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Salmonella Probe Hindered

Posted by: Benny in Untagged  on

Salmonella Probe Hindered by Inadequate Food Safety System

If we had better health safety systems in place, nurses would not be so overworked (and underpaid).

For example, an unwieldy food safety system one expert recently termed a “mess” has kept federal officials from finding the source of a Salmonella outbreak that has sickened over 1000 people in the U.S. and Canada.  The poor performance of the Food & Drug Administration (FDA) and other health agencies in this latest Salmonella outbreak has led to calls for improvements, especially a more efficient and accurate way to trace produce back from the store to the field.

Since April, 1,256 people have been infected with Salmonella Saintpaul.  In June, the FDA blamed certain kinds of tomatoes for the outbreak, and issued a warning to consumers to avoid them.  But long after growers in affected areas stopped shipping tomatoes, and the produce was removed from stores and shelves, people kept getting sick.  What’s more, not a single tomato sample  tested by the FDA came up positive for Salmonella Saintpaul.

It wasn’t until earlier this week that the FDA finally announced that it had found the Salmonella strain  on a single jalapeno pepper at a Texas warehouse.  Now the agency is telling consumers to stay away from fresh jalapenos.

Critics of the FDA say that it and the Centers for Disease Control (CDC) were hampered by their own tunnel vision concerning tomatoes.   Health officials at the CDC and in New Mexico - which had the second highest number of illnesses - identified tomatoes as the culprit behind the outbreak in June, and no one ever looked back.  History also played a part, as tomatoes had caused at least a dozen Salmonella outbreaks in the past several years.

Jalapenos, on the other hand, had never been involved in an outbreak.   The hot peppers were not even listed on the questionnaire health officials used to interview patients early in the outbreak.

The FDA also was deterred in its hunt for tainted tomatoes because of poor record-keeping and the common practice of mixing and processing tomatoes from many different farms together.  Even if the FDA had found a contaminated tomato, figuring out what packing plant, processing facility, and farm field it came from would have been difficult, if not impossible.

Both the FDA and some prominent lawmakers want to enact regulations that would enhance the FDA’s ability to trace the source of contaminated food.  Traditionally, the agricultural industry has resisted such efforts, fearing liability.  But that may be changing, especially now that tomato growers have suffered millions in losses, in part because of the FDA’s inability to trace this Salmonella outbreak.   In fact, the Produce Marketing Association, an industry trade group, is now working on its own plan to set up a global, electronic tracking system for produce.

In the meantime, the FDA has lifted its tomato warning, but says that they could have still played a role in the outbreak.   And while jalapenos seem to be a culprit, the FDA has not ruled out other foods, including cilantro or Serrano peppers, as possible suspects.


Consumers Who Buy Health Insurance Are Vulnerable

Posted by: Benny in Untagged  on

  Americans who buy their own health insurance have very little protection if companies want to deny coverage or raise their premiums when they get sick. A new report published by the consumer advocacy group Families USA says states should do more to protect consumers from insurance companies that will stop at nothing to avoid paying claims.

About 14.5 million Americans bought their own insurance on the individual market in 2006.  The Families USA survey of insurance commissioners across the country showed that all but five states allow insurance companies to deny coverage to sick or older patients. All but 15 states have no limits on how much companies can raise premiums if individual policy holders.

For those states that do offer some safeguards against insurance company abuses, the kinds of protections varied greatly.  Some states - such as Maryland, Illinois, and Idaho - let patients appeal when their individual coverage is revoked; other states - such as Ohio, Kansas, and Arizona - don't allow appeals. Most states guarantee that customers can review when companies deny individual claims. But in only a handful of states are those reviews free and conducted by an independent third party, the report says.

Overall, New York, Connecticut, New Hampshire, and California had among the most protections. States including Alaska, Arkansas, and Wisconsin had relatively few, according to the report.

Recently, some states have taken aggressive action against health insurance companies that abandoned policyholders when they became critically ill.  In April, the Los Angeles City Attorney sued Anthem Blue Cross for illegally dropping patients when they became sick.  The lawsuit claims Anthem maintained secret units in the company that looked for ways to drop the policies of sick patients.

Prior to the Anthem Blue Cross lawsuit, the Los Angeles City Attorney sued Health Net for the same type of abuse. That complaint alleges that the company illegally paid bonuses to employees for meeting policy cancellation targets. The incentive program led to the illegal cancellations.  For its part, Health Net has admitted that such a bonus policy was in effect at the company in 2002.

It may be more important than ever that states take greater steps to protect consumers from such abuse, as more and more people are forced to buy private health insurance.  In fact, the number of people buying their own individual policies could explode if Sen. John McCain (R-Arizona) is elected to the White House.  Health insurance reform touted by the Senator would replace existing tax breaks for employer-sponsored coverage with tax credits individuals could use to buy coverage on the individual market. The change would likely shift millions of workers onto individual coverage, where they would be vulnerable to insurance companies' cost-saving tactics.


GAS CRISIS IN AMISH COUNTRY, PENNSYLVANIA

Posted by: Benny in Untagged  on


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