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In Memoriam Dr. Calvin W. Rolark, Sr. Wilhelmina J. Rolark THE WASHINGTON INFORMER NEWSPAPER (ISSN#0741-9414) is published weekly on each Thursday. Periodicals postage paid at Washington, D.C. and additional mailing offices. News and advertising deadline is Monday prior to publication. Announcements must be received two weeks prior to event. Copyright 2013 by The Washington Informer. All rights reserved. POSTMASTER: Send change of addresses to The Washington Informer, 3117 Martin Luther King, Jr. Ave., S.E. Washington, D.C. 20032. No part of this publication may be reproduced without written permission from the publisher. The Informer Newspaper cannot guarantee the return of photographs. Subscription rates are $45 per year, two years $60. Papers will be received not more than a week after publication. Make checks payable to:
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REPORTERS Stacy Brown, Sam P.K. Collins, Eve Ferguson, Elton Hayes, D. Kevin McNeir, Dorothy Rowley, Barrington Salmon
STAFF Denise W. Barnes, Editor D. Kevin McNeir, Managing Editor Ron Burke, Advertising/ Marketing Director Lafayette Barnes, IV, Assistant Photo Editor John E. De Freitas, Sports Photo Editor Dorothy Rowley, Online Editor Brian Young, Design & Layout Mable Neville, Bookkeeper Mickey Thompson, Social Sightings columnist Stacey Palmer, Social Media Specialist
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B e h rea t th of Life
n the first book of the Christian New Testament, Genesis, which is also the first book of the Hebrew Tanakh, the writer describes the process by which human beings were brought to life. We discover that God shared with man and woman the “breath of life.” In fact, further reading says that “breath” came from God and God alone. Atheists and agnostics, of course, point to different ways in order to explain the process by which humans began to breathe. Taken from a non-religious perspective, old wives’ tales tell us that when a baby is born, the doctor or midwife slaps the child on the behind, forcing them to take their very first breath outside of the protective home of their mother’s womb. But even that method has its critics – many of whom say that slapping a child’s behind is tantamount to their first experience with violence. No matter what we may believe in terms of the origins of humanity and how we first begin to breathe, there’s one thing on which we can all agree – life ends when we can no longer breathe, barring any artificial means that might assist us. In this health supplement, we have chosen the theme “Breath of Life,” because we too, understand how vital our ability to breathe, and to do so unencumbered, remains to our existence. However, with the increase in pollutants, toxins, waste materials and the continuous destruction of the ozone layer, our ability to breathe without difficulty has been compromised. One of the effects has been an increase in those suffering from asthma. Among blacks, particularly black youth, the number of those suffering from this disease in recent years has skyrocketed, resulting in an increase in hospitalizations, missed days at school (and work among adults) and death. Other articles in this supplement, focusing on Medicare and Medicaid, new treatments for Hepatitis C, a recent transportation program geared towards senior citizens or those with medical challenges, all indirectly point to the theme, “Breath of Life.” Why should we care? Why present this information to our readers? Because when all is said and done, we have but one planet. Eventually, as the earth revolves and the air circulates, whether we live in gated communities or the ghetto, we all require the same things: clean air, quality healthcare and greater mobility. As the Supreme Court continues its debate on the Affordable Care Act, many of us are left to wonder how our access to the breath of life will be affected. The days ahead will undoubtedly be challenging. But for the black community, that has always been the way. And we’ve made it this far . . . by faith.
Angie Johnson, Circulation
D. Kevin McNeir Managing Editor, The Washington Informer
PHOTOGRAPHERS John E. DeFreitas, Shevry Lassiter, Roy Lewis, Travis Riddick , Nancy Shia INTERNS Glynn Hill, Marc Rivers, Sarafina Wright
H-2 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
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This first-of-its-kind effort has engaged the health ministries of The Sanctuary at Kingdom Square in Capitol Heights, the First Baptist Church of Highland Park in Landover, and St. Paul Baptist Church, co-located in Fort Washington and Capitol Heights, in a friendly competition to determine which congregation experiences the greatest collective weight loss over a 90-day period, March 1st – May 31st. The Prince George’s County Council, in its capacity as the County’s Board of Health, has announced an innovative partnership initiative with three local churches to pilot a weight loss campaign coined, “The Biggest Winner: A Healthy Competition.” This first-of-its-kind effort has engaged the health ministries of The Sanctuary at Kingdom Square in Capitol Heights, the First Baptist Church of Highland Park, and St. Paul Baptist Church, co-located in Fort Washington and Capitol Heights, in a friendly competition to determine which congregation experiences the greatest collective weight loss over a 90-day period, March 1st – May 31st. With more than half of children and three-out-of-four adults in Prince George’s meeting criteria to be considered overweight or obese, the Biggest Winner is a much-needed pilot project and health education campaign. In addition to monitoring actual weight loss, participants are encouraged to track daily movement using pedometers supplied by the County, and to avail themselves of a variety of exercise, nutrition and healthy lifestyle resources arranged by the respective health ministries in collaboration with the Board of Health staff. The impetus for this pilot project is a 2012 scientific study published in Preventive Medicine which analyzed the frequency of religious participation and the development of obesity among enrollees in the Coronary Artery Risk Development in Young Adults (CARDIA) longitudinal study. The investigators, based at the Feinberg School of Medicine of Northwestern University in Chicago, followed more than 2400 young adults for a period of 18 years and determined an association of religious
involvement, characterized primarily by regular church attendance, with a strong likelihood of the development of obesity by adult middle age. As an academic and health sciences researcher, I was skeptical of the strength of this association and scrutinized the integrity of the study’s methodology and data analysis. While there are many confounding factors that confer cardiovascular and other health risks upon our community, the study authors did a credible job of independently controlling for these factors and isolating church-going and adult obesity as significantly associated variables. The validity of the analysis was also strengthened by the large number of participants, and the long period of continuous observation. Bottom line, it certainly appears that regular church involvement over time is, in fact, a contributor to the development of obesity in middle age adults who were not obese as young adults. However, the real question that this principal finding begs is what does this imply about the nature of the repast or food consumption surrounding church-related activities? Anecdotally, I believe that many of us can attest to the palatable comfort provided by the culinary ministries in our houses of worship. In fact, I’m sure that many worshippers look forward to this gustatory engagement as a regular part of their religious walk. We can equally attest to a lack of attention to the caloric and nutritional value of our food intake in church as no different from the secular habits fueling our societal epidemic of overweight and obesity. However, perhaps even more than what is experienced in the broader
A HEALTHY COMPETITION
community, consumption of high caloric, large portioned meals under the spiritual guise of healing and satisfying the soul is what can result in an unhealthy pattern over time. Mitigating and reversing this reality, is what the “Biggest Winner” is all about. This pilot effort is hardly stand-alone. Tied to the goals and objectives of the overall County Health Improvement Plan, the intent of the initiative is designed for expansion to other congregations with an ultimate goal of sustaining healthy faith-based practices throughout the County. Thus far the “Biggest Winner: A Healthy Competition” has met with tremendous enthusiasm; all three pilot churches are fully engaged and moving full steam ahead through their respective health ministries. An important aspect of the program is, with the support and guidance of the County Council as the Board of Health, that the congregations are determining for themselves what neighborhood resources to utilize to best assist them in their efforts. Like politics, the optimal approach to personal and public health improvement is local, and community self-determinism is key to the long-term success. Can’t wait to see the early results. For more information, contact Initiative Coordinator Howard Stone at (301) 952-5429.
Joseph L. Wright of Upper Marlboro is professor and chair of pediatrics at the Howard University College of Medicine. He previously served as a governor's appointee on the Prince George's County Hospital Authority and currently serves as consultant to the Prince George’s County Board of Health.
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-3
A Nutrition Plan for You
Submitted by AmeriHealth District of Columbia Eating healthy can seem hard. You may think eating healthier means spending more money or giving up tasty foods. But there are many ways to eat fresh and healthy foods on a budget. Try these tips to have you and your family eating healthier in no time: • Make a plan. To help you make a nutrition plan, visit www.choosemyplate.gov and type “daily food plan” in the search bar. This website offers free tools that tell you the suggested amount of grains, vegetables, fruits, dairy and protein foods to eat each day. It’s easy! You just fill in your age, sex, weight, height and amount of daily physical activity. Then, the website will give you a daily food plan based on your body type and lifestyle. Following this will help you maintain a healthy weight while eating foods that are good for you. Create a food plan for everyone in your family. • Give your current plate a makeover. Once you have a food plan, it may help to look at your current diet. You can still make healthy meals without losing the taste. One easy way is to use spices, herbs, garlic or lemon juice to add flavor to your foods instead of butter and salt. • Snack in moderation. It’s important to remember that it’s okay to treat yourself. That’s right! Enjoy a piece of cake or a scoop of ice cream once in a while. You don’t have to exclude your favorite sugary or salty foods. Just limit the times you eat unhealthy foods. Eating Healthy on a Budget Eating healthy doesn’t have to be expensive. Use these tips to get you and your family eating healthier on any budget: • Buy produce in season. Fruits and vegetables in season are usually cheaper than those out of season. When you buy in season, your fruits and vegetables are at their freshest. See the list below for some produce in season this winter: · Fruits in season — Grapefruits, pears, oranges and tangerines. · Vegetables in season — Collard greens, kale, squash and sweet potatoes. • Buy frozen or dried produce, too. Many times, frozen or dried options are cheaper than fresh goods. They can also last a lot longer. Use frozen or dried produce for an easy addition to any meal. • Try canned fruits and vegetables in 100 percent juice. It’s okay to buy canned foods. Just make sure there is no salt or sugar added. Make sure to
buy canned goods in 100 percent juice, not syrup. Cook enough for leftovers. If you cook enough for 1 or 2 extra meals, you can freeze your leftovers and have them another time. You’ll be happy you did. • Make soup. It’s the perfect meal for a cold day. And it’s an easy and tasty way to eat vegetables. Don’t forget to make enough for leftovers. Place extra servings in a container and freeze them for another day. • Make your own juice. You can buy 100 percent frozen juice concentrate and mix it with water. This can be cheaper then buying individual juice bottles. • Think outside the box. If you have fruit or vegetables that will start to spoil soon, think of some creative ways you can use them. You can make smoothies and salsas with extra fruit. Or try cooking stir-fry or a stew with extra vegetables. • Talk to your doctor. He or she may suggest talking to a nutritionist – someone who can guide you on what to eat to live a healthy lifestyle or reach health goals. He or she can walk you through healthy options on your budget. You don’t have to make big changes to start eating healthier. Spend some time making your personal meal plan and use these tips to start eating foods that are more nutritious. Your health is worth it! •
Sources: Centers for Disease Control and Prevention and ChooseMyPlate.gov
2027 Martin Luther King Jr. Avenue SE, Washington, DC 20020
At the AmeriHealth District of Columbia (DC) Member Wellness Center, members can: • Get one-on-one advice on how to get and stay healthy • Take healthy cooking and fitness classes • Ask questions about their AmeriHealth DC benefits Visit www.amerihealthdc.com or scan the QR code to see the wellness classes we offer. Classes change each month. Free transportation can be provided to all members.
AmeriHealth District of Columbia Member Wellness Center
Connecting with our members right in their neighborhood! H-4 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
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Caring for Your Baby: Before, During and After Pregnancy Submitted by AmeriHealth District of Columbia
Taking care of yourself before, during and after pregnancy is important to having a full-term, healthy pregnancy and a healthy baby. Before Pregnancy If you plan to get pregnant, talk to your doctor about your current health conditions. Talk about your physical and mental health conditions. Existing mental health conditions may put you at higher risk for depression. If you take medicines, your doctor may have to make changes. Some medicines are not good for the baby. But don’t just stop taking them. That can be just as harmful. Always follow your doctor’s instructions for making changes to medicines you take. Prenatal Care It’s very important to start prenatal care during the first trimester. This is the specialized care women receive when they are pregnant. Since pregnancies can last 40 weeks, each trimester is 13 weeks. That means, before you are 13 weeks pregnant, see your doctor. Your primary care provider (PCP) may suggest seeing a midwife or an OB/GYN for prenatal care. Here’s what you can expect at your prenatal visits: • Your doctor will test you for certain health issues. Your doctor may check you for: · Anemia (low red blood cell count) · Hypertension (high blood pressure) · Preeclampsia [pre-e-cl emp-see-a] (high blood pressure and organ damage) · Urinary tract and other infections • Your doctor may ask you some questions. He or she may ask about domestic abuse, alcohol or drug use. Some questions may seem uncomfortable, but it’s important to be honest to help your doctor make the right choices for you and your baby. • Your doctor will give you a chance to ask questions. Ask about breast feeding and vitamins that you will need to take. Use this time to ask any other questions you have. • Your doctor may also suggest you visit the dentist. Good dental care is important because the body changes during pregnancy. Gum disease may play a factor in your baby being born too early and too small. It’s important to keep all prenatal appointments. Use the chart below to help schedule your appointments:
How often pregnant women should have prenatal appointments 0 – 28 weeks 1 visit every month 28 – 36 weeks
1 visit every 2 weeks
36 weeks – birth
1 visit every week
Staying Healthy for the Baby Here are some other ways you can keep your baby healthy during pregnancy: • Take prenatal vitamins as directed. Prenatal vitamins have more folic acid and iron than most other vitamins. Folic acid helps protect the baby’s brain and spinal cord. Iron helps with blood and oxygen flow. • Maintain a healthy weight. Pregnant women are eating for 2 — but that doesn’t mean double. It means to get enough vitamins and nutrients to help the baby grow. Eat a balanced diet of whole grains, fruits and vegetables throughout pregnancy. Most pregnant women only need 200 more calories a day. • Don’t drink alcohol. Drinking alcohol while pregnant can cause fetal alcohol spectrum disorders (FASD). This may cause birth defects, mental and learning disabilities, and vision and hearing problems. • Don’t smoke. Smoking can cause low birth weight, birth defects and even loss of the baby. After birth, first- and second-hand smoke can increase the risk of many life-threatening diseases, including asthma and sudden infant death syndrome (SIDS). If you need help quitting, call 1-800-Quit-Now. • Get a Bright Start. AmeriHealth District of Columbia (DC) has a Bright Start® program that helps moms-to-be make healthy choices and control risk factors during pregnancy. Bright Start is at no cost for AmeriHealth DC members. You can reach the Bright Start program at 1-877-759-6883. Post-Partum Care Childbirth can be hard on the body. Try to get plenty of rest and drink plenty of water. Also, make sure to schedule follow-up visits with your doctor and your baby’s pediatrician. The first well-baby visit should be 3 – 5 days after birth. And a mother’s first post-partum visit should be 4–6 weeks after delivery. These visits help monitor how you and the baby are doing. Be sure to talk to your doctor right away if you begin to feel depressed for long periods of time. This could be a sign of post-partum depression. With a newborn to care for, remember that caring for yourself is also important. Sources: Center for Disease Control, ChooseMyPlate.gov, MedlinePlus, National Institute of Child Health and Human Development and U.S. Department of Health and Human Services All images are used under license for illustrative purposes only. Any individual depicted is a model.
...because I keep my prenatal appointments. My name is Brittney and I’m 6 months pregnant. I keep all my prenatal appointments to help make sure I have a healthy pregnancy. When I’m healthy, my baby is healthy! To see the I am healthy series and get tips on ways to stay healthy, visit www.amerihealthdc.com/iamhealthy. SM
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-5
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By D. Kevin McNeir WI Managing Editor Asthma rates among black children have risen by 50 percent from 2001 through 2009 with 1 out of every 12 people (25 million) in the U.S. now suffering from the lifelong disease. But if health and environmental groups have their way, the numbers can be significantly reduced with tougher ozone (smog) standards enacted by the federal government. “The statistics are clear but many people don’t understand the severity of the asthma issue particularly its effect on low in-
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come people,” said Dr. Mark Mitchell, president, Mitchell Environmental Health Associates. “Still, asthma is one of only a few diseases that can be legislated and regulated. We can control the amount of pollution in the air, the amount of ozone in the air and therefore the numbers of those with asthma and those who die,” he said. “It’s not just having difficulty breathing – it’s also not being able to sleep, not being able to work or to go to school.” “Asthma used to be a rare disease but because of changes in
the environment, the numbers have skyrocketed. Ten percent of black children suffer from asthma and in some inner city neighborhoods, we’ve seen a 20 percent rise,” said Mitchell, 58, who lives in Hartford, Connecticut and represents the National Medical Association as the co-chairperson on environmental health. Mitchell points to related data which illustrates that black communities in the U.S. continue to be disproportionately impacted by excessive amounts of air pollution and toxic waste. In
FOLLOW US TO UNITED MEDICAL CENTER...
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H-6 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
many urban areas, where there are more garbage dumps, waste transfer stations, oil refineries, bus depots and power plants, the higher levels of ozone precursors, including hydrocarbons, cause greater respiratory problems – asthma being the most significant. “A lot of things trigger asthma – it could be pollen, coal or air pollution,” Mitchell added. “When one is exposed to certain triggers, their lung passages become inflamed producing more mucus, and as spasms occur in the larger air passages, the muscles close and it becomes more difficult to breathe. Without immediate and proper treatment, one can die. It’s especially bad for those living in the southern region of the U.S. where there are more refineries, chemical plants and paper mills. That’s why it’s important to support the Environmental Protection Agency’s [EPA] efforts to secure a lower standard for ground level ozone,” said Mitchell, a former member of the EPA’s environmental justice advisory board. Recent data released by the Centers for Disease Control indicate the following: black children are twice as likely to be hospitalized for asthma and four times as likely to die from asthma; 1 in 10 white children have asthma compared to 1 in 9 Latino children and 1 in 6 black children; asthma kills about nine people every day; and in 2007, asthma cost the U.S. $56 billion in medical costs, lost school and work days and deaths. One executive for an environmental nonprofit law organization said it’s vital that stronger standards be set in order to reduce pollutants. “Setting a strong ozone standard is super important in order to protect the public health,” said Lisa Garcia, vice president of Healthy Communities for Earthjustice whose company’s
work is divided into three areas: health and toxics; climate and energy; and the wild. “Over 70 percent of communities of color live in areas that exceed federal limits for ozone pollution. And according to the census, many of these communities also have higher numbers of children. In other words, if we want to protect our children and reduce these poor health outcomes or health disparities, we need stricter regulations on ozone and continued focus on reducing pollution in urban areas,” Garcia said. One environmentalist said everyone deserves the right to breathe cleaner air. “We’ve been fighting for more than 15 years for people’s right to breathe easier and we’re in support of the EPA’s efforts to push for a lower standard when it comes to ground level ozone,” said Hilton Kelley, founder and CEO, Community In-power Development Association, a nonprofit company based in Port Arthur, Texas. “If we were to change the standard from 75 parts per billion to 60 parts per billion, we could reduce asthma attacks by 1.8 million people and reduce the number of missed school days by 1.6 million. In addition, premature deaths related to asthma would decline by 6,400. We still have thousands suffering needlessly from asthma or dying due to lack of medication. Americans have been pacified but the truth is we still have a lot of work to do,” said Kelley, 54. HS
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(BPT) - For most students, school is about more than just making the grade. There are many pressures children face in and outside the school hallways. Bullying has received increased national attention in recent years and can include behaviors such as name-calling, actual or threatened acts of physical harm, rumor spreading and social exclusion. These actions can pose real challenges to those in the learning environment. Factors including poor self-esteem and social challenges increase the likelihood of being bullied, according to the Centers for Disease Control and Prevention. A recent report confirmed worries that having health issues may also lead to bullying. Over 30 percent of school-aged children with a food allergy have been bullied because of their condition, according to a study published in Pediatrics. Food
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allergies are the most common cause of anaphylaxis, a life-threatening allergic reaction. “Dealing with food allergies in school can be difficult, particularly when other kids may not understand how serious an allergic reaction can be,” says Jan Hanson, M.A., a nationally recognized expert in food allergy management and education. Food allergies are on the rise, especially in children, and those living with life-threatening (severe) allergies are at risk for anaphylaxis. This is a serious health issue in America, particularly in our nation’s schools. “Most children want to fit in with their peers, and when they are singled out because of a food allergy, which they cannot control, it can influence a child’s feelings of sadness and distress,”
Your child has asthma. We can help you both breathe easier.
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areness w and Raise A anaphylaxis,” Hanson says. She Hanson adds. Educating school communities about anaphylaxis is essential to creating a safe learning environment. There are occasions when food may be incorporated into hands-on learning activities, and it is not uncommon for students to celebrate birthdays and holidays in school with edible treats. Children and teens are among the most at risk for experiencing anaphylaxis due to increased exposure to potential allergic triggers. Hanson says this can make youngsters reluctant to take part in social and academic activities involving food. “With heightened risk factors at school, everyone responsible for a student with food allergies should help them always avoid allergic triggers and be aware of the signs and symptoms of
encourages the entire school community, including students, staff and parents, to know how to respond if anaphylaxis occurs. Parents and teachers should be ready to use an epinephrine auto-injector and seek immediate emergency medical care if anaphylaxis occurs. While symptoms of an allergic reaction vary from person to person, reactions can quickly progress to become life-threatening. For those at risk for anaphylaxis, having an action plan is important so everyone can be ready to immediately respond. Parents of children with severe allergies should work with their doctor to develop this strategy and share it with their child’s school. Get Schooled in Anaphylaxis (TM), a program sponsored by
Mylan Specialty, enables communities and parents across the country to do their part for all children managing life-threatening allergies by raising awareness and educating others. The initiative’s website, Anaphylaxis101. com, offers a variety of helpful, interactive resources, including posters, lesson plans and information about legislation, along with customizable checklists and tip sheets. There’s even a free e-book to share at home or in the classroom. “I encourage people to visit Anaphylaxis101.com to get educated about anaphylaxis,” says Hanson, paid spokesperson of Mylan Specialty. “The more people learn about severe allergies, the better equipped they will be to handle a life-threatening situation.” HS Get Schooled in Anaphylaxis (TM) is a trademark of Mylan Specialty L.P. PAC-2014-0133
At Children’s National, we provide customized care to kids with asthma through a detailed medical consultation and unique treatment plan. We’ll coordinate care with your child’s pediatrician and school nurse and provide education resources for the entire family. Our goal: helping you to help your child stay active and healthy. That’s care that’s just right.
ChildrensNational.org/JustRight
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President Lyndon B. Johnson signs Medicare into law in 1965. /Photo courtesy of Medicareadvocacy.org
By Stacy M. Brown WI Contributing Writer
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Medicare provides access to quality health care services for a large part of the African-American population. /Photo courtesy of SSA.gov.
d i e l t t f o a c r B H a e e h al re d T e i th c a M n d a Co i vera Continues d ge
Fifty years ago, lawmakers, medical professionals and many in low-income and senior communities called the implementation of Medicare and Medicaid a leap forward for America and the millions who’d benefit from a program that promised health security. It also provided access to quality health care services for a large part of the black population when it went into effect in 1966 as the administration of President Lyndon B. Johnson used the Civil Rights Act as the basis for requiring hospitals to desegregate as a condition for receiving Medicare funds. “By pulling this important policy lever, the Johnson administration ushered a relatively swift end to the Jim Crow hospital system in the South,” said Dr. Judy Lubin, a sociologist, policy
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analyst and professor at American University in Northwest. Lubin, who also writes a blog for the Huffington Post, focuses her research on race, politics, health and social policy. “Medicare was a breakthrough in the long battle to achieve universalism in federal health care policy. Universalism as a principle means that every American has access to the same benefits. It is an important safe guard against discrimination and the nuances of state politics,” she said. Addressing the Senate last month, Oregon Democratic Sen. Ron Wyden, also recalled the historical importance of Medicare and Medicaid, including for those with disabilities. “Medicare and Medicaid
were bipartisan efforts, and the enactment of these programs shows that Congress can craft bipartisan solutions to complex problems. As this new Congress begins, I hope we can use that 50-year-old spirit to strengthen, protect and improve Medicare and Medicaid to keep that guarantee strong, ensure health care to those who need it most and protect a program that has been a lifeline to millions of Americans,” said Wyden, 65. Medicare provides health insurance for individuals aged 65 and older who have worked and paid into the system, usually through payroll deductions. The program also provides health insurance for younger individuals with disabilities. Prior to implementing Medi-
H-8 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
care, reportedly only about 65 percent of seniors 65 and older had health insurance in America because coverage proved either unaffordable or unavailable. Today, in the 50th year of the program, nearly 50 million U.S. residents are Medicare recipients, including more than 8 million younger than 65. In the District, 13 percent of residents are enrolled in Medicare. Some of the key events in the history of Medicare include: July 30, 1965: President Johnson signed H.R. 6675 (Public Law 89-97) to establish Medicare for the elderly and Medicaid for the indigent in Independence, Missouri, in the presence of Harry S. Truman who advocated for such legislation in a message to Congress in 1945
1965: Medicare Part A deductible: $40/year • Medicare Part B premium: $3/month July 1, 1966: Medicare coverage began. All persons age 65 and over were automatically covered under Part A. Coverage began for seniors who signed up for the voluntary medical insurance program (Part B). More than 19 million individuals ages 65 and older were enrolled in Medicare. 1970: • Medicare Part A deductible: $52/year • Medicare Part B premium: $4/month • Total Medicare population: 20.4 million beneficiaries 1972: October 30, 1972 President Nixon signed the Social
IMEDICARE Page 9
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MEDICARE from Page 8 Security Amendments of 1972 (PL 92-603), the first major adjustment to Medicare after its enactment. Medicare eligibility was extended to individuals under age 65 with long-term disabilities (who were receiving SSDI payments for two years) and to individuals with endstage renal disease (ESRD). The amendments also established professional standards review organizations (PSROs) to review patient care, encouraged the use of health maintenance organizations (HMOs), and gave Medicare the authority to conduct demonstration programs 1973: Medicare coverage began for individuals receiving Social Security Disability Insurance (SSDI) cash payments for two or more years. Nearly 2 million people under age 65 with longterm disabilities or ESRD were covered. 1975: • Medicare Part A deductible: $92/year • Medicare Part B premium: $6.70/month • Total Medicare population: 24.9 million beneficiaries 1980: Medicare Part A deductible: $180/year • Medicare Part B premium: $8.70/month •
Total Medicare population: 28.4 million beneficiaries 1985: Medicare Part A deductible: $400/year • Medicare Part B premium: $15.50/month • Total Medicare population: 31.1 million beneficiaries. 1988: The Medicare Catastrophic Coverage Act of 1988, the largest expansion of the program since the enactment of Medicare, included an outpatient prescription drug benefit and a cap on beneficiaries’ out-ofpocket expenses, and expanded hospital and skilled nursing facility benefits. Medicaid began coverage of Medicare premiums and cost-sharing for Medicare beneficiaries with incomes below 100% of the federal poverty level, known as Qualified Medicare Beneficiaries (QMB). The U.S. Bipartisan Commission on Comprehensive Health Care (which became known as “Pepper” Commission after the late Congressman Claude Pepper of Florida) was established to assess the feasibility of a longterm care benefit under Medicare. Detailed summary of the Medicare. 1995: • Medicare Part A deductible: $716/year • Medicare Part B premium: $46.10/month
• Total Medicare population: 37.6 million beneficiaries. 1999: The toll-free number, 1-800-MEDICARE (1-800633-4227), was made available nationwide. The first annual Medicare & You handbook was mailed to all Medicare beneficiary households. 2000: Medicare Part A deductible: $776/year • Medicare Part B premium: $54.40/month • Total Medicare population: 39.7 million beneficiaries. 2005: Medicare Part A deductible: $912/year • Medicare Part B premium: $78.20/month • Total Medicare population: 42.3 million beneficiaries. 2010: The Patient Protection and Affordable Care Act of 2010 includes a long list of reform provisions intended to contain Medicare costs while increasing revenue, improving and streamlining its delivery systems, and even increasing services to the program.
“Under the new 114th Congress, retirees issues are once again under attack from many directions including proposed trade agreements, Social Security and Medicare,” said Richard Fiesta, executive director of the Alliance for Retired
Americans in Northwest. “Social Security and Medicare belong to the people who have worked their entire lives to contribute and sustain the programs. Social Security is not responsible for the federal deficit and cutting it will not resolve America’s budgetary problems,” Fiesta said. Lubin said African-Americans remain vulnerable as health care battles continue between President Obama’s Administration and GOP lawmakers. In a recent blog, she said while racial discrimination in health care remains illegal, blacks are especially affected by the Supreme Court’s decision to allow states to opt-out of expanding Medicaid under the Affordable Care Act (ACA). “With 24 states controlled by Republican governors or state legislators rejecting the Medicaid expansion, people in states that most need expanded coverage options due to higher rates of poverty are being locked out of the ACA. Most southern states are not expanding Medicaid, leaving nearly four million adults eli-
gible for the program through the ACA without health insurance coverage,” she said. According to officials at the Kaiser Family Foundation in Menlo Park, California, 40 percent of eligible blacks reside in states not participating in the expansion. Because of the distribution of the African-American population in the South and the greater likelihood of earning incomes that make them eligible for Medicaid, these state decisions disproportionately impact black southerners and are likely to increase health disparities as Americans in states that have expanded Medicaid experience the benefits associated with health care coverage, Lubin said. “The ACA has the potential to bring us closer to reducing the disparities in health care access that have far too long defined black life in America,” she said. “Republican legislators and governors can play a crucial part in this effort by expanding Medicaid.”HS
Good health helps us soar to new heights.
Join us in April as we celebrate National Minority Health Month.
of Advancing Health Equi ty 30 Years
The Heckler Report :
A Force for Ending Health Disparities in America
For|more information visit: www.minorityhealth.hhs.gov or call: 800-444-6472. 800-444-6472 www.minorityhealth.hhs.gov | info@minorityhealth.hhs.gov Heckler_Report Washington_Informer_Ad_2015_FINAL.indd 1
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-9
He M pa ed t
ure Resu C C lts fro s m NI Tested, Ap it i on i t ica
ty i n U / H
pro esident R ved s o t e and tings, Masur said, adding that Availabl University-based studies have
Pictured from left to right Dr. Janelle Goetcheus, patients Sam and Fernando, Vivian Whitaker (red top) a member of Unity’s Board of Directors, Earlene Butler, Vincent A. Keane (in the back with glasses), Rep Eleanor Holmes-Norton, Dr. LaQuandra Nesbitt, Dr. Veronica Jenkins (Family Medical Counseling Services), Dr. Henry Masur (NIH), Dr. Geb Teferi (Unity) in the blue suit, Carl Dieffenbach (Institute for Human Virology - University of MD), Dr. Sarah Kattakuzhy (NIH), Dr. Shyam Kottilil (Institute for Human Virology - University of Maryland). /Photo Courtesy Unity Health Care
By Stacy M. Brown WI Contributing Writer
As Sam reflected on the grim prognosis medical officials delivered to him several years ago, he could only frown on any thought of a healthy future. Sam, who declined to give his last name, now beams with laughter and smiles about his newest prognosis which allows him to plan a future instead of his own funeral. “Basically, for me this is a second chance at life. I had no idea how I contracted Hepatitis C but it was like a death sentence,” Sam said. Like the more than 13,000 other District residents and the millions around the world who have Hepatitis C – known as HCV, Sam now has a cure thanks to the National Institutes on Health (NIH) in Bethesda, Maryland that has developed a new, tested and FDA-approved drug that comes with little, if any side effects.
Study
The cure comes in the form of a direct-acting antiviral agent pill called Harvoni – the only downside being its $1,000 per tablet price tag that medical professionals are hoping insurance companies will agree is worth the cost. “This is a real revolution,” said Dr. Henry Masur, chief of the Critical Care Medicine Department at NIH. “We have every reason to think that these are highly effective drugs and I’m very enthusiastic about this.” Dr. Janelle Goetcheus, the chief medical officer at Unity Health Care, Inc. in Southeast said that NIH has made it possible for 600 District residents to receive the new medication free. She said most will be Unity Health patients. “It’s a wonderful gift from Dr. Masur,” said Goetcheus, a longtime advocate for the medically underserved whom Rep. Eleanor Holmes Norton (D-DC) nominated as a “Local Legend of Medicine.” “The companies have been
working for some time to find a medication and the prior treatments have had many side effects and they didn’t provide a cure,” Goetcheus said. “This new drug is given as one pill a day for 12 weeks and, yes, it’s expensive at $1,000 per pill but what the insurance companies and everyone else should know is that liver failure, liver cancer, a transplant or even the cost of hospitalization would be far more expensive than this medication.” On March 4, Holmes-Norton and other officials visited Unity Health Care’s Parkside Center in Ward 7 to announce a groundbreaking study that will treat and potentially cure 600 District residents infected with the HCV virus or those co-infected with HCV and HIV/AIDS. Each patient will receive one Harvoni pill each day for up to six months free. It’s the first study of its kind to look at the effectiveness of Harvoni in community health set-
H-10 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
produced a more than 90 percent cure rate. The study, co-sponsored by NIH Clinical Center, National Institute of Allergy and Infectious Diseases (NIAID) with additional support from the NIH Office of AIDS Research, is being conducted in connection with the DC Partnership for HIV/AIDS Progress, a program that aims to reduce the burden of HIV/ AIDS and other associated diseases in the District of Columbia. Chronic HCV infection affects more than 3 million people in the U.S If left untreated it can lead to cirrhosis of the liver, liver cancer and eventually liver failure. Each year, 16,000 people in the country die from HCV related causes and for people who are co-infected with HIV/AIDS, HCV is the leading cause of death. Further, HCV disproportionately affects minority, low-income and marginalized populations such as the homeless. “It is indeed a privilege to be a part of this medical breakthrough. The opportunity to examine the way that Hepatitis C is treated in our most challenged communities, within our city and throughout our nation, and to provide a treatment and cure for those we serve speaks to the core of our mission,” said Vincent A. Keane, Unity Health Care’s president & CEO. The study continues Unity’s mission, Goetcheus said. Unity Health Care counts as the District’s largest nonprofit health and social services organization serving more than 100,000 men, women and children every year in D.C. “We are committed to moving forward with a steadfast purpose, ensuring that all those who come through our doors receive the very best care at a medical home they can be proud of,” Goetcheus said.
Early symptoms of HCV include fatigue, nausea, fever, abdominal pain, loss of appetite, vomiting and joint pain. As the disease progresses, it can cause chronic liver disease, cirrhosis, liver cancer and death. “I’ve watched so many people die of liver failure and liver cancer, I’ve been to many funerals,” Goetcheus said. “So, yes, this is a great moment to say that we have a cure.” Masur said the study that resulted in the new drug proved to be ahead of the curb. He said studies are conducted often in the black community and in low-cost settings because insurers are usually skeptical about whether a generalist can take care of those with Hepatitis C and whether the community would positively respond. “We want to become the first city to really put a dent in Hepatitis C,” he said. “Ten years ago, D.C. led the world in Hepatitis C and HIV. That’s changing now. “This drug will bring D.C. from being just one of the many places overburdened with the disease to a city that’s really taken leadership in the prevention, reduction and in the morbidity rate,” he said. Goetcheus said at Unity Health Care alone, there had been more than 5,000 individuals suffering with Hepatitis C over the past four years. “The other statistic that many may not know is that the numbers of persons with chronic Hepatitis C who have died are greater than those who have died with HIV,” she said. Now, Goetcheus, Masur and others have touted a new beginning, a near clean slate and, most of all, a cure. “When I was given the opportunity to participate in the study, it was overwhelming,” Sam recalled of his beginning the test three years ago. “I wanted to believe that it would work because I had nothing else to cling to,” he said. “Doctors told me that I had 22 million viral loads of the virus in my system and each month that passed, hundreds of thousands were being distinguished. Eventually, because of this new drug, I was told that I no longer had any that were detectable. I am overwhelmed.”HS
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Every year, Unity Health Care provides health care and social service programs for more than 105,000 men, women and children in our nation’s capital, regardless of their ability to pay. This year, Unity celebrates 30 years of promoting healthier communities. Call 202-469-4699 to schedule your appointment today!! Visit our website at www.unityhealthcare.org
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-11
N o w s i x Cab Com Serv a i T DC ng Se mi ss ion O
By D. Kevin McNeir WI Managing Editor
The DC Taxicab Commission has just unveiled a pilot program that will help District residents with health challenges get to their doctor’s office or other places for medical treatment. The Coordinated Alternative to Paratransit Services [CAPSDC] will serve as a transpor-
niors
nd ffer a H s Helping
tation assistance program that provides alternative taxicab transportation to MetroAccess customers. How does it work? Customers will receive transportation to and from health
care appointments. CAPS-DC will provide “efficient, curb-tocurb taxicab or wheelchair accessible vehicle service for D.C. residents, ensuring an improved transportation experience.” During this trial period, Met-
When mobility is limited, being able to access fast and affordable transportation really matters. /Courtesy photo
April 12, 2015 Alexandria, VA
www.lunginfo.org/VAClimb
In cities like Washington, D.C., physical or health challenges are no longer a reason why anyone should remain locked up in their home. /Courtesy photo
roAccess customers are encouraged to try CAPS-DC service whenever travel is necessary – either for an eligible destination for dialysis treatment or other health services. In order to secure a ride, customers should call 844-3CAPSDC (844-322-7732). Here are some of the advantages of the new service: One-hour service: Flexibility to make a reservation one hour before a ride is needed; One stop pick-up or dropoff: Customers are not required to share rides or make multiple stops before reaching their destination; Choice of pick-up or dropoff location: Trips can begin/ end anywhere in the District; all medical facility locations must be either the pick-up or drop-off location; Companion rider: Companions are allowed to accompany CAPS-DC participants at no additional charge;
H-12 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
One-way ride fare is $5.00: The one-way fare, which for many customers is less than the MetroAccess fare, is $5.00 and can be paid by cash, credit card or debit card; Priority wheelchair accessible taxicabs available: CAPS-DC participants needing wheelchair accessible vehicles receive priority use. MetroAccess ID: CAPS-DC taxicab drivers must be presented with a MetroAccess ID number at the time of service. Both Capitol Cab (202-2980500) and Yellow Cab (202-5440911) are part of the CAPS-DC fleet –both are available seven days a week, 24 hours a day. Now District residents now have an added opportunity for a quality ride and all they have to do is dial. HS For more information, visit dctaxi. dc.gov/page/caps-dc.
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ing Care k a T of Y
Submitted by: Community of Hope’s Conway Health and Resource Center and Breast Care for Washington
Congratulations! You have almost made it through a very cold winter. Spring will be here before you know it. And now is the time to make sure your health is on track. Visit your primary care doctor regularly so you can take action to stay healthy and catch any problems early. At the corner of Atlantic Street SW and South Capitol Street, two organizations are working hard to make sure you have access to the highest quality healthcare - Community of Hope’s Conway Health and Resource Center and Breast Care for Washington. With warmer weather on the way it’s important to pay attention to your body. You can take care of your health by catching problems before they start. For example, you might: • Winter diets and less exercise often can get you off track. Think
h t l our Hea
about healthier ways to manage your diabetes. • Start getting more active and talk to your doctor if you have concerns about pain. • Talk to your provider about mammography screening. • Notice seasonal allergies, especially if you or a family member has asthma. When flowers and trees begin to bloom, people with allergies notice the difference. But if you have asthma, allergies can also make your health – or your child’s – much worse. With proper care, asthma patients can live healthy, active lives. If not watched carefully, asthma can be life-threatening. A simple visit to a doctor at Community of Hope can help keep your family safe. Why not use the changing of the seasons as a reminder to also put breast health first? One in eight women will develop breast cancer in her
lifetime. The good news is the survival rate for Stage 0 and 1 breast cancer is 95-100%. At Breast Care for Washington, 3D screening mammograms use the latest technology, which finds 20% more cancers at earlier stages than standard mammograms. Breast Care for Washington also encourages women to follow these three recommendations for breast health: • Monthly self breast examinations beginning at age 20. • Clinical breast exams at least once every three years beginning at age 20 and annually after age 40. • Annual screening mammograms beginning at age 40. If you see or feel anything different in your breasts at any age, get examined by your doctor. So whether you are living with a chronic medical
for your family at the
and we are now open on Saturdays! So before you do your spring cleaning, or get ready for outdoor fun, stop by the Conway Health and Resource Center and get your spring started on the right foot. WI Dr. Shayla Graham-Brock is a Family Physician at Community of Hope’s Conway Health and Resource Center. Dr. Regina Hampton is Co-Founder and Medical Director at Breast Care for Washington.
most insurance and medical plans accepted • same-day appointments for current patients •
CALL NOW F OR AP P OINTMENT S!
202.540.9862
condition or you are in perfect health, a visit to the doctor’s office is important to keep you and your family well. Community of Hope and Breast Care for Washington make that care available to anyone who needs it, even without insurance, medical assistance, or other ways to pay. Come in for a check-up, a mammogram and a dental cleaning all in one building! Counseling is also available for Community of Hope patients,
Visit the Conway Health and Resource Center
Conway Health and Resource Center
MEDICAL AP P OINTMENT LINE
Dr. Shayla Graham-Brock, Community of Hope’s Conway Health and Resource Center
LOOKING FOR A DOCTOR OR DENTIST?
Comprehensive Care
COMMUNIT Y OF HOP E 202.540.9857
Dr. Regina Hampton, Breast Care for Washington
This program is funded in part by the Government of the District of Columbia, Department of Health’s Community Health Administration.
“Community of Hope is about love, compassion and caring.” 2nd and 3rd Generation Patients
www.communityofhopedc.org
DENTAL AP P OINTMENT LINE
BREAST CARE FOR WASHINGTON 202.465.7164 4 AT LANT IC ST REET, SW WASHINGTON, DC 20032 Our Family Caring For Yours
Over 40 and due for your annual mammogram? Take care of your health with the latest screening technology. We serve all women regardless of ability to pay. No referral necessary for a screening mammorgram. www.breastcaredc.org
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-13
: 2 er l Number a e b d I 2M n um Your Bath ay No A N roo t Be A at (BPT) - It can be uncomfortable to talk about what happens behind bathroom doors. But if you can set aside the awkwardness for a moment, your bathroom habits may actually be an important indicator of your gastrointestinal (GI) health. One of the most frequent digestive complaints in the U.S. - and one of the most common reasons people visit the doctor - is constipation. While constipation may not sound like a medical condition, studies have found the annual cost of treating constipation in the U.S. is $235 million, and data suggest people with constipation experience activity impairment and a loss of work productivity. How can your bathroom habits provide insight into whether or not you may be constipated? Checking the frequency of your bowel movements (BMs) is a good first step. A typical schedule of BMs may vary from three times per day to three times per week, depending on the person.
W
Many people experience occasional irregularity, but constipation is generally defined as a condition in which a person has fewer than three bowel movements a week, has difficulty having a bowel movement - or both. Some people may also feel bloated or feel abdominal discomfort. Other signs of constipation may include straining, hard or lumpy stools, or incomplete BMs. Beyond frequency, the consistency, color, and shape of BMs also tell a revealing story about what’s going on in your body. Believe it or not, there’s a scale designed to help you understand your poop. The Bristol Stool Form Scale is a tool that classifies BMs into seven numbered types that can help identify irregularities such as constipation. For most people, a healthy bowel movement is soft and smooth, like a sausage or a snake. On the seven-point Bristol Stool Form Scale, that’s somewhere between
h
a #3 and a #5. The two extremes on this scale are constipation (#1) and diarrhea (#7). In short, an ideal #2 may not be a #2. The Bristol Stool Form Scale is not intended to serve as a diagnostic tool, and anyone experiencing symptoms should consult a physician. If your BMs are more like a #2 than comfortably in the #3 to #5 range on the Bristol Stool Form Scale, it could suggest a medical condition, such as constipation. And that warrants a discussion with your doctor. Despite the embarrassment, it’s an important conversation to have. “When it comes to discussing your GI health with your doctor, be candid about the symptoms you’re experiencing - even those that are a bit awkward to discuss,” says Anish Sheth, M.D., gastroenterologist and co-author of the book, What’s Your Poo Telling You? “An open conversation can help your doctor determine how best to manage your
ou Y mH ng i l abits l Might Be Te condition.” Another reason to talk openly with your doctor about GI symptoms is because, in some cases, constipation symptoms that keep coming back can be a sign of a more serious condition, such as bowel obstruction, hypothyroidism, cancer or certain neurological diseases. Constipation along with abdominal pain can also be a symptom of irritable bowel syndrome with constipation (IBS-C), which impacts as many as 13 million adults in the U.S. Even more common is chronic idiopathic constipation (CIC), the chronic presence of constipation symptoms. The term “idiopathic” means the cause of the constipation is not known and not due to an underlying illness or medication. As many as 35 million adults may suffer from CIC. It’s important to speak candidly with your doctor about your symptoms so he or she can try to identify the cause of the prob-
lem and determine how best to manage your condition. Many sufferers can manage the symptoms of occasional constipation with dietary and lifestyle changes, such as increasing fiber or water intake and exercising regularly. Over-the-counter medicines are approved to treat occasional constipation, and prescription medications are approved for the treatment of IBS-C and CIC. For those feeling squeamish about discussing their symptoms with their doctor, Dr. Sheth recommends writing down a list of symptoms, how often they occur, how long they have been occurring, and what treatments have been tried. He also recommends BM tracking apps for smartphone users. HS For more information, including tips for preparing for your doctor visit, please visit www.AboutYourGut.com.
#loveyourbuttc4l
loveyourbutt.org H-14 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
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COPD Resources
Have You Been Diagnosed with COPD?
The American Lung Association has resources and support to help you manage your chronic obstructive pulmonary disease (COPD) and the lifestyle changes and treatment options that come with it.
We can help you:
• Understand the diagnosis • Find support and information • Quit smoking
Contact Us Call our FREE Lung HelpLine to talk to an expert. Speak to one of our experienced registered nurses and respiratory therapists to learn more about COPD and your diagnosis. Our compassionate and knowledgeable staff can provide you with the support you need and the answers you’re looking for. Available 7 days a week, 8 a.m. to midnight (EST).
Resources for You Better Breathers Clubs Learn ways to better cope with COPD while getting the support of others who share your experiences. These regular meetings in your local community feature educational presentations as well as the opportunity to talk with people who understand. Family members and caregivers can also attend.
Lung.org/better-breathers Lung Connection Community Share experiences and learn from friends in this free online forum. Our Living with COPD virtual support group can help build your support network and give you a place to chat with peers about how lung cancer affects you.
Connection.Lung.org My Fighting for Air Community Mobilize your support system. This free caregiving coordination program enables members to schedule and
1-800-LUNGUSA (1-800-586-4872) Email a question to HelpLineInfo@Lung.org.
sign up for tasks that provide respite for caregivers of lung disease patients.
Lung.LotsaHelpingHands.com
Visit http://bit.ly/helplinechat to chat online. TTY for hearing impaired 1-800-501-1068.
1-800-LUNGUSA | LUNG.org
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HEALTH WELLNESS & NUTRITION SUPPLEMENT/ MARCH 2015/ H-15
AmeriHealth District of Columbia Member Wellness Center
Connecting with our members right in their neighborhood! 2027 Martin Luther King Jr. Avenue SE Washington, DC 20020 Our Member Wellness Center provides a location for AmeriHealth District of Columbia (DC) members to: • Get one-on-one advice from AmeriHealth DC nurse care managers on how to get and stay healthy • Learn how to live a healthy lifestyle through healthy cooking and fitness classes • Speak with AmeriHealth DC community outreach representatives about their AmeriHealth DC benefits Visit www.amerihealthdc.com or scan the QR code to see the wellness classes we offer. Classes change each month. Free transportation can be provided to all members.
H-16 /MARCH 2015 / HEALTH WELLNESS & NUTRITION SUPPLEMENT
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