June 19, 2024

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Now marks the commencing of Bola Tinubu’s presidency in Nigeria. The incoming administration faces a challenging established of challenges, which include persistent insecurity and an unstable economic system.

One of the difficulties that proceeds to puppy Nigerian politicians is clinical tourism, or travel abroad to search for professional medical care. Nigerian elites devote massive sums on overseas health care – amounting to above US$ 7 billion involving 2016 and 2022, in accordance to the newspaper PUNCH.

It is significant small business for the abroad healthcare amenities, some of which have focused international promoting and welcome models, including arranging transportation and language solutions. Other individuals get the job done with medical tourism organizations to aid referrals.

The trade can also be rewarding for professional medical tourism facilitators in Nigeria. These could be medical practitioners or other brokers who refer effectively-heeled purchasers to healthcare companies abroad, obtaining a fee. The ethics can be murky.

Olusesan Makinde, the managing husband or wife of Feasible Knowledge Masters, a wellness and advancement consultancy, thinks that “there’s higher possible for abuse” in the process. He suggests that health care practitioners have an ethical obligation not to promote health-related tourism companies. This can lead to “physician-induced demand” for unneeded providers, as properly as a mismatch involving what is becoming marketed in shiny international campaigns and the true good quality of providers.

Prevalent locations for Nigerian professional medical vacationers consist of India and the United kingdom. A single estimate is that for surgeries, 30,000 Nigerians went abroad in 2019. These contain orthopedic, cardiac, and other surgical procedures.

Some tragic surgical procedures cases involving Nigerian clinical tourists have become intercontinental news. In 2005, Nigeria’s previous first lady, Stella Obasanjo, died out of the blue in Spain through a liposuction course of action in which a tube was mistakenly inserted into her belly cavity, puncturing her colon. Four a long time later, the plastic surgeon was convicted of negligent homicide.

Kidney transplant surgeries are also executed on Nigerians overseas. In a notorious 2023 situation, Nigerian senator Ike Ekweremadu, his spouse Beatrice, and the health care provider Obinna Obeta were declared responsible of conspiracy in trafficking a 21-yr-previous street vendor from Lagos to the United kingdom in get to harvest his kidney and transplant it into the couple’s unwell daughter. The sufferer was in a position to escape just after overhearing of the plot’s details.

Health practitioner Obeta, who housed the sufferer, organized the transplant by means of a clinical tourism business charging £10,000. He ran a non-public medical center in Nigeria and experienced earlier gained a kidney transplant in London himself. Obeta claimed that he had been fearful to have the transplant for the Ekweremadus’ daughter carried out in Nigeria or India, because of to the superior death charge of the course of action.

These are severe cases, but they place to a url

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As the United States rolled again the clocks just one hour this thirty day period to notice the finish of Daylight Saving Time, many people got a bit a lot more snooze than regular – but some not as substantially as other people.

Rising evidence demonstrates that lack of rest and slumber issues, such as obstructive rest apnea, keep on being much more widespread in Black, Asian, and Hispanic or Latino communities, and these inequities can have very long-term detrimental implications for bodily well being, even boosting the possibility of certain persistent diseases.

Meanwhile, Daylight Saving Time by itself – enacted in the US to reduce electricity use by extending daylight several hours – has prolonged been controversial in the United States.

The American Academy of Snooze Medication, the Rest Investigation Society and other professional medical teams have advocated for ending the observe, contacting for the adoption of a long term regular time that would not require shifting forward each and every spring and slipping back just about every autumn.

“Daylight saving time is associated with elevated threats of snooze decline, circadian misalignment, and adverse well being outcomes,” Dr. Beth Malow, professor of neurology and pediatrics and director of the Vanderbilt College Healthcare Center Sleep Division in Nashville, explained in a news launch this month. She authored a paper, printed in September in the journal Sleep, detailing the probable well being added benefits of adopting a long-lasting normal time.

In March, the US Senate unanimously handed the Sunshine Defense Act, which would make Daylight Saving Time long term across the place – that means there would be no reverting to “standard time” from early November through mid-March – but the laws would have to pass the Residence and receive President Joe Biden’s signature right before starting to be helpful in November 2023.

Now, some slumber researchers be concerned about the opportunity consequences that continuing to change typical time 2 times every yr might have on slumber wellbeing inequities.

“Poor sleep is involved with a host of bad overall health outcomes, including weight problems, hypertension, style 2 diabetes, cardiovascular sickness and selected cancers, like of the breast and colon. A lot of of these well being results are extra commonplace in the Black populace,” claimed Chandra Jackson, a researcher and epidemiologist with the National Institute of Environmental Wellness Sciences, who has been finding out racial and ethnic disparities in slumber.

“Experimental as nicely as observational studies have connected sleep to these health outcomes. Thus, rest could be an critical contributor,” she said. “Fortunately, slumber health and fitness is largely modifiable.”

As for the inequities viewed in slumber health and fitness, it’s not that White grownups really don’t also experience a lack of snooze and its health effects – but individuals of colour show up to disproportionately working experience them more, and which is thought to be mostly due to social devices in the United States.

Rest allows the physique to restore alone on a mobile

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William Stork of Cedar Hill, Missouri, is delaying a surgical tooth extraction in the hope that Congress will add a dental benefit to Medicare as part of President Joe Biden’s Build Back Better legislative package. The public insurance program for people 65 and older has excluded dental (and vision and hearing) coverage since its inception in 1965.

William Stork of Cedar Hill, Missouri, is delaying a surgical tooth extraction in the hope that Congress will add a dental benefit to Medicare as part of President Joe Biden’s Build Back Better legislative package. The public insurance program for people 65 and older has excluded dental (and vision and hearing) coverage since its inception in 1965.

Kaiser Health News


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William Stork needs a tooth out. That’s what the 71-year-old retired truck driver’s dentist told him during a recent checkup.

That kind of extraction requires an oral surgeon, which could cost him around $1,000 because, like most seniors, Stork does not have dental insurance, and Medicare won’t cover his dental bills. Between Social Security and his pension from the Teamsters union, Stork said, he lives comfortably in Cedar Hill, Missouri, about 30 miles southwest of St. Louis. But that cost is significant enough that he’s decided to wait until the tooth absolutely must come out.

Nearly half of seniors didn’t visit dentist — rates higher for Blacks, Hispanics

Stork’s predicament is at the heart of a long-simmering rift within the dental profession that has reemerged as a battle over how to add dental coverage to Medicare, the public insurance program for people 65 and older — if a benefit can pass at all.

Health equity advocates see President Joe Biden’s Build Back Better agenda as a once-in-a-generation opportunity to provide dental coverage to those on Medicare, nearly half of whom did not visit a dentist in 2018, well before the pandemic paused dental appointments for many. The rates were even higher for Black (68%), Hispanic (61%) and low-income (73%) seniors.

The coverage was left out of a new framework announced by President Biden, but proponents still hope they can get the coverage in a final agreement. Complicating their push is a debate over how many of the nation’s more than 60 million Medicare beneficiaries should receive it.

Champions for covering everyone on Medicare find themselves up against an unlikely adversary: the American Dental Association, which is backing an alternative plan to give dental benefits only to low-income Medicare recipients.

Medicare has excluded dental (and vision and hearing) coverage since its inception in 1965. That exclusion was by design: The dental profession has long fought to keep itself separate from the traditional medical system.

READ NEXT: Drug costs are of control on Medicare — especially insulin. This proposal could help.

More recently, however, dentists have stressed the link between oral and overall health. Most infamously, the 2007 death of a 12-year-old boy that might have been prevented by an $80 tooth extraction prompted changes to Maryland’s version of Medicaid, the federal-state public insurance program for low-income people.

But researchers have also, for example, linked dental care with reduced healthcare spending in patients with Type 2 diabetes. When the World Health Organization suggested delaying

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