All About The Dog Health

All About The Dog Health

. One such item, medical malpractice liability reform, got a hearing last week before the House Judiciary Committee as Republicans paraded several witnesses before the committee to showcase the need for legislation from the physicians’ perspective. Since it is very unlikely that the American Medical Association’s wish list would ever become law, the best result from the committee process would be a bill that skirts the more controversial items (e.g., cap on damages) and focuses on attainable and meaningful reforms, such as health courts, stronger pre-trial evaluation and settlement pathways.  This would be a path Aetna would strongly support.

In March 2010, Governor Brewer signed a fiscal year 2011 budget that stripped funding for the state’s Children’s Health Insurance program (KidsCare) and cut $385 million from AHCCCS, effectively repealing an expansion of AHCCCS to childless adults approved by voters in 2000. However, following enactment of the PPACA, the state rescinded the scheduled cuts to comply with the law’s “maintenance of efforts” (MOE) requirement. The MOE requirement prohibits a state from having eligibility standards, methodologies, or procedures for adults that are more restrictive than those in effect on March 23, 2010, until a health insurance exchange in the state is fully operational, and for all children in Medicaid and CHIP through September 30, 2019. The MOE requirement provides an exception for non-pregnant, non-disabled adults earning more than 133 percent of the federal poverty level if a state is projected to have a budget deficit. Arizona faces a mid-year budget deficit estimated at $825 million. A $1.4 billion shortfall is projected for the 2012 fiscal year.

. The high court will review three legal challenges to California’s proposed and adopted reimbursement cuts. The Supreme Court’s ruling on the case could have major implications for efforts to address California’s budget deficit. Last week, Gov. Jerry Brown (D) released a budget proposal that would reduce Medi-Cal payments to health care providers by 10 percent to cut program spending by about $719 million in fiscal year 2011-2012. In addition, the case could have implications for other states seeking to address budget deficits by cutting Medicaid payments. With federal courts in California blocking the cuts, 22 states have joined California in appealing the issue to the Supreme Court.  The court is expected to hear oral arguments in the case next fall. A decision is expected in late 2011 or early 2012.

Few details were provided, but the original report recommends that SustiNet become a licensed insurance plan. ”We don’t need health insurance anymore, we need to move towards health assurance — health care that will be there for us, and the SustiNet plan will do that,” Donovan said. Lawmakers will face a $3.7 billion budget deficit by July 1. Rep. Betsy Ritter, D-Waterford, co-chairwoman of the Public Health Committee, said the plan will have to go before multiple legislative committees, with the actual bill some weeks away. A financial analysis on upfront costs is not yet available. Aetna is working with the Connecticut Association of Health Plans (CTAHP) and AHIP to secure an objective fiscal analysis of SustiNet’s, as a public option, true cost to the state, and of the strong, positive impact health insurers have on the state’s economy.

The Governor specifically stated he is open to any and all good ideas for addressing this budget issue. In other news, a joint meeting of the Senate Health Committee and the House Economic Development, Banking, Insurance, and Commerce  Committee was convened for an update on the state’s effort to implement health care reform. Rita Landgraf, Secretary of Health and Social Services, along with Bettina Riveros, Health Care Commission Chair, advised legislators the commission will spend the next six to eight weeks holding stakeholder meetings across the state seeking input on establishing a state health insurance exchange.

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:  As the head of this workgroup for Governor Perdue is continuing under Governor Deal’s administration, it is likely that there will be some enabling legislation during the 2011 session, though it is unclear what that will be. The legislative session began January 11, 2011 and continues for 40 legislative days.

The General Assembly convened in Des Moines on January 10 and is expected to adjourn on April 29, 2011  In the November elections, Republicans took control of the House and gained a few seats in the Senate, narrowing the Democrats’ majority there. Republican Terry Branstad was sworn in as governor for the second time. Having served in the post from 1983 to 1999, Branstad is the longest-serving governor in Iowa’s history. The state’s budget deficit is projected to be more than $785 million for fiscal year 2012 and will dominate legislative discussions. House Speaker Kraig Paulsen has vowed to remedy the deficit through spending cuts rather than tax increases. The Governor’s proposal to revise the state’s annual budget to a two-year cycle will also be debated.

: . In his order he directs the Indiana Family and Social Services Administration (IFSSA) to cooperate with appropriate state agencies, including the Department of Insurance (IDOI), to establish and operate the exchange. The IFSSA Secretary or the secretary’s designee will serve as the incorporator of the Exchange. If, after careful analysis, the state deems it appropriate to proceed with creation of the exchange, a board of directors will be selected. The board will include representatives of state agencies and the Indiana General Assembly. Standing Committees will be appointed that have stakeholder representation. . HIP, the state’s consumer-directed program for covering the uninsured population, is scheduled to expire in 2012. Daniels notes he has received communication from HHS staff indicating the state plan amendment will be rejected due to HIP’s required level of contribution from participants.  The Governor said the state intends to utilize the program for the newly eligible Medicaid population pursuant to PPACA. Daniels cautioned that Indiana does not have the time and financial resources necessary to complete new rigorous requirements for applying for a waiver extension if the amendment is rejected. The current 45,000 enrollees in the program would have to be transitioned into traditional Medicaid.

The 96th General Assembly convened on January 5 and is expected to adjourn on May 30, 2011. With 106 members to the Democrats’ 57, the GOP has the largest number of seats it has ever held in the House and is just three members short of being veto-proof.  Given the large Republican majorities in the General Assembly and 70 percent voter support for Proposition C – an effort to turn back health care reform, the legislature will be under pressure to do nothing to move Missouri closer to enactment of federal health reform.

, a bill requiring statutory authorization by the General Assembly to implement PPACA, a bill expanding the autism mandate, an MLR bill for large carriers requiring a 90 percent MLR for Missouri-associated revenues and 85 percent for smaller carriers, a bill requiring the state employee health plan to offer a minimum of three high-deductible options with differing annual deductibles and annual out-of-pocket expenses, a bill prohibiting “Most Favored Nation” clauses, legislation creating transparency and publication of carriers’ fee schedules and requiring carriers to contract with providers willing to meet certain provider participation terms and conditions, and creation of a uniform group application for insurance.

: with six bills relating to implementation or rejection of PPACA introduced to date. Bills of interest include legislation creating an Exchange Task Force, an interim committee for PPACA study, and several bills challenging the individual mandate, prohibition of abortion coverage, and a cochlear implant mandate. In addition, a bill banning discretionary clauses in health and disability income insurance contracts has been introduced.  The legislature began its work on January 6 and is tentatively scheduled to adjourn on May 26, 2011.

The legislature convened on January 5, 2011, and is scheduled to adjourn on June 30, 2011. Governor John Lynch will continue as the state Executive; however, Republicans have gained control of both chambers in the legislature. In addition to the state’s budget deficit, implementation of federal health care reform will continue to be a priority for the governor and the legislature. Given the Republican majority and anticipated revenue shortfalls, there will be limited, if any, activity on health insurance issues. The legislature will, however, be paying close attention to federal health reform implementation issues and activities. . In 2010, the state enacted legislation granting certain powers to the commissioner with respect to implementation of PPACA.  This legislation also created a legislative oversight committee, to which the Department of Insurance (DOI) must report monthly. This month the DOI submitted a request for a waiver of the 80 percent minimum loss ratio (MLR) requirement for individual health insurance market policies until 2014.

: . One option is to let HHS run the state’s exchange, While that could save money, it would also mean ceding key operational and regulatory issues to the feds. It might also jeopardize existing consumer protections in Medicaid that are unique to New York. If the state sets up its own exchange, it must decide whether to join a multi-state exchange, a statewide entity, or small local ones. UHF noted that New York might consider following the leads of Massachusetts and California by creating an independent public authority to run an exchange. Former Governor David Paterson created a 35-member Exchange Committee that met only twice and did not make any recommendations. Governor Andrew Cuomo has not indicated his plans for establishing an insurance exchange in New York.

. Consedine is a partner at the law firm of Saul Ewing, where he serves as Vice Chair of its Insurance Practice Group.  Prior to joining Saul Ewing 12 years ago, Consedine served as state Insurance Department Counsel.

.  The announcement, unusual in that it comes from an incoming  administration, was necessitated by the need to provide advance notice to enrollees and to inform them of alternative coverage options. Originally started by former Governor Tom Ridge and funded through the state’s allocation of Tobacco Settlement dollars, the program was later funded through the 2005 Community Health Reinvestment Agreement (CHRA).  While that agreement between the Rendell Administration and the state’s four Blue Cross plans expired on Dec. 31, 2010, additional funding was later provided by the plans pursuant to the CHRA’s formula.  It now appears those additional funds will be exhausted by the end of next month.

:  is an attorney at the Nashville firm of Burr and Forman and the former Commissioner of Insurance in Kentucky.  Aetna is scheduling a meeting with the new Commissioner within the next several weeks.

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18 Responses to All About The Dog Health

  1. Carrie S says:

    its difficult i had a dog that had emphysema and the vet said medication would help and it did for a time then he got heart problems ,even though the vet said he was not suffering as animal owners you watch there health deteriorate and you feel sorry for them its a natural thing to do,
    i watched my dog for years deteriorate i suppose at some points in his treatment i went into denial and pretended every thing was OK but there was constant reminders he got out of breath he could not walk properly and then it just proved my dog was sick.
    you will handle it in your own way no two people are the same good luck

  2. ----Tess---- says:

    Oh absolutely….I know EXACTLY what was wrong with YOUR dog w/o ever seeing or examining him

  3. charlie Henry rufus says:

    Vomiting isn't a good sign.

    Just water – perhaps she isn't eating enough.

    Biscuits and grass – I'm assuming that the grass part is not apart of the regular diet of your dog. Watch out for what your dog is eating because it could easily have eaten something in your lawn other than just grass (i.e rocks or pebbles).

    I would check your dog to the Vet so they can see if there is any blockages of the sort.

  4. MrBuddahbar says:

    i,m from holland and i like your videos with lou corona, you are the best

  5. imagine842 says:

    Glad to see this video-something I’ve been thinking about especially here lately-being around people that aren’t living the lifestyle that you know to be best ie.tobacco,drugs etc-can be disheartening especially if it is a daily experience-someone you care about deeply even and hope to grow with and inspire one another-chances are you will feel very alone and held back even by their resistance to change-

  6. moedenanotha says:

    I think that the heath risks will still be lowered, but even more important, you will not accidentally wind up with a pregnant pooch!! The low cost programs are fine. Ours was spayed at a local humane society and they even provided post-op pain meds for her! No post-op depression that I could see. Get it done. You'll both be just fine!! Take care!

  7. CindaNJ says:

    Hello, Dan.

    This is the first time seeing your video, and you are very inspiring. I’ve just started juicing and I’m trying to learn as much as I can about it. I’m going todefinitely try your Lemon Ginger Blast. I love ur enlightening solioquy regarding obsession vs passion, and your understanding of Christa not being as passionate as you are about juicing, and accept her for herself. You are a good man. Other men would try to force their way of thinking onto their woman. Peace.

  8. Logical says:

    My puppy has this discharge as well and my vet informed me that it was vaginitis. It happens to puppy's when they haven't quite developed sexually for most dogs this goes away when they get older but in excess my dog did prescribe my dog Clavamox which is an antibiotic. It helped a lot, she still has discharge which the vet said is normal for her age but it is definitely a lot less than before. I'd give your vet a call to ask if perhaps she needs to make a visit back. Better safe than sorry, if it's something else.. you really don't want to let it get worse.

  9. kikiincanada says:

    I loved this video, you are a very kind and inspiring person to listen to. I’ve written this recipe down and I think it’ll be my first juicing experience, looking forward to it! :)

  10. waldojeffers88 says:

    I couldn’t put a restriction on the amount of time I could listen for! endless hours, I only found your videos today (Mum showed me your channel, she thinks you are great, too) and I know this is something special already. Thank you!

  11. wiredandready says:

    It sounds like you could be having multiple issues. Yes, it is likely that an 11 year old large breed dog has cataracts (not related to anything else going on).

    As for the itching, it is possible that it is demodectic mange, a type of mite that is present on the skin, but it can cause an infection if the dog's immune system is compromised allowing the mites to burrow in. We most commonly see it in lab, pit bull and bulldog puppies.

    The typical treatment for demodectic mange that has gotten this bad is a long course of ivermectin therapy; however, it needs to be administered in increasing dosages because if you just start giving the dog the full dose it can cause a lot of problems…

    …Which leads me to the seizures. If you are using ivermectin and it is not being dosed properly, or if you continue to give heartworm prevention (which is ivermectin as well) while you are on an ivermectin therapy, side effects can include neurological damage that leads to seizures. Final side note, what vet does not have muzzles available for use?

    As for your additional question, he will not die from mites alone but it is extremely painful if allowed to get to the point that it sounds like it is at.

    edit:
    P.S. if your vet did prescribe ivermectin and did not tell you to do it in increasing dosages, find a new vet, don't even go for the bloodwork tomorrow because they are probably going to try to cover up their mistake.

  12. John B says:

    The food is almost certainly your answer. If you were feeding her on a food similar to Pedigree (i.e. supermarket standard–rubbish), that is probably what as started her problems. By switching to Pedigree, not only have you got her on another poor-quality food, you've subjected her to a sudden change in diet which in itself can cause gastrointestinal upset and/or flatulence.

    You need to get her onto a better quality food (I'm not sure where you are and what pet foods are available, but if you give me a few examples I can advise further) and you need to change her over slowly- feed 75% old : 25% new for a couple of days, then 50:50, 25:75 and finally 100% new food.

    Hope that helps.

  13. MrBuddahbar says:

    i,m from holland and i like your videos with lou corona, you are the best

  14. AngelFlanked1 says:

    BRAVO! Great message. I am proud of you. =) You are a great mentor/role model. Yes, you ARE! Because we all have something in our past that we had to overcome. You are proceeding with dignity and bringing light to others. So KUDOS! ….Tried the Lemon Ginger Blast yesterday. Shared it with the kids. Everyone loved it. I had been feeling exhausted but it perked me up better than anything I have ever had before. So its not going to take much to convince my husband to give up coffee with me now. =)

  15. freedomwon says:

    Dr Neal Secrist said he has been able to get some people off of insulin and able to reduce insulin in others by up to 40% would you like to reduce your insulin by up to 40% using a natural product that also helps with weight loss and cholesterol?
    Other videos to watch on youtube:
    Lower Cholesterol Naturally – US Doctors’ Testimonies
    Dr. Walt Flora On Bios Life & Diabetes
    For more information call Steve at 702-287-0303

  16. guadsinguad says:

    love your videos, Dan, i keep watching them over and over because your very inspiring. GOD BLESS YOU, and your family

  17. rowinndionisio says:

    Give him good quality dog food! I recommend timber wold( search google) since he is older and might not be able to adjust easily to a raw diet. Also, take him to the vet to see about his rectum, it might be the food, but it could be something serious.

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