Category Archives: Health care

Everyday low doctor bills at Walmart

By Steve Brawner, © 2019 by Steve Brawner Communications, Inc.

Neither lawmakers nor insurance companies apparently can (or will) find a way to control health care costs, so now we’ll see if the company founded by Sam Walton can help.

Walmart on Sept. 13 opened its first Walmart Health clinic in Georgia, offering primary care, mental health, dental, optical and hearing services. More clinics are coming.

The company that promises “everyday low prices” in its stores says the clinics will offer more affordable health services with upfront costs. Located beside a Walmart Supercenter, the Georgia clinic offers services such as adult physicals for $30 and dental exams with X-rays for $25, as reported by the Arkansas Democrat-Gazette. Patients are told roughly what their visit will cost when they make the appointment.

The nation’s largest private-sector employer, which already subsidizes business and technology college degree paths for employees, also will help them earn health care-related degrees and diplomas. Some of those employees eventually will staff those clinics.

Walmart exists to make money, and there’s a lot to be made in health care. Continue reading Everyday low doctor bills at Walmart

What to do about teen vaping?

By Steve Brawner, © 2019 by Steve Brawner Communications, Inc.

After decades of winning young people’s hearts and minds in the war against nicotine, all of a sudden we’re losing, so now what do we do about it?

Last month, the National Institutes of Health said teen use of vaping products, or e-cigarettes, has doubled in the past two years, according to a survey of eighth, 10th and 12th graders. One in four seniors has vaped in the last month. While cigarettes are no longer cool, vaping apparently is.

The vaping industry says its products are a safer alternative to cigarettes and are even a smoking cessation tool, which is true for some.

However, many vape users are simply moving from cigarettes to vapes, which contain nicotine and other chemicals. We don’t know what vaping’s long-term consequences are. Meanwhile, hundreds of severe lung illnesses leading to six deaths have been reported nationwide, often as a result of people misusing the product. Nine Arkansas cases resulting in eight hospitalizations have been confirmed or are being investigated. At least four involved users inhaling THC, the compound in marijuana that makes people high. Continue reading What to do about teen vaping?

Opioids and those down-ballot coroners

By Steve Brawner, © 2019 by Steve Brawner Communications, Inc.

In Arkansas, 434 people died of a drug overdose in 2018. The year before, 429 died, and 188 of those involved opioids.

Well, about that many. All of those probably should be higher. The Centers for Disease Control and other government agencies don’t have great numbers because they aren’t reported uniformly and aren’t compiled in a timely manner.

Moreover, Arkansas’ numbers often depend on the judgments of 75 county coroners, all but two of them elected, whose only qualifications are that they be 18, registered to vote, residents of their counties, and not felons. Training is offered and encouraged, but they are not required to complete it because they are constitutional officers. (However, under a law passed this year, training is required for their deputies, if they have them.)

Also, sometimes families ask coroners to assign an opioid death’s cause to, say, a heart attack, which sounds better and technically is correct but doesn’t tell the whole story. Continue reading Opioids and those down-ballot coroners

Nicotine is cool again. Now what?

Jim Hendren, tobacco tax
Sen. Jim Hendren is sponsor of Senate Bill 571.

By Steve Brawner, © 2019 by Steve Brawner Communications, Inc.

Remember how we all woke up and realized the country faces an opioid crisis? Another health crisis is brewing: the skyrocketing use of e-cigarettes by young people. For the next few weeks, the question will be, what should Arkansas do about it?

First, the crisis.

For decades, society has successfully reduced tobacco use. The Centers for Disease Control and Prevention said last year that 14 percent of American adults smoked cigarettes, down from 42.4 percent in 1965. According to the Campaign for Tobacco-Free Kids, only 7.6 percent of high school students nationwide smoke. In Arkansas, it’s 13.7 percent.

Then these vaping products – which contain nicotine and other harmful chemicals – were introduced. They’re new and sleek and have fruity flavors, and a lot of kids are using them. More than 3.6 million middle and high school students used e-cigarettes in the past 30 days last year, according to the CDC and the Food and Drug Administration. About 1.5 million more American young people used e-cigarettes in 2018 than in 2017. Continue reading Nicotine is cool again. Now what?