail against rising health insurance premiums to help build popular support for his health care reform package. But the effort to focus the blame for rising costs on insurers was questioned, in particular, by state insurance experts and economists quoted in a New York Times story last week. Insurance commissioners said that trying to hold down premiums before costs were under control would be very risky. This approach could mean solvency issues in some cases, they told the Times. To help educate Americans about the true drivers of rising health care costs, America’s Health Insurance Plans, the industry trade association, last week launched a new national ad campaign. The ad demonstrates that health insurance company costs represent a small slice of the overall health care cost pie.

Federal

With a cadre of staff operatives searching for the right health insurance reform provisions among those previously discarded from the House, Senate and the President’s proposals, Democratic leadership has been relentlessly pursuing every possible pathway to pass a final bill. The expected process would have: 1) the House pass the Senate-adopted reform bill (which most House members hate), 2) the House passing a bill to “fix” all the things it hates using a reconciliation legislative vehicle, followed by 3) the Senate passing the very same reconciliation bill — requiring only 51 votes in the Senate. The House Budget and Rules Committees are expected to start the review, hearing and mark-up process of the reconciliation bill this week. The Senate commitment to using reconciliation was made official in a scathing letter from Leader Harry Reid to the Minority Leader. Along the way the two Chambers will need to see the latest CBO “scores” on the bill before voting, and 216 House Democrats will have to resolve policy disagreements over abortion, federal health insurance rate review and authority, and other substantive issues. Additionally, the House will have to trust that the Senate can pass the reconciliation measure without changing one comma. Partisanship has blossomed into open hostility over health reform. Whether Congress can overcome these policy, process and political mine fields remains as murky as ever, but Democrats have chosen to try and will push for resolution by the Easter recess.

The Senate has passed Jobs Bill II and shipped it off to the House, where passage is not certain. Within the bill are two health-related items of note. First, the COBRA eligibility and subsidy program will be extended to the end of 2010. (These provisions are set to expire at the end of March.) Second, the bill contains a suspension until September 30, 2010 of the cut to physician Medicare reimbursements for the current calendar year. (This provision is also set to expire at the end of March.) Aetna urged Congress to apply the “doc fix” to next year’s reimbursement as well, since insurers’ Medicare rates are based on what doctors are paid, but in the end Congress failed to make this change. Aetna and the industry will continue to find ways both to establish a more lasting, if not permanent, doc fix and to devise a legislative solution to the disconnect between doctor reimbursement and Medicare Advantage rates for 2011 and beyond.

States

ARIZONA: Budget issues remain front and center as the governor and Republican leadership proposed a plan they hope will close the 0 million deficit this year and reduce the anticipated .6 billion deficit in 2011. Righting the state’s fiscal ship has become a very partisan exercise, with the Republicans supporting reductions in Medicaid and KidsCare, and the elimination of full-day kindergarten. As the special session on the budget is running concurrently with the regular session, no other bill hearings were held. The oral chemotherapy parity bill may be dead for this year as proponents did not meet the deadline for submitting amendatory language.

CALIFORNIA: The Assembly Accountability and Administrative Review Committee chaired by Assemblyman Hector De La Torre held a hearing last week to examine how the Department of Managed Health Care (DMHC) and the Department of Insurance (CDI) has handled issues surrounding the rescission of policies in the individual market. According to a report prepared for the committee by Bryan Liang, director of the Institute of Health Law Studies at the California Western School of Law, fewer than 300 of 6,000 former policyholders are participating in health insurers’ agreements to settle such cases. Republican committee members were highly critical of this witness, while De La Torre was critical of the Departments. The DMHC reported that since their settlements were completed there have only been nine rescissions over the past two years, proof that the DMHC and the health plans have revamped their processes for rescission and have worked to address the problem.

COLORADO: A bill mandating maternity and contraceptive coverage in individual policies continues to receive significant attention in the Senate. The most recent amendment proposes requiring maternity coverage in at least three of the plans marketed by an insurer. It would also allow a current member of a plan without maternity coverage to switch to a plan with maternity coverage from the same carrier during the first trimester. The other major bill would require that second level appeals be performed by physicians who are actively involved in clinical practice. This measure is counterintuitive in the current economy, since it would result in outsourcing appeals and drive up costs for plan sponsors and their employees.

CONNECTICUT: A proposal that would require health insurance plans to cover oral chemotherapy in the same way that intravenous chemotherapy is covered made it through the legislature’s Insurance and Real Estate Committee last week. Currently, many health plans treat the two kinds of cancer treatments differently. Chemotherapy treatments that come in pill form are often categorized as prescription drug benefits that can require patients to pay a larger share of the cost. Cancer patients, doctors and patient advocates spoke in favor of the bill, while insurers and the Connecticut Business and Industry Association opposed it, arguing that it would put a mandate on health plans that could raise costs and make it more difficult for employers to afford insurance.

GEORGIA: A bill restricting the use of rescissions in individual health insurance policies passed a Senate committee last week. Aetna continues to work with its trade organizations to educate legislators about the adverse effect of this type of legislation. Discussions also continue regarding legislation affecting the use of rental networks.

KANSAS: Roughly half way through the legislative session, several health care bills are still moving through the process. On the regulatory front, the Insurance Department has proposed a regulation that would mandate coverage of routine patient care costs while the insured is enrolled in a cancer clinical trial – a mandate that was rejected by the legislature in 2008. A hearing will be held on April 20, and Aetna will have an opportunity to present testimony on this issue. Bills still alive include mandates for autism and orally administered chemotherapy, legislation prohibiting dental contracts that require the dentist to follow a fee schedule for non-covered services, and a ban on “most favored nation” clauses by some insurers. Another bill would allow small employers to create individual HRAs to fund premium payments on individual policies, require administering insurers to offer employees the option of receiving health insurance coverage through a high-deductible health plan with an HSA, and requiring insurers who offer small group health plans to offer high-deductible health plans with HSAs, while authorizing tax deductions for health insurance premiums for individual insurance policies. Separate legislation would amend the definition of “eligible employee” to include part-time workers (currently less than 30 hours per week). Pending legislation concerning hospital charges would prohibit charging private-pay patients more than 25 percent of what the hospital’s highest volume private payer would pay for the same goods or services. Legislation that died includes a telemedicine mandate and creation of a health care insurance database for employers.

KENTUCKY: Health issues that are being hotly debated by the legislature right now include an autism mandate, a dental bill that would not allow insurers to hold dentists, optometrists or ophthalmologists to a fee schedule for non-covered services, and a bill setting a reimbursement floor for chiropractic services. The chiropractic services proposal would allow chiropractors to bill, and would require insurers to reimburse, an evaluation and management (E&M) CPT code on each and every visit. In addition to billing for follow-up services for manipulations and other therapies, the chiropractor would be allowed to submit, and the insurer required to pay, for another E&M code on each and every visit. The legislation would also add a new mandated benefit to the Kentucky statutes. Currently, reimbursement for chiropractor visits is required only if the chiropractor performs a service already covered by the health benefit plan. Under the proposal, any service within the scope of practice of a chiropractor that is billed would become a mandated benefit. Finally, the bill would require health benefit plans to provide reimbursement without the chiropractor having to provide any documentation that the services were medically necessary. Each of these bills has, or is expected to, pass at least one chamber.

SOUTH DAKOTA: Several important legislative deadlines are approaching, resulting in a flurry of activity. Bills or resolutions not passed by the second chamber by March 9 died. But the Governor has already signed a bill that amends the premium rate-setting procedure for the high-risk pool so that rates for a given classification are 150 percent of the average actively marketed premium. The pool will have to offer three or more plan designs, remove coverage requirements for the plans (such as disease management) and remove set cost-sharing values. The bill was signed by the Governor on March 1 and will become effective on July 1, 2010. The Governor has also signed a bill prohibiting rating based on injuries caused by domestic violence and legislation requiring refunds of premiums for partial months, in the case of mid-month cancellations. Both chambers have passed legislation prohibiting contract language requiring dentists to accept a fee schedule for non-covered services, and the bill awaits the Governor’s signature. Finally, the legislature passed a resolution opposing the federal health care reform proposals passed in the U.S. Senate and House.

http://www.easytoinsureme.com

Tags: , , , ,
Posted in Dentist | No Comments »

Impact of Education on Ethno-medicine and Health Care Practices Among the Tribal People of India

Wednesday, July 28th, 2010

Impact of Education on Ethno-medicine and Health Care Practices Among the Tribal People of India

Impact of Education on Ethno-Medicine and Health Care

Practices among the Tribal People of India

                                                                                   

 

We must protect the forests for our children, grandchildren and children yet to be born. We must protect the forests for those who can’t speak for themselves such as the birds, animals, fish and trees.

 

INTRODUCTION

 

            Anthropology as an integrated science of man deals with biological and cultural aspects of man. Presently anthropologists are more involved in applying their knowledge and techniques for human welfare.

            Ethno-medicine is a sub-field of medical anthropology and deals with the study of traditional medicines: not only those that have relevant written sources (e.g. Traditional Chinese Medicine, Ayurveda), but especially those, whose knowledge and practices have been orally transmitted over the centuries.

            In the scientific arena, ethno-medical studies are generally characterized by a strong anthropological approach, more than a bio-medical one. The focus of these studies is then the perception and context of use of traditional medicines, and not their bio-evaluation.

TRIBES IN INDIA

            The Indian sub-continent is inhabited by 88.2 million tribal populations belonging to over 577 tribal communities that come under 227 linguistic groups. They inhibit varied geographic and climatic Zones of the country. Their vocation ranges from hunting, gathering, cave dwelling nomadic to societies with settled culture living incomplete harmony with nature.

            Forests have been their dear home and totally submitted themselves to forest settings. Their relationship with the forest was symbolic in nature. They have been utilizing the resources without disturbing the delicate balance of the eco-system. Tribal thus mostly remained as stable societies and were unaffected by the social, cultural, material and economic evolutions that were taking place with the so called civilized societies. But this peaceful co-existence of the tribal has been disturbed in recent years by the interference in their habitats. Traditional communities living close to nature have, over the years acquired unique knowledge about the use of living biological resources. Modernisation, especially industrialization and urbanization has endangered the rich heritage of knowledge and expertise of age old wisdom of the traditional communities.

            A study on the utilization of local tribal revealed that they hold precious knowledge on the specific use of a large number of agents of wild plant and animal origins, the use of many are hitherto unknown to the outside world.

HERBAL HISTORY AND TRADITION IN INDIAN CONTEXT

          The Rigveda, the oldest document of human knowledge mentions the use of medicinal plants in the treatment of man and animals. Ayurveda gives the account of actual beginning of the ancient medical science of India, which according to western scholars was written between 2500 to 600 B.C. Charaka and Susruta wrote around 1000 B.C. Charaka concentrates more on medicine while Susruta deals with surgery in details along with therapeutics.

TRIBES AND ETHNO-MEDICINE

            Ethno-medicine refers to “those beliefs and practices relating to disease which are the products of indigenous cultural development and are not explicitly derived from the conceptual frame work of modern medicine” (Hughes, 1968, cited from Misra et al, 2003). Various institutions are now concerned with the traditional health care system and means of traditional treatment.

             The tribal people are the real custodians of the medicinal plants. Out of 45,000 species of wild plants, 7500 species are used for medicinal purposes. The World Health Organization (WHO) has been promoting a movement for ‘Saving plants for saving lives’. This is because of the growing understanding of the pivotal role medicinal plants play in providing herbal remedies to health maladies.

            India is the home of several important traditional system of health care like Ayurveda. This system depends heavily on herbal products. Several millions of Indian households have been using through the ages nearly 8000 species of medicinal plants for their health care needs. Over one and half million traditional healers use a wide range of medicinal plants for treating ailments of both humans and livestock across the length and breadth of the country. Over 800 medicinal plant species are currently in use by the Indian herbal industry.

            In recent times with the increased knowledge of life and culture of the tribal communities, the social scientists are taking interest in ethno-medicinal studies. Many works have been reported especially from among the rural and tribal communities of India (Choudhury, 1986; Bhadra and Tirkey, 1997; Sharma Thakur, 1997).Ray and Sharma (2005) have given a description of ethno-medicinal beliefs and practices prevalent among the Savaras, a tribal community of Andhra Pradesh.

            Kumari (2006) gave an account on the concept of illness and disease and the application of folk medicine among the Saureas of Jharkhand. However, ethno-medicinal studies are relatively less in Northeast India. Guha (1986) has reported from among the Boro-Kachari tribe of Assam. A glimpse of indigenous health practices among the plain tribes of Assam is given by Sharma Thakur (1999). The socio-economic condition of some of the tribes of Arunachal Pradesh and their problems of health and indigenous methods of treatment has been reported by Choudhury (2000), Duarah andPathak (1997), Kohli (1999), Bhasin (1997, 1999,2002, 2003, 2005).

ETHNO-MEDICINE AND HEALTH CARE PRACTICES AMONG SONOWAL KACHARIS IN ASSAM (INDIA)

 

            The Sonowal Kacharis is an endogamous group of Kachari tribe and a popular plain scheduled tribe population of Assam. Various types of locally available herbs and leaves of wild plants are used by them as medicine. Like many other communities of the region, there are few herbal specialists among the Sonowal Kachari. These specialists or medicine-men have considerable knowledge about the herbs and its medicinal use. Normally they learn about these medicinal plants and its uses from their ancestor. These medicine-men are referred by different term according to the cultural norms. Among the Sonowal Kachari’s they are called as Bez (Barua and Phukan, 1958: 334). Of course in rural Assam, they are mainly known by this term.

 

It has been observed in the villages that use of herbal medicine for curing certain diseases are quite known to the people and besides medicine-men, many elderly persons known about the use of herbal medicines. Some of the diseases and their indigenous methods of treatment are given below:

(1) Fever: Lime (Citrus auran tifolia) juice mixed with sugar is applied on the forehead of the patient to get relief from fever.

(2) Diarrhoea: Dry goose berry (Emblica officinalis) powder and black salt mixed with cold water is taken. Bark of Long Pepper (Pipoli tree) mixed with Misiri water is also used to cure the disease.

(3) Dysentery: Lime (Citrus auran tifolia) juicewith hot water and little salt is used in dysentery. The juice of black Tulsi leaves (Ocimum sanctum) and Sirata (Swertiachirata) is also used for the purpose. The juice of tender leaves (three numbers) of mango (Mangifera indica), black berry (S.cuminii) and goose berry (Emblica officinalis) (equal proportions) together with honey are mixed with goat milk and is taken to cure blood dysentery. Honey together with the juice of Dubari grass (Family-Gramineae) can cure blood dysentery and need to be taken for three/ four days. They also use a kind of wild herb, locally called Manimuni (Centila asiatica).The juice of this herb mixed with sugar or honey should be taken continuously for a month to cure the disease. They also use limewater (chun pani) mixed with juice of turmeric (Purcuma domestica) leave to get relief from blood dysentery and mucous.

(4) Blood Vomiting: A table spoon of carrot (Dancus carota) juice mixed with honey can cure blood vomiting.

(5) Liver Disease: Two to three raw or ripe Papayas (Carica papaya) daily can cure liver disease. A curry prepared from the bud of banana (Musa paradisiaca) and the meat of pigeon is also used as a medicine for the purpose.

(6) Jaundice: The medicine is prepared by pounding five or six number of Silikha (Myroballum) mixing with jaggery and it can cure jaundice. A glass of sugarcane (Saccharum officinarum) juice twice daily prescribed for the purpose. Boiled raw papaya (Carica papaya) is said to be good for curing the disease. Kardoi (Averrhoa carambola), Goose Berry (Emblica officinalis), Sugar cane (Saccharun officinarum), Neem leave (Azadirachta indica), a wild herb known as Duran ban (Lecas aspera), Brahmi sak (Herpestis monnieria), Purakol (Musa sapientum) are prescribed edibles for the patient.

(7) Nose Bleeding: Flower of Pomegranate (Punica granatum Linn) is crushed and 3-4 drops of juice is poured inside the nose to give immediate relief.

(8) Tonsilities: Juice is prepared by mixing one Amara seed (Sponolias mangifera), one Silikha seed (Mysoballum) and a piece of Turmeric (Purcuma domestica) and advice the patient gargles for a week regularly.

(9) Worms: Paste of five lemon seeds (Citrus aurantifolia) mixed with water and is prescribed to eat in empty stomach for a few days. The twigs of Chirata (Swertia chirata) are soaked in the water overnight and the water is prescribed to drink in empty stomach in the morning for one week regularly.

(10) Scabies: Lemon juice (Citrus aurantifolia) mixed with coconut oil is massaged for curing scabies. To remove scabies they take bath with hot water in which leaves of Neem (Azadirachta officinarum) were boiled. Twigs of Chirata (Swertia chirata) arecrushed into paste with water to be used as an ointment and applied on the skin. Chirata water is prescribed to drink in the morning in empty stomach.

(11) Pain in the Ear: Juice of Tulsi (Ocimum sanctum) is boiled and put it in the ears to heal earache.

            The patient is treated with available herbs, flora and minerals. Some of these are home remedies and some are specially prescribed by herbalist or folk medicine man available in the community. The practice of ethno-medicine is a complex multi-disciplinary system constituting the use of plants, spirituality and the natural environment and has been the source of healing for people for millennia. The spiritual aspects of health and sickness have been an integral component of the ethno-medicinal practice for centuries.

Diseases due to wrath of the supernatural

 

Disease

Supernatural agencies

Pujas (Rituals)

Dysentery, mental diseases, cancer

 

Deo

 

Propitiated by sacrificing two red cocks, one red hen, and one egg, besides other items of feast. Arrangement is made in the forest.

Asthama, Mental

Disease, cancer

 

Lord of water

 

Jalkhai puja, worshipped by sacrificing one white duck and other items of feast, rice, salt vegetables, etc.

Accident, sudden illness

 

Burah-dangoria

No sacrifice. Only raw items, e.g. gram, rice, powdered rice, etc. are offered to propitiate Burah-dangoria.

Gastritis

 

Ancestral spirits

Ai puja, no sacrifice is made except offering of raw articles, powdered rice, gram with betel nut and leaves.

 

Epidemic and natural calamities

Mother goddess

Community level worship by arranging bhur-utuwa puja. One pair of betel nut and leaf is offered from each family. One red duck is offered on behalf of the villagers. All the offered articles are placed in a boat.

Epidemic and large scale death of men and animals

 

Mother goddesses of forest.

A white goat is a must for the Puja besides other offering.

PRESENT POSITION OF TRIBES

          The tribal health care practices and system of treating diseases are based on their deep observation and belief in nature. But with the development of education and their awareness towards importance of health and health care and also with the advent of modern health care facilities, Government health measures these people are becoming more interested in taking modern medicine instead of traditional herbal medicine.   

SAVING THE PLANT IS SAVING THE LIFE

            According to the text of Vishnu Samhita, causing any harm to the plants/animals is a sin. Even purloining of parts/ products of any of these living beings is a crime. The sinner/ criminals are liable to chastisement in this life and also after death. The punishments are of diverse nature:-pecuniary, corporal, expiatory and donation of specific articles to Brahmins.

CONCLUSIONS

            The growing disinterest in the use of the ethno-medicinal plants and its significance among the younger generation of the tribes will lead to the disappearance of this practice. Educated younger generation of the tribes should be encouraged by the Government to protect and cultivate these valuable herbal plants before they get lost due to the impact of modernization and urbanization and also due to deforestation.

            The role of Anthropology is also very important in the field of saving herbal plants. By educating tribal people we can preserve all these things for future generation. It is the Government duty to take necessary steps to preserve all these things.

 

 

Reference:

Barua, I. and R. Phukan. 1990. “Socio-religious aspects of Health among Sonowal Kachari”. The Eastern Anthropologist, 55: 4.

 

 

Bhasin, Veena. 1997. “Medical Pluralism and Health Services in Ladakh.” J. Soc. Sci., 1: 43-69.

 

 

Bhasin, Veena. 1997. “The Human Settlements and Health Status of People of Sikkim”, (Pp. 153-187), in K.C. Mahanta (ed.), People of the Himalayas:Ecology, Culture, Development and Change. Delhi:Kamla-Raj Enterprises.

 

 

Bhasin, Veena. 1999. Tribals of Ladakh: Ecology, Human Settlements and Health. Delhi: Kamla-Raj Enterprises.

 

 

Bhasin, Veena. 2002. “Traditional Medicine among Tribals of Rajasthan.” J. Soc Sci., 6(3): 153-172.Bhasin, Veena. 2003.”Sickness and Therapy among Tribals of Rajasthan.” Stud. Tribes and Tribals, 1(1): 77 -83.

 

 

Choudhury, S. 2000. “Indigenous beliefs and Practices of herbal Medicine among the few Arunachalis”.Resarun, 26. 72-81, Govt. of Arunachal Pradesh,Department of Cultural Affairs.

 

 

Das, B. M. 2007. “Sonowal Kachari Nigostiya parichya”, (Pp. 1-3) in M. Sonowal (ed.), Sonowal Saurav Smarak Granth. Assam: Sonowal Kachari SanskriticMahotsava.

 

 

Duarah, D. K. and S. D. Pathak. 1997. “A short note on the health care practices among the Nishis of Arunachal Pradesh. (Pp. 73-78) in F. Ahmed Dasand R. K. Kar (eds.), Health Studies in Anthropology. Department of Anthropology, Dibrugarh University, Dibrugarh.

 

 

Kumari, P. 2006. “Etiology and Healing Practices: A study in primitive societies of Jharkhand”, (Pp. 487-499) P. Dash Sharma (ed.), Anthropology of Primitive Tribes in India. New Delhi: Serial Publications.

 

           

Guha, A. 1986. “Folk medicines of the Boro-Kacharis –A Plain Tribe of Assam”, (Pp. 191-199) B. Choudhuri(ed.), Tribal Health. New Delhi: Inter-India Publications.

 

 

 

 

*****

Name:Naraginti Amareswar reddy Father Name: N.M.Reddy Sex: Male Date of Birth: 10th Fed 1981 Ed Qua: M.Sc., M.Ed., research scholar in the dept. of education, sri venkateswara university, tirupati, india. e-mail ID: amareswaran@gmail.com

Tags: , , , , , , , , ,
Posted in Dentist | No Comments »

Cooperating In Our Health Care

Sunday, July 25th, 2010

Cooperating In Our Health Care

Funny thing pain, if you’ve never had a severe pain then the suggestion of taking simple analgesia and resting the affected area all seems quite reasonable. I was reminded of this when I read recently of a doctor’s advice to someone who was suffering from sciatica. Having personally experienced sciatica, it’s a condition I would not recommend to anyone who wishes to walk, sit, laugh, sleep, or to just simply pull up your trousers. It’s a bit like a dentist drilling your teeth without an anaesthetic, but it affects your whole leg. In other words the pain is consuming, exhausting and without respite. Clinical studies do show that in the majority of cases the pain will eventually subside and surgery may not be necessary, but in the meantime the patient has to deal with the pain or deal with the medication required to dull the pain. Remember, pain-killers are not selective to the area affected. They affect the whole of the nervous system and elsewhere so there may be significant side-effects from these medications.

Dealing with severe pain can be a complex issue, but I suggest that you have to treat this sort of pain fairly aggressively as acute severe pain is relatively easier to treat than chronic severe pain. In the early stages of an injury or insult to an area of the body, most of the pathological processes are happening at the site of the injury or insult. Throughout time the brain begins to modulate this pain and so no only do you have the injured area to deal with, but you also have complex neural pathways within the brain to deal with as well. This often means a far more complex management plan and a far more protracted recovery time. Specialists are very skilled at dealing with these issues but they do rely heavily on the stories their patients give them. That means being honest in answering their questions and not being heroic with a grin and bear it grimace! Often the use of a pain scale is helpful with zero being no pain at all and a 10 being the worse pain you have ever experienced.

Another health issue we commonly down play is influenza. Over the years I have frequently heard people say that they would not have the flu vaccine because either they never get the flu or that they had it last week for a couple of days and then it was all over! Influenza is a serious debilitating disease that will usually last from 10 days to two weeks and often leave you flat on your back exhausted. It’s not a happy 10 days either as patients do not have the energy to read a magazine or even watch a DVD. You will literally feel ancient with every movement being a real challenge and that doesn’t include the aching all over or the fevers and sleepless nights. The influenza virus is also extremely contagious and most people are unaware that if you spread it to someone who is more frail than yourself that you may actually be putting their life at risk.

With the ‘flu the big challenge is to vaccinate as many people in the community as possible, including children, those employed and unemployed, the elderly and the infirm, to reduce the chance of an epidemic occurring. Recent research has also showed that vaccinating pregnant women in the last trimester of their pregnancy will help protect their new born infants born during the ‘flu season.

Medicine has evolved over the last 40 years, but the change has been fairly slow with doctors by nature being very cautious and conservative people. But we can’t leave the doctors to take all the initiatives. As patients we need to be good listeners in our approach to health by heeding all the great health messages that keep being given to us about vaccinations, smoking, alcohol, exercise and healthy eating. We also need to be good communicators and tell our doctors how we are feeling with conditions such as pain. If the team treating you doesn’t have the best information then it may be that you will not end up getting the best treatment!

 

HBF Health Funds, the largest health insurance provider in Western Australia.

Tags: , ,
Posted in Dentist | No Comments »

Do You Need to Obtain a College Health Care Plan?

Saturday, July 17th, 2010

Do You Need to Obtain a College Health Care Plan?

Upon graduation from high school, there is no doubt that you will surely start your tertiary education in college or university. At age twenty, children will not be covered by health insurance of their parents and this can be disastrous if they are merely study and do not do part-time job. Some universities or colleges may have insurance plan offered to students. These insurance may not answer all your needs but you need to be meticulously considered it.

Most of the universities and colleges offer student health insurance plans. These plans should absolutely be at reasonable price, and can give you the school’s nearest hospitals. This option is one that you should definitely think of, if your son or daughter is enrolled in a college far away from home.

College health care scheme may vary from college to college due to laws and some other factors. Many students may think medical services are free of charge, but it is not always true. In term of clinic visit or routine checkups they may be free, however students still require to pay for special kinds of lab tests and other specialties such as x-rays, prescriptions, and a wound treatment. Compensation usually covers some types of service stated in the health care offered at college health centre. When you are referred to see an outside doctor, then the coverage will cover only 70% of your total expense and you are at risk to pay high medical cost.

You may have a problem getting treatment at the campus health centre if you have pre-existing condition. Having a pre-existing condition or illness does not mean to prevent you from obtaining health insurance plan, but you may not be eligible to have your treatment on your pre-existing condition. It can be troublesome if your new symptoms develop from a pre-existing one.

Health schemes are different, so be sure you find out everything about your health insurance plans. Be sure that your health plan stretch to summer break when you or your child do not take classes. This is vital for you because you don’t want to find out that your health care does not cover when you need it most. Some college health insurances may not cover during summer break, while others do.

Be certain that you study your plan thoroughly. Is it an HMO, or can the member utilise any service provider they went? This is critical. You need to know where you can go in case of emergency, and there is nothing worse than discovering that you will have to pay off the bill yourself.

There is no definitive solution to whether you should or should not commit yourself to college health insurance. Be certain that you study your plan thoroughly so that it answer to your need when you need it most. Although there is no free health insurance scheme, surely it will save you a lot of money in time of illness or accident.

For more information, please visit http://www.health-care-central.com

Health Care Central, the complete information website where you can find all you are looking for about your health care needs

Tags: , , , , ,
Posted in Dentist | No Comments »