Monthly Archives: September 2011

Spanish Health Care – How Good is Health Care in Spain?



The most important thing to appreciate about Spanish health care is that it is not necessarily free to you – just because you are an EU national.

Tuberculosis, a Major Threat to Public Health



Nobody is immune, tuberculosis can affect any person, regardless of their background, social or economic status, education level, race, gender, etc.. At European level, every hour are diagnosed 49 new cases of TB, 7 people passing away every hour due to this disease. That’s why we try to improve disease control, particularly by limiting the spread of infection and prevention of TB cases. Progress of some EU Member States are impressive in terms of limiting and eliminating tuberculosis (below 1 in 1 million inhabitants), while other countries of the continent continues to face a high rate of cases of TB.

What is tuberculosis? Tuberculosis is a contagious infectious disease caused by Koch bacillus, named after the scientist who discovered it. The infection is transmitted from one person by air through droplets of sputum disposed into the environment through coughing, sneezing, talking loudly, singing, etc. A person can be infected but does not mean will get sick of tuberculosis. Infected people do not have any signs or symptoms that suggest disease. But when the body’s immune system is no longer effective, microbes begin to multiply and cause damage to lung tissue, passing in the form of tuberculosis infection or active tuberculosis disease. It is generally recognized that a person with active tuberculosis, in the absence of effective treatment, may infect approximately 10-15 persons per year. Among patients with tuberculosis, 80% are aged between 15 and 45 years. Tuberculosis is not transmitted through the handshake, using the same cups and plates, toilets.

Signs and symptoms, cough with expectoration, weight loss, feverishness, night sweats. All these symptoms slowly over several months. The diagnosis is made by highlighting the Koch bacillus in sputum samples of virus and lesions in the lung. Once diagnosed, TB requires treatment with a combination of at least 4 types of drugs taken daily for 2 months, then 2 kinds of medicines to be taken 3 times per week for 4 months yet. Discontinuation, or missing doses can lead to emergence of multidrug-resistant tuberculosis (MDR-TB), which require more costly treatment later and longer. Despite treatment, forms of MDR-TB have lower chances of cure, more than 60%, even when properly administered treatment.

25% of cases of tuberculosis in prisons. According to WHO statistics, the prison system recorded a significantly higher incidence of cases of illness than the general population. There are several factors favoring this disease in prisons, namely: overcrowding, poor ventilation, late diagnosis, etc.

Health Insurance Vs Health Plans



There are four common reasons why most people do not have health insurance or health plans. These four reasons are: (1) You are self employed. (2) You are unemployed. (3) Your current job does not offer coverage. (4) You have been released from your parents’ coverage. Whatever the reason may be, it is important for you to get covered.

While doing some research on healthcare, you may come across two different types of medical coverage. The first is “health insurance” which includes HMO’s, PPO’s, and traditional coverage. You may also come across something called discount “health plans”. These healthcare types are a little different from one another and you should understand what they are all about before making a final decision on what kind of coverage you choose.

Health Insurance

When choosing a health insurance plan you are going to need to choose between three different sub categories: PPO’s, HMO’s, and Indemnity Plans. There is not much difference between a PPO (Preferred Provider Organization) and an HMO (Health Maintenance Organization). They are both options that your keep your premium costs down by only allowing you to see doctors or visit specialists that are members of their provider network. For example, when you see a member doctor, the doctor charges full price for the visit. You pay a co-pay amount of $5-$25 – depending on your policy, and the insurance company is billed for the rest. You must visit a doctor in the network or the insurance company may not pay their share of your visit.

Indemnity Plans are a little different. Also called “traditional insurance”, they allow you to choose whatever doctor, hospital, or specialist you want, and your visit is covered. You pay your co-pay amount and your insurer will pay the rest. These plans may or may not be more expensive, so it is important for you to compare quotes between indemnity plans and PPO/HMO plans.

Discount Health Plans

These are great alternatives to PPO’s, HMO’s, and traditional insurance, and are becoming increasingly more popular. These plans offer discounts on doctor visits, emergency care, and prescriptions with participating providers in their network, and membership comes with affordable monthly payments. They offer financial relief in your time of need by preventing you from having to pay for 100% of your medical expenses on your own. For example if you have a 50% discount plan, get sick, and see a participating doctor that normally charges $70 for an office visit, being a discount plan member means you will only have to pay $35 for that visit. Many discount plans are offered by major medical insurance companies and were created for people on a budget.

So if you are debating on health insurance vs. health plans, just know that either way having some coverage is better than having no coverage at all. Pick a plan that allows you to stay healthy without breaking the bank. Staying healthy should be the number one priority.

Ken S., Founder

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