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Massachusetts Cuts Health Coverage By $115 Million
"Overseers of Massachusetts" trailblazing health care program made their first cuts recently, trimming $115 million, or 12 percent, from Commonwealth Care, which subsidizes premiums for needy residents and is the centerpiece of the 2006 law," according to the Boston Globe. The Connector Authority board made the cuts in response to two recession side effects: "the state budget crisis and a surge in enrollment by the recently unemployed." Commonwealth Care"s enrollment has increased in the last three months from 165,000 member to 177,000 members, and is projected to grow to 212,000 next year.

Obama Says He Is 'Absolutely Committed' To Health Reform
During a C-SPAN interview on Saturday, President Obama said he remains "absolutely committed" to overhauling the U.S. health care system despite obstacles that might surface during reform efforts, the Los Angeles Times reports (Dorning, Los Angeles Times, 5/24). He said he would work to keep "this process moving, ... focusing on how we reduce costs, how do we make sure families have some confidence that they can get health care when they need it and they won"t go bankrupt because their child gets sick" (Adams Otis, New York Post, 5/24).Obama said that his health care plan would provide "basic coverage" to all U.S. residents and retain patient choice of physicians and coverage. In addition, he said his plan would "invest more in prevention and wellness programs," as well as increase the use of electronic health records (Rushing, The Hill, 5/23).Obama also said that refusing to address the rising costs of Medicaid and Medicare now means the U.S. will face a bigger financial crisis in the future. He said overhauling health care would reduce costs and free up additional funding over the long term. This would make it easier to pay down the $11 trillion national debt and manage other financial issues, Obama said (New York Post, 5/24).Because such rising costs have shifted the political climate, Obama said that he believes "the stars may be aligned" for reform and that he can succeed where former President Clinton failed. Obama said, "The biggest change politically ... is that businesses now recognize that if we don"t get a handle on this stuff that they are going to continue to be operating at a competitive disadvantage with other countries." He added, "And so they anxiously seek serious reform" (Los Angeles Times, 5/24).
News of the day
Seasonal Flu Vaccine Unlikely To Protect Against New H1N1 Says CDC
According to the US Centers for Disease Control and Prevention (CDC), vaccination with seasonal flu vaccines made for the 2005 to 2009
Public Health

Second Strokes Often Follow Within Hours Of A Mild Stroke

About half of all people who have a major stroke following a warning stroke (a transient ischemic attack or mild stroke) have it within 24 hours of the first event, according to research published in the June 2, 2009, print issue of Neurology®, the medical journal of the American Academy of Neurology. "Our study highlights the need for someone who is experiencing the symptoms of a mini-stroke or transient ischemic attack to get to an emergency room fast," said Peter Rothwell, MD, PhD, FRCP, FMedSci, with the University of Oxford in the United Kingdom. "That"s because even after a very minor initial stroke, the immediate risk of a major stroke is very high." For the study, researchers analyzed the medical records of 1,247 people who experienced a TIA, or minor stroke. Of those, 35 had recurrent strokes within 24 hours during the first month after experiencing the TIA. Scientists looked at whether patients had another stroke within six, 12 and 24 hours after the first stroke. The timeline started when the person either experienced symptoms of a stroke or first called for medical help. The study found that after six hours, the risk of a second stroke went up by 1.2 percent. After 12 hours, the risk climbed another percent and by 24 hours the risk increased to 5 percent. "This is the first rigorous population based study of the risk of a second stroke within 24 hours of a minor stroke," said Rothwell. "We found a second stroke rate of about 5 percent, with half of all second strokes within seven days occurring in the first 24 hours, and half of these early recurrent strokes being disabling or fatal." To learn the five signs of stroke, visit http://www.giveme5forstroke.org. Give Me Five for Stroke is a joint campaign of the American Academy of Neurology, the American College of Emergency Physicians and the American Heart Association/American Stroke Association to encourage people to recognize stroke symptoms, call 9-1-1, and get to the emergency department. The study was supported by the UK Medical Research Council, the National Institute of Health Research, the Stroke Association, the Dunhill Medical Trust and the Oxford Partnership Comprehensive Biomedical Research Center. The American Academy of Neurology, an association of more than 21,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care through education and research. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as multiple sclerosis, restless legs syndrome, Alzheimer"s disease, narcolepsy, and stroke. Rachel Seroka American Academy of Neurology


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