Health
RFK Jr. Appears Unfamiliar With Key Elements of Medicare and Medicaid
In a tense exchange with Senator Bill Cassidy, Republican of Louisiana, Robert F. Kennedy Jr. displayed a surprising lack of familiarity with Medicare and Medicaid, the government programs responsible for covering more than 150 million Americans.
At times, Mr. Kennedy seemed to confuse the two programs. Medicare is a federal program that provides coverage to older and disabled Americans, while Medicaid is a state-federal program that covers low-income people.
When he first described Medicare, he seemed to ignore the half of the Medicare program that relies on private insurance plans to provide care. Later, he acknowledged that he was enrolled in a private Medicare Advantage plan and said he thought “more people would rather be on Medicare Advantage because it offers very good services.”
Medicare Advantage plans have been heavily criticized by lawmakers, including by federal regulators Mr. Kennedy would oversee if confirmed and by public advocacy groups. They have accused the plans, including those offered by the nation’s biggest insurers, of overcharging the government, delaying and denying access to care. Regulators have penalized some insurers for overbilling.
Mr. Kennedy described Medicaid as “fully paid for by the federal government.” In fact, Medicaid, which provides health insurance coverage to nearly 80 million low-income Americans, is financed through a combination of state and federal funds.
Mr. Kennedy also claimed that many Medicaid enrollees were frustrated by high costs they face with their public insurance coverage.
“Most people who are on Medicaid are not happy,” Mr. Kennedy claimed. “The premiums are too high. The deductibles are too high.”
He repeated a similar argument later in the hearing, facing questioning from Senator Ben Ray Lujan, Democrat of New Mexico. “The premiums are too high, the deductibles are too high, and everybody’s getting sicker,” he said.
But the vast majority of Medicaid enrollees do not pay any premiums or deductibles for their coverage. Federal law specifically prohibits premiums for the lowest-income Medicaid enrollees. Patients typically do not have to pay anything when they go to the doctor, aside from a handful of state-based experiments that have tested out small fees.
Recent research on Medicaid does not support Mr. Kennedy’s contention that “everyone’s getting sicker.” Studies generally find that increased Medicaid enrollment improves people’s access to health care. Some studies have also found that Medicaid improves health outcomes, although that is a more limited body of research.
Senator Cassidy asked Mr. Kennedy to describe how he would reform the Medicaid program. While other Trump nominees have offered concrete policy proposals — Russell Vought, the nominee to run the Office of Budget and Management, suggested a work requirement for the program in his confirmation hearing last week — Mr. Kennedy described vaguer changes.
He said he supported changes to “increase transparency” and “increase accountability.”
When Mr. Cassidy pressed him to be more specific, Mr. Kennedy responded, “I don’t have a broad proposal for dismantling the program.”
Mr. Kennedy did seem prepared, however, to be asked about the enrollment figures for Medicaid, accurately telling senators that the program covers about 72 million people through the traditional public insurance program and an additional seven million through a targeted benefit, the Children’s Health Insurance Program.
Benefits of walking for health and longevity explored by ‘Walk’ authors
Dr. Courtney Conley and Dr. Milica McDowell, authors of “Walk,” explain the extensive benefits of walking for physical and mental health. They join Steve Doocy to emphasize “Vitamin W” as an accessible activity, discussing how increasing daily steps from the current average of 5,000 to a brisk pace of 130 steps per minute can boost longevity. They also highlight “movement snacks” for overall wellness.
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Reducing your risk of cancer death may be as simple as taking brief breaks for physical activity throughout the day, according to a new observational study.
The study, led by researchers from the University of Glasgow studying the association between cancer and prolonged sedentary behavior, found that participants who regularly interrupted prolonged sitting with physical activity had a lower risk of cancer death.
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“This study adds to growing evidence that prolonged sedentary behavior is an independent health risk,” Dr. Georgia Spear, chief of breast imaging at Northwestern Medicine, told Fox News Digital.
“While it does not prove that sitting causes cancer, it suggests that long, uninterrupted periods of sitting are associated with a higher risk of cancer mortality,” Spear explained. “The findings reinforce existing public-health recommendations that regular movement throughout the day is an important component of cancer prevention.”
Prolonged sedentary periods are associated with increased risk of cancer death, researchers observed. (iStock)
The researchers monitored 91,292 volunteer participants in the U.K. who wore movement-tracking devices on their wrists for seven days to track their sedentary habits. The scientists followed the volunteers’ health outcomes over the course of about 12 years.
The researchers defined prolonged sedentary behavior as any bout that lasted “at least 30 minutes and during which at least 90% of the time was sedentary.”
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They defined interrupted sitting as sessions that lasted fewer than 30 minutes or were interrupted by brief periods of physical activity.
Each additional hour per day of prolonged sedentary behavior was associated with a 10% higher risk of cancer death, the researchers reported in their study, published by PLOS Medicine.
Light physical activity, including household chores, such as ironing, are associated with reduced cancer death risk. (iStock)
Replacing one hour of sitting each day with light activity was associated with a 12% lower risk of cancer death. Replacing 30 minutes with moderate activity was linked to an 8% lower risk, and replacing just five minutes with vigorous activity was associated with a 22% lower risk.
The researchers classified light physical activity as walking at a low speed and performing household chores, such as ironing a shirt or washing dishes.
These findings should be interpreted with caution, the researchers wrote, “because the study cannot prove causality.”
The volunteers may not represent the wider population, they noted, “and the activity monitor captured behavior only during a limited period without showing the context of sedentary behavior, such as work, television viewing or driving.”
Spear said that existing research has linked sedentary behavior to obesity, diabetes, cardiovascular disease and several cancers.
Breaking up periods of sitting or reclining with physical activity is key to reducing the risk of cancer death, researchers found. (iStock)
“What is notable here is the finding that how people sit appears to matter, not just the total amount,” she said. “Breaking up sitting with regular movement may provide measurable health benefits.”
According to Spear, other simple lifestyle strategies can be highly effective at reducing cancer-death risk.
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“Stand and move every 30 to 60 minutes, take short walking breaks, including after meals, use the stairs, walk during phone calls and incorporate light activity throughout the day,” she recommended.
“Combined with regular exercise, maintaining a healthy weight, limiting alcohol, not smoking and staying current with recommended cancer screening, these habits can help reduce the risk of breast cancer and other chronic diseases.”
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A simple lifestyle adjustment could potentially slow down the body’s biological aging process, according to new research.
The study, published in the journal Aging, investigated how a diet change and easy exercise regimen affected men between the ages of 50 and 74 over a three-month period.
Researchers designed a clinical trial involving 48 overweight men in Japan. Over a 12-week period, half of the participants followed a strictly structured wellness routine, while the other half maintained their usual habits.
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For the intervention group, the routine required consuming 100 grams of plain yogurt every day.
This group also received individualized dietary counseling that advised them to curb overeating, avoid excessive snacking and cut out sugary drinks.
A simple lifestyle adjustment could potentially slow down the body’s biological aging process, according to new research. (iStock)
They were also instructed to walk or use a stepper machine for roughly 30 minutes a day, at least three days each week.
To measure the impact of these changes, the scientists collected blood samples from all participants before and after the study, and also analyzed DNA for chemical changes that act as indicators of cellular age.
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Specifically, they used a measurement tool called DunedinPACE. Rather than assessing a person’s chronological age in years, this tool calculates the precise rate at which an individual’s body is currently aging.
The men who consumed the probiotic yogurt, adjusted their diets and exercised showed a statistically significant reduction in their pace of aging compared to the control group, the researchers said.
The anti-aging benefits cannot be attributed to any single component on its own due to the variety in the study, the researchers noted. (iStock)
On average, the speed of their biological aging slowed by approximately 2.2%. This reduction is roughly comparable to the slowing of biological aging observed in a previous two-year U.S. study, in which participants reduced their daily calorie intake by 25%.
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This reduction in aging speed happened independently of weight loss , meaning it did not directly correlate with changes in the participants’ body mass index or the exact number of exercise sessions they logged.
The researchers also recorded a noticeable improvement in a specific DNA marker that is linked to kidney function.
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Because this study combined three distinct factors — probiotics, diet and exercise — the authors concluded that the anti-aging benefits cannot be attributed to any single component. Instead, the slowed aging rate appears to be the result of a combined effect.
The reduction in aging speed happened independently of weight loss, the study found. (iStock)
The researchers also acknowledged clear limitations of the study, including its small sample size and short duration. Also, the participant pool was restricted to overweight men of a single nationality.
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More research is needed to determine whether these short-term biological shifts can translate into permanent, long-term health benefits, the study stated.
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The simple act of noting how fast your heart is beating while you’re at rest may be the key to measuring your overall health.
Resting heart rate is defined by Mayo Clinic as the number of times your heart beats each minute while you’re awake, calm and not moving.
A normal resting heart rate ranges from 60 to 100 beats per minute for adults. A slower resting heart rate means the heart does not have the work as heard to pump blood through the body — something typical of someone who is more fit.
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Athletes who are very fit may have a resting heart rate closer to 40 beats per minute, according to Mayo Clinic.
Your resting heart rate can vary due to a variety of factors, including age, physical activity levels, sleep health, smoking, cardiovascular disease, high cholesterol, diabetes, stress, anxiety, hormones, body type and certain medications.
A normal resting heart rate ranges from 60 to 100 beats per minute for adults, according to medical experts. (iStock)
But a resting heart rate that’s often too high or too low may signal a health issue.
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A high resting heart rate, even if it’s slight, is usually a sign that something else may be going on in the body, such as anemia, an infection or a thyroid problem, according to Cleveland Clinic.
A high resting heart rate, even if it’s slight, is usually a sign that something else may be going on in the body. (iStock)
If your heart rate is regularly above 100 beats per minute, this is a sign to talk with your heart care provider.
The same advice applies if you are not a trained athlete and your resting heart rate is frequently below 60 beats per minute.
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Talk to your doctor if other symptoms such as fainting, dizziness or shortness of breath occur.
How to measure your heart rate
You can check your own heart rate by tracking your pulse on your wrist or neck. The best time of day to measure resting heart rate is first thing in the morning, says Mayo Clinic.
Place your index and middle fingers inside the wrist below the thumb, to feel the radial artery; or, do so on the side of the neck, to feel the carotid artery.
Place your index and middle fingers on the side of the neck, to feel the carotid artery — and count how many beats per minute. (iStock)
Count the number of times your pulse beats in 15 seconds, then multiply this number by four to calculate beats per minute.
Wearable devices can also detect and track resting heart rate, although this may not always be accurate.
How to lower your heart rate
If your resting heart rate is higher than normal, there are a few ways to work toward lowering it.
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Vigorous exercise is “the best way” to lower your resting heart rate and increase the heart’s aerobic capacity and max heart rate, according to Harvard.
For those who don’t exercise regularly, it’s important to work your way up in difficulty when following a new workout routine.
Vigorous exercise is “the best way” to lower your resting heart rate, Harvard Health says. But it’s vital to work your way up carefully. (iStock)
Some medications, such as beta blockers, can also lower heart rate. In the same way, managing stress through holistic methods such as meditation or yoga can also help.
Cleveland Clinic also recommends cutting back on harmful substances such as drugs and alcohol, which can dehydrate you and raise your heart rate.
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Adequate sleep can also help bring your heart rate down, in addition to maintaining a healthy weight.
Cardiologist Tamanna Singh, M.D., shared with Cleveland Clinic that lowering your heart rate takes time as various lifestyle changes kick in.
Managing stress through holistic methods such as meditation or yoga can help lower your resting heart rate,
“Just like building your biceps and triceps, it takes time for your heart to become stronger,” the doctor said.
Singh recommended focusing on heart rate patterns rather than dialing in on just the number.
Take note of how your heart rate changes after eating certain foods, when you’re dehydrated or after you’ve begun a new exercise or stress management routine.
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“If you notice that your heart rate is consistently over 100, mention it to your doctor, especially if you’ve tried making lifestyle changes and they don’t seem to be working,” she said.
“Your resting heart rate isn’t the be-all, end-all of your health, but it’s definitely a marker that you should pay attention to.”
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