Health

During my college years I took a nutrition course that taught me a lesson that I have carried throughout my adult life. As the importance of vitamins to the proper functioning of the human body was spelled out it became clear to me that very few people would be able to take in an optimum amount of vitamins on a daily basis.

When you are young you tend to think you are immortal, but I felt like I could use a little help with my immortality so I started taking a daily multivitamin. Over 50 years later I am still taking vitamins and I continue to believe that they have made a difference in my life. The reason that I am thinking about this now is because I read a study that has revealed some very credible new information about the benefit of vitamins.

BAH is pleased to be offering another volunteer training for the Serious Illness Program. The training will be starting in April with days/times to be determined to allow for maximum flexibility and accessibility.
 
The Serious Illness Program was created to offer support, solace, and assistance to people going through a life-altering serious illness that may or may not carry a terminal prognosis. 
 
This is a wonderful opportunity to spend time with clients who are learning to adapt to the changes a serious illness brings. 

A group of lawmakers has finally decided to tackle the issue of obscenely high salaries paid to hospital CEO’s and administrative leadership in Vermont. Every time this issue has come up hospital spokespeople hide behind the mantra that they have to pay high salaries to attract qualified candidates. That may be true, but we are living in Vermont, not New York or Boston, and I think we can still attract excellent candidates without having to lure them in with salaries that could pay for three or four front line health care providers.

The purpose of the recently drafted bill states, “This bill proposes to require hospitals to provide information about employee compensation and administrative staffing ratios to the Green Mountain Care Board as part of the Board’s hospital budget review process. It would also direct the Board to ensure that the ratio of administrative employees at each hospital to employees delivering health care services directly to patients is aligned with national averages for similar hospitals and that the compensation for a hospital’s executive and clinic leadership does not equal more than 10 times that of the hospital’s lowest-paid employees who deliver health care services directly to hospital patients.”

Vermonters who purchase their own health insurance whether they are young or old got some really bad news recently. The Green Mountain Care Board (GMCB) approved increases in the small group market for Blue Cross and MVP that border on outrageous. The GMCB is charged with the task of assuring the solvency of insurance companies so the consumers’ needs for affordable insurance do not enter the mix very much.

Blue Cross asked for a 24% increase and ended up with a 22.8% increase which translates to an average annual increase of 19.8%. MVP asked for an 11.5% increase and the board gave them 11.1% which is a 14.2% increase over last year. The board does have a time when the public can comment before the increases are finalized, but when people tell them they can’t afford another double digit increase they show little sympathy and hide behind statements that the cost of health care is rising too fast.

Everyone is taking a hit, but seniors may have a harder time than others because a lot of us are living on fixed incomes and have to live within a budget range. This kind of increase blows any budgeting out of the water. I have a Vermont Medigap Blue Plan D Medicare supplemental policy with Blue Cross of Vermont that cost me $191 a month last year. I was notified it will cost me $234 in 2025. It will cost me an extra $516 next year for the privilege of buying a Medigap policy. The cost of Medicare Part B is also slated for an increase.

When I first read the report “Act 167 Community Engagement: Recommendations”, I almost laughed because I had a pretty good idea of how hospitals would react. The passage of Act 167 was a recognition that Vermont’s health care system needs serious change if it is to survive and this report was commissioned to find out what to do. It focused on the state’s hospitals.

Many of the recommendations make sense, but what I find difficult to understand is how all of the affected hospitals could possibly make the changes called for in the report. They talk about regional centers of excellence where only certain hospitals would do specific procedures. There could be fewer hospitals doing joint replacements and those who continue would become more expert at the procedures.

There is also a call for hospitals to share staff. That makes sense from an intellectual perspective, but how many nurses are going to want to travel an extra hour or more to work each day just to fulfill the aims of systemic restructuring?