Health24.com | Cancer patients turning to crowdfunding to help pay medical costs

Cancer takes a huge emotional toll on patients, but a new study finds the financial costs are also so high that many are resorting to crowdfunding to help pay their medical bills and related costs.

“The financial consequences of cancer care for patients and their families are substantial,” said senior and corresponding author Dr Benjamin Breyer, chief of urology at University of California, San Francisco’s (UCSF) partner hospital Zuckerberg San Francisco General Hospital and Trauma Center.

Fundraising campaigns

“It has been shown previously that patients with cancer, particularly those who are underinsured or lack insurance entirely, may sell possessions or go into debt or bankruptcy to pay for costs associated with care,” Breyer said in a university news release.

“We wanted to gauge how crowdfunding is being used to support oncology care needs, including the financial effect of insurance,” he explained.

The researchers analysed more than 1 000 fundraising campaigns for US cancer patients listed on GoFundMe.com on 7 October 2018. The patients had the 20 most common cancers, including breast cancer, leukaemia, lung, brain, colon and pancreatic cancer.

Nearly 32% had the most advanced cancer stage (stage four), about 42% had received chemotherapy, and nearly 31% had undergone surgery, the study authors said.

The median fundraising goal was $10 000 (±R14 200) while the median donation level was $2,125 (±R30 252). About one-third of the postings were done by a third-party, and children accounted for about 15%.

Cancer patients hoped to raise money for medical bills (41%), medical travel (25%) and non-medical expenses (23%), such as child care, lost wages and funerals, according to the report. Fewer than 5% of patients sought donations for alternative treatments.

Cost containment measures

Underinsured patients – who made up about 26% of those in the study – were more likely to seek funds for unpaid medical bills and requested $10,000 more, on average, but did not receive higher donations than other patients, the findings showed.

The study was published online in JAMA Internal Medicine.

Technology advances, expensive cutting-edge therapies and improved access to treatment have contributed to the rising cost of cancer care in the United States, the researchers noted.

Study first author Dr Andrew Cohen explained, “While the Affordable Care Act reduced the rate of uninsured people, cost containment measures have not been achieved.” Cohen is a former clinical instructor in the UCSF department of urology and is now an assistant professor at the Brady Urological Institute at Johns Hopkins Medicine, in Baltimore.

“People face multiple competing financial needs due to illness. For example, medical travel costs were a major problem for some people. It’s possible that the regionalisation of oncologic care is improving cancer outcomes, but simultaneously it increases the financial burden on patients,” Cohen said.

“Our results suggest that the financial burden of health care requires more attention and advocacy. Furthermore, the posting of medical information by patients and third parties on crowdfunding sites raises serious ethical, privacy and fraud concerns,” he concluded.

Image credit: iStock

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Health24.com | 6 benefits of drinking tea every day

09 January 2020

6 benefits of drinking tea every day

Here’s why tea is good for you.

Stringr

Millions of people drink tea every day and the benefits are impressive.

Image credit: Erfan Amiri, Unsplash

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Being Overruled by the Universe

I feel like I’ve had a hefty dose of wrestling with the universe’s timing this week.

I had wanted to get the invitation video for Stature’s launch done much sooner – several days ago – but I also tried to do this video differently than the other course invitation videos. Mainly I wanted to make it shorter and more succinct.

My previous invitation videos for Deep Abundance Integration, Submersion, and Conscious Growth Club were all more than an hour long. I wanted to get Stature’s invite video down to about 35 minutes and still cover all the same bases as the longer videos.

Well, I succeeded. The video is finally done, and it’s 35:24 in duration. You can watch it now on the Stature page. But it took way longer to create than the previous videos. I ended up using a very different process to design and record it.

I wasn’t actually planning to change up my process for making these videos when I first started. I started out with the same approach I’d used before and just tried to make it more efficient length-wise. But I also sensed that my approach wasn’t the best way to go in the long run.

I ended up following an intuition-based trail that led me to a different way of designing and recording these videos. It took way longer the first time because of all the changes and having to figure out some things for the first time, but now I know how to make these a lot shorter for future course launches as well.

Over the past several days, I was a bit frustrated at times with how long this was taking. But it’s actually going to save more time in the long run, so from that perspective it was perhaps worth the effort. I also learned to think about making videos differently than before, so in that sense it was a growth experience too.

Stature Launch Discount Extended

Tonight at midnight Pacific time is supposed to be the launch discount deadline for Stature. I’m extending it though. I posted a message in the Stature launch Facebook group several hours ago to at least let the people there know, but I still have to update various other outlets with this news. I wanted to prioritize getting the video finally done and published.

This was a weird launch week. While it’s been going well in terms of hundreds of people joining Stature and lots of great feedback on the course so far, I felt like reality was fighting my intended timing. I had a schedule that I wanted to follow, and reality just didn’t cooperate with it at all. But I can also see that what did actually get done was actually really good for the long-term.

Timing-wise it feels a bit ridiculous that I finally got the invitation video done and added to the Stature page about 30 minutes before midnight, and since it’s 35 minutes long, it’s almost like the universe was playing a joke on me.

Even though they aren’t essential for launching a new course, many people like and appreciate these invitation videos because it helps them get a better idea of what the course is about versus plain text. So I want to give people a chance who’ve been waiting for the video to watch it and still have the ability to get the launch discount if they want. I think that’s only fair. Hence I’ll extend the launch discount at least a few days and possibly for as much as a week. I’ll decide that tomorrow when I’m fresh.

I’ve actually been pondering whether it would be better to do 10-14 day launches instead of the weeklong launch I had originally planned. It would allow more time for better communication, connection, and spontaneity, which is more my style than trying to follow a rigid schedule. Even if a launch looks smooth and simple on the public side, the backend side tends to be way more complex. There are a lot of behind-the-scenes details that people never see.

I’ll share more updates about this in the days ahead when I get back in tune with where this launch-with-a-mind-of-its-own seems to want to go next, but rest assured the 70% off launch discount for Stature will remain available for at least a few more days, so for now you can ignore the January 8 deadline you may see elsewhere on the site… till I have a chance to update everything.

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GP shortages cause ‘unacceptable’ patient waits

The Royal College of GPs ask Health Secretary Matt Hancock to take urgent action to tackle the problem.

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Healthy habits ‘deliver extra disease-free decade’

Women and men can ward off cancer, heart problems and diabetes, a US study finds.

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Eggs: Bad for cholesterol?

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Of ants and men: Ant behavior might mirror political polarization

Could the division of labor in an anthill be driven by the same social dynamics governing the gap between liberals and conservatives? That was the surprising question tackled by Princeton biologists Chris Tokita and Corina Tarnita.

“Our findings suggest that division of labor and political polarization — two social phenomena not typically considered together — may actually be driven by the same process,” said Tokita, a graduate student in ecology and evolutionary biology. “Division of labor is seen as a benefit to societies, while political polarization usually isn’t, but we found that the same dynamics could theoretically give rise to them both.”

In a paper published today in the Journal of the Royal Society Interface, Tokita and Tarnita examined two forces known to drive political polarization and added them to an existing model for how division of labor arises in ant communities. They found that a feedback between these two forces simultaneously resulted in division of labor and polarized social networks.

“It suggests that maybe there’s a common process underlying the organization of societies,” Tokita said.

The two forces are “social influence,” the tendency of individuals to become similar to those they interact with, and “interaction bias,” which leads us to interact with others who are already like us. The researchers combined those with a “response threshold” model of ant social dynamics, in which ants choose their activities based on which need meets a critical internal threshold.

In other words, if ants A and B have both checked community food stores recently and checked on their young recently, but A has a lower threshold for hunger while B has a lower threshold for worrying about the health of the larvae, A will head out foraging while B rushes back to the nursery. Over time, this leads A to interact with other hunger-sensitive ants, who become the foraging team, while B spends more time with other care providers, and they become the nurses. Combine that with social influence and interaction bias, and the gulf between the foragers and the nurses grows steadily wider.

When this leads to societies eating well and raising healthy young, it’s called division of labor and heralded as a cornerstone of civilization. When it leads to tribalism, it’s called a breakdown of civil discourse.

But the underlying forces might be the same, say the researchers.

“Social insect colonies thrive on the heterogeneity that leads to division of labor, but sometimes they need to make decisions that have to be embraced by the whole nest,” said Tarnita, an associate professor of ecology and evolutionary biology. “For example, when honeybees need to move their nest to a new location, it would be problematic if the colony couldn’t reach consensus and it ended up splitting,”

So what the researchers wondered next was how the social forces that polarized the ants into doing different tasks could be tamed to rebuild consensus when that was needed. Their model predicted a clear way back from polarization: fight the tendency to interact only with those who are similar, and be willing to let your internal thresholds shift a little.

“Our model predicts that if you interact with those who are different from you, over time, you’ll become similar to each other,” Tokita said. “It basically erases those differences.”

It even applies to scientists and sociologists, he added. “One of the things I hope comes from this project is that it causes people in different fields, coming at and thinking about social behavior from different perspectives, to talk to each other a little more. In this project, we learned a lot by borrowing theories from sociology and political science, and combining them with our biological model.”

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New study reveals the origin of complex malaria infections

New technology employing single cell genome sequencing of the parasite that causes malaria has yielded some surprising results and helps pave the way for possible new intervention strategies for this deadly infectious disease, according to Texas Biomedical Research Institute Assistant Professor Ian Cheeseman, Ph.D. Dr. Cheeseman was Principal Investigator of a three-year study published in the January 2020 edition of Cell Host & Microbe, a high-impact peer-reviewed publication.

Malaria is caused by Plasmodium parasites spread to people by the bite of infected Anopheles mosquitoes.

“We don’t know what is inside malaria infections,” Dr. Cheeseman said. “We don’t know how many different genetically distinct strains of parasites there are. We don’t know how related they are to each other. We don’t know how many mosquitoes they came from.”

To help answer these questions, Dr. Cheeseman and his collaborators turned to single cell genome sequencing. Using this technology, individual malaria parasite cells are isolated and their genome amplified before being analyzed by a genome sequencer. Single cell sequencing allows researchers to capture the genetic mutations present in a single cell, and has been adopted by cancer researchers to understand how tumors evolve. This is the first time the technology was used to study malaria transmission.

Dr. Cheeseman and his international team studied single malaria-infected cells from malaria patients in Malawi, a country heavily burdened by this infectious disease. Malaria patients, who donated malaria-infected blood samples used in this study reside in Chikhwawa, a region with a large mosquito population. In this region, people may be bitten by a malaria-infected mosquito every 48 hours.

The single cell sequencing approach applied in this study provides a fresh picture of how often bites from an infected mosquito lead to a malaria infection. What researchers discovered went against conventional wisdom. Nearly all the infections they studied likely came from one mosquito bite.

“We found that complex malaria infections are predominantly caused by a single mosquito bite transmitting many genetically diverse but related parasites into the blood stream of a patient,” Dr. Standwell Nkhoma, lead author on the study and a Malawian national, stated.

Knowing this enables scientists to design more effective interventions to block mosquitoes from spreading malaria and build more sophisticated models to predict the spread of antimalarial drug resistance and malaria transmission patterns. The rise of antimalarial drug resistance is a major threat to malaria control globally as resistance to the antimalarial drugs artemisinin and piperaquine continue to spread.

Malaria infects an estimated 200 million people worldwide each year and kills more than 400,000 people, most of them children, according to the World Health Organization. “Any strides we can make in understanding this disease will make an enormous impact,” Dr. Cheeseman concluded.

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Materials provided by Texas Biomedical Research Institute. Note: Content may be edited for style and length.

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Pathways that extend lifespan by 500% identified

Scientists at the MDI Biological Laboratory, in collaboration with scientists from the Buck Institute for Research on Aging in Novato, Calif., and Nanjing University in China, have identified synergistic cellular pathways for longevity that amplify lifespan fivefold in C. elegans, a nematode worm used as a model in aging research.

The increase in lifespan would be the equivalent of a human living for 400 or 500 years, according to one of the scientists.

The research draws on the discovery of two major pathways governing aging in C. elegans, which is a popular model in aging research because it shares many of its genes with humans and because its short lifespan of only three to four weeks allows scientists to quickly assess the effects of genetic and environmental interventions to extend healthy lifespan.

Because these pathways are “conserved,” meaning that they have been passed down to humans through evolution, they have been the subject of intensive research. A number of drugs that extend healthy lifespan by altering these pathways are now under development. The discovery of the synergistic effect opens the door to even more effective anti-aging therapies.

The new research uses a double mutant in which the insulin signaling (IIS) and TOR pathways have been genetically altered. Because alteration of the IIS pathways yields a 100 percent increase in lifespan and alteration of the TOR pathway yields a 30 percent increase, the double mutant would be expected to live 130 percent longer. But instead, its lifespan was amplified by 500 percent.

“Despite the discovery in C. elegans of cellular pathways that govern aging, it hasn’t been clear how these pathways interact,” said Hermann Haller, M.D., president of the MDI Biological Laboratory. “By helping to characterize these interactions, our scientists are paving the way for much-needed therapies to increase healthy lifespan for a rapidly aging population.”

The elucidation of the cellular mechanisms controlling the synergistic response is the subject of a recent paper in the online journal Cell Reports entitled “Translational Regulation of Non-autonomous Mitochondrial Stress Response Promotes Longevity.” The authors include Jarod A. Rollins, Ph.D., and Aric N. Rogers, Ph.D., of the MDI Biological Laboratory.

“The synergistic extension is really wild,” said Rollins, who is the lead author with Jianfeng Lan, Ph.D., of Nanjing University. “The effect isn’t one plus one equals two, it’s one plus one equals five. Our findings demonstrate that nothing in nature exists in a vacuum; in order to develop the most effective anti-aging treatments we have to look at longevity networks rather than individual pathways.”

The discovery of the synergistic interaction could lead to the use of combination therapies, each affecting a different pathway, to extend healthy human lifespan in the same way that combination therapies are used to treat cancer and HIV, Pankaj Kapahi, Ph.D., of the Buck Institute, has said. Kapahi is a corresponding author of the paper with Rogers and Di Chen, Ph.D., of Nanjing University.

The synergistic interaction may also may explain why scientists have been unable to identify a single gene responsible for the ability of some people to live to extraordinary old ages free of major age-related diseases until shortly before their deaths.

The paper focuses on how longevity is regulated in the mitochondria, which are the organelles in the cell responsible for energy homeostasis. Over the last decade, accumulating evidence has suggested a causative link between mitochondrial dysregulation and aging. Rollins’ future research will focus on the further elucidation of the role of mitochondria in aging, he said.

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Health24.com | People with depression are turning to pot for relief

People suffering from depression are often desperate for anything to break them out of their debilitating mood disorder.

But in their misery, many might be turning to a risky solution that’s likely to make their condition even worse – marijuana.

Rapidly increasing use

People with depression are twice as likely to be using pot as those who aren’t depressed, researchers reported in the current issue of the journal Addiction.

“Cannabis use has increased rapidly among persons with depression, and this increase has been more rapid than among those without depression,” said senior researcher Renee Goodwin. She’s an adjunct associate professor of epidemiology at Columbia University’s Mailman School of Public Health, in New York City.

In 2017, about 19% of people with depression said they had used pot in the last month, compared with about 9% of others, according to an annual government survey on drug use among Americans.

Daily cannabis use occurred in 7% of people with depression compared to 3% of those without the mood disorder, the investigators found.

The researchers said this might be happening because marijuana is gaining a reputation for being harmless.

Increasing legalisation

Depressed people who see no risk linked to regular use of pot are much more likely to use it than those who consider it significantly risky – 39% compared with about 2%, Goodwin said.

“With increasing legalisation in the US, previous studies have shown that perception of risk associated with use is declining overall,” she said. “The results of this study show that this decline is even more rapid among this vulnerable population.”

Experts said the problem is that marijuana’s effects actually are more likely to worsen depression than relieve it.

“We have no evidence whatsoever that marijuana helps in these psychiatric disorders but, nevertheless, people believe it,” said Dr Andrew Saxon, a psychiatrist with the Veterans Affairs Puget Sound Health Care System, in Seattle.

Symptoms of depression that might be heightened by marijuana include lack of motivation, listlessness and isolation as well as a lack of pleasure and interest in things people used to enjoy, said Dr Scott Krakower, assistant unit chief of psychiatry at Zucker Hillside Hospital in Glen Oaks, New York.

“People who are depressed may be more likely to take risks,” Krakower said. “They will go out on a limb hoping this agent may help them.”

Symptoms of withdrawal

Saxon cautioned that this was an observational study, so the exact relationship between depression and marijuana use can’t be fully understood from these findings.

He said it might be that instead of turning to marijuana to relieve depression, cannabis use actually causes depression among typically healthy people.

It also could be that people using pot enough to be dependent on it mistake symptoms of withdrawal as depression, Saxon added. These symptoms might include disturbed sleep, depressed mood or decreased appetite.

Krakower and Saxon said they’re most concerned about depressed teens who might turn to pot to help them.

“There’s no evidence marijuana is good for the teenage brain, and there’s accruing evidence that it’s bad for the teenage brain,” Saxon said. “Depression or not, teens shouldn’t be using marijuana.”

Image credit: iStock

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