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Opinion | Health Care Employment Is Rising. Is That a Good Thing?

October 28, 2021 Vera

The biggest success story in the table is No. 2, Minnesota’s Olmsted County, where the Mayo Clinic in Rochester draws patients from across the upper Midwest, as well as elsewhere in the United States and abroad. Mayo has become even more important to the city in recent years because IBM has reduced jobs there at what was once one of its bigger computer factories. “It is a true blessing to have a world-renowned health care institution based in our county,” says John Wade, the president of Rochester Area Economic Development Inc.

Every county that is dependent on the health care industry must decide whether to double down on its specialty or to diversify so it doesn’t have all its economic eggs in one basket. Olmsted County is open to all kinds of employers, but it’s emphasizing health care, says Patrick Seeb, the executive director of Destination Medical Center, which, despite its name, is not a hospital but an economic development agency responsible for doling out infrastructure funds from the State of Minnesota.

Seeb is trying to get people to call Rochester America’s Med City. Google and Epic Systems have opened offices there to work with Mayo on, respectively, data mining and electronic medical records, he says. And now other companies are arriving because of Google and Epic. “It’s concentric circles,” he says.

The third county on the list is a less happy story. Kentucky’s Breathitt County is in a part of Appalachia that has suffered from declining employment, dwindling population and poor health. “Health care is one of our biggest employers,” says Sue Clair, who has a real estate development company in the county seat, Jackson. “We don’t have any other kind of employment but that.” A 40,000-square-foot industrial building was put up more than 20 years ago with public funds but has never attracted a commercial tenant. “Right now it has the Breathitt County Water District in it,” she says.

Breathitt County is not alone on the list in being hard-pressed. Three of the top 10 counties are in eastern Kentucky, and another, Cumberland, is in south-central Kentucky, all of which are struggling economically. That’s no coincidence. When the local economy falters, total employment dwindles, and the need for health care services increases, both of which push counties upward on the list. Kentucky has the nation’s third-highest mortality rate, after West Virginia and Mississippi, according to the National Center

Montana Tribes Want to Stop Jailing People for Suicide Attempts but Lack a Safer Alternative | Healthiest Communities Health News

October 27, 2021 Vera

POPLAR, Mont. — When Maria Vega was a senior in high school in 2015, she found the body of one of her closest friends, who had died by suicide. A few days later, devastated by the loss, Vega tried to take her own life.

After the attempt failed, she was arrested and taken to juvenile detention in Poplar, a remote town on the Missouri River a short drive from the North Dakota oil fields. She was put in a cell and kept under observation for several days until a mental health specialist was available to see her. Her only interaction was with the woman who brought food to her cell.

“I remember asking her if I could have a hug and she told me, ‘I’m sorry, I can’t do that,’” Vega recalled. “That was honestly one of the hardest things I ever went through in my life. I felt like I was being punished for being sad.”

Jailing people because of a mental health issue is illegal in Montana and every other state except New Hampshire. But Vega is a member of the Fort Peck Assiniboine and Sioux Tribes, a sovereign nation with its own laws. An 11-year-old tribal policy allows law enforcement to put members who threaten or attempt suicide in jail or juvenile detention to prevent another attempt.

Maria Vega, a member of Montana’s Fort Peck Assiniboine and Sioux Tribes, was jailed in 2015 after a suicide attempt. Vega is now part of a group of tribal members, academics and policy experts proposing alternatives to the policy of jailing people who try to kill themselves. The policy was created in 2010 because of a lack of mental health resources on the reservation. (Sara Reardon/KHN)

Fort Peck’s tribal leaders say they approved the policy out of necessity because there were no mental health facilities equipped for short-term housing of people in mental crisis.

The COVID pandemic has only exacerbated the crisis. In 2020, the tribes filed a record 62 aggravated disorderly conduct charges, the criminal charge they created in 2010 to allow law enforcement to book people they deemed a risk to themselves or others.

Stacie FourStar, chief judge of the Fort Peck Tribal Court, said this year has been even worse: The tribe is filing two to four charges per week. The policy has swept up people — particularly adolescents — with no criminal records and no experience

Lecture highlights need for compassion in health care

October 27, 2021 Vera

A few years ago, Dr. Trzeciak was facing burnout as a health care provider and knew something needed to change.

As a person who loves research, he began to dig into related literature and studies that focused on combating burnout in providers. In medical school, he said, he was taught that caring too much and having too much compassion could cause a provider burnout more quickly. What he found in studies, however, painted a different picture.

“What the literature shows is that there is an association with compassion and burnout – but it’s inverse. If there’s high compassion, there’s low burnout. Why? Well, we don’t know for sure but I have my hypothesis,” Dr. Trzeciak said. “Because when you connect with people through compassion, and have a relationship that flows from that, you get the fulfilling part. If you don’t have that then all you have is a really stressful job.”

Key to Resilience is Relationships

He tested his hypothesis on himself, as a study subject of one and found that when he leaned into caring more rather than detaching, his feelings of burnout began to lift. It wasn’t just about connecting with and showing compassion to patients and families, but to everyone he worked with and interacted with—professionally and personally. He believes this method can work not only within health care but in every walk of life.

He challenged everyone who is feeling the effects of burnout to give his method a chance, not just because it has worked for him and helped change his life, but because it is backed by science.

He highlighted a Harvard University study that tracked students at the university and Boston-area teenagers throughout their lives and found the best predictor of good health and well-being into your 80’s is your midlife quality of relationships. Dr. Trzeciak said this and many other studies show that the key to resilience is relationships.

“That’s why it is vitally important in our health systems, in our medical schools, everywhere – at the shopping mall, at the grocery store – that we take good care of each other,” Dr. Trzeciak said. “You don’t have to be a health care provider to feel burnout, especially in 2021.”

Compassion in Health Care

Compassionate and caring environments not only help team members face less burnout, but also help patients see better outcomes.

During his lecture, Dr. Trzeciak discussed many studies pointing

Welcoming every body: UF Trans Health + Wellness Initiative partners with RecSports to provide students with ‘Gym 101’

October 26, 2021 Vera

The gym can be intimidating at first, especially for queer students confronted with gendered spaces. So UF’s Trans Health + Wellness Initiative tries to make it easier.

“Everyone has a right to be in fitness spaces,” UF applied physiology and kinesiology third-year and THWI president Dahlia Wrubluski said.

THWI hopes to provide queer students with the tools they might need to start their fitness journey free from stigma and social barriers. On Oct. 4, the club hosted a meeting in collaboration with RecSports to provide students with an introduction to gym facilities and exercise techniques.

THWI started last Spring and has hosted events promoting open conversations about what health and wellness mean to the transgender, intersex and gender non-conforming communities.

Wrubluski said THWI’s main purpose is to “deprioritize looks in fitness” and create a space where students can break down the unspoken cis-normative nature of fitness culture and feel comfortable engaging in physical activity.

UF English freshman Miles Wasser, who identifies as non-binary, explained that the gym environment heavily relies on gender roles and often alienates those who fall outside of the gender binary.

“It really does not feel welcoming to anyone is isn’t cis-presenting,” Wasser said. “It’s not just focusing on aspects of your body and how you’re moving, it’s also analyzing ‘am I moving in a way that looks more masculine or feminine?’”

THWI hopes to assist queer students in their fitness activities by educating about gym resources and creating safe spaces where they can exercise with a sense of safety and confidence.

“I realized there was a need for trans-inclusive health that goes beyond reproductive and hormonal health and focuses on holistic preventative health, and exercise, fitness and wellness are some of the things that are central to preventative health,” Wrubluski said.

The meeting was surrounded by a sense of community within the attendees. The close-knit group met in Little Hall and had an open conversation about why fitness matters in the queer community.

“What we tried to do was put together a presentation that would be inclusive enough to be able to accommodate any needs and hopefully break down barriers,” Cory Bennett, RecSport’s fitness programs assistant director, said.

The meeting covered “Gym 101,” which included basic gym etiquette, general body mechanics and how to overcome the initial anxiety of going into a gym space for the first time.

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City Planning Commission Approves Two Amendments Promoting Health and Fitness

October 25, 2021 Vera

Image of current districts under the FRESH program. One of the Mayor’s proposed zoning amendments will expand the FRESH program in outer boroughs. Image Credit: NYC DCP

Commissioners raised concerns about the removal of special permits as a way to vet out illegitimate massage parlors. On October 20, 2021, the City Planning Commission voted to approve two applications proposed by the City to support small businesses and promote healthy food options and fitness. The two applications, the FRESH Program Expansion and the Health and Fitness Text Amendment, were part of a series of zoning proposals proposed earlier this year.

FRESH Expansion

The Food Retail Expansion to Support Health (FRESH) program offers zoning and tax incentives to encourage the development of accessible stores for fresh meats and produce, perishable goods and other grocery products. FRESH zoning incentives include an additional square foot of residential floor area for a mixed building for every square foot provided for a FRESH food store and a possible increase in maximum building height by 15 feet authorized by the City Planning Commission to accommodate the extra floor area. FRESH food stores can be built as-of-right in FRESH eligible districts instead of seeking out a special permit.

Currently, the FRESH program operates in specific districts, including portions of Manhattan Community Districts 9 through 12, portions of Bronx Community Districts 1 through 7, portions of Brooklyn Community Districts 3, 4, 5, 8, 9, 16 and 17, portions of Queens Community districts 1 and 12 and the Special Downtown Jamaica District. The proposed zoning change expands the FRESH program in Bronx Community Districts 8 and 9; Brooklyn Community Districts 1, 2, 12 and 13; Queens Community Districts 1, 3, 4 and 14 and Staten Island Community District 1.

The commissioners unanimously voted in favor of the amendment, and did not issue any comment on it.

Health and Fitness Text Amendment

The Health and Fitness text amendment would allow gyms, martial arts studios, spas, massage therapy businesses and other health related businesses to open as-of-right where zoning permits. Currently, these health related businesses must first seek special permission from the Board of Standards and Appeals (BSA), which can add months in the timeline and thousands of dollars of upfront costs to open these kinds of businesses. During this time of economic recovery, the City wanted to remove the significant barriers that prevent these small businesses that provide health benefits from

Medical device leader Medtronic joins race to bring AI to health care

October 25, 2021 Vera

Medtronic, the world’s largest medical device company, is significantly increasing its investments into AI and other technologies, in what it says is an effort to help the health care industry catch up with other industries.

While many other industries have embraced technology, health care has been slower. Studies reveal that only 20% of consumers would trust AI-generated health care advice.

VentureBeat interviewed Torod Neptune, Medtronic’s senior vice president and chief communications officer, and Gio Di Napoli, president of Medtronic’s Gastrointestinal Unit, to discuss the company’s vision of the future of health care technology.

Digital transformation in health care

Neptune spoke about Medtronic’s transition beyond traditional med tech to more innovative solutions using AI. He noted that health care technology — through its unusual scale and ability to harness data analytics, algorithms, and intelligence — plays a significant role in solving big problems in the AI field.

Artificial intelligence increases the detection of early cancer by 14% compared to normal colonoscopy, Di Napoli said. This is very important because “every percentage of increase in detection reduces the risk of cancer by 2%,” he said.

Building on Medtronic’s medical devices already serving millions (like its miniature pacemaker, smart insulin pump, and more), the company’s plan to make health care more predictive and personal led to the development of GI Genius Intelligent Endoscopy Module (granted USFDA de novo clearance on April 9, 2021, and launched on April 12, 2021).

Medical equipment arranged in shelves on a cart, with a large monitor on top that shows an intestinal scan in progress.

Above: Medtronic says its GI Genius Intelligent Endoscopy Module is the first-to-market computer-aided polyp detection system powered by artificial intelligence.

The GI Genius module is the first and only artificial intelligence system for colonoscopy, according to Medtronic, assisting physicians in detecting precancerous growths and potentially addressing 19 million colonoscopies annually. The company says the module serves as a vigilant second observer, using sophisticated AI-powered technology to detect and highlight the presence of precancerous lesions with a visual marker in real time.

Investing in innovative health care

Medtronic has launched more than 190 health care technology products in the past 12 months. It also invests $2.5 billion yearly on research and development (R&D). Medtronic’s CEO, Geoff Martha, recently announced a 10% boost in R&D spending by FY22.

This enormous investment, the largest R&D increase in company history, underscores Medtronic’s focus on innovation and technology.

The company says it plans to expand the number of patients it serves each year, with the