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Published - Saturday, March 01, 2008

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Focusing on chronic disease can reduce health care costs


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Prevention and management of chronic diseases are the keys to driving down health care costs, health and business officials said today.

Members of a state and national bipartisan coalition — Partnership to Fight Chronic Disease — held a press conference in La Crosse to talk about their efforts to make chronic disease the major health care issue in the 2008 presidential election.
Tommy Thompson, former Wisconsin governor who co-chairs the state coalition with his wife, Sue Ann, said people must adopt healthier lifestyles, and the health care system must do a better job of managing chronic diseases.

Thompson talked about people quitting tobacco use and making lifestyle changes, such as exercising and eating healthier, to fight diabetes and obesity.

He said the coalition is made up of Democrats, Republicans, business and industry leaders, unions, YMCAs, insurers and others.

“We’re trying to influence the presidential candidates, and we want to have a seat at the table when it comes to health care discussions,” Thompson said.

The coalition is concentrating on seven states that Thompson said will determine the presidential election — Florida, Virginia, Ohio, Wisconsin, Minnesota, Iowa and Colorado.

Dr. Robert Nesse, Franciscan Skemp’s CEO and president, said the health care costs due to chronic diseases are enormous. Nesse said the hospitalization of an asthma patient is a failure in the management of a chronic disease.

Dr. Michael Parkinson, president of the American College of Preventive Medicine, said physicians would not need to see 50 percent to 75 percent of their patients if people adopted healthier lifestyles.

“We got to get the prevention message right if we want to make a difference,” Parkinson said.

He said there are six unhealthy truths:

  • Chronic disease is the No. 1 cause of deaths — seven out of 10 deaths.

  • Chronic disease accounts for 75 percent of the national health-care spending.

  • Two-thirds of the increase in health-care spending is due to poor lifestyle behaviors.

  • Obesity has doubled from 1987 and accounts for 30 percent of the rise in health care spending.

  • An 80 percent drop in health care spending can be realized with change in unhealthy behaviors and aggressive treatment of chronic diseases.

  • The vast majority of chronic diseases can be prevented.

    Terry Rindfleisch can be reached at (608) 791-8227 or trindfleisch@lacrosse tribune.com.
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    Honesty wrote on Mar 1, 2008 2:57 PM:

    " I have COPD life is a challenge to say the least. A common cold can kill me. Yes I did this to myself from smoking.I quit 5 yrs ago. I'm depressed because I can't do the things I love, dancing, gardening, and long walks without gasping for air. I've gained weight and that really destroys my self esteem. I feel like a burden on family and my doctors. I feel like I have to fight for treatment. Some nurses in the medical field have lost compassion and make very unprofessional remarks when I call for help. I'm told I don't try to help myself. The hospital and insurance companies are about big business and money. I do try to help myself, the hospital staff makes me feel less than worthy. I'm trying to make better choices and lifestyle changes. But I guess my way doesn't make the hospital money. "


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