I chose ATRIO Medicare Advantage after Providence dumped me, but wished for more options

For eleven years after I became eligible for Medicare at age 65, I was mostly happy with my Regence Medicare Advantage plan. But near the end of 2024 Regence was enmeshed in a contract dispute with Salem Health. Since I wasn't going to take a chance on not having in-network coverage for Salem's dominant health care provider, I switched to Providence Medicare Advantage in 2025. Then I got a letter from Providence a few weeks ago saying they weren't offering my plan in Marion County for 2026. No reason was given. I'm guessing that Providence wanted a higher fee schedule…

Death Clock app tells me I’ll die on December 7, 2039 at age 91. I’ll take it.

Thanks to a story in the Washington Post, "How many years do I have left? An app gave me helpful insights," today I learned how long I have to live -- based on the answers I gave to 29 questions. The story gave some examples of the questions. Although the specific date of death is obviously not intended to be accurate — the app’s disclaimer says it’s “for fun only” — it does tie your personal habits to your likelihood of living into old age and tells you what lifestyle changes might buy you more time. Thus Death Clock AI’s…

Acupuncture is an example of the games health insurers play with benefits

Though I can't prove this scientifically because I'm not a controlled experiment, there's good reason for me to believe that I've benefited from my acupuncture treatments for low back pain and the related sciatica from Karen Kaufman. I talked about this in a June 2024 blog post, accurately titled "I benefited from my sessions at Salem's Innerhealth Acupuncture Clinic." I'm convinced that Kaufman helped relieve the sciatica pain in my right leg considerably. Naturally I can't be sure of this, since I'm not a random controlled experiment, just one person who was drawn to try acupuncture after physical therapy didn't…

Laurel Hines, my wife, supports changes to Oregon’s Death With Dignity law

The Oregon legislature is considering a bill, SB 1003, that would make changes to our state's Death With Dignity law -- which allows people who have six months or less left to live to exercise control over the time and manner of their death by taking physician-prescribed medication. Passed by Oregon voters in 1994, and affirmed in 1997 when it took effect after a legal challenge, the law is a good start, but it needs improving. That's why my wife, Laurel Hines, testified in favor of SB 1003 at a Senate Judiciary Committee hearing on March 3. Laurel told the…

Salem Health dumps Regence after each blames the other

When I went in for a teeth cleaning session at my dentist's office this week, I told the front desk person that I had different insurance now, having signed up with Providence MedAdvantage at the end of 2024 because I didn't want to run the risk of my Regence MedAdvantage plan being severely handicapped by Regence and Salem Health failing to renew their contract -- which seemed likely at the time. I was told that many of their dental patients have done the same thing: dumped Regence. A few days ago the wisdom of that move became clear when Salem…

In Providence strike, I’m on the side of nurses and doctors

Last Friday Oregon's largest health care strike in history kicked off as about 5,000 nurses, doctors, and midwives walked off their Providence Hospitals jobs. Dissatisfaction with working conditions was a major reason for the strike, according to the Oregon Nurses Association.  One of Oregon’s largest healthcare providers, Providence, is a system in crisis that threatens the health and well-being of all Oregonians.   We are nurses, doctors, physician associates, nurse practitioners, and certified nurse midwives from Providence facilities across Oregon. Some of us have been bargaining with Providence for more than a year and are working without a contract. Providence…

My wife made the healthiest main dish in the history of Christmas Eve dinners

Part of me says, "You shouldn't be bragging on Christmas Day." Another part says, "Dude, go ahead and brag -- you aren't bragging about yourself, but about your wife, Laurel." I'm listening to that part. For while the title of this blog post might seem to be an exaggeration, it accurately reflects the prevailing opinion among me, Laurel, and five friends we invited for a Christmas Eve dinner at our house last night  Well, in the history of Christmas Eve dinners is an embellishment that I added for dramatic effect. But it's true that all seven of us agreed that…

Here’s what’s scientifically true about good nutrition

When it comes to what sorts of food are best for us, opinions abound. There's a never-ending avalanche of nutritional advice from many different sources: social media, news sites, television ads, books, and such. Often this advice isn't based on scientific facts. That's why I was thrilled to see the special issue of New Scientist that arrived in the mail recently. The cover headline: How to Eat Better: The Seven Chewiest Questions About Nutrition and Your Health. Here's the questions and a brief summary of the answers. (New Scientist is a British publication, so some spellings are different from American…

Constant worrying about Trump is a threat to your health

Like many millions of Americans, ever since Trump was elected president on November 5, a mere twelve days ago that seems like much longer, I've been consumed with anxiety about what this means for the United States and the world. In short, nothing good. Or at least, very little that is good. Naturally I'm speaking from my perspective as a Democrat who heartily supported Kamala Harris. I realize that Trump supporters feel differently. But I'm speaking to those who, like me, see Trump as a threat to democracy, the environment, equal rights, justice, the economy, Ukraine, and so much else. …

My wife’s shoulder replacement surgery is helping me be a better person

When it comes to being a caring, compassionate person, I'd say that I'm about average. I know people who are much more caring and compassionate than I am, and I also know people who are considerably less caring and compassionate. So I've got room to grow in this regard. However, at the age of 76, I pretty much figured that I was set in my ways and wouldn't be improving my caring and compassionate quotient any time soon. That was before my wife, Laurel, had shoulder replacement surgery. More accurately, reverse shoulder replacement surgery. The difference between a reverse prosthesis…

Regence and Salem Health are in an annoying contract dispute

Recently I got a not-so-cheery letter from Cheryl Nester Wolfe, President and CEO of Salem Health Hospitals and Clinics. She informed me, along with many thousands of other people in Salem who get their health insurance through Regence Blue Cross Blue Shield of Oregon that Salem Health's contract with Regence expires on December 31, 2024 and "despite repeated attempts to negotiate a new contract for 2025, Regence refuses to agree to fair market terms." Wolfe put most of another sentence in boldface to draw attention to it. This means that as a patient, you will likely be responsible for a…

I benefitted from my sessions at Salem’s Innerhealth Acupuncture Clinic

Today I had my eighth weekly treatment from Karen Kaufman at her Innerhealth Acupuncture Clinic here in Salem (Oregon). This was my first serious dive into the acupuncture waters, having previously only waded in the shallow pool of single sessions with a couple of acupuncturists. Karen Kaufman, Ph.D., L.Ac I'm convinced that Kaufman helped relieve the sciatica pain in my right leg considerably. Naturally I can't be sure of this, since I'm not a random controlled experiment, just one person who was drawn to try acupuncture after physical therapy didn't do much to relieve the pain, over the counter medications…

I find that cold remedies can be worse than the cold

I don't get sick very often. So at first I couldn't believe that I had a cold, irrationally thinking that even though I don't have allergies, my nasal congestion was due to that, rather than a cold.  But a week ago, I had a lot of trouble sleeping. Not being able to breathe through my nose was annoying, as was breathing via my mouth. Propping my head up on a couple of pillows didn't help. Neither did spraying saline solution in my nostrils, my usual approach to mild everyday congestion.  So the next day I headed off to Walgreens to…

Be sure to take Plenvu rather than Gavilyte for your colonoscopy prep

I've had four or five colonoscopies, can't remember exactly. Started when I was fifty, then, because unlucky me always has benign polyps, I'm scheduled for another colonoscopy 4-5 years later, while my more fortunate wife gets away with a 10 year repeat (she can even have the test for colon cancer that doesn't require a colonoscopy). Tomorrow I'm having another one. So today was the preparation day: no solid food, with the colon cleansing prep starting at 4 pm, with a repeat at 11 pm, a couple of hours from now.  I'm looking forward to the colonoscopy itself tomorrow morning,…

The Psilocybin Center is open in Salem for psychedelic transformation

Thanks to a story in the Statesman Journal, I learned that Salem's first psilocybin service center has opened on State Street. It's aptly named The Psilocybin Center.  Husband and wife Sammy Kahuk and Dina Odeh have opened Salem’s first psilocybin service center, and a second location is being licensed. The Psilocybin Center at 2585 State St. offers personalized “psychedelic mushrooms” sessions to anyone over the age of 21 for behavioral or physical health conditions or for spiritual or recreational purposes. It took me a while to find the web site for The Psilocybin Center, but once I did, I was…

After five months, I finally get medical treatment for my severe sciatica

If you've ever had severe sciatica pain, you'll find this blog post a heck of a lot more interesting than if you haven't. Usually that nerve pain is produced by problems with the spine, either degenerative or following an injury.  I wrote about my current bout with sciatica back on March 23 in "If you're wondering about my absence, the answer is sciatica." An excerpt: It can be an extremely annoying pain. My worse moments have been in the middle in the night when I need to use the bathroom, or when I get up after sleeping. A few times…

A son’s love and hospice supported a Salem woman during her last days

There's a lot of negativity floating around these days. I fall prey to it. I also contribute to it. So to be able to share a 100% positive story of how an old friend and hospice workers made a Salem woman's last days before she died as comfortable as possible -- that's a pleasure. Jim Ramsey is the friend. I've known him since the early 1970s. When he was part of Ramsey Real Estate, Jim was the realtor who found a house for my wife and me in 1977, enabling us to move from Portland to Salem when I got…

Woman in wheelchair brought tears as I watched So You Think You Can Dance

There's a lot of crap on television. There's also beautiful, unforgettable, highly emotional moments. That's why I watch. A single moment of that sort makes up for all the crap. My wife and I have watched every episode of every season of So You Think You Can Dance. The show took a hiatus during the covid years. It reappeared recently. So far this season has had a lot of memorable auditions, as the three judges select contestants for a Top Ten competition, if I recall the number correctly. (It's varied somewhat over different seasons.) The audition that has stuck in…

If you’re wondering about my absence, the answer is: sciatica

There's lots of painful medical conditions. In my 75 years, I'm only become intimately acquainted with one of them: sciatica.  If you're unfamiliar with the term, I'm glad for you. Because sciatica pain, which for me is in my right leg, hip, and buttock areas, can range from mild to excruciating. I'm familiar with the whole range.  Injury or pressure on the sciatic nerve creates the pain of sciatica. So sciatica is a symptom of an underlying medical problem. However, that can be tough to figure out. Thus I tend to view sciatica as the problem, though I realize to…

Health care workers, it’s the system that bothers me, not you

Way back when (to be more specific, the 1970s and 1980s), I was, in order of my career moves, a research associate in the Oregon Medical School Department of Family Practice, a manager with the State Health Planning and Development Agency, and the executive director of Oregon Health Decisions, a pioneering community-based bioethics effort. As I like to say, I must have done a terrific job, because now our state's health care system is running perfectly smoothly with no problems. Of course, that's a blatant falsehood. Oregon, along with the rest of the United States, has a disjointed health care…