How Primary Care Is Being Disrupted: A Video Primer
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How patients are seeing their doctor is changing, and that could shape access to and quality of care for decades to come.
More than 100 million Americans don’t have regular access to primary care, a number that has nearly doubled since 2014. Yet demand for primary care is up, spurred partly by record enrollment in Affordable Care Act plans. Under pressure from increased demand, consolidation, and changing patient expectations, the model of care no longer means visiting the same doctor for decades.
KFF Health News senior correspondent Julie Appleby breaks down what is happening — and what it means for patients.
More From This Investigation
Primary Care Disrupted
Known as the “front door” to the health system, primary care is changing. Under pressure from increased demand, consolidation, and changing patient expectations, the model of care no longer means visiting the same doctor for decades. KFF Health News looks at what this means for patients.
Credits
Hannah Norman Video producer and animator Oona Tempest Illustrator and creative director KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
Subscribe to KFF Health News’ free Morning Briefing.
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This is a Levantine dish, Syrian in origin (although Lebanese cuisine uses it plenty too) and popularly enjoyed all the way up to Turkey, down to Egypt, and across to Armenia. And today, perhaps rather further afield! It’s first and foremost a spicy dip/spread, though it can be lengthened into a sauce, and/or made more substantial by adding an extra protein. We’ll give you the basic recipe though, and let you see where it takes you! Healthwise, it’s very nutritionally dense, mostly thanks to the walnuts and red peppers, though spices and olive oil bring their healthy benefits too.
You will need
- ½ cup chopped walnuts (ideally: toasted)
- 3 red peppers, from a jar (jarred over fresh not only improves the consistency, but also makes it extra gut-healthy due to the fermentation bacteria present; if you must use fresh, roast them first)
- 2 tbsp extra virgin olive oil
- 1 tbsp pomegranate molasses (you can omit if you don’t like sweetness, but this is traditional)
- 1 tbsp tomato purée
- 1 tbsp Aleppo pepper flakes (less, if you don’t like heat) (substitute another hot pepper if necessary)
- ½ bulb garlic, crushed
- 2 tsp ground smoked paprika
- 1 tsp ground cumin
- ½ tsp MSG or 1 tsp low-sodium salt
- Juice of 1 lemon
- Optional: handful of pomegranate seeds
- Optional: herb garnish, e.g. cilantro or parsley
Method
(we suggest you read everything at least once before doing anything)
1) Add everything except the pomegranate seeds and herbs to a blender, and blend to a smooth consistency.
2) Add the pomegranate seeds and herbs, as a garnish.
3) Serve! Can be enjoyed as a dip (perhaps using our Homemade Healthy Flatbreads recipe), or as a spread, or used as a sauce poured over chickpeas or some other bulky protein, to make a more substantial dish.
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
- Capsaicin For Weight Loss And Against Inflammation
- Red Bell Peppers vs Tomatoes – Which is Healthier?
- Bell Peppers: A Spectrum Of Specialties
- Lycopene’s Benefits For The Gut, Heart, Brain, & More
Take care!
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Prevent & Reverse Heart Disease – by Dr. Caldwell Esselstyn
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This is not a book of moderation. Indeed, it has a chapter entitled “moderation kills”. So, what does it advise? The dietary requirements are simple:
- No animal products
- No oils
- No oily plants (e.g. nuts, avocados)
You may be wondering: aren’t nuts and avocados healthy? What about olive oil? And the answer is that yes, for most people they are indeed healthy, but Dr. Esselstyn makes a compelling argument for their elimination in the case of someone needing to take drastic actions to prevent or reverse heart disease.
The single most important deciding factor, he says, is whether our total cholesterol is above or below 150mg/dL. Below that, he considers we need not worry. Above that, time for serious action.
So, if (like this reviewer!) you’re enjoying a Mediterranean diet with cholesterol well under that level, this book might not be for you.
For those with total cholesterol above 150mg/dL, however, Dr. Esselstyn presents a wealth of evidence for his approach working. On the one hand, this is mostly based on case studies rather than randomized controlled trials, but on the other hand, he’s accumulated so many of them that unless he’s hiding a lot of evidence to present only the successes, it’s safe to assume this way of eating really does prevent and reverse heart disease.
If you can’t imagine cooking without oil, and especially if you’re not vegan so that’d be several big changes at once, fear not, he provides recipes, with an emphasis on flavor and enjoyment; indeed, part two of the book (which is full of these recipes) is entitled “the joy of eating”.
The style is quite narrative; this is a man with a story to tell and he will tell it at length. But, there’s a lot of information therein that comes thick and fast, and it’s all well-referenced.
Bottom line: if you’re very sure you’re not in the danger zone for heart disease, this one’s probably not for you. If it’s a risk for you, however (or perhaps a known reality already), then this book presents a fix that seems somewhat drastic, but has a good record of working.
Click here to check out Prevent & Reverse Heart Disease, and prevent or reverse heart disease!
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Tooth Remineralization: How To Heal Your Teeth Naturally
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Dr. Michelle Jorgensen, dentist, explains:
The bare-bones details:
Teeth cannot be regrown (yet!) but can be remineralized, which simply involves restoring lost minerals. When we’re talking about health, “minerals” is usually used to mean elemental minerals, like calcium, magnesium, phosphorus, etc, but the specific mineral that’s needed here is hydroxyapatite (a calcium phosphate mineral, the same as is found in bones).
Not only can acids from food and bacteria dissolve the minerals from the teeth, but also, the body itself may extract minerals from the teeth if it needs them for other functions it considers more critical and/or more urgent.
Cavities occur when acids create porous holes in teeth by dissolving minerals, which allows bacteria to invade, which means more acid, and cavities.
Remineralization can be achieved by doing the following things:
- Use hydroxyapatite-based products (tooth powder, mouthwash).
- Improve gut health to ensure proper mineral absorption.
- Reduce acidic food and drink intake.
- Maintain good oral hygiene to prevent bacteria build-up.
- Eat foods rich in vitamins A, D, E, and K, which help direct minerals to teeth and bones.
For more on all of the above, enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like to read:
- Less Common Oral Hygiene Options
- Fluoride Toothpaste vs Non-Fluoride Toothpaste – Which is Healthier?
Take care!
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Edamame vs Red Lentils – Which is Healthier?
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Our Verdict
When comparing edamame to red lentils, we picked the edamame.
Why?
In terms of macros, edamame has slightly more protein while red lentils have slightly more fiber as well as about 2x the carbs; this category could thus be considered a tie or a win for either, depending on how the carbs fit into your general diet. For simplicity, we’ll call it a tie here, but those are things to bear in mind.
In the category of vitamins, edamame has more of vitamins A, B1, B2, B9, C, E, K, and choline, while red lentils have more of vitamins B3, B5, and B6. An uncontentious win for edamame here.
When it comes to minerals, edamame has more calcium, copper, magnesium, manganese, potassium, and zinc, while red lentils have more iron, phosphorus, and selenium. Another win for edamame.
Finally, edamame has more polyphenols, though both are good. Still, a win for edamame by the numbers.
Adding up the sections makes for an overall win for edamame, but do enjoy either or both; diversity is good!
Want to learn more?
You might like:
Plant vs Animal Protein: Head to Head
Enjoy!
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Your Future Self – by Dr. Hal Herschfield
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How do you want to be, one year from now? Five years from now? Ten years from now?
Now, how would you have answered that same question one, five, ten years ago?
The reality, according to Dr. Hal Herschfield, is that often we go blundering into the future blindly, because we lack empathy with our future self. Our past self, we can have strong feelings about. They could range from compassion to shame, pride to frustration, but we’ll have feelings. Our future self? A mystery.
What he proposes in this book, therefore, is not merely the obvious “start planning now, little habits that add up”, etc, but also to address the underlying behavioral science of why we don’t.
Starting with exercises of empathy for our tomorrow-self (literally tomorrow, i.e. the day after this one), and building a mindset of “paying it forward”—to ourself.
By treating our future self like a loved one, we can find ourselves a lot more motivated to actually do the things that future-us will thank us for.
The real value of this book is in the progressive exercises, because it’s a “muscle” that most people haven’t exercised much. But when we do? What a superpower it becomes!
Bottom line: if you know what you “should” do, but somehow just don’t do it, this book will help connect you to your future self and work as a better team to get there… the way you actually want.
Click here to check out Your Future Self, and start by gifting this book to future-you!
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Get Better Sleep: Beyond “Sleep Hygiene”
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Better Sleep, Better Life!
This is Arianna Huffington. Yes, that Huffington, of the Huffington Post. But! She’s also the CEO of Thrive Global, a behavior change tech company with the mission of changing the way we work and live—in particular, by challenging the idea that burnout is the required price of success.
The power of better sleep
Sleep is a very important, but most often neglected, part of good health. Here are some of Huffington’s top insights from her tech company Thrive, and as per her “Sleep Revolution” initiative.
Follow your circadian rhythm
Are you a night owl or a morning lark? Whichever it is, roll with it, and plan around that if your lifestyle allows for such. While it is possible to change from one to the other, we do have a predisposition towards one or the other, and will generally function best when not fighting it.
This came about, by the way, because we evolved to have half of us awake in the mornings and half in the evenings, to keep us all safe. Socially we’ve marched onwards from that point in evolutionary history, but our bodies are about a hundred generations behind the times, and that’s just what we have to work with!
Don’t be afraid (or ashamed!) to take naps
Naps, done right, can be very good for the health—especially if we had a bad night’s sleep the previous night.
Thrive found that workers are more productive when they have nap rooms, and (following on a little from the previous point) are allowed to sleep in or work from home.
See also: How To Nap Like A Pro (No More “Sleep Hangovers”!)
Make sure you have personal space available in bed
The correlation between relationship satisfaction and sleeping close to one’s partner has been found to be so high that it’s even proportional: the further away a couple sleeps from each other, the less happy they are. But…
Partners who got good sleep the previous night, will be more likely to want intimacy on any given night—at a rate of an extra 14% per extra hour of sleep the previous night. So, there’s a trade-off, as having more room in bed tends to result in better sleep. Time to get a bigger bed?
What gets measured, gets done
This goes for sleep, too! Not only does dream-journaling in the morning cue your subconscious to prepare to dream well the following night, but also, sleep trackers and sleep monitoring apps go a very long way to improving sleep quality, even if no extra steps are consciously taken to “score better”.
We’ve previously reviewed some of the most popular sleep apps; you can check out for yourself how they measured up:
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