Gerald E. Markle and Frances B. McCrea See book keywords and concepts | A longitudinal study of more than a half million adults aged fifty to seventy, sponsored jointly by the NIH and aarp, found that overweight and obesity were associated with higher death rates for all demographic categories. Increased risk was highest for those who never smoked: death rates were
20-40 percent higher for the overweight, and two to three times higher for the obese.20 According to one estimate for the year 2000, obesity was responsible for 111,909 excessive deaths.21
WTiat has been the medical community's response to this major threat to our health? | Dr. Steven R. Gundry See book keywords and concepts | Why some people like Michelle seem to have sipped from the fountain of youth even as they near the century mark, while most of us are wrinkled, arthritic, overweight, and plagued with complaints by the time we're eligible for aarp membership, has long been a mystery. Is it luck? Good genes? Over the last five years I have unraveled much of that mystery. Yes, our genes play a major role, but not in the way we have been led to believe. Michelle did not inherit "good genes." Quite the opposite: since her life-changing encounter 75 years ago, she has been instructing her genes to "be good"! | Joe Graedon, M.S. and Teresa Graedon, Ph.D. See book keywords and concepts | AARP #2004-06.
9 Gross, D.J., et al. "Trends in Manufacturer Prices of Brand Name Prescription Drugs Used by Older
Americans—2004 Year-End Update." aarp Public Policy Institute, April 2005.
10 Avorn.J. Interview on The People's Pharmacy #536, March 26, 2005.
11 Smith, R. op. cit.
12 ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. | Devra Davis See book keywords and concepts | They conducted a survey in 1995 and 1996 of drinking and eating patterns in half a million volunteers of the aarp, asking how many of them had come down with lymphoma or brain cancer five years later. The fact that no effect was found is hardly the last word on the subject.
Until recently, studies in lab animals were run for a period of two years. When working with rodents, scientists have generally ended the studies and the varmints' lives after 712 days, hoping in that time to get the animals to consume as much of whatever is being tested as a human would use in seventy years. | Bottom Line Health See book keywords and concepts | | Some reputable pharmacies, such as AARP's and Costco's, are not VIPPS members—be sure you are familiar with the company's reputation.
•Check insurance participation. Most Internet pharmacies work with a limited number of insurance companies. Some bill the insurers directly.. .others do not.
You can find this information on the pharmacy Web sites or you can call your insurance company to find out which, if any, Internet pharmacies are part of its network.
•Figure in extra costs. Some Internet pharmacies offer free shipping for standard ground delivery. | | A few Internet pharmacies, such as AARP's, charge patients annual membership fees. If you need many prescriptions over a year, the savings can more than offset the extra fee.
•Buy in bulk. Some insurance companies allow people to get a three-month supply of medication for a single copayment when they order from Internet pharmacies, cutting costs by 67%.
Patients can also save by buying up to a year's supply at a time.
Example: One man ordered a year's supply of the thyroid hormone levothyroxine. He skipped his insurance company entirely—and still saved $80. | Ann M. Coulston and Carol J. Boushey See book keywords and concepts | Recent data from two large cohort studies (EPIC; n = 223,008] and the aarp Diet and Health Study [n - 103,882]) and one large case-control study (n = 1678) suggest that waist circumferences over 88 cm and increased waist-to-hip ratio are associated with increased endometrial cancer risk, independent of body weight status [219, 220, 232]. Findings from the two cohort studies of Chang et al. [219] and Freidenreich et al. [220] also suggest that compared to women who are weight stable, those who gain at least 20 kg during adulthood have an increased risk that is roughly 2-3 times higher. | Joe Graedon, M.S. and Teresa Graedon, Ph.D. See book keywords and concepts | AARP Public Policy Institute, April 2005.
10 Avorn.J. Interview on The People's Pharmacy #536, March 26, 2005.
11 Smith, R. op. cit.
12 ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. "Major
Outcomes in High-Risk Hypertensive Patients Randomized to Angiotensin-Converting Enzyme Inhibitor or Calcium Channel Blocker vs Diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)." JAMA 2002;288:2987-2997. "Top 200 Brand-Name Drugs by Units in 2004." Drug Topics: The Online Newsmagazine for Pharmacists, March 7, 2005. | | AARP Bulletin, February 2005. Congressional Testimi
November 18, 2004.
20 Martinez, B. "Merck Doctor Likely to Testify in Vioxx Trial." Wall Street Journal,]\i\y 18, 2005:B1.
21 Hipisley-Cox,J., and Coupland, C. "Risk of Myocardial Infarction in Patients Taking Cyclo-Oxygenase-2
Inhibitors or Conventional Non-Steroidal Anti-Inflammatory Drugs: Population Based Nested Case-Control Analysis." BM/2005;330:1366-1373.
22 Temple, R. Personal Communication, November 18, 2004.
Teicher, M. H., et al. "Emergence of Intense Suicidal Preoccupation During Fluoxetine Treatment." Am. J. | Greg Critser See book keywords and concepts | After a lengthy series of bills, amendments, House-Senate conferences, and rewrites, he and his allies, notably the aarp, prevailed. In
December 2003, the Medicare Prescription Drug Act became law. In it, governmental price wrangling was not just dropped, it was expressly banned.
To what extent was the Medicare bill and pharma's role in it something beyond the normal horse-trading that takes place on a daily basis in the nation's capital? No one really knows; the capital at present is an unfathomable brothel to all but the Reverends Rove and Cheney. | T. Colin Campbell, Ph.D. and Thomas M. Campbell II See book keywords and concepts | I receive the aarp magazine, get discounts on various products for being advanced in age and receive social security checks every month. Some euphemists might call me a "mature adult." I just say old. What does it mean to be old? I still run every morning, sometimes six or more miles a day. I still have an active work life, perhaps more active than ever. | Greg Critser See book keywords and concepts | Ditto the patient groups and the cash cow, the American Association of Retired Persons, or aarp. All the "other side" had was that peevish Representative Henry Waxman and those unreasonable spoilsport Naderites.
For pharma, the payoff was huge and swift. With each round of campaign contributions, each branch of the old buffering force — executive, legislative, and regulatory — was reshaped and re-spun in the industry's favor. In achieving this goal, Holmer was singularly focused on one mission: infuse the system with "market values" and a competitive ethos. |
Death by MedicineGary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, Dorothy Smith PhD. See book keywords and concepts | | We would urge aarp, especially, to become more involved in prevention of disease and not to rely so heavily on drugs. At present, the aarp recommendations for diet and nutrition assume that seniors are getting all the nutrition they need in an average diet. At most, they suggest extra calcium and a multiple vitamin/mineral supplement.1 3 This is not enough, and in our next report we will show how to live a healthier life without unnecessary medical intervention. | Donald L. Barlett and James B. Steele See book keywords and concepts | Her choice of hospitals seemed well founded. aarp Modern Maturity magazine that same month singled out United as one of "the nation's fifty leading metropolitan hospitals." As it turned out, the operation was a success. Unfortunately, McDougal was the wrong patient. "Forty-eight hours after the surgery," she explained, "the surgeon walked into my room and said, 'I have bad news for you. You don't have cancer.' I never had cancer. My breasts were needlessly removed."
The laboratory had mixed up her tissue samples with a woman who did indeed have cancer. | Katharine Greider See book keywords and concepts | The advocacy groups Public Citizen, Families USA, the Center for Responsive Politics, the aarp, the Consumer Project on Technology, the National Women's Health Network, and the Center for Policy Alternatives have all conducted invaluable primary research into various aspects of this story. So have several policy-research organizations, most notably the National Institute for Health Care Management and the Henry J. Kaiser Family Foundation. | | AARP drug-discount plan announcing it would reimburse them for medicines they purchase outside the country. Wennar's United Health Alliance recently surveyed pharmacies in all Canadian provinces (most of them unaffiliated with Medicine Assist) and added up the number of Americans they're already serving. An astonishing 1.1 million.
[chapter 2]
PATENT SHENANIGANS
To keep selling brand-name drugs at premium prices, manufacturers have to prevent consumers from getting access to controlled foreign markets—and they have to prevent low-cost alternatives from competing in the U.S. market. | | In a third case, PAL, joined this time by lawyers from the seniors advocate aarp, allege the makers of breast-cancer drug Nolvadex (tamoxifen) colluded with generics maker Barr Laboratories to inflate the price of tamoxifen by keeping true generic versions off the market. Instead of challenging the Nolvadex patent, the suit alleges, Barr agreed to license tamoxifen from its maker Zeneca (now AstraZeneca) for resale as a "generic" whose price is only 5 percent less than Astra-Zeneca's brand-name drug. | | As PhRMA spokesperson Jeff Trewhitt told the aarp Bulletin, "If it ain't broke, don't fix it."
[chapter 3]
YOU SAY PROFITS, THEY SAY R&D
"America's Pharmaceutical Companies: New Medicines. New Hope." This is the tag line for the recent full-page ads appearing in national magazines as part of PhRMA's campaign to gussy up its increasingly negative image. The ads feature handsome, smiling people in lab coats—just some of the "50,000 researchers at America's pharmaceutical companies [who are] dedicating their lives to making all our lives better." Readers are directed to a web site, www. | | As for what else people take away from the ads, opinions are mixed, and consumer research is limited. One aarp survey found that one-third of the DTC audience failed to notice fine-print information on indications, side effects, and other issues included in magazine ads. Of those who did notice the information, two-thirds said they weren't in the habit of reading it. TV ads have to direct consumers to a phone number, web site, or other ad where they can get more information. | | One in five consumers surveyed by aarp reported having asked their doctor about a drug the doctor didn't even know about. Few physicians would send a patient off with a script that's potentially dangerous or clearly inappropriate (one doc recalls declining to prescribe a drug for male-pattern baldness to a woman). But most often the decision falls into a "gray area," says Stein-man. There might be something cheaper out there, the patient might not need this drug—but it's not going to hurt the patient and it'll probably help. |
Death by MedicineGary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, Dorothy Smith PhD. See book keywords and concepts | | At present, the aarp recommendations for diet and nutrition assume that seniors are getting all the nutrition they need in an average diet. At most, they suggest extra calcium and a multiple vitamin/mineral supplement.1 3 This is not enough, and in our next report we will show how to live a healthier life without unnecessary medical intervention.
We would like to send the same message to the Hemlock Society, which offers euthanasia options to chronically ill people, especially those in severe pain. |
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